D D D D D D D D D D D D D - City and County of San Francisco

File No. 20059 Item No. 4

SUNSHINE ORDINANCE TASK FORCE AGENDA PACKET CONTENTS LIST

Compliance and Amendments Committee Date: April 26, 2022

~ D D D D D

OTHER

D D D D D D D D D

Petition/Complaint Memorandum - Deputy City Attorney Petitioner/Complainant Supporting Documents Respondent's Response Public Correspondence Order of Determination Minutes Administrator's Report No Attachments

Page:_ Page:_

Page:_ Page:_ Page:_ Page:_ Page:_ Page:_

Completed by: __ C_._L_e....,.g_er _______ Date 4/21/22

*An asterisked item represents the cover sheet to a document that exceeds 25 pages. The complete document is in the file.

P7

Sunshine Ordinance Task Force Complaint Summary

File No. 20059

Anonymous v. Dept. of Public Health

Date filed with SOTF: 3/2/2020

Anonymous ([email protected]) (Complainant) Dept. of Public Health, Veronica Vien ([email protected]) (Respondent)

File No. 20059: Complaint filed by Anonymous against the Department of Public Health for allegedly violating Administrative Code (Sunshine Ordinance), Section 67 .25 by failing to respond to an Immediate Disclosure request in a timely and complete manner.

Administrative Summary if applicable:

Complaint Attached.

PB

Petition/Complaint

pg

I (BOS)

From: Sent: To: Subject:

Google Forms <[email protected]> Monday, March 2, 2020 9:44 PM SOTF, (BOS)

New Response Complaint Form

This message is from outside the City email syste·m. Do not open links or attachments from untrusted sources.

Your form has a new entry.

Here are the results.

Complaint against which Department or Commission

Alleged Violation

Please describe alleged violation

Name

Email

If anonymous, please let us know how to contact you. Thank you.

Sent via Google Forms Email

Public Health

Public Records

See email - untimely and incomplete response to immediate disclosure request

Anonymous

88878-67 394299@req uests. m uckrock.com

88878-67 394299@req uests. m uckrock.com

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Petitioner's Supporting Documents

P11

I (BOS)

From: Sent: To: Subject: Attachments:

Anonymous <[email protected]> Tuesday, March 3, 2020 11 :21 AM SOTF, (BOS) SOTF 20059 - Refiling Complaint as requested DPH-Complaint-COVID.pdf; signature.asc

Resending the complaint below as requested.

Anonymous ([email protected]) v Public Health

An immediate disclosure request was filed before start of business day on Feb 28, 2020. (See attached)

No response was received March 2 by close of business. When they respond I may need to allege improper redaction or withholding at that time.

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, conseque'ntial, or any other damages whatsoever. The digital signature (signature.asc attachment), if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the government all be disclosable public .records. ·

Sincerely,

Anonymous

P12

3/3/2020 Coronavirus/COVID-19/SARS-CoV-2 Response (San Francisco) Immediate Disclosure Request• Muck:Rock

Subject: California Public Records Act Request: Coronavirus/COVID-19/SARS-CoV-2 Response (San Fr ...

SFDPH:

NOTE: THE EMAIL ADDRESS SENDING THIS REQUEST IS A PUBLICLY-VIEWABLE MAILBOX. Please be certain you have properly redacted all of your responses. Once you send them to us, there is no going back. All of your responses (including all responsive records) may be instantly and automatically available to the public online via the MuckRock.com FOIA service used to issue this request (though the requester is an anonymous user, not a representative of MuckRock). Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature, if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the City all be disclosable public records.

Below are new Immediate Disclosure Requests (SF Admin Code 67.25(a)) directed to your agency and its department head. Your initial response is required by March 2, 2020. Rolling records responses are requested (SFAC 67.25(d)) if you are unable to immediately produce records. Exact copies of every responsive record are requested (Gov Code 6253(b)). Provide only copies of records not requiring fees and in-person inspection of all other records (GC 6253).

Your non-exhaustive obligations: - All withholding of any information must be justified in writing by specific statutory authority (SFAC 67.27). - All withholdings by masking or deletion (aka redactions) must be keyed by footnote or other clear reference to the specific justification for that redaction, and only the minimal exempt portion of any record may be withheld (SFAC 67.26). - You must respond to emailed requests (SFAC 67.21(b)). - You must notify us of whether or not responsive records exist and/or were withheld for each below request (Gov Code 6253(c), 6255(b)). - You must state the name and title of each person responsible for withholding any information (Gov Code 6253(d)). - Do not impose any end-user restrictions upon me (Santa Clara Co. vs Superior Ct, 170 Cal.App 4th 1301); so if you use a third-party website to publish records, please make them completely public without any login or sign-in.

Your agency must do all of the above things in your response, and you cannot wait until we file complaints.

******We have no duty to, and we will not again, remind the City of its obligations. Instead, we will file complaints for every Sunshine Ordinance or CPRA violation. We will continue to file complaints until the City's procedures are modified to fully comply with the Sunshine Ordinance and CPRA, without caveat or exception. ******

1. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COVID19" "COVID-19 11 "SARSCoV-211 "2019-nCOV1' 11 nCOV" 11 severe acute respiratory syndrome'1 1'viral pneumonia'1 11 pneumonia of unknown origin" 11 novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCC for items sent by City

J employees) and preserving the body, attachments and images is sufficient.

h ttps ://www.muckrock.com/foi/ san-fran ci sco-141 / coronaviruscov id- l 9sars-cov -2-rfspln?e-san-francisco-i mmedi ate-disc! osure-reques t-88878/ 1/3

3/3/2020 Coronavirus/COVID-19/SARS-CoV-2 Response (San Francisco) Immediate Disclosure Request• MuckRock

2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COVID19" "COVID-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient.

This information is of the highest public interest. You may prioritize this request over any other outstanding Sunshine requests from me, if it would speed up your response to this one. You may exclude press releases or similar material already published to the general public. If you believe this query would take more than say a week to produce, please provide suggestions to narrow the query to match my purpose, which is: to determine the scope and quality of Federal, state, and local government response to COVID-19/SARS-CoV-2, most importantly including decisions to test or not to test PUis or other suspect cases.

Do not destroy or discard any responsive records - we will appeal all withholdings or Sunshine violations.

Thank you for your anticipated cooperation in this matter.

Sincerely, Anonymous

Subject: RE: California Public Records Act Request: Coronavirus/COVID-19/SARS-CoV-2 Response (Sa ...

I am expecting you to provide all of the Feb 28, 2020 information requested that is immediately available by March 2, 2020 CoB that you have. You cannot use maximum deadlines to delay providing an incremental response with whatever you have available; there is no legal reason to delay. Immediate appeals will be filed if you attempt to withhold or delay any information (except for patient privacy).

Also, these are further immediate disclosure requests: 3. Any records of the number of tests available for COVID-19/SARS-CoV-2 testing from CDC. 4. Any records of the COVID-19/SARS-CoV-2 test procedures, manuals, contents, or the conditions suspect cases must meet to be tested (including any communications from CDC regarding this)

Above are new Immediate Disclosure Requests (SF Admin Code 67.25(a)) directed to your agency and its department head. Your initial response is required by March 3, 2020. Rolling records responses are requested (SFAC 67.25(d)) if you are unable to immediately produce records. Exact copies of every responsive record are requested (Gov Code 6253(b)). Provide only copies of records not requiring fees and in-person inspection of all other records (GC 6253).

Your non-exhaustive obligations: - All withholding of any information must be justified in writing by specific statutory authority (SFAC 67.27). - All withholdings by masking or deletion (aka redactions) must be keyed by footnote or other clear reference to the specific justification for that redaction, and only the minimal exempt portion of any record may be withheld (SFAC 67.26). - You must respond to emailed requests (SFAC 67.21 (b)). - You must notify us of whether or not responsive records exist and/or were withheld for each

P14 https :/ /www .muckrock.com/foi/ san-franci sco-141 I coronaviruscoyi d- l 9sars-cov-2-response-san-francisco-imm ediate-discl osure-reques t-88878/ 2/3

3/3/2020 Coronavirus/COVID-19/SARS-CoV-2 Response (San Francisco) Immediate Disclosure Request• MuckRock

below request (Gov Code 6253(c), 6255(b)). - You must state the name and title of each person responsible for withholding any information (Gov Code 6253(d)). - Do not impose any end-user restrictions upon me (Santa Clara Co. vs Superior Ct, 170 Cal.App 4th 1301); so if you use a third-party website to publish records, please make them completely public without any login or sign-in.

Your agency must do all of the above things in your response, and you cannot wait until we file complaints.

******We have no duty to, and we will not again, remind the City of its obligations. Instead, we will file complaints for every Sunshine Ordinance or CPRA violation. We will continue to file complaints until the City's procedures are modified to fully comply with the Sunshine Ordinance and CPRA, without caveat or exception. ******

This information is of the highest public interest. You may prioritize requests from this email address over any other outstanding Sunshine requests from me, if it would speed up your response to these. If you believe this query would take more than say a week to produce, please provide suggestions to narrow the query to match my purpose, which is: to determine the scope and quality of Federal, state, and local government response to COVID-19/SARS-CoV-2, most importantly including decisions to test or not to test PUis or other suspect cases.

Do not destroy or discard any responsive records - we will appeal all withholdings or Sunshine violations.

Thank you for your anticipated cooperation in this matter.

NOTE: THE EMAIL ADDRESS SENDING THIS REQUEST IS A PUBLICLY-VIEWABLE MAILBOX. Please be certain you have properly redacted all of your responses. Once you send them to us, there is no going back. All of your responses (including all responsive records) may be instantly and automatically available to the public online via the MuckRock.com FOIA service used to issue this request (though the requester is an anonymous user, not a representative of MuckRock). Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature, if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the City all be disclosable public records.

Sincerely, Anonymous

P15 https :// www .m uckrock .com/f oi I san-f ran ci sco-141 / coronaviruscovi d-19 sars-cov-2-response-san-franci sco-imm edi ate-di sci osure-reques t -88878/ 3/3

I (BOS)

From: Anonymous <[email protected]> Thursday, March 5, 2020 12:51 PM Sent:

To: SOTF, (BOS) Subject: Status of files - Mar 5, 2020

signature.asc Attachments:

" 19044, 19091, 19108 - 3 Cases won at full SOTF awaiting Order of Determination • 19047 - 1 Case won with OD, needs Compliance Committee review due to Mayor's non-compliance. • 19103, 19112 - 2 Waiting Full SOTF (Committee completed) " >60 cases waiting Committee - 19097, 19098 (continued), 19113, 19119 (next), 19120, 19121, 19124, 19125,

19127, 19128, 19131, 19132, 19133, 19134, 19136, 19137, 19139, 19141, 19143, 19144, 20005, 20006, 20009, 20014,20015,20016,20017, 20018,20019,20020,20021,20022,20024,20025,20026,20027,20028,20030, 20031,20032, 20033, 20036, 20037, 20039,20040, 20041,20042, 20043, 20044,20045, 20046,20047,20048, 20049,20050,20051,20052, 20053,20054,20057,20059

Thanks.

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature (signature.asc attachmr=nt), if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the government all be disclosab/e public records.

Sincerely,

Anonymous

P16

From: Sent: To:

I (BOS)

Anonymous <[email protected]> Saturday, March 21, 2020 9:32 PM SOTF, (BOS)

Subject: Fw: Further Waiver for certain SOTF deadlines signature.asc Attachments:

-------Original Message-------On Saturday, March 21, 2020 9:29 PM, Anonymous <[email protected]> wrote:

SOTF Files: 19089, 19091, 19105, 19108, 20002, 20007, 20039, 20059, 19097, 19098, 19103, 19103, 19112, 19119, 19120, 19124, 19128, 19141, 19143,20005,20006,20006,20009,20014,20052,20053, 20054, 20057

This is a further written waiver until the latest of: [April 7, 2020, expiration of Order of the Health Officer No. C19-07, or expiration of paragraph 1 of Executive Order N-33-20, all as may be extended], of any CPRA/Sunshine deadlines (incl. SOTF's own 67.21(e) 45-day deadline to issue a determination) that would normally occur between now and such date in only the above list of SOTF cases, EXCEPT the following which are either long-standing and with which continued non-compliance is unrelated to COVID-19 work, or for which the information is itself about COVID-19:

" This waiver does not apply to SOTF Order 19047 or SOTF 19044. " The waiver does not apply to requests about COVID-19 itself sent to DEM, DPH, or the Mayor. " This waiver does not apply to agencies whose employees are not listed in the TO.

Note that while I am waiving these deadlines, SOTF may or may not be also waiving your deadlines and I have no control over that.

The following are not waived:

" Any violations, including timeliness, occurring prior to March 17, 2020, or after the end of the waiver date.

• Any non-timeliness violations. " Failure by the City to retain and refrain from destroying during the pendency of the waiver any

responsive records. .. Any unilateral decision by the City that purports to exempt itself or any of its agencies, officers,

or employees from the CPRA or Sunshine Ordinance or any of its provisions.

Stay safe out there~

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature (signature.asc attachment), if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include

P17

any confidential information, as I intend that these communications with the government all be disclosable public records.

Sincerely,

Anonymous

-------Original Messa15e -------On Monday, March 16, 2020 7:17 PM, Anonymous <[email protected]> wrote:

SOTF- This may be filed in cases SOTF 19044, 19047, 19089, 19091, 19105, 19108, 20002,20007,20039,20059, 19097, 19098, 19103, 19103, 19112, 19119, 19120, 19124, 19128, 19141, 19143,20005,20006,20006,20009,20014,20052,20053,20054,20057

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature (signature. asc attachment), if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the government all be disclosable public records.

Sincerely,

Anonymous

-------Original Message-------On Monday, March 16, 2020 7:11 PM, Anonymous <[email protected]> wrote:

Listed SOTF Respondents and SOTF itself,

This is a written waiver until April 7, 2020 of any CPRA/Sunshine deadlines (incl. SOTF's own 67.21{e) 45-day deadline to issue a determination) that would normally occur between now and April 7, 2020 in the attached list of SOTF cases, EXCEPT the following which are either long-standing and with which continued non-compliance is unrelated to COVID-19 work, or for which the information is itself about COVID-19:

• This waiver does not apply to SOTF Order 19047, which the Mayor's Office has never complied with, in providing minimally redacted ICS files of certain calendars entries.

.. This waiver does not apply to SOTF 19044, which would require minimal redaction of the two emails in that case by the City Attorney's office pursuant to SOTF's motion in January (which has not issued yet as an Order).

.. The waiver does not apply to requests about COVID-19 itself sent to DEM, DPH, or the Mayor.

P18

" This waiver does not apply to agencies whose employees are not listed in the TO.



" Any violations, including timeliness, occurring prior to March 17, 2020, or after April 7, 2020. (note the deadlines are merely being delayed until April 7, not some n days after April 7).

.. Any non-timeliness violations. " Failure by the City to retain and refrain from destroying during

the pendency of the waiver any responsive records. " Any unilateral decision by the City that purports to exempt itself

or any of its agencies, officers, or employees from the CPRA or Sunshine Ordinance or any of its provisions.

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature (signature.asc attachment), if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the government all be disc/osable public records.

Sincerely,

Anonymous

Pl9

From:. Sent: To:

I (BOS)

Anonymous < [email protected] > Wednesday, June 3, 2020 11 :17 PM Heckel, Hank (MYR); COTE, JOHN (CAT); Gerull, Linda (TIS); Steinberg, David (DPW); Cox, Andrew (POL); Scott, William (POL); Breed, Mayor London (MYR); Colfax, Grant (DPH); Press, DEM (DEM); SFSO FOIA Requests (SHF); SOTF, (BOS)

Subject: Re: Further Waiver for certain SOTF deadlines Attachments: sig natu re.asc

All my waivers for timeliness of CPRA/Sunshine Ordinance responses are now terminated as of June 3, 2020.

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature (signature.asc attachment), if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the government all be disclosab/e public records.

Sincerely,

Anonymous

-------Original Message-------On Monday, April 6, 2020 8:34 PM, Anonymous <[email protected]> wrote:

SOTF Files: 19089, 19091, 19105, 19108, 20002, 20007, 20039, 20059, 19097, 19098, 19103, 19103, 19112,19119,19120,19124,19128,19141,19143,20005,20006,20006,20009,20014,20052,20053, 20054,20057

This is a further written waiver until the latest of: [May 3, 2020, expiration of Order of the Health Officer C19-07b, or expiration of paragraph 1 of Executive Order N-33-20], of any CPRA/Sunshine deadlines (incl. SOTF's own 67.21{e) 45-day deadline to issue a determination) that would normally occur between now and such date in solely the above list of SOTF cases, EXCEPT the following which are either long-standing and with which continued non-compliance is unrelated to COVID-19 work, or for which the information is itself about COVID-19:

• This waiver does not apply to SOTF Order 19047 or SOTF 19044. " The waiver does not apply to requests about COVID-19 itself sent to DEM, DPH, or the Mayor or

her office. • The waiver does not apply to agencies whose employees are not listed in the TO.




P40

" Any non-timeliness violations. " Failure by the City to retain and refrain from destroying during the pendency of the waiver any

responsive records. .. Any unilateral decision by the City that purports to exempt itself or any of its agencies, officers,

or employees from the CPRA or Sunshine Ordinance or any of its provisions.

I do not believe Paragraph 2 of Executive Order N-35-20 or Paragraph 5 of the Mayor's March 13 Second Supplement or any other unilateral suspensions by the government of its own transparency obligations are legally valid and will challenge them if they are used.

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature (signature.asc attachment}, if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the government all be disclosable public records.

Sincerely,

Anonymous

-------Original Message-------On Saturday, March 21, 2020 9:29 PM, Anonymous <[email protected]> wrote:

SOTF Files: 19089, 19091, 19105, 19108, 20002, 20007, 20039, 20059, 19097, 19098, 19103, 19103, 19112, 19119, 19120, 19124, 19128, 19141, 19143,20005,20006,20006, 20009,20014,20052, 20053, 20054, 20057

This is a further written waiver until the latest of: [April 7, 2020, expiration of Order of the Health Officer No. C19-07, or expiration of paragraph 1 of Executive Order N-33-20, all as may be extended], of any CPRA/Sunshine deadlines (incl. SOTF's own 67.21(e) 45-day deadline to issue a determination) that would normally occur between now and such date in only the above list of SOTF cases, EXCEPT the following which are either long-standing and with which continued non-compliance is unrelated to COVID-19 work, or for which the information is itself about COVID-19:

.. This waiver does not apply to SOTF Order 19047or SOTF 19044. " The waiver does not apply to requests about COVID-19 itself sent to DEM, DPH,

or the Mayor. " This waiver does not apply to agencies whose employees are not listed in the

TO.




" Any non-timeliness violations. " Failure by the City to retain and refrain from destroying during the pendency of

the waiver any responsive records. " Any unilateral decision by the City that purports to exempt itself or any of its

agencies, officers, or employees from the CPRA or Sunshine Ordinance or any of its provisions.

Stay safe out there~

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties; express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature (signature.asc attachment}, if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the government all be disc/osable public records.

Sincerely,

Anonymous

------- Origin a I Message -------

On Monday, March 16, 2020 7:17 PM, Anonymous <[email protected]> wrote:

SOTF- This may be filed in cases SOTF 19044, 19047, 19089, 19091, 19105, 19108,20002, 20007, 20039, 20059, 19097, 19098, 19103, 19103, 19112,19119, 19120, 19124, 19128, 19141, 19143,20005, 20006,20006,20009, 20014, 20052,20053, 20054, 20057

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature (signature.asc attachment), if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Pledse do not include any confidential information, as I intend that these communications with the government all be disc/osable public records.

Sincerely,

Anonymous

-------Original Message----~--

P22

On Monday, March 16, 2020 7:11 PM, Anonymous <[email protected]> wrote:

Listed SOTF Respondents and SOTF itself,

This is a written waiver until April 7, 2020 of any CPRA/Sunshine deadlines (incl. SOTF's own 67.21(e) 45-day deadline to issue a determination) that would normally occur between now and April 7, 2020 in the attached list of SOTF cases, EXCEPT the·following which are either long-standing and with which continued noncompliance is unrelated to COVID-19 work, or for which the information is itself about COVJD-19:

.. This waiver does not apply to SOTF Order 19047, which the Mayor's Office has never complied with, in providing minimally redacted JCS files of certain calendars entries.

" This waiver does not apply to SOTF 19044, which would require minimal redaction of the two emails in that case by the City Attorney's office pursuant to SOTF's motion in January (which has not issued yet as an Order).

" The waiver does not apply to requests about COVID-19 itself sent to DEM, DPH, or the Mayor.

.. This waiver does not apply to agencies whose employees are not listed in the TO.



" Any violations, including timeliness, occurring prior to March 17, 2020, or after April 7, 2020. (note the deadlines are merely being delayed until April 7, not some n days after April 7).

111 Any non-timeliness violations. " Failure by the City to retain and refrain from

destroying during the pendency of the waiver any responsive records.

" Any unilateral decision by the City that purports to exempt itself or any of its agencies, officers, or employees from the CPRA or Sunshine Ordinance or any of its provisions.

NOTE: Nothing herein is legal, IT, or professional advice of any kind. The author disclaims all warranties, express or implied, including but not limited to all

Pil3

warranties of merchantability or fitness. In no event shall the author be liable for any special, direct, indirect, consequential, or any other damages whatsoever. The digital signature (signature.asc attachment), if any, in this email is not an indication of a binding agreement or offer; it merely authenticates the sender. Please do not include any confidential information, as I intend that these communications with the government all be disclosable public records.

Sincerely,

Anonymous

Pi4

From: Sent: To: Cc:

Subject: Attachments:

Dr. Colfax,

Anonymoose (@journo_anon)""' 0. <[email protected]> Monday, April 11, 2022 12:49 AM Colfax, Grant (DPH) [email protected]; SOTF, (BOS); Lila LaHood SOTF order in 20059 against you - COVID comms with CD PH/CDC signature.asc

(cc: Dr. Aragon, and SOTF Compliance Chair LaHood)

Last Wednesday, the SOTF unanimously ordered the production of all records responsive to the following request on a rolling basis: https://url.avanan.click/v2/ https://sanfrancisco.nextrequest.com/requests/20-1076 .YXAz0nNmZHQyOmE6bzo 1Njg3YTZjZGY4MmZh MWYxOGEOYzNiYTl5ZDgyNzVmZDo20jBjMT g6Nzg2 YjlxNzlxMTUxODRkMjlzYTkwMWVIMGl50GVIZGE1MjRiNGFhMTMxODl1Nzk2MDExNTEyNmU1ZTZmMzg3Mjp0 Ok4 , specifically including in their motion the responsive attachments, texts, chats, and email addresses as well, and found violations of various provisions of the Sunshine Ordinance, and referred the matter to the Compliance Committee for verification. In this case you produced no records until 2 years after my request. You have also for some reason "closed" my request with what appears to be -2600 pages of records, while testifying you produced -4000 pages of email records. Where are the other -1400?

Furthermore, DPH originally stated there were approximately 20000 or more records, and all must now be produced under the order. If you can account for the remaining 16,000 by sender/recipient or some other mechanism, I may be willing to narrow the remainder of the request if you have preserved all of the responsive records. You also don't need to produce the same email in multiple recipients' mailboxes over and over again. Note the SOTF has ordered you to produce all the records, so I am NOT required to narrow, but I may choose to do so voluntarily.

Most importantly, SFDPH has previously admitted [fn1] in a different response that it did NOT preserve your nowformer employee SF Public Health Officer Tomas Aragon's texts or chats before he left when I made my requests. Note my requests were made before Aragon resigned from SF employment, and you were required by law to preserve his responsive records at the time I made my request. See the Good Government Guide, pg. 130. [fn2].

Please confirm whether you have preserved all of the relevant Aragon texts here, or whether DPH will retrieve them from Dr. Aragon now and that he has personally preserved all of the records from Nov 2019 until present. Note that Aragon remains subject to the CPRA as a state public official - DPH may wish to request all the responsive records from Aragon and then provide them to me, instead of continuing to violate the law. It is not my problem how you fully comply with my request, and you cannot insist that I instead go Aragon myself.

Note that as Member Schmidt discussed during the hearing, SOTF is required by SFAC 67.30(c) to refer any person who it concludes has violated the Sunshine Ordinance to an enforcement body.

If I do not hear back from you within 5 business days or if the failure to preserve the records is in fact true, I request the SOTF's Compliance Committee to refer back to the full SOTF with DPH's refusal or inability to comply, and then ask the SOTF to refer to the Ethics Commission under Admin Code 67.29-7(a) - an obligation of every department head to retain records - and willful violation under Admin Code 67 .34; if you still refuse to comply, request Superior Court or the Ethics Commission to enforce SOTF's order.

Regards,

Anonymoose

P25

twitter.com/journo anon a 2022 SPJ NorCal James Madison Freedom of Information Award Winner

Footnote 1 : https://www.muckrock.com/foi/san-francisco-141 /inter-agency-text-messages-immediate-disclosure-request-sf-healthofficer-tomas-aragon-943 7 4/#comm-1030904

Footnote 2: "Even if a document does not meet the definition of "record" for retention purposes, if the department receives a public records request for the document, it may not destroy it or otherwise dispose of it. For example, if a third party submits a document to a department that later receives a records request for it, the department may not return the document to the third party and then tell the requester it does not possess the document. The legal obligation to respond to public records requests and provide responsive records unless there is a legal basis for withholding them precludes the department from destroying or disposing of a document after receiving a public records request for which the document is a responsive record. The same principles apply if a document meets the definition of "record" for retention purposes but due to the passage of time could have been destroyed under the applicable records retention schedule. If the document is in the department's possession at the time of the public records request, then the legal obligation to respond to the request trumps the discretion the department otherwise would have to destroy the document"

Pi6

I (BOS)

From: Sent: To: Cc:


Anonymoose (@journo_anon) ~ Q. <[email protected]> Friday, April 15, 2022 7:08 PM DPH Sunshine [email protected]; SOTF, (BOS); Colfax, Grant (DPH) Re: SOTF order in 20059 against you - COVID comms with CD PH/CDC signature.asc

Dear Compliance Chair La Hood,

I ask that this matter be scheduled before the compliance committee and that the committee refer the matter back to the full SOTF so it can find that Grant Colfax has violated Admin Code 67.29-7. Colfax failed to follow retention law. As the good government guide states, when records become responsive to a request they must be preserved.

As the department did not preserve the records from now former Health Officer Tomas Aragon, it is impossible for them to comply with my request. What the health officer did at the beginning of COVID is permanently lost to the public due

to Colfax's violation of the law.

Regards,

Anonymous twitter.com/journo_anon a 2022 SPJ NorCal Freedom of Information Award Winner

--------Original Message--------

On Apr 15, 2022, 3:32 PM, DPH Sunshine< [email protected]> wrote:

Dear Requestor,

This is email is follow-up to SOTF File No. 20059. The San Francisco Department of Public Health (DPH) has reopened this request (NextRequest case #20-1076) and is working to provide you additional records. In addition to the records that we have previously

provided from the Department's most senior leadership, we have an email out to all 8,000+ DPH employees asking for all responsive records they may have. We will continue to provide documents on a rolling basis. Dr. Tomas Aragon no longer works for the City and County of San Francisco and does not have a CCSF cell phone. Dr. Aragon's

texts from that period are no longer accessible.

Please also note that the previous custodians of records who were managing this request separated from DPH in September 2021 and December 2021, respectively. The

extent of our historical knowledge from that time is limited to what has been entered in our NextRequest database.

DPH is the lead City agency responsible for San Francisco's ongoing COVID emergency response. At the time these requests were made, a high proportion of DPH employees were deployed as Disaster Service Workers and reassigned from their usual duties to tasks related to the emergency, including our custodians of records. With an average of 50-60 public records requests received by the DPH every week, it has been incredibly challenging to respond to all requests received during the COVID pandemic in a timely manner.

Due to the high turnover of DPH custodians of records there has been a significant loss of historical knowledge and context with regards to overdue DPH Public Records Requests. DPH is working to address these staffing challenges as expeditiously as possible. We will be hiring staff dedicated solely to public records work. In this interim period, we have a team of DPH staff addressing our public records requests. We thank the Sunshine Ordinance Taskforce for their patience during this transition.

Sincerely, DPH Sunshine Team

-----Original Message-----

From: Anonymoose (@journo_anon) ~ ~ <[email protected]> Sent: Monday, April 11, 2022 12:49 AM To: Colfax, Grant (DPH) <[email protected]> Cc: [email protected]; SOTF, (BOS) <[email protected]>; Lila LaHood <[email protected]> Subject: SOTF order in 20059 against you - COVID comms with CDPH/CDC

This message is from outside the City email system. Do not open links or attachments from untrusted sources.

P~8

Respondent's Supporting Documents

P29

Leger, Cheryl (BOS)


Follow Up Flag: Flag Status:

Anonymous <[email protected]> Saturday, March 21, 2020 9:32 PM SOTF, (BOS) Fw: Further Waiver for certain SOTF deadlines Fw: Further Waiver for certain SOTF deadlines

Follow up Flagged


1 P30

I (BOS)

From: Eya, Tomiko (DPH)

Sent: To:

Wednesday, February 9, 2022 11 :44 AM SOTF, (BOS); Leger, Cheryl (BOS)

Subject: Re: SOTF - Complaint Committee hearing, February 15, 2022; 5:30 PM; remote meeting;

Hi Cheryl,

This is the first time that I am hearing about this.

Please advise me of the incident that pertains to me.

Many thanks, Tomiko

Tomiko Eya, Program Manager

Adult & Older Adult Systems of Care Behavioral Health Services - San Francisco Health Network

San Francisco Department of Public Health

1380 Howard Street, 5th floor, SF 94103 510-410-9753 cell (during telecommuting)

415-255-3442 office phone

415-255-3567 fax

[email protected]

This message and any attachments are solely for the intended recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use, or distribution of the information included in this message and any attachments is prohibited. if you have received this communication in error, please notify me immediately and permanently delete or otherwise destroy the information. Thank you.

From: SOTF, (BOS) <[email protected]> Sent: Monday, February 7, 2022 9:52 AM

To: Pojman, Natalie (DPH) <[email protected]>; Eya, Tomiko (DPH) <[email protected]>; 88878-

[email protected] <[email protected]>; Pera, Arran (POL)

<[email protected]>; Reilly, Lynn (POL) <[email protected]>; [email protected] <[email protected]>; Stiliyan Bejanski <[email protected]>; Guy, Kevin (CPC) <[email protected]>; Marc Norton <[email protected]>; A.J. White <[email protected]>; Rosenstein,

Diana (DPA) <[email protected]>; Henderson, Paul (DPA) <[email protected]>; Maunder, Sara (DPA)

<[email protected]> ) Subject: SOTF - Complaint Committee, hearing, February 15, 2022; 5:30 PM; remote meeting;

Good Morning: Notice is hereby given that the Complaint Committee (Committee) of the Sunshine Ordinance Task Force (Task Force) shall hold hearings on complaints listed below to: 1) determine ifthe Task Force has jurisdiction; 2) review the merits of the complaints; and/or 3) issue a report and/or recommendation to the Task Force. Date: February 15, 2022 Location: Remote Meeting Time: 5:30 p.m. Complainants: Your attendance is required for this meeting/hearing. Respondents/Departments: Pursuantto Section 67.21 (e) of the Ordinance, the custodian of records or a representative of your depaiiment, who can speak to the matter, is required at the meeting/hearing.

P31

File No. 20059: Complaint filed by Anonymous against the Department of Public Health for allegedly violating Administrative Code (Sunshine Ordinance), Section 67.25 by failing to respond to an Immediate Disclosure request in a timely and complete manner.

File No. 20053: Complaint filed by Anonymous against Lt. Kathryn Waaland, Police Department, for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.21(b)(I) by failing to respond to a records request in a complete and timely manner, 67.26 withholding of records.

File No. 20124: Complaint filed by Stephen Bejanski against Kevin Guy and the Office of Short-Term Rentals for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.24 for failing to provide public information; 67.25 for failing to respond to an Immediate Disclosure Request in a timely manner, 67.26 for failing to keep withholding to a minimum; 67.27 for failing to justify withholding and 67.29 and failing to provide an index of records.

File No. 22005: Complaint filed by Marc Norton Against the Department of Public Health for allegedly violating Administrator Code {Sunshine Ordinance), Sections 67.21, by failing to respond to a public records request in a

timely and/or complete manner.

File No. 22006: Complaint filed by Andrew While against the Department of Police Accountability for allegedly

violating Administrator Code (Sunshine Ordinance), Sections 67.1, 67.21, 67.24{d), by failing to respond to a public records request in a timely and/or complete manner. Documentation (evidence supporting/disputing complaint) For a document to be considered, it must be received at least five (4) working days before the hearing (see attached Public Complaint Procedure). For inclusion in the agenda packet, supplemental/supporting documents must be received by 5:00 pm, February 10, 2022.

Cheryl Leger Assistant Clerk, Board of Supervisors Tel: 415-554-7724

Click here to complete a Board of Supervisors Customer Service Satisfaction form.

The Legislative Research Center provides 24-hour access to Board of Supervisors legislation, and archived matters since August 1998.

Disclosures: Personal information that is provided in communications to the Board of Supervisors is subject to disclosure under the California Public Records Act and the San Francisco Sunshine Ordinance. Personal information provided ·will not be redacted. Members of the public are not required to provide personal identifjJing information when they communicate with the Board of Supervisors and its committees. All written or oral communications that members of the public submit to the Clerk's Office regarding pending legislation or hearings will be made available to all members of the public for inspection and copying. The Clerk's Office does not redact any information fi'om these submissions. This means that personal information-including names, phone numbers, addresses and similar information that a member of the public elects to submit to the Board and its c01nmittees-may appear on the Board of Supervisors website or in other public documents that members of the public may inspect or copy.

Leger, Cheryl (BOS)

From: Eya, Tomiko (DPH) Sent: Wednesday, February 9, 2022 4:09 PM To: Subject:

Thomas, Kenya (DPH); SOTF, (BOS); Leger, Cheryl (BOS) Re: Next Request Anonymous 3/2/2020

Hi Kenya,

I have no idea what this request is about.

Cheryl: Please advise us regarding this request, so we may prepare a response, and/or ascertain the

appropriate responders.

Many thanks,

Tomiko

Tomiko Eya, Program Manager Adult & Older Adult Systems of Care Behavioral Health Services - San Francisco Health Network San Francisco Department of Public Health 1380 Howard Street, 5th floor, SF 94103 510-410-9753 cell (during telecommuting) 415-255-3442 office phone 415-255-3567 fax [email protected]

This message and any attachments are solely far the intended recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use, or distribution of the information included in this message and any attachments is prohibited. If you have received this communication in error, please notify me immediately and permanently delete ar otherwise destroy the information. Thank you.

From: Thomas, Kenya (DPH) <[email protected]> Sent: Wednesday, February 9, 2022 3:48 PM To: Eya, Tomiko (DPH) <[email protected]> Subject: Next Request Anonymous 3/2/2020

Hi Tomiko,

I saw you name as a responder to a request. Do you have any information about this request?


I

Thank you,

Kenya Thomas

Administrative Assistant I Office of the Director

P~4

SF Department of Public Health

Desk: (415) 554-2887

101 Grove Street Room 308

San Francisco, CA 94102

This e-mail is intended for the recipient only. If you receive this e-mail in error, notify the sender and destroy the e-mail immediately. Disclosure of the ePHI contained herein may subject the discloser to civil or criminal penalties under state and federal privacy laws.

P~5

Leger, Cheryl (BOS)

From: DPH Sunshine Sent: To: Cc: Subject:

Wednesday, March 2, 2022 11:14 AM SOTF, (BOS); DPH Sunshine [email protected] RE: Public Records Request #20-1076

20059

From: SOTF, (BOS} <[email protected]> Sent: Wednesday, March 2, 2022 10:58 AM To: DPH Sunshine <[email protected]> Cc: [email protected] Subject: RE: Public Records Request #20-1076

Can one of you please provide the corresponding Sunshine Task Force case number for this information? Thank you.

Cheryl Leger Assistant Clerk, Board of Supervisors [email protected] Tel: 415-554-7724 Fax: 415-554-5163 www.sfbos.org

• llo Click here to complete a Board of Supervisors Customer Service Satisfaction form.


Disclosures: Personal information that is provided in communications to the Board of Supervisors is subject to disclosure under the California Public Records Act and the San Francisco Sunshine Ordinance. Personal information provided will not be redacted. Members of the public are not required to provide personal identifying information when they communicate with the Board of Supervisors and its committees. All written or oral communications that members of the public submit to the Clerk's Office regarding pending legislation or hearings will be mode available to all members of the public for inspection and copying. The Clerk's Office does not redact any information from these submissions. This means that personal information-including names, phone numbers, addresses and similar information that a member of the public elects to submit to the Board and its committees-may appear on the Board of Supervisors website or in other public documents that members of the public may inspect or copy.

From: DPH Sunshine <[email protected]> Sent: Tuesday, March 1, 2022 1:15 PM To: [email protected] Cc: SOTF, (BOS} <[email protected]> Subject: Public Records Request #20-1076

Hello,

I am responding on behalf of SFDPH regarding public records request #20-1076. We first wanted to offer our

sincere our apologies. We were not aware that you did not have access to the NextRequest system to view the

Department's response to your request. Your experience in the NextRequest system was the first we had

Pq6

heard of it being inaccessible and that you were unable to view our response to your records request seeking clarification. It was never our intention to withhold information.

DPH has identified a voluminous number of emails potentially responsive to your request. We would appreciate any narrowing down of the request. Could you please provide specific names of individuals that you'd request the information?

In the meantime, until we hear from you, to the best of abilities of our abilities, we will begin processing this request based on the narrowing by individuals as opposed to the entire Department. We will provide these documents to you on a rolling basis.

We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: 11coronavirus 11 "wuhan 11 "SARS" "COV/0 11 "COV/019" "COV/0-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" 11viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" 11COV/0 11 "COV/019" "COV/0-19 11 "SARS-CoV-2"

112019-nCOV" 11nCOV11 11severe acute respiratory syndrome 11 "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.

Thank you, DPH Sunshine Team

P~7

Leger, Cheryl (BOS)


Cheryl,

DPH Sunshine Thursday, March 3, 2022 10:18 AM SOTF, (BOS); DPH Sunshine; [email protected] RE: Public Records Request #20-1076

It is File No. 20059.

Thank you.

From: SOTF, (BOS) <[email protected]> Sent: Thursday, March 3, 2022 10:12 AM To: DPH Sunshine <[email protected]>; [email protected] Subject: RE: Public Records Request #20-1076

Dear Parties: Can you please tell me what Sunshine Complaint Number this relates to? Please when corresponding with me always include the corresponding number.

Cheryl Leger Assistant Clerk, Board of Supervisors Cheryl. Leger@sfgov .o rg Tel: 415-554-7724 Fax: 415-554-5163 www.sfbos.org

• llfei Click here to complete a Board of Supervisors Customer Service Satisfaction form.

The Legislative Research Center provides 24-hour access to Board of Supervisors legislation, and archived matters since August 1998. I

Disclosures: Personal information that is provided in communications to the Board of Supervisors is subject to disclosure under the California Public Records Act and the San Francisco Sunshine Ordinance. Personal information provided will not be redacted. Members of the public are not required to provide personal identifying information when they communicate with the Board of Supervisors and its committees. All written or oral communications that members of the public submit to the Clerk's Office regarding pending legislation or hearings will be made available to all members of the public for inspection and copying. The Clerk's Office does not redact any information from these submissions. This means that personal information-including names, phone numbers, addresses and similar information that a member of the public elects to submit to the Board and its committees-may appear on the Board of Supervisors website or in other public documents that members of the public may inspect or copy.

From: DPH Sunshine <[email protected]>

Sent: Tuesday, March 1, 2022 1:15 PM To: [email protected]

Cc: SOTF, (BOS) <[email protected]> Subject: Public Records Request #20-1076

I am responding on behalf of SFDPH regarding public records request #20-1076. We first wanted to offer our sincere our apologies. We were not aware that you did not have access to the NextRequest system to view the Department's response to your request. Your experience in the NextRequest system was the first we had heard of it being inaccessible and that you were unable to view our response to your records request seeking clarification. It was never our intention to withhold information.



We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: 11coronavirus 11 11wuhan 11 11SARS 11 11COVID 11 11COVID19" 11COV/D-19" "SARS-CoV-2" "2019-nCOV11 "nCOV11 11severe acute respiratory syndrome 11 11viral pneumonia" 11pneumonia of unknown origin 11 11novel pneumonia 11 from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: 11coronavirus" 11wuhan 11 11SARS 11 11COV/D 11 11COVID19 11 "COV/D-19 11 11SARS-CoV-2 11

112019-nCOV11 "nCOV 11 11severe acute respiratory syndrome 11 11viral pneumonia" "pneumonia of unknown origin 11

"novel pneumonia 11 from Nov 14, 2019 to present (request submitted: 2/28/20}.


PS9

Leger, Cheryl (BOS)

From: Sent: To: Cc: Subject: Attachments:

Requester,

DPH Sunshine Friday, March 11, 2022 3:28 PM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 /File No 20059 T omasAragon_ CDPHemails_Batch 1_Redacted.pdf

We have conducted a diligent search for records responsive to your request. We have located responsive records, which are available to you here and have also been uploaded to NextRequest case #20-1076/ SOTF File 20059. We have redacted parts of the records provided in response to your request here because such records contain protected health information. Cal. Govt. Code Secs. 6254(c), 6254(k); Health Insurance and Accountability Act of 1996, 45 C.F.R. Secs.160, 164; Cal. Civ. Code Secs. 56 et seq.; California Constitution, Art. I, Sec. 1.

Due to the need to continue reviewing, we will produce any additional responsive records on a rolling basis.

Thank you.

From: DPH Sunshine <[email protected]> Sent: Tuesday, March 1, 2022 1:15 PM To: [email protected] Cc: SOTF, (BOS) <[email protected]> Subject: Public Records Request #20-1076

Hello, I am responding on behalf of SFDPH regarding public records request #20-1076. We first wanted to offer our sincere our apologies. We were not aware that you did not have access to the NextRequest system to view the Department's response to your request. Your experience in the NextRequest system was the first we had

heard of it being inaccessible and that you were unable to view our response to your records request seeking clarification. It was never our intention to withhold information.



We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVJD" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO,

FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID'' "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.

Thank you,

DPH Sunshine Team

P~1

From: To:

Subject: Date: Attachments:

DPH-DOC Plans Sit Stat [email protected]; mhccsitreps&[email protected]; DPH-Integration Steering Committee; [email protected]; [email protected]; [email protected] .gov; [email protected]; DutyOfficer, DEM CDEM) SFDPH DOC Incident Action Plan (IAP) for Operational Period 7 Friday, February 28, 2020 3:47:00 PM OP7 COVID-19 IAP 2020.02.28 FINAL.pdf

Please find attached SFDPH DOC Incident Action Plan (IAP) for Operational Period 7 (Saturday

2/29/2020 through Friday 3/6/2020).

NOTE: the DPH DOC has changed Operational Period structure to Saturday-Friday. OP7 is now

Saturday 2/29/2020 through Friday 3/6/2020. Please ensure your 214s reflect these dates.

-- DPH DOC Plans Situation Status

DPH. DOC. Plans.SitStat@sfd ph .org

-- DPH DOC Plans SituationStatus

[email protected]

P42

J

From: To:

katbleen harrimao@cdob ca goy [email protected]

Subject: Date:

CDCHAN-048 Update and Interim Guidance on Outbreak of Coronavirus Disease 2019 (COVID-19) Feb 28 2020 Friday, February 28, 2020 2:47:36 PM

This message is from outside the City email system Do not open links or attachments from untrusted sources

This is an official CDC HEALTH UPDATE Distributed via the CDC Health Alert Network Febrnary 28, 2020, 15:05 ET (3:05 PMET) CDCHAN-0428

Update and Interim Guidance on Outbreak of Coronavirns Disease 2019 (COVID-19)

S1unmary The Centers for Disease Control and Prevention (CDC) continues to closely monitor and respond to the COVID-19 outbreak caused by the novel coronavirns, SARS-CoV-2

This CDC Health Alert Network (HAN) Update provides updated guidance on evaluating and testing persons under investigation (Pills) for COVID-19 It supersedes guidance provided in CDC's HAN 427 distributed on Febrnary 1, 2020 The outbreak that began in W1tl1an, Hubei Province, has now spread throughout China and to 46 other countries and territories, including the United States As ofFebrnary 27, 2020, there were 78,497 reported cases in China and 3,797 cases in locations outside China In addition to sustained transmission in China, there is evidence of community spread in several additional countries CDC has updated travel guidance to reflect this information (https://urldefense proofpoint com/v2/url?u=https-3A_www cdc gov _coronavirus_2019-2Dncov _ travelers_index htrnl&d=DwIF aQ&c=LrOa7ed3egkbwePCNW 4ROg&r=SvuDBzlO!TbEa2fPd _ cZyWQFAGVbfkNclPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghllE&s=5wQ4ul pyd3huRECgL9FlF26fQMl Grl8RK wn _ cdgfZhM&e=)

To date, there has been limited spread of COVID-19 in the United States As ofFebrnary 26, 2020, there were a total of 61 cases within the United States, 46 of these were among repatriated persons from high-risk settings The other 15 cases were diagnosed in the United States; 12 were persons with a history of recent travel in China and 2 were persons in close household contact with a COVID-19 patient (i e person-to-person spread) One patient with COVID-19 who had no travel history or links to other known cases was reported on February 26, 2020, in California The California Department of Public Health, local health departments, clinicians, and CDC are working together to investigate this case and are identifying contacts with whom this individual interacted

CDC, state and local health departments, other federal agencies, and other partners have been implementing measures to slow and contain transmission of COVID-19 in the United States These measures include assessing, monitoring, and caring for travelers arriving from areas with substantial COVID-19 transmission and identifying cases and contacts of cases in the United States

Recognizing persons at risk for COVID-19 is a critical component of identifying cases and preventing further transmission With expanding spread of COVID-19, additional areas of geographic risk are being identified and Pill criteria are being updated to reflect this spread To prepare for possible additional person-to-person spread ofCOVID-19 in the United States, CDC continues to recommend that clinicians and state and local health departments consider COVID-19 in patients with severe respiratory illness even in the absence of travel history to affected areas or known exposure to another case

Criteria to Guide Evaluation and Testing of Patients Under Investigation (Pill) for COVID-19 Local or state health departments, in consultation with clinicians, should determine whether a patient is a Pill for COVID-19 The CDC clinical criteria for COVID-19 Pills have been developed based on available information about this novel virus, as well as what is known about Severe Acute Respiratory Syndrome (SARS) (https://urldefense proofpoint com/v2/url? u=https-3A _www cdc gov _sars _ clinical_guidance htrnl&d=Dw1FaQ&c=LrOa7 ed3egkbwePCNW4ROg&r=SvuDBzl O!TbEa2fPd _ cZyWQF AGVbfkNclPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghllE&s= Ybw 1Zg47KVi _h3WTKNftX3r2GeXQzOqbQYP ADcRvDM&e=) and Middle East Respiratory Syndrome (MERS) (https://urldefense proofpoint com/v2/url?u=https-3A_www cdc gov_coronavirus_mers_interim-2Dguidance htrnl-23evaluation&d=DwlFaQ&c=LrOa7 ed3egkbwePCNW4ROg&r=SvuDBzl OlTbEa2fPd _ cZyWQFAGVbfkNc!PGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghllE&s=xnTIEF3HGjcvZj-WiNTtuoHQC40QErV1CpHRHPR 7K7 o&e= ) These criteria are subject to change as additional infonnation becomes available

Clinical Features Epidemiologic Risk Fever! or signs/symptoms oflower respiratory illness (e g, cough or shortness of breath) AND Any person, including healthcare personnel2, who has had close contact3 with a laboratory-confirmed4 COVID-19 patient within 14 days of symptom onset Fever] and signs/symptoms of a lower respiratory illness (e g, cough or shortness of breath) requiring hospitalization AND A history of travel from affected geographic areas5, within 14 days of symptom onset Fever! with severe acute lower respiratory illness (e g, pneumonia, ARDS (acute respiratory distress syndrome) requiring hospitalization and without an alternative explanatory diagnosis (e g, influenza) 6 AND No identified source of exposure

These criteria are intended to serve as guidance for evaluation In consultation with public health departments, patients should be evaluated on a case-by-case basis to determine the need for testing Testing may be considered for deceased persons who would otherwise meet the Pill criteria

!Fever may be subjective or confirmed 2 For healthcare personnel, testing may be considered if there has been exposure to a person with suspected COVID-19 without laboratory confinnation Because of their often extensive and close contact with vulnerable patients in healthcare settings, even mild signs and symptoms (e g, sore throat) of COVID-19 should be evaluated among potentially exposed healthcare personnel Additional information is available in CDC's Interim US Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with Coronavirus Disease 2019 (COVID-19) (https://urldefense proofpoint com/v2/url?u=https-3A_www cdc gov _coronavirns_2019-2Dncov _hcp_guidance-2Drisk-2Dassesment-2Dhcp htrnl&d=Dw1FaQ&c=LrOa7ed3egkbwePCNW4ROg&r=SvuDBzl01TbEa2fPd_cZyWQFA-

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GVbfkNclPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghlIE&s=lKstLNjCnfqcd23o6UD1ZcRn4S4Ho4HFnl udVea84io&e= ) 3Close contact is defined as-a) being within approximately 6 feet (2 meters) of a COVID-19 case for a prolonged period; close contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or room with a COVID-19 case - or -b) having direct contact with infectious secretions of a COVJD-19 case ( e g , being coughed on) If such contact occurs while not wearing recommended personal protective equipment (PPE) (e g, gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection), criteria for PUI consideration are met Additional information is available in CDC's updated Interim Healthcare Infection Prevention and Control Recommendations for Patients with Confinned COVJD-19 or Persons Under Investigation for COVID-19 in Healthcare Settings (https://urldefense proofpoint com/v2/url?u=https-3A_www cdc gov _coronavirus _2019-2Dncov _infection-2Dcontrol_ control-2Drecommendations htrnl&d=DwIFaQ&c=Lr0a7 ed3egkbwePCNW 4ROg&r=SvuDBzl 01TbEa2fPd cZyWQFAGVbfkNclPGbbhllsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghlIE&s=wNynxSKIW2oIA3rb VwoQBOKuaulNYR5Zkj_DmFLsUsA&e= ) Data to inform the definition of close contact are limited Considerations when assessing close contact include the duration of exposure ( e g , longer exposure time likely increases exposure risk) and the clinical symptoms of the person with COVID-19 ( e g , coughing likely increases exposure risk, as does exposure to a severely ill patient) Special consideration should be given to healthcare personnel exposed in healthcare settings, as described in CDC's Interim US Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with COVID-19 (https://urldefense proofpoint com/v2/url?u=https-3A _ www cdc gov_ coronavirus_2019-2Dncov _hcp _guidance-2Drisk-2Dassesment-2Dhcp htrnl&d=DwIFaQ&c=Lr0a7ed3egkbwePCNW4ROg&r=SvuDBzl 01TbEa2fPd _cZyWQF AGVbfkNclPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghlIE&s=lKstLNjCnfqcd23o6UD1ZcRn4S4Ho4HFnludVea84io&e=) 4Documentation of laboratory-confinnation of COVID-19 may not be possible for travelers or persons caring for COVID-19 patients in other countries 5Affected areas are defined as geographic regions where sustained community transmission has been identified Relevant affected areas will be defined as a country with at least a CDC Level 2 Travel Health Notice Current information is available in CDC's COVID-19 Travel Health Notices (https://urldefense proofpoint com/v2/url ?u=https-3A _ www cdc gov_ coronavirus _ 2019-2Dncov _ travelers&d=Dw IF aQ&c=LrOa7ed3egkbwePCNW4 ROg&r=SvuDBzl OlTbEa2fl'd _ cZy WQF AGVbfkNclPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oeWOpoABR6HOM3ajghlIE&s=2qm4mGT9w53NATPI3vHQX-mCsXyY550snSeonTd8uhY&e= ) 6Category includes single or clusters of patients with severe acute lower respiratory illness ( e g , pneumonia, ARDS (acute respiratory distress syndrome) of unknown etiology in which COVID-19 is being considered Recommendations for Reporting, Testing, and Specimen Collection Clinicians should immediately implement recommended infection prevention and control practices (https://urldefense proofpoint com/v2/url?u=https-3A_ www cdc gov_ coronavirus_2019-2Dncov _infection-2Dcontrol_ control-2Drecommendations htrnl&d=DwIFaQ&c=LrOa7ed3egkbwePCNW4ROg&r=SvuDBzl OlTbEa2fl'd _cZyWQF AGVbfkNclPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghlIE&s=wNynx5KIW2oIA3rb VwoQBOKuaulNYR5ZJg_ DmFLsUsA&e= ) if a patient is suspected of having COVID-19 They should also notify infection control personnel at their healthcare facility and their state or local health department if a patient is classified as a PUI for COVJD-19 State health departments that have identified a PUI or a laboratory-confirmed case should complete a PUI and Case Report form through the processes identified on CDC's Coronavirus Disease 2019 website (https://urldefense proofpoint com/v2/url?u=https-3A _ www cdc gov_ coronavirus _2019-2Dncov _php _reporting-2Dpui html&d=DwIFaQ&c=Lr0a7ed3egkbwePCNW4ROg&r=SvuDBzl 01TbEa2fPd _ cZyWQFAGVbfkNclPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghlIE&s=G-5rC5UNs8SmDxjncsR1G2Nk9-iUbUCUprZNgKXdgGc&e=) State and local health departments can contact CDC's Emergency Operations Center (EOC) at 770-488-7100 for assistance with obtaining, storing, and shipping appropriate specimens to CDC for testing, including after hours or on weekends or holidays Currently, diagnostic testing for COVID-19 is being performed at state public health laboratories and CDC Testing for other respiratory pathogens should not delay specimen testing for COVID-19 For initial diagnostic testing for SARS-Co V-2, CDC recommends collecting and testing upper respiratory tract specimens (nasopharyngeal AND oropharyngeal swabs) CDC also recommends testing lower respiratory tract specimens, if available For patients who develop a productive cough, sputum should be collected and tested for SARS-Co V-2 The induction of sputum is not recommended For patients for whom it is clinically indicated ( e g , those receiving invasive mechanical ventilation), a lower respiratory tract aspirate or bronchoalveolar lavage sample should be collected and tested as a lower respiratory tract specimen Specimens should be collected as soon as possible once a PUI is identified, regardless of the time of symptom onset See Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Patients Under Investigation (PUis) for COVID-19 (https://urldefense proofpoint com/v2/url?u=https-3A _www cdc gov_ coronavirus _ 2019-2DnCo V Jab _guidelines-2Dclinical-2Dspecimens htrnl&d=DwIFaQ&c=LrOa7ed3egkbwePCNW4ROg&r=SvuDBz101TbEa2fPd_ cZyWQF A-GVbfkNc lPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghlIE&s=DhPv-k-sLjc78pLqKr6wTcmm4u26PTZzA _ DIScyGAFg&e=) and Biosafety FAQs for handling and processing specimens from suspected cases and PUis (https://urldefense proofpoint com/v2/url?u=https-3A_ www cdc gov_ coronavirus _ 2019-2Dncov Jab_ bi osafety-2Dfaqs htrnl&d=DwIFaQ&c=Lr0a7 ed3egkbwePCNW 4ROg&r=SvuDBzl 01TbEa2fl'd _cZyWQF AGVbfkNclPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghlIE&s=ArqmusKD05 _ ckx Y6FDNNTGCLSveH7X3IOknNn5MyQTA&e= )

For More Information More information is available at the COVID-19 website: https://urldefense proofpoint com/v2/url?u=https-3A_www cdc gov_coronavirus_2019-2Dncov _index htrnl&d=DwIFaQ&c=LrOa7ed3egkbwePCNW4ROg&r=SvuDBz101TbEa2!Pd _ cZyWQFAGVbfkNclPGbbhBsMs&m=S8k8yUBbHy3h3b4HQ3JDV9oe WOpoABR6HOM3ajghlIE&s=Sp9 _ uKKH01DcuxsNB7 et7Xz-zld _F73fRp5-rXq YvL Y &e= The Centers for Disease Control and Prevention (CDC) protects people's health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national, and international organizations

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From: To: Cc:


Vugia. Duc@CDPH Chan, Curtis CDPH) Aragon, Tomas CDPH) RE: Eager to review epidemiology reports mentioned by CDPH of negligible CFR among specific populations Friday, February 28, 2020 12:10:11 PM COVID-19 China 40K+ cases.pdf


Hi Curtis,

Thank you for your feedback about our teleconference call and sharing your thoughts and concerns.

We here at CDPH are in the same boat, learning as we go everyday and trying to keep up with

reports and publications to come up with the best public health decisions and recommendation at

the moment. Attached is that article from the China CDC (similar as the CDC MMWR) that was

mentioned on the call; since we're not familiar with China CDC, I suggest reading it with some

concern for the validity of the data and their interpretation, but there are some interesting and

useful information there.

Thanks for manning the front line in SF,

Due

From: Chan, Curtis (DPH) <[email protected]>

Sent: Thursday, February 27, 2020 11:27 PM

To: Vugia, Duc@CDPH <[email protected]>

Cc: Aragon, Tomas <[email protected]>

Subject: Eager to review epidemiology reports mentioned by CDPH of negligible CFR among specific

populations

**[EXTERNAL MESSAGE]** FROM: [email protected]

Only open links and attachments from known senders. Do not provide your username or

password. To report suspicious emails, click "Report Phish" button. -- -· ·-· ---- . -- --·- ---- ··-- .. - --------. . - --

Hi Dr. Vugia,

Thank you for today's excellent LHD teleconference call with so many clear summaries by the

CDPH team. A CDPH physician described the severity of the disease and cited a study with

very low CFR among young people in China. She suggested that she would forward the article

to the LHDs. I found some articles (e.g., Woo, JAMA) to be very helpful, and wonder which

article(s) plans to send and when?

With a new concern of community transmission in the SF Bay Area and increasing public

concern about the one case of severe respiratory disease in Solano County, I've fielded many

excellent community questions from clinicians and school/childcare leaders about:

1. testing only LRls who are hospitalized

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2. closure of schools and child care

Whereas I agree with the current public health decisions, as we're gathering capacity for

regional lab testing and weighing the benefits/risks of childcare-school closure, the

epidemiology that your team quoted provides some rationale for:

1. CFR (below SARS and MERS) helps justify NOT testing for mild-moderate patients,

particularly for some demographics? For example, 0 deaths among 416 cases of

children 0-9yo in China is helpful for the pediatric community and many concerned

families.

2. Risk factors(> 70y, lung disease, congregate living) might be considered for testing mild

moderate disease?

3. No school closure yet. With no evidence of high CFR, we have time to understand

extent of community transmission?

As I'm replying to many emails while fielding calls from clinicians for the 3rd night-in-a-row,

I'm eager to reference some data/rationale for not testing possible cases and preparing (not

implementing) school closure. Thank you so much for your consideration. I hope that this

worker-bee Deputy Health Officer perspective/questions is helpful.

Yours,

curtis

https: //jam a network.com/jou rn a ls/ja ma/fu I la rticle/27 62130

<lOyo: 0 deaths of 416 cases

70s: 8.0% CFR

80+ 14.8% CFR.

Curtis Chan, MD, MPH

Deputy Health Officer

Medical Director of Maternal, Child & Adolescent Health


30 Van Ness Avenue, Suite 260b, SF, CA 94102

Main Line: (415)575-5670. Direct Line: (415)575-5672

www.sfdph.org/mch [email protected] Pronouns: he/him/his

P46

From:

To: subject: Date:

Hanson, Jake@CDPH

CDPH CCLHO DL

Fwd: What US Hospitals Should Do Now to Prepare for a COVID-19 Pandemic

Thursday, February 27, 2020 3:40:27 PM


From: Rick Johnson <[email protected]>

Sent: Thursday, February 27, 2020 9:59 AM

To: Hanson, Jake@CDPH

Subject: Fwd: What US Hospitals Should Do Now to Prepare for a COVID-19 Pandemic


Only open links and attachments from known senders. Do not provide your username or password. To

report suspicious emails, click "Report Phish" button.

This is fill excellent resomce that Health Officers could share with hospitals. Can you send out to all the HOs? Thanks Rick

P47

Center for Health Security About CBN I Archive I Subscribe

What US Hospitals Should Do Now to Prepare for a COVID-19 Pandemic

Eric Toner, MD, and Richard Waldhorn, MD February 27, 2020

The World Health Organization (WHO) and the US Centers for Disease Control and Prevention (CDC) have called on health systems around the world to prepare for a possible COVID-19 pandemic. The purpose of this article is to offer to American hospital administrators and clinicians specific judgment on what hospitals should do to prepare for a COVID-19 pandemic. This is an update of a similar perspective related to pandemic influenza, published in 2006.1 These recommendations derive from the authors' analysis of the consequences of a flu pandemic, review of many existing hospital plans, analysis of the federal government's recommendations, and meetings with a number of leaders in health care, public health, and emergency management. Recognizing that any such recommendations must be based on numerous untestable assumptions, any of which can be reasonably challenged, we propose specific actions and priorities for the purpose of making the discussion of hospital pandemic preparedness issues more operationally useful. This commentary pertains to hospitals, but long-term care facilities, outpatient clinics, medical offices, and other healthcare facilities must also urgently prepare.

The Argument for Urgent Preparedness The current COVID-19 epidemic looks very much like an early influenza pandemic in many

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important respects. It is spreading from person to person efficiently, much like influenza, including some degree of pre-symptomatic spread. Although the true case fatality rate is as yet uncertain, all evidence suggests that it is as severe as, if not more severe than, influenza pandemics of the last century. The case fatality rate (CFR) of confirmed COVID-19 patients in China is estimated to be 1-3%, although this may not account for all mildly symptomatic or asymptomatic infections. In some regions of China outside Hubei, the CFR has been less than 1 %. For comparison, the CFR of the 2009 influenza pandemic was around 0.1 %, the 1968 and 1957 pandemics in the United States were about 0.5%, and the CFR of the 1918 pandemic was estimated to be 2.5 % in the United States.

Because it will take considerable time to fully understand the epidemiology of COVID-19, it is reasonable to begin preparations using a model we have studied extensively for decades and that seems similar to COVID-19-pandemic influenza. The threat of a novel influenza pandemic has stimulated international, national, and local planning and preparedness efforts for years. In the event of a 1918-scale flu pandemic, hospitals would be flooded with sick patients seeking care.

The impact of a COVID-19 pandemic on hospitals is expected to be severe in the best of circumstances. Currently, US hospitals routinely operate at or near full capacity and have limited ability to rapidly increase services. There are currently shortages of healthcare workers of all kinds. Emergency departments are overcrowded and often have to divert patients to other hospitals.

In recent years, there has been a reduction in the overall number of hospitals, hospital beds, and emergency rooms. During an epidemic, the healthcare workforce would be greatly reduced. Healthcare workers would face a high risk of infection because of contact with infected patients; many would need to stay home to care for sick relatives, and, in the absence of vaccine, others might fear coming to work lest they bring a lethal infection home to their families. The provision of medical services to both COVID-19 and non-COVID-19 patients may be adversely affected in most communities.

Detailed modeling projections for COVID-19 have not yet been released by the US government or WHO; however, the US Department of Health and Human Services (HHS) released official planning assumptions for pandemic influenza, ranging from a moderate pandemic like 1968 or 1957, to one based on a very severe pandemic like 1918.2 These may be the best tools we have at the moment. They differ by more than 10-fold in the number expected to need hospitalization, intensive care, and mechanical ventilation (see Table 1 ).

Table 1 HHS pandemic planning assumptions

Moderate Scenario (1968-like)

38 M needing medical care

1 M hospitalizations

200,000 needing ICU

Very Severe Scenario (1918-like)

38 M needing medical care

9.6 M hospitalizations

2.9 M needing ICU

As a comparison, there are about 46,500 medical ICU beds in the United States and perhaps an equal number of other ICU beds that could be used in a crisis. Even spread out over several months, the mismatch between demand and resources is clear.

Some patients in China have been treated with extracorporeal membrane oxygenation (ECMO), and some US medical centers with this technology are preparing to use it as well. For US hospitals with this capability, it would be prudent to think through how this scarce resource would be allocated if demand exceeds resources.

Preparedness Defined Based on such calculations, it would seem that preparing for a pandemic of even moderate severity is a difficult challenge. For the purpose of this analysis, we use the following definition of preparedness:

Every hospital, in collaboration with other hospitals and public health agencies, will be able to provide appropriate care to COVID-19 patients requiring hospitalization while maintaining other

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essential medical services in the community, both during and after a pandemic.

This definition recognizes that what constitutes "appropriate care" and the criteria for hospital admission may well change during a pandemic.

The Top Priorities Individual hospitals and groups of hospitals involved in regional coordination of pandemic preparedness should focus their initial preparedness efforts in the following priority areas:

1. Comprehensive and realistic planning based on actual CDC FluSurge projections in each hospital, and collaborative planning among all hospitals in a region (eg, healthcare coalitions).

2 Limiting the nosocomial spread of the virus to (1) protect the healthcare workers and, thus, maintain a hospital workforce; (2) prevent the hospital from being a disease amplifier; and (3) protect the non-COVID-19 patients from infection, so as to maintain the ability to provide essential non-COVI D-19 health care.

3. Maintaining, augmenting, and stretching the hospital workforce. 4. Allocating limited healthcare resources in a rational, ethical, and organized way so as to do

the greatest good for the greatest number.

Specific Priority Actions to Be Taken To implement the priority goals above, hospitals should undertake the following specific actions:

1. Employing a comprehensive and realistic planning process:

• Employ at least 1 full-time hospital emergency manager in each hospital. • Dedicate a full-time infection prevention practitioner to work on infection prevention aspects

of the preparations, including education, training, and exercises. • Designate a medical director to work closely with the emergency manager and infection

prevention practitioner. • Create a pandemic preparedness committee (or use an existing emergency management

committee) that includes representatives of all clinical and support departments as well as senior administrators.

• Participate in a local healthcare coalition, which includes neighboring hospitals, local public health agencies, and emergency management. Members of multi-hospital health systems should integrate system-wide planning with local planning with other local hospitals.

• We do not yet have modeling tools or planning assumptions for COVID-19. CDC has developed FluSurge 2.0, which can be used in conjunction with HHS planning assumptions to guide planning for both a moderate and severe pandemic) Note that the default assumptions in FluSurge are based on a 1968-like pandemic. To model a severe pandemic, FluSurge allows the assumed number of hospitalizations to be modified to correspond to the HHS planning assumptions for a severe pandemic.

• Be able to make 30% of licensed bed capacity available for COVID-19 patients on 1 week's notice. About 10-20% of a hospital's bed capacity can be mobilized within a few hours by expediting discharges, using discharge holding areas, converting single rooms to double rooms, and opening closed areas, if staffing is available. Another 10% can be obtained within a few days by converting flat spaces, such as lobbies, waiting areas, and classrooms.4

" Collaborate in regional plans to be able to make at least 200% of licensed bed capacity in the region available for COVID-19 patients on 2 weeks' notice.

" Use telephone and internet-based advice lines to reduce unnecessary visits to the hospital emergency department.

2. Limiting the nosocomial spread of the virus:

" The CDC has provided good technical guidance on infection control for COVID-19 in healthcare facilities.5.

" Limit the accidental contamination of the hospital environment by implementing respiratory etiquette and by using simple surgical masks for everyone entering the facility (staff, patients, and visitors) during a pandemic. Assuming re-supply may be difficult during a pandemic, stockpile enough masks for 3 weeks.

• Prevent staff from getting infected by training healthcare workers on the use of personal

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protective equipment (PPE) and infection control procedures and by stockpiling a supply of PPE. PPE availability is currently limited, but hospitals should purchase what they can, recognizing that a local outbreak could last at least several weeks to several months. Given the preeminent need to protect healthcare workers, we feel the highest level of protection available should be used. We call for the use of N95 respirators for healthcare workers with direct contact with COVID-19 patients. This is in concert with the CDC's COVID-19 guidelines. Powered air-purifying respirators (PAPRs) should be available for use in high-risk aerosol-generating procedures.

• Limit the number of staff who are exposed to COVID-19 patients by cohorting (dedicated staff in dedicated units) (see Figure 1 ). Utilize overtime and long shifts for staff in the COVID-19 units to limit the number of staff needed. When possible, use staff who are immune (recovered) in the COVID-19 units.

• Prevent infected staff from working (except with COVID-19 patients) by tracking staff who are sick and testing for COVID-19, rr possible, and keeping a log of staff who have had confirmed COVID-19.

Figure 1 Cohorting

3. Maintaining, augmenting, and stretching the hospital workforce:

• Vaccinate all staff for influenza to reduce the burden of that disease. • Organize in-home childcare for well children of healthcare workers if schools are closed,

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using screened volunteers. " Provide medical daycare for sick family members. • Allay fear through open, honest, and transparent planning and careful training. • Shift clinical staff to highest-need areas from areas that may be closed or quiet; employ "just

in time" education and "buddy teaming." • Augment clinical staff with nontraditional personnel, employing "just in time" education and

"buddy teaming." Use (1) medical professionals with prior clinical experience (eg, administrators, researchers, retirees, etc); (2) related health professionals (eg, dentists, veterinarians, emergency medical technicians, etc); (3) nonclinical hospital personnel; and (4) nonclinical outside personnel. Specific training and operating procedures for each group must be created in advance.

" Coordinate plans with other hospitals in the region to recruit and use volunteers.

4. Allocating limited healthcare resources in a rational, ethical, and organized way so as to do the greatest good for the greatest number through deferral of nonemergency care and, if necessary, institution of alternative patient care routines.

• Prioritize which services and types of procedures can be deferred, for how long, and with what consequences and create an alternative plan for patients who will be deferred. Create a process for refining and updating this plan as circumstances change. Create a process to track deferred patients.

• Plan for the graceful transition to contingency and crisis standards of care. In a severe pandemic, not all patients in need of intensive care will be able to be accommodated in the ICU. Normal staffing ratios and standard operating procedures will not be able to be maintained.

• Plan for alternative sites to provide ICU-like care within the hospital (eg, catheterization lab, catheterization recovery, OR, PACU, endoscopy units, etc).

• Implement contingency and crisis standards, which will be justified when conventional standards cannot be maintained despite the use of all available resources, including mutual aid arrangements. The legal and ethical framework for these decisions should be considered well in advance of a crisis. Alterations in hospital policy and procedures should be implemented by an active decision of the hospital leadership in consultation with the medical staff and civil authorities.

o Create criteria/clinical guidelines for use (or denial) of resource-intensive services (eg, admission, mechanical ventilation, invasive monitoring) based on national guidelines, such as the Crisis Standards of Care reportli in regional collaboration with other hospitals.

• Establish a process for triage of patients competing for limited resources, including admission, early discharge, and life support. These decisions should not be made solely by 1 person. The criteria used to make these decisions should be created in advance and formally sanctioned by the medical staff and hospital administration.

How to Proceed Although a COVID-19 pandemic seems all but inevitable, there is still uncertainty about its severity in the United States. Time will tell, but, in the meantime, hospitals should not delay. In the event of a pandemic, the predictable costs of not preparing, in human, societal, and political terms, would be huge. Decision makers at all levels-including hospital CEOs and their boards and state and federal officials-should consider these issues and how to proceed. Several of the first priority items (comprehensive and collaborative planning, discussing allocation of scarce resources, and planning education and training) take substantial time. Hospitals should begin these actions now.

References

1. Toner E, Waldhorn R. What hospitals should do to prepare for an influenza pandemic. Biosecur Bioterror 2006;4(4):397-402. http://www.centerforhealthsecurity.org/ourwork/publications/2006/what-hospitals-should-do-to-prepare-for-an-influenza-pandemic. Accessed February 25, 2020

2. US Department of Health and Human Services. Pandemic Influenza Plan. https:/ /www .cdc.gov/flu/ pandemic-resources/pdf/pan-flu-report-2017v2. pdf. Accessed February 25, 2020.

3. Centers for Disease Control and Prevention. Flu Surge 2.0. Reviewed August 22, 2016. https://www.cdc.gov/flu/pandemic-resources/tools/flusurge.htm. Accessed February

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25, 2020. 4. Hick JL, Hanfling D, Burstein JL, et al. Health care facility and community strategies for

patient care surge capacity. Ann Emerg Med 2004;44(3):253-261. 5. Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19).

Infection control. Reviewed February 24, 2020. https://www.cdc.gov/coronavirus/2019-ncov/infection-control/index.html. Accessed February 26, 2020.

6. Hanfling D, Hick J, Stroud C, eds. Committee on Crisis Standards of Care. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: National Academies Press; 2013. http-Uwww acphd org/media/330?65/crisis%20standards%20of%20care%20toolkit pdf. Accessed February 25, 2020.

Published by JHSPH Center for Health Security Visit us on the web: centerforhealthsecurity.org

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From: To:

Kagan. Rachael (DPHl Aragon, Tomas (DPHl

Cc: Subject:

Colfax. Grant (DPH); Bobba. Naveena (DPH); Philip. Susan (DPH); Stoltey. Juliet (DPH); Stier, David (DPH); Nguyen Rita (DPH) Re; help with language in light of new case

Date: Thursday, February 27, 2020 7:18:15 AM Attachments: Outlook-snjpcvze.png

Tomas,

Thanks, but that sentence does not take into account the new patient in Solano/Sacto.

I am going to use the sentence Grant approved, which allows for more modes of transmission.

Risk for the novel coronavirus is based on travel history, contacts and exposure to the virus.

Thanks, Rachael

From: Aragon, Tomas (DPH) <[email protected]>

Sent: Wednesday, February 26, 2020 7:59 PM

To: Kagan, Rachael (DPH) <[email protected]>; Colfax, Grant (DPH) <[email protected]>; Bobba,

Naveena (DPH) <[email protected]>; Philip, Susan (DPH) <[email protected]>; Stoltey, Juliet (DPH)

<[email protected]>

Cc: Stier, David (DPH) <[email protected]>; Nguyen, Rita (DPH) <[email protected]>

Subject: Re: help with language in light of new case

How about something like:

Risk of infection is based on exposure to the novel coronavirus in locations where it has spread (now 30+

countries), or by close contact to a confirmed case.

Country count is here:

https: //www.cdc.gov/coron avi rus/2019-n cov /I ocations-co nfi rmed-cases. htm I

Confirmed 2019-nCoV Cases Globally I CDC

Links with this icon indicate that you are leaving the CDC website .. The Centers for Disease Control and 1 Prevention (CDC) cannot attest to the accu1·acy of a non-federal website. Linking to a non-federal website ! does not constitute an endorsement by CDC or any of its employees of the sponsors or the information

and products presented on the website.

WWIN.Cclc.gov

Tomas

p.s. plz excuse typos

Tomas J. Aragon, MD, DrPH

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415-515-5734 (cell); 415-554-2898 (office)

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the intended recipient, disclosure, copying, use, or distribution of the information is prohibited. Notify the

sender immediately and delete all information.

From: Kagan, Rachael (DPH) <[email protected]>


To: Colfax, Grant (DPH) <[email protected]>; Bobba, Naveena (DPH) <[email protected]>; Philip,

Susan (DPH) <[email protected]>; Aragon, Tomas (DPH) <[email protected]>; Stoltey, Juliet (DPH)

<ju I iet.stoltey@sfd ph .org>


Subject: help with language in light of new case

Hi team,

So much happening. I'd like to draw your attention to one particular question (among many).

In terms of the xenophobia and discrimination theme, we have been saying: This virus is not about race, ethnicity or culture. The risk of getting COVID-19 is based on travel history, and contacts with people who are sick.

In light of the new California case having no travel history and no known contacts with travelers or people who are sick, how would we modify our statement? I realize we don't have all the answers right now, but the Mayor and Carmen Chu are submitting an op-ed tomorrow about discrimination, and I am helping them update this language. How about:


Is that safe to say? Note that this is not a clinical piece, but we still want to be accurate.

Thank you,

Rachael

From: CDPHPress (OPA) <[email protected]>


To: [email protected]

Subject: News Release: CDC Confirms Possible First Instance of COVID-19 Community Transmission in California


P55

FOR IMMEDIATE RELEASE February 26, 2020 PH20-006

CALIFORNIA DEPARTMENT OF PUBLIC HEAL TH

CONTACT: Corey Egel I 916.440.7259 I [email protected]

CDC Confirms Possible First Instance of COVID-19 Community Transmission in California

SACRAMENTO - The U.S. Centers for Disease Control and Prevention today confirmed a possible first case of person-to-person transmission of COVID-19 in California in the general public. The individual is a resident of Solano County and is receiving medical care in Sacramento County. The individual had no known exposure to the virus through travel or close contact with a known infected individual.

California has a strong health care system and public health infrastructure. California has prepared for the potential spread of diseases, such as H 1N1, in the past and is prepared and actively responding to the potential community spread of COVID-19. Contact tracing in this case has already begun.

The health risk from novel coronavirus to the general public remains low at this time. While COVID-19 has a high transmission rate, it has a low mortality rate. From the international data we have, of those who have tested positive for COVID-19, approximately 80 percent do not exhibit symptoms that would require hospitalization. There have been no confirmed deaths related to COVID-19 in the United States to date. California is carefully assessing the situation as it evolves.

"Keeping Californians safe and healthy is our number one priority," said Dr. Sonia Angell, Director of the California Department of Public Health and State Public Health Officer. "This has been an evolving situation, which California has been monitoring and responding to since COVID-19 cases first emerged in China last year. This is a new virus, and while we are still learning about it, there is a lot we already know. We have been anticipating the potential for such a case in the U.S., and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California. That's why California has been working closely with federal and local partners, including health care providers and hospitals, since the outbreak was first reported in China -- and we are already responding."

As in any public health emergency, the Department of Public Health's Emergency Operations

P56

Center has been actively coordinating response efforts across the state and preparing for possible community transmission. California continues to prepare and respond in coordination with federal and local partners.

This would be the first known instance of person-to-person transmission in the general public in the United States. Previously known instances of person-to-person transmission in the United States include one instance in Chicago, Illinois, and one in San Benito County, California. Both cases were after close, prolonged interaction with a family member who returned from Wuhan, China and had tested positive for COVID-19, the disease caused by novel coronavirus. As of today, including this case, California has had 7 travel-related cases, one close contact case, and now one community transmission.

As with any virus, especially during the flu season, the Health Department reminds you there are a number of steps you can take to protect your health and those around you:

GI Washing hands with soap and water.

GI Avoiding touching eyes, nose or mouth with unwashed hands.

GI Avoiding close contact with people who are sick are all ways to reduce the risk of infection with a number of different viruses.

GI Staying away from work, school or other people if you become sick with respiratory symptoms like fever and cough.

The California Department of Public Health will not be providing additional information about this patient due to patient confidentiality. For more information about novel coronavirus, please visit the CDPH website.

www.cdph.ca.gov

To unsubscribe from the CD PH OP A list, click the following link: https://listserv.cdph.ca.gov/cgi-bin/wa.exe?SUBED 1=CDPHOPA&A=1

P57

From: Philip. Susan CDPH) To: Cc:

Louie. Janice CDPH); Stoltey. Juliet (DPH); Bobba. Naveena CDPH); Stier. David (DPH); Chan. Curtis (DPH) DuBois. Amie CDPH); Aragon. Tomas (DPH)

Subject: Re: News Alert: First U.S coronavirus case of unknown origin confirmed in Northern California, a sign the virus may be spreading in a local area

Date: Thursday, February 27, 2020 6: 15:26 AM

Yes thank you, Janice and agree we will be talking more today

Sent from my mobile device, please excuse typos

Susan Philip MD MPH Deputy Health Officer San Francisco Department of Public Health (628)206-7638

From: Louie, Janice (DPH) <[email protected]>

Sent: Wednesday, February 26, 2020 11:46:42 PM

To: Stoltey, Juliet (DPH) <[email protected]>; Philip, Susan (DPH) <[email protected]>;

Sobba, Naveena (DPH) <[email protected]>; Stier, David (DPH) <[email protected]>;

Chan, Curtis (DPH) <[email protected]>

Cc: DuBois, Amie (DPH) <[email protected]>; Aragon, Tomas (DPH)

<[email protected]>

Subject: Fw: News Alert: First U.S coronavirus case of unknown origin confirmed in Northern

California, a sign the virus may be spreading in a local area

Dear Susan, Naveena and Julie,

Curtis and I listened to the CAHAN call today late afternoon where the first case of community

transmission in Solano county was described. The CDPH call with regard to official facts was

vague. My understanding from unofficial communications with colleagues is that the case was

transferred from another facility to UC Davis, is critically ill with ARDs, and was tested as a PUI

under the footnote in the CDC criteria of "severe respiratory illness of unknown etiology". The

patient has no known epidemiologic risk factors including travel out of country or exposure to

a known COVID-19 case or other ill exposures, and it sounds like contact investigation was

performed thoroughly.

Since many on this email are participating on many statewide, national or hospital calls, if

there is further information that anyone hears about this case please share with the Clinical

Consultation Team. We have been basing much of our PUI screening criteria on epidemiologic

risk (e.g. travel from an area with sustained community transmission). However, if after

communicating with other county partners we confirm that this case truly had no known

travel or exposure, I recommend we consider broadening our PUI definition to include any

severely ill patient with pneumonia (e.g. hospitalized or in an ICU) regardless of travel history.

Since there were many astute clinicians asking questions on the CAHAN call, I anticipate that

tomorrow we will have many inquiries along the same lines with regard to broadening our

P58

testing criteria, as well as requests for testing, requests for guidance, concerns about

unprotected exposures in healthcare workers, PUis, and specimen collection and testing

(aside from worried well calls}. Based on the available information it seems reasonable to

broaden testing, but

I want to make sure we all agree and that we are prepared for the influx and extra staffing we

may need to handle it.

Janice

Janice K. Louie, MD, MPH

Please note if I am e-mailing you about 2019 n-Coronavirus, it is because I am on temporary assignment to assist with

the SFDPH 2019 nCoV Activation

Medical Director

Tuberculosis Prevention and Control Program

San Fi"ancisco Department of Public Health

Clinic: (628) 206-8524

Fax: (628) 206-4565

[email protected]

From: Harriman, Kathleen@CDPH <[email protected]>


To: Louie, Janice (DPH) <[email protected]>; Stoltey, Juliet (DPH) <[email protected]>

Subject: FW: News Alert: First U.S coronavirus case of unknown origin confirmed in Northern


This message is from outside the City email system. Do not open links or attachments from untmsted sources.

First U.S coronavirus case of unknown origin confirmed in Northern California, a sign the virus may be spreading in a local area

The Centers for Disease Control and Prevention has been informed of the first case

P59

of the coronavirus in a person who did not recently return from a foreign country or

have contact with a confirmed case, according to a person briefed on the case.

Officials have begun tracing the contacts of the resident to find out how the person

may have been infected and who else might have been exposed.

Read more»

I

I

,ADVERTISEMENT

........ -· __ ,, ..... ---·--- -·-· - . -- - -·--- ... - . ·------· .... - - .. _,. .. ----- ----1

i !

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You received this email because you signed up for news alerts from The Washington Post.

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1a1rRnm1mmu·nrlifllfiiijJUiTifiss'lfj] 1d1n1~rn:s1 ~- ·-··-·- -----------·-·-···· ------- ··--···-· ----.-----.----· ·--- ---- -.- - ---· ..... --·-· .. -·----···---

P60

From: To: Cc: Subject:

Date:

Louie, Janice CDPH)

Stoltey, Juliet CDPH); Philip, Susan (DPH); Bobba, Naveena (DPHl: Stier, David (DPHl; Chan, Curtis CDPHl

DuBois, Amie (PPH); Aragon, Tomas (DPH)

Fw: News Alert: First U.S coronavirus case of unknown origin confirmed in Northern California, a sign the virus may be spreading in a local area

Wednesday, February 26, 2020 11:46:44 PM





transferred from another facility to UC Davis, is critically ill with ARDs, and was tested as a PU\



a known COV\D-19 case or other ill exposures, and it sounds like contact investigation was




Consultation Team. We have been basing much of our PU\ screening criteria on epidemiologic



travel or exposure, I recommend we consider broadening our PU\ definition to include any

severely ill patient with pneumonia (e.g. hospitalized or in an ICU) regardless of travel history.





(aside from worried well calls). Based on the available information it seems reasonable to




Janice




Medical Director


P61


Clinic: (628) 206-8524

Fax: (628) 206-4565

[email protected]

~--------¥--•-------·---------··------------

From: Harriman, Kathleen@CDPH <[email protected]> Sent: Wednesday, February 26, 2020 4:21 PM To: Louie, Janice (DPH) <[email protected]>; Stoltey, Juliet (DPH) <[email protected]> Subject: FW: News Alert: First U.S coronavirus case of unknown origin confirmed in Northern California, a sign the virus may be spreading in a local Cirea








Read more»

P62

You received this email because you signed up for news alerts from The Washington Post.

Manaae my newsletters and alerts I Unsubscribe

Privacy Policy I HfilR


P63

From: To: Cc: Subject: Date: Attachments:

Looks accurate

Colfax Grant COPHl Kagan. Rachael (DPHl; Bobba. Naveena (DPH); Philip. Susan CDPH); Aragon Tomas CDPH); Stoltey. Juliet CDPH) Stier. pavid CDPH); Nquyen. Rita (DPH) Re: help with language in light of new case Wednesday, February 26, 2020 6:36:59 PM imaqe003.pnq

Get Outlook for Android

From: Kagan, Rachael (DPH) <rachae\[email protected]>


To: Colfax, Grant (DPH) <[email protected]>; Sobba, Naveena (DPH) <[email protected]>; Philip,


<[email protected]>



Hi team,






Thank you,

Rachael






P64




CDC Confirms Possible First Instance of COVID~19 Community Transmission in California





As in any public health emergency, the Department of Public Health's Emergency Operations Center has been actively coordinating response efforts across the state and preparing for possible community transmission. California continues to prepare and respond in coordination with federal and local partners.

P65

This would be the first known instance of person-to-person transmission in the general public in the United States. Previously known instances of person-to-person transmission in the United States include one instance in Chicago, Illinois, and one in San Benito County, California. Both cases were after close, prolonged interaction with a family member who returned from Wuhan, China and had tested positive for COVI D-19, the disease caused by novel coronavirus. As of today, including this case, California has had 7 travel-related cases, one close contact case, and now one community transmission.


• Washing hands with soap and water.

• Avoiding touching eyes, nose or mouth with unwashed hands.

• Avoiding close contact with people who are sick are all ways to reduce the risk of infection with a number of different viruses.

• Staying away from work, school or other people if you become sick with respiratory symptoms like fever and cough.


www.cdph.ca.gov

To unsubscribe from the CDPHOPA list, click the following link: https://listserv.cdph.ca.gov/cgi-bin/wa.exe?SUBEDI=CDPHOPA&A=l

P66


Hi team,

Kagan Rachael lOPH) Colfax Grant <opH); Sobba Naveena (QPH)· ph!!io Susan mpH); Araooo Tomas mpH); Stoltey Ju!iet <opH) Stier Dayid mpH); Nrniyeo Rita (QPH) help with language in light of new case Wednesday, February 26, 2020 5:58:47 PM

~ PHW-006 CDC Confirms Possible First Insrance of COVID-19 Communitv Transmission in California.odf ~ ~






Thank you,

Rachael

From: CDPHPress (OPA) <[email protected]> Sent: Wednesday, February 26, 2020 5:39 PM To: [email protected] Subject: News Release: CDC Confirms Possible First Instance of COVID-19 Community Transmission in California


FOR IMMEDIATE RELEASE February 26, 2020 PH20-006 CONTACT: Corey Egel I 916.440.7259 I CDPHpress@cdph ca gov


SACRAMENTO - The U.S. Centers for Disease Control and Prevention today confirmed a possible first case of person-toperson transmission of COVID-19 in California in the general public. The individual is a resident of Solano County and is receiving medical care in Sacramento County. The individual had no known exposure to the virus through travel or close contact with a known infected individual.

California has a strong health care system and public health infrastructure. California has prepared for the potential spread of diseases, such as H1N1, in the past and is prepared and actively responding to the potential community spread of COVID-19. Contact tracing in this case has already begun.


"Keeping Californians safe and healthy is our number one priority," said Dr. Sonia Angell, Director of the California Department of Public Health and State Public Health Officer. "This has been an evolving situation, which California has been monitoring and ·

P67

responding to since COVID-19 cases first emerged in China last year. This is a new virus, and while we are still learning about it, there is a lot we already know. We have been anticipating the potential for such a case in the U.S., and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California. That's why California has been working closely with federal and local partners, including health care providers and hospitals, since the outbreak was first reported in China -- and we are already responding."









www cdph.ca.gov

To unsubscribe from the CDPHOPA list, click the following link: https· //I jstserv cdph ca govkgi-bin/wa exe?Sl JBED 1=CDPHOPA&A=1

P68

From: To: Subject:

Date: Importance:

California Health Alert Network Aragon. Tomas CDPH) CAHAN HCP Conference Call Notification - COVID-19 Update Conference Call TODAY, 2/26/20 5:30 PM - 6:00 PM (PST) Wednesday, February 26, 2020 5:48:05 PM High

Additional lines have been added to this call as of 5:45 pm. Please redial now to

join.

The California Department of Public Health, has scheduled a COVID-19 update

conference call for California healthcare facilities today, Wednesday, February 26,

2020 at 5:30 PM (PST). Please see below conference call information below.

Participation Access Information:

Toll-Free: 844-767-5679

Access Code: 2447851

Conference Name: COVID-19 Update Health Care Facilities

P69

From: Subject: Date: Attachments:

CQPHPress <OPAl News Release: CDC Confirms Possible First Instance of COVID-19 Community Transmission In callfomia Wednesday, February 26, 2020 5:29 59 PM image003.ern lmaqe001 pnq PH20·006 CDC Confiqns possible Fjrst Instance of COVID-19 Communitv Transmission !n (.aHforoiq.adf


FOR IMMEDIATE RELEASE February 26, 2020 PH20-006 , CONTACT: Corey Egel I 916.440.72591 [email protected] gov


SACRAMENTO - The U.S. Centers for Disease Control and Prevention today confirmed a possible first case of person-toperson transmission of COVID-19 in California in the general public. The individual is a resident of Solano County and is receiving medical care in Sacramento County. The individual bad no known exposure to the virus through travel or close contact with a known infected individual.

California has a strong health care system and public health infrastructure. California bas prepared for the potential spread of diseases, such as H1 N1, in the past and is prepared and actively responding to the potential community spread of COVID-19. Contact tracing in this case has already begun.

The health risk from novel coronavirus to the general public remains low at this time. While COVID-19 bas a high transmission rate, it bas a low mortality rate. From the international data we have, of those who have tested positive for COVID-19, approximately 80 percent do not exhibit symptoms that would require hospitalization. There have been no confirmed deaths related to COVID-19 in the United States to date. California is carefully assessing the situation as it evolves.

"Keeping Californians safe and healthy is our number one priority," said Dr. Sonia Angell, Director of the California Department of Public Health and State Public Health Officer. "This bas been an evolving situation, which California bas been monitoring and responding to since COVID-19 cases first emerged in China last year. This is a new virus, and while we are still learning about it, there is a lot we already know. We have been anticipating the potential for such a case in the U.S., and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California. That's why California bas been working closely with federal and local partners, including health care providers and hospitals, since the outbreak was first reported in China -- and we are already responding."

As in any public health emergency, the Department of Public Health's Emergency Operations Center bas been actively coordinating response efforts across the state and preparing for possible community transmission. California continues to prepare and respond in coordination with federal and local partners.

This would be the first known instance of person-to-person transmission in the general public in the United States. Previously known instances of person-to-person transmission in the United States include one instance in Chicago, Illinois, and one in San Benito County, California. Both cases were after close, prolonged interaction with a family member who returned from Wuhan, China and bad tested positive for COVID-19, the disease caused by novel coronavirus. As of today, including this case, California bas had 7 travel-related cases, one close contact case, and now one community transmission.







www.cdph ca gov

P70

From: To: Subject: Date: Attachments:

Fanelli. Susan@CDPH CDPH CHEAC DL; CDPH CCLHO Dl Fwd: News Release: CDC Confirms Possible First Instance of COVID-19 Community Transmission in California Wednesday, February 26, 2020 5:29:23 PM image002.png PH20-006 CDC Confirms Possible First Instance of COVID-19 Communitv Transmission in California.pdf


From: Egel, Corey@CDPH <[email protected]>


To: Fanelli, Susan@CDPH

Subject: News Release: CDC Confirms Possible First Instance of COVID-19 Community Transmission in

California



CONTACT: Corey Egel\ 916.440.7259 \ [email protected]




The health risk from novel coronavirus to the general public remains low at this time. While COVID-19 has a high transmission rate, it has a low mortality rate. From the international data

P71

we have, of those who have tested positive for COVID-19, approximately 80 percent do not exhibit symptoms that would require hospitalization. There have been no confirmed deaths related to COVID-19 in the United States to date. California is carefully assessing the situation as it evolves.










www.cdph.ca.gov

P72

From: To: Subject:

Date:

Hanson. Jake@CDPH CDPH CCLHO DL; CDPH CHEAC DL Fwd: CAHAN HCP Conference Call Notification - COVID-19 Update Conference Call TODAY, 2/26/20 5:30 PM 6:00 PM (PST) Wednesday, February 26, 2020 5:11:00 PM


FYI

From: California Health Alert Network <[email protected]>


To: Hanson, Jake@CDPH

Subject: CAHAN HCP Conference Call Notification - COVlD-19 Update Conference Call TODAY,

2/26/20 5:30 PM - 6:00 PM (PST)



password. To report suspicious emails, click "Report Phish" button.

The California Department of Public Health, has scheduled a COVID-19 update conference call for California healthcare facilities today, Wednesday, February 26, 2020 at 5:30 PM (PST). Please see below conference call information below.


Toll-Free: 844-767-5679 Access Code: 244 7851 Conference Name: COVID-19 Update Health Care Facilities

P73

From: To: Subject:

Blocher. Tricia@CDPH CDPH CCLHO DL; CDPH CHEAC DL COVID-19 Call at Spm

Date: Importance:

Wednesday, February 26, 2020 5:03:39 PM High


Hello Local Health Officers and Health Executives,

We are holding a call for you at Spm (Invitation from Jake Hanson earlier today), followed by a call

with Healthcare Facilities at 5:30p (sent via CAHAN).

Toll-Free: 844-767-5679 Access Code: 8753908

Apologies for any confusion.

Talk to you soon!

Tricia N. Blocher

Deputy Director

Emergency Preparedness Office

California Department of Public Health

Office: (916) 650-6710

Mobile: (916) 712-1261

P74

From: Bronston Aram EMS To: DPH-DOC Plans Sit Stat; DPH-COVID-19 DPH Activation 2020; mhccsjtreps&[email protected] gov;

[email protected]; DPH-lntegratioo Steering Committee; [email protected] gov; [email protected]; [email protected]; DutyOfficer DEM CDEM)

Subject: Date:

Re: SFDPH DOC COV!D-19 Situation Status Report (02/26/2020) Wednesday, February 26, 2020 4:44:48 PM


Received. Thank you.

A ram

Aram L. Bronston EMT-P EMS Coordinator/RDMHS Region II Alameda County Health Care Services Agency 1000 San Leandro Blvd., Ste#200 San Leandro, CA 95477 [email protected] 510/618-2033 office 510/421-9340 cell 8816-32623882 iridium (emergencies ONLY) Http://EMS.ACGOV.ORG/RDMHS-R2 (Resource & Reference Site)

This message has come from a mobile device. Please excuse any brevity or typographical errors.

From: DPH-DOC Plans Sit Stat <[email protected]>


To: DPH-COVID-19 DPH Activation 2020 <[email protected]>; Bronston, Aram, EMS

<[email protected]>; mhccsitreps&resourcereq [email protected]

< m hccs itreps& resou rcereq u ests@cd p h. ca .gov>; E MSADutyOffi cer@ EMSA. CA.GOV < E MSADutyOfficer@ EMSA. CA.GOV>;

DPH-lntegration Steering Committee <[email protected]>; [email protected]

<[email protected]>; [email protected] <[email protected]>; [email protected]

<[email protected]>; DutyOfficer, DEM (DEM) <[email protected]>

Subject: SFDPH DOC COVID-19 Situation Status Report (02/26/2020)

SFDPH DOC COVID-19 Situation Status Report (02/26/2020)

Status: Yellow Outlook: Worsening Need: None

# of Cases/Deaths Worldwide: 81,3ZZ Cases/ Z,770 Deaths (John Hopkins CSSE, link below) US: 59 Cases (see notes below)/ 0 Deaths (John Hopkins CSSE) CA: 10 Cases/ 0 Deaths (.c.I2£1:i) SF: 0 Cases

htt ps · //gisa n d data.maps. a rcgj s. com /a pps/opsd ash boa rd/ind ex. htm l#/bd a 7 594 7 40fd40 299423467b48e9ecf6

Updates and Response:

SFDPH Summary of actions

., Mayor London Breed declared a local emergency 02/25/20, allowing CCSF to access additional resources to

prepare for potential COVID-19 cases in SF .

., SFDPH DOC expanded community outreach and mitigation efforts, working closely with the CCSF

P75

Emergency Operations Center (EOC) in anticipation of increased inquiries due to the declaration of a local

emergency.

• SFDPH is focusing on providing a comprehensive picture of past and current preparation and mitigation

efforts, forward leaning departmental objectives, and the data and information being used to guide the

work.

• SFDPH and the EOC are collaborating to create a process for routing briefing and other informational

requests (from media and non-media sources) to the appropriate channels.

• SFDPH drafted guidelines for housing plans for confirmed COVID-19 cases, potential COVID-19 cases, and

medium risk individuals who live in congregate living situations including Single Room Occupancies (SROs).

• SFDPH completed a preparedness consultation site visit to Chinese Hospital 02/25/20 and UCSF Mission Bay

today 02/26/20.

• SF Public Health Laboratory is strengthening their safety measures for lab personnel, including enhanced

Personal Protective Equipment {PPE) requirements.

• SF Public Health Laboratory is still awaiting delivery of CDC testing kits. CDC reported they will have a ship

date for the testing kits by the end of this week.

• SFDPH is updating their COVID-19 Fact Sheet to include the most recent updates and align messaging and

information across DPH and CCSF sites.

• SFDPH Public Information Office recently completed a COVID-19 prevention focused informational poster,

which will soon be displayed on BART Trains.

• SFDPH CDCP information: https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel

%20%20%20coronavjrus/

• CDC updated their travel advisory to include South

Korea. https://wwwnc.cdc.gov/travel/notices/warning/coronavirus-south-korea

• CDC reports that to date 445 people have been tested in the U.S.

• https ://www.cdc.gov/coron avi rus/2019-n cov /cases-j n-us htm I

WHO (World Health Organization)-

• WHO stated that 4 new countries (Algeria, Austria, Croatia, and Switzerland) reported cases of COVID-19 in

the past 24 hours. (as of 02/26/20}

• https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports·

Q;!IB {California Department of Public Health)-

e CDPH reported new cases of COVID-19 in CA in the 24 hours. Number of confirmed cases in CA remains at

10.

• https ://www.cdph.ca .gov /programs/Cl D/DCDC/Pa ges/I mm u n ization/nCOV2019.aspx

Johns Hopkins Data Dashboard (real time updates, data sources- WHO, CDC, NHC, and DXY.)

International data-

• 81,322 confirmed cases globally.

" 78,064 confirmed cases in mainland China; 3,258 confirmed cases outside of mainland China, in 46

countries.

" 2,719 deaths in mainland China+ 51 additional deaths (Afghanistan, Bahrain, Iraq, Oman, Iran, Italy,

P76

Philippines, Hong Kong, Taiwan, Japan, France, South Korea, Diamond Princess Cruise)

" Confirmed cases outside of China across 36 countries/regions (includes regions of Hong Kong and Taiwan,

outside of mainland China)

National (U.S.) data:

" 59 confirmed cases currently in the U.S. {42 from Diamond Princess cruise ship, from unassigned

locations) cases in 5 states.

" https ://gisan d data. maps arcgis.com /apps/opsdash boa rd/ind ex. htm 1#/bda 7 594 7 40fd40299423467b48e9ecf6

NOTE: Information may vary as events and reporting are rapidly evolving.


DP H. DOC. Pia ns.SitStat@sfd ph .org

**This email was sent from an external source. If you do not know the sender, do not click on links or attachments. **

P77

From: To: Subject:

Date: Importance:

California Health Alert Network Aragon. Tomas CDPH) CAHAN HCP Conference Call Notification - COVID-19 Update Conference Call TODAY, 2/26/20 5:30 PM 6:00 PM (PST) Wednesday, February 26, 2020 3:43:24 PM High

The California Department of Public Health, has scheduled a COVID-19 update.

conference call for California healthcare facilities today, Wednesday, February 26,

2020 at 5:30 PM (PST). Please see below conference call information below.


Toll-Free: 844-767-5679


Conference Name: COVID-19 Update Health Care Facilities

P78

From: To:


Hanson. Jake@CDPH CDPH CCLHO DL; CDPH CHEAC DL; Sobba, Naveena CDPHl; Cheung, Michele (Orange# 2): Cole, Thomas; Dean Sidelinger; DeBurgh, [email protected]; Ennjs. Josh (Humboldt); Furst. Karen@San Joaquin County; Goldstein. David (Contra Costa); Gunzenhauser. Jeffrey; Han, George@Santa Clara County: Hernandez, Liz@County of San Diego; Kinnison. Michael@SutterCounty; DPH - sarah.lewis; Limbos. Mary Ann CYolol; McMillan. Craig (Mendocino): McNitt. Louise@Countra Costa County; Michele Violich ([email protected]cruz.ca.us); Morrow. Gib ; Newel. Gail; Northroo. Leah@SutterCo; Pan. Erica (Alameda); Papasozomenos. Thea; DPH-daniel.peddycord; Perti. Tara (Santa Clara); Nichole Quick; Radhakrishna. Rohan (Contra Costa); ~ [email protected]; Rosen, Frederick; Sallenave, Catherine (San Mateo); Santora. [email protected]; Stoltey. Juliet (DPH); Taylor, Melody@Sacramento County; Tzvieli, Ori (Contra Costa); Warne. Thomas (Contra Costa); Wu, Christine; Zahn, Matt@Orange County The President & Coronavirus Task Force News Conference TODAY at 6:30 p.m. Eastern Time Wednesday, February 26, 2020 2:07:03 PM imageOO 1. png


FYI

From: Pottebaum, Nie D. EOP/WHO <[email protected]>


To: Pottebaum, Nie D. EOP/WHO <[email protected]>

Cc: Hoelscher, Douglas L.EOP/WHO<[email protected]>; Swint, Zachariah D.

EOP/WHO <[email protected]>; Imhoff, Olivia P. EOP/WHO

<[email protected]>

Subject: The President & Coronavirus Task Force News Conference TODAY at 6:30 p.m. Eastern Time

THE WHlTE HOUSE

State Leaders and Staff,

Today (Wednesday, February 26) at 6:30 PM Eastern Time, President Donald J. Trump, Vice

President Mike Pence, and Members of the Coronavirus Task Force will Hold a News Conference

from the White House James S. Brady Briefing Room.

You can view the news conference here: WhiteHouse.gov/Live.

Please let me know if you have any questions.

Thanks,

Nie

Nicholas D. Pottebaum

P79

Special Assistant to the President and Deputy Director

White House Office of Intergovernmental Affairs

0: 202-456-2132 I C: 202-881-7803 I E: [email protected]

P80

From: To:

Acosta. Meileen D.

[email protected]; Benjamin J. Gover; [email protected]; Learv. Michele F.; James.Salvante@sonomacounty.org; Gammon. Benjamin G.; [email protected]; [email protected]; [email protected]; [email protected]; Richards. Jayleen M.; [email protected]; Kirnig. Denise D.; Naramore. Sara E.; Ntui. Asundep N.; Scheuer. Tara E.; Matyas. Bela T.; Davis. Shai B.; Wu. Christine A.; Salvatierra. Annabelle; Butterfeld, Rodney D.; Stovell. Paris V.; Selby, Ted; Kapusinszky, Beatrix S.; Miller. Glen M.; Coutee, Cynthia; Boggs. Dawn P.; Huber. Gerald R.; Vaughn. Debbie L.; Rogers, Christine D.; Huston, Nancy L.; Corsello. Biraitta E.; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Modrich. Michael &; Tatham. Dana E.; Chang. Han K.; Crowl. Hannah L.; Tandinco, Imelda M.; West. Jaron C.; Braden. Jeanah J:h; Nasser. Jack S.; Harms. Kylie A.; Blancaflor, Marielou B.; Stoner. Maria E.; Gallego, Maria J.; Soto. Noelle S.; Aleta, Ofelia C.; Kim, Rebekah J.; Thomas. Rahitha M.; Fuller. Shandi J.; Vera, Santos J.; Collins. Sharon L.; Inton, Zosima B.; Ticzon. Zenia; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]; [email protected]; [email protected]; [email protected]; gina.x.biter[email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Ju\[email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Lakethia L Lake-Pascua; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; VLujan@laclin ica .erg: [email protected]; nfacher@laclinica .ora; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]; [email protected]; info@north baynursing .com; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Kristine. [email protected]; NBrocato@NorthBay. oro; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; dtamayo@olehealth .era; [email protected]; [email protected]; [email protected]; Watson, Cindy J.; Miller. Crvstal E.; Zuniga, Patricia D.; Boucher, Terry; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Markus. Neil (external); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Petru, Ann (UCSF): [email protected]; [email protected]; [email protected]; [email protected]: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Dosi. Abhishek (external); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Chaconas. Ted (UCSF); [email protected]; [email protected]; [email protected]; Griffin Rogers; Isabel Reyes; Robles, Tracy (Risk Mgmt); Isenbera, William, M.D.; Lockhart. Stephen M.D.; David M Buettner; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Fletcher. Lisa; Engel, Marauetta; [email protected]; [email protected]: Trejo, Teresa; [email protected]; [email protected]; [email protected]; [email protected]; Shakiara Kitchen; [email protected]; Jorge.Bernett [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Russell.Rodriguez [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Daniel [email protected]; Lisa. [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected];

P81

Cc: Subject:

SolanoEPI; Lucas. Amanda CUCSF); Hsieh, Charlotte (UCSF); Dan Desmond; Johnson, Craig@EMSA; ReturningTravelerMonitoring; Valdez. Virginia; Ledin. Katva@CDPH; Rains. Robyn L.; IZB EPI Report (CDPHDCDC): Kimberly C Galey; Girlynda Gonzales; [email protected]; Michelle J, Gaskill-Hames; Jennifer Gordon; Ori Tzvieli; Susan Farley; Craig S. Baker; Louise McNitt; Lilia Ryan; Carroll. Darin (CDC/DDID/NCEZID/OD); Roberts. Desera S; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Aragon, Tomas CDPH); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected] [email protected]; Dubrav. Christine (CDC/DDID/NCIRD/DBD); Maria Musolf NEW NUMBER and NEW TIME - Solano County Novel Coronavirus Call with Healthcare and EMS Partners (nonproprietary)


We apologize forthe short notice and for changing the meeting time again this week, but we are moving this afternoon's call to tomorrow from 11:30-12:30.

Thank you all for your understanding!!

This is the weekly call for Solano County Healthcare and EMS partners. We've also invited surrounding counties and hospitals affected by the Diamond Princess evacuee response as well as State and Federal partners.

Thanks.

Solano Public Health

Call-in Information:

Number: 408-418-9388

Meeting ID: 966 019 345

(message contents are nonproprietary)

P82

From: To:

Acosta, Mei\een D.

Kirnig, Denise D.; Naramore, Sara E.; Ntui. Asundep N.; Scheuer, Tara E.; Matyas, Bela T.; Richards, Jayleen M.; Davis, Shai B.; Wu, Christine A.; Salvatierra, Annabelle; Butterfield, Rodney D.; Stovell. Paris V.; Selby, Ted; Kapusinszky. Beatrix S.; Miller, Glen M.; Coutee, Cynthia; Boggs, Dawn P.; Huber, Gerald R.; Vaughn, Debbie L.; Rogers. Christine D.; Huston. Nancy L.; Corsello, Biraitta E.; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Modrich, Michael &; Tatham. Dana E.; Chang. Han K.; Crowl, Hannah L; Tandinco, Imelda M.; West. Jaron c.; Braden. Jeanah J':!.,.; Nasser. Jack S.; Harms. Kylie A.; Blancaflor. Marielou B.; Stoner. Maria E.; Learv. Michele F.; Gallego, Maria J.,; Soto. Noelle S.; Alota. Ofelia C.; Kim. Rebekah J.; Thomas. Rahitha M.; Fuller. Shandi J.; Vera. Santos J.; Collins. Sharon L.; Inton. Zosima B.; Ticzon. Zenia; [email protected]; [email protected]; [email protected]; [email protected]; brandon.e [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]; [email protected]; [email protected]; Kirsten.H,[email protected]; Lakethia L Lake-Pascua; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]: [email protected]: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Gregory. [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; van i ka. moel ler-lewis@n orth bay. ora; Wayne. Gietz@North bay.erg; amy@north bayped iatri cs.com; [email protected]; [email protected]; [email protected]; mconn [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Watson. Cindy J.; Miller. Crystal E.; Zuniga, Patricia D.; Boucher. Terry; pushtopu\[email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; musyosh@sutterhealth .orq; washinr@sutterhealth. ora; [email protected]; helen [email protected] .gov; Markus. Neil (external); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Gammon. Ben!amin G.; [email protected]; contrej2@sutterhealth .orq; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Petru. Ann (UCSF); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Dosi. Abhishek (external); [email protected]; [email protected]; [email protected]; Dana.A. [email protected]; Tony. L. [email protected]; [email protected]; Chaconas. Ted (UCSF); [email protected]; [email protected]; [email protected]; Griffin Rogers; Isabel Reyes; Robles. Tracy (Risk Mgmt); Isenberg, William. M.D.; Lockhart. Stephen M.D.; David M Buettner; [email protected]; [email protected]; crystal. milne@countyofnapa .orq; eva, weinstein@cou ntyofnapa .org; [email protected]; [email protected]; [email protected]; [email protected]; Fletcher. Lisa; Engel, Marquetta; [email protected]; [email protected]; Trejo, Teresa; [email protected]; [email protected]; [email protected]; [email protected]; Shakiara Kitchen; [email protected]; Jorge.Bernett [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Russell.Rodriguez [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Paul. [email protected]; brad [email protected]; adam.i. [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; SolanoEPI; Lucas, Amanda (UCSF); Hsieh, Charlotte (UCSFl; Dan Desmond; Johnson, Craiq@EMSA;

P83

Subject:

ReturningTravelerMonitorinq; Valdez. Virainia; Ledin. Katya@CDPH; Rains. Robyn L.; IZB EPI Report CCDPHDCDC); Kimberly C Galey; Girlynda Gonzales; [email protected]; Michelle J. Gaskill-Hames; Jennifer Gordon; Ori Tzvieli; Susan Farley; Craig S. Baker; Louise McNitt; Lilia Ryan; Carroll. parin (CDC/DDID/NCEZID/OD); Benjamin J. Gover; Roberts. pesera S; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Aragon. Tomas (DPH); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Celeste. Ph ii ip@sonoma-cou n ty. ora; James. Sa Iva nte@sonoma-cou nty. org; Jamie. Rich@sonoma-cou nty. org; [email protected]; [email protected]; [email protected]; Marv. Miller@son oma-cou nty. org; Rachel. Rees@sonoma-cou nty .org; Robert. Benjam in@sonoma-cou nty .ora; [email protected] NEW NUMBER - Solano County Novel Coronavirus Call with Healthcare and EMS Partners (nonproprietary)


This is the weekly call for Solano County Healthcare and EMS partners. We've also invited surrounding counties and hospitals affected by the Diamond Princess evacuee response as well as State and Federal partners.

Thanks.

Solano Public Health

Call-in Information:

Number: 408-418-9388

Meeting ID: 966 019 345

(message contents are nonproprietary)

P84

From: Bronston A@m EMS To:

Subject:

DOCAdmjn DPH IDPH); DPH·nCoV Activation 2020; DutyOf!icer DEM IDEM); Duty Officer EMSA@EMSA; [email protected]; chess@ncric ca gov; mhccsitreos&[email protected]; DPH·lntegration Steerjng Committee; [email protected] Re: SFDPH DOC COYID· 19 Situation Status Report (02/25/2020)

Date: Tuesday, February 25, 2020 4:12:25 PM



A ram


This message has come from a mobile device. Please excuse any brevity or typographical en-ors.

From: DOCAdmin, DPH (DPH) <[email protected]>

Sent: Tuesday, February 25, 2020 3:45:46 PM

To: DPH-nCoV Activation 2020 <[email protected]>; DutyOfficer, DEM (DEM)

<[email protected]>; Duty Officer, EMSA@EMSA <[email protected]>; Bronston, Aram, EMS

<Aram. [email protected]>; cdphd utyoffi [email protected] .gov <cdphd [email protected] .gov>; [email protected]

<chess@ ncri c. ca .gov>; m h ccs it reps& resou rcereq u ests@cd p h. ca .gov <m hccsitreps&resou rcereq u ests@cd p h. ca .gov>;

D PH-Integration Steering Committee <DPH. ISC@sfd ph .org>; Coasta I [email protected]

<[email protected]>




#of Cases/Deaths (dated 02/25/20) Worldwide: 80,350 Cases/ 2,705 Deaths (John Hopkins CSSE, link below) US: 53 Cases (see notes below)/ 0 Deaths (CDC) CA: 10 Cases IO Deaths {CDPH) SF: 0 Cases https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ed6


., The Mayor has declared a local emergency due to COVID-19. Although there are still zero confirmed cases

in San Francisco residents, the global picture is changing rapidly. Given the high volume of travel between

SF and mainland China, and the spread of the virus in other countries, there is a growing likelihood that San

Francisco will see cases eventually. The declaration of a local emergency will mobilize city resources,

accelerate emergency planning, streamline staffing, coordinate agencies across the city, allow for future

P85

reimbursement by the state and federal governments and raise awareness throughout San Francisco about

how everyone can prepare in the event that COVID-19 (novel coronavirus) appears in San Francisco.

Summary of actions

• SFDPH DOC Call Center has attempted contact to all return travelers from China in need of follow-up.

• SFDPH is maintaining global, national, and local situational awareness as South Korea, Japan, and Italy have

reported significant increases in the number of confirmed COVID-19 cases.

• SFDPH is preparing to update stakeholder messaging in anticipation of new CDC guidance.

• SFDPH is working closely with the Department of Emergency Management's (DEM) Emergency Operations

Center (EOC) on community outreach, care and shelter for potential COVID-19 cases.

• SFDPH, the Mayor, DEM, and Chinese Community leaders provided updates to the public on SF's

preparedness efforts.

• SFDPH completed preparedness consultation site visits to 5 major SF hospitals, with plans to visit 2

additional sites. DPH will hold a tabletop exercise and discussion with SF hospital partners on preparing for

COVID-19 cases.


%20%20%20coronavirus/

• CDC is operationalizing its pandemic preparedness and response plans, including measures to prepare

communities to respond to local transmission of COVID-19. There is an abundance of pandemic

guidance developed and adapted for a COVID-19 pandemic.

• CDC updated travel guidance on 02/23/20 recommending travelers avoid all nonessential travel to the

People's Republic of China (this does not include Hong Kong, Macau, or the island ofTaiwan).

https://wwwnc.cdc.gov/travel/destinations/traveler/none/china#travel-notices

• No changes in number of U.S. confirmed cases reported since 02/24/20.

• https:fLwww.cdc.gov/coronavi rus/2019-ncov /cases-in-us. html


• WHO has an on line course titled "Infection Prevention and Control for COVID-19." The course provides

information on how facilities can prepare to respond to emerging respiratory viruses such as COVID-19.

https ://openwho. org/cou rses/COVI D-19-1 PC-EN

• The WHO-China joint mission concluded on 02/24/20 and released findings about the transmissibility and

severity of COVID-19, and the impact of the measures taken.

https://www.fmprc.gov.cn/mfa eng/topics 665678/kigzbdfyyq/tl 749176.shtml

" WHO and European Centre for Disease Prevention and Control (ECDC) mission arrived in Italy on 02/24/20

to support Italian authorities on the COVID-19 situation.

• WHO stated that 4 new countries (Afghanistan, Bahrain, Iraq, and Oman) reported confirmed cases of

COVID-19 in the past 24 hours (as of 02/25/20).

• https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports

CDPH (California Department of Public Health)-

P86

CDPH lab in Richmond, CA is currently testing potential (PUI) cases quarantined at Travis Air Force Base. This

lab is not providing testing for local jurisdictions at this time.

" https: //www .cd p h .ca .gov/Programs/Cl D /DCDC/Pages/I m mu nization/oCOV2019. as px


International data-

" 80,350 confirmed cases globally

" 77,660 confirmed cases in mainland China (96.7% of all confirmed cases globally).

" 2,660 deaths in mainland China+ 45 additional deaths (Afghanistan, Bahrain, Iraq, Oman, Iran, Italy,


• 2,747 confirmed cases outside of China across 36 countries/regions (includes regions of Hong Kong and

Taiwan, outside of mainland China)


" 53 confirmed cases currently in the U.S. (36 from Diamond Princess cruise ship, from unassigned


• https ://gisa nddata. maps.a rcgis.com /apps/opsdas h board/index. htm 1#/bda 7 594 7 40fd40299423467b48e9ecf6



DOC Administration

To send a message to Command Staff: [email protected]

To send a message to Operations Section: [email protected]

To send a message to Planning Section: [email protected]

To send a message to Logistics Section: [email protected]

To send a message to Finance Section: [email protected]


P87

From: To: Cc:


Vugia, Duc@CDPH CDPH CCLHO DL; CDPH DCDC COCO Vugia. Duc@CDPH; Watt James@CDPH; Coronavirus Clinical; ReturningTravelerMonitoring; Chai. Shua@CDPH; Dean. Charitv A@CDPH; Fanelli. Susan@CDPH; Blocher. Tricia@CDPH; JEOC Director CDPH Guidance for Monitoring Returning Travelers Tuesday, February 25, 2020 3:47:08 PM CDPH Guidance for Monitoring Returning Travelers Feb 2020.odf


Dear Local Health Officers and Communicable Disease Control Officers,

Attached is the CDPH Guidance for Monitoring Returning Travelers where we restate and clarify CDC

risk assessment and guidelines for monitoring and movement of returned travelers considered at

high, medium, and low risk. At this time, this CDPH guidance only addresses persons who have

returned from China within 14 days and therefore may be revised with new updates from CDC.

Given the rapidly changing global situation, we will try to update guidances as needed in a timely

manner.

Sincerely,

Due

Due J. Vugia, MD MPH Chief, Infectious Diseases Branch California Department of Public Health

P88

From: DOCAdmin DPH !DPH) To:

Subject:

DPH-nCoV Activation 2020; DutyOfficer DEM (DEM); Dutv Officer EMSA@EMSA; [email protected]; [email protected]; chess@ncric ca gov; mhccsitreos&[email protected]; DPH-lntegration Steering Committee; CoastalRegion@CalOES ca gov SFDPH DOC COVID-19 Situation Status Report (02/25/2020)

Date: Tuesday, February 25, 2020 3:45:49 PM

SFDPH DOC COVID-19 Situation Status Report {02/25/2020)


#of Cases/Deaths (dated 02/25/20) Worldwide: 80,350 Cases I 2,705 Deaths (John Hopkins CSSE, link below) US: 53 Cases (see notes below)/ 0 Deaths {CDC) CA: 10 Cases/ 0 Deaths (CDPH) SF: O Cases bttps://gisanddata.maps.arcgis.com/apps/opsdasbboard/index.html#/bda7594740fd40299423467b48e9ecf6


• The Mayor has declared a local emergency due to COVID-19. Although there are still zero confirmed cases





reimbursement by the state and federal governments and raise awareness throughout San Francisco about

how everyone can prepare in the event that COVID-19 (novel coronavirus) appears in San Francisco.

Summary of actions

• SFDPH DOC Call Center has attempted contact to all return travelers from China in need of follow-up.

• SFDPH is maintaining global, national, and local situational awareness as South Korea, Japan, and Italy h<we

reported significant increases in the number of confirmed COVID-19 cases.

• SFDPH is preparing to update stakeholder messaging in anticipation of new CDC guidance.

• SFDPH is working closely with the Department of Emergency Management's (DEM) Emergency Operations

Center (EOC) on community outreach, care and shelter for potential COVID-19 cases.

• SFDPH, the Mayor, DEM, and Chinese Community leaders provided updates to the public on SF's


• SFDPH completed preparedness consultation site visits to 5 major SF hospitals, with plans to visit 2

additional sites. DPH will hold a tabletop exercise and discussion with SF hospital partners on preparing for

COVID-19 cases.

" SFDPH CDCP information: https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel


• CDC is operationalizing its pandemic preparedness and response plans, including measures to~

communities to respond to local transmission of COVID-19. There is an abundance of pandemic

P89

guidance developed and adapted for a COVID-19 pandemic.

• CDC updated travel guidance on 02/23/20 recommending travelers avoid all nonessential travel to the

People's Republic of China (this does not include Hong Kong, Macau, or the island ofTaiwan).

https://wwwnc.cdc.gov/travel/destinatjons/traveler/none/china#travel-notices

• No changes in number of U.S. confirmed cases reported since 02/24/20.

• https ://www.cdc.gov/coronavjrus/2019-ncov /cases-in-us. htm I


• WHO has an online course titled "Infection Prevention and Control for COVID-19." The course provides

information on how facilities can prepare to respond to emerging respiratory viruses such as COVID-19.

https: //ope nwho.org/courses/COVI D-19-1 PC-EN

• The WHO-China joint mission concluded on 02/24/20 and released findings about the transmissibility and

severity of COVID-19, and the impact of the measures taken.

https:(/www.fmprc.gov.cn/mfa eng/topics 665678/kjgzbdfyyq/tl 7 49176.shtml

• WHO and European Centre for Disease Prevention and Control (ECDC) mission arrived in Italy on 02/24/20

to support Italian authorities on the COVID-19 situation.

• WHO stated that 4 new countries (Afghanistan, Bahrain, Iraq, and Oman) reported confirmed cases of

COVID-19 in the past 24 hours (as of 02/25/20).

• https://www.who.int/emergencjes/djseases/novel-coronavirus-2019/sjtuatjon-reports


• CDPH lab in Richmond, CA is currently testing potential (PUI) cases quarantined at Travis Air Force Base. This

lab is not providing testing for local jurisdictions at this time.

• https: //www.cdph.ca. gov /Programs/Cl D/DCDC/pa ges/1 mm u n ization/nCOV2019.aspx


International data-

• 80,350 confirmed cases globally

• 77,660 confirmed cases in mainland China (96.7% of all confirmed cases globally).

• 2,660 deaths in mainland China+ 45 additional deaths (Afghanistan, Bahrain, Iraq, Oman, Iran, Italy,


• 2,747 confirmed cases outside of China across 36 countries/regions (includes regions of Hong Kong and

Taiwan, outside of mainland China)


• 53 confirmed cases currently in the U.S. (36 from Diamond Princess cruise ship, from unassigned


• https ://gjsa nd data. maps.a rcgjs.com/a pps/opsdashboa rd/ind ex. htm 1#/bda 7594 7 40fd40299423467b48e9ecf6

NOTE: Information may vaiy as events and reporting are rapidly evolving.

P90


DOC Administration

To send a message to Command Staff: [email protected]

To send a message to Operations Section: [email protected]

To send a message to Planning Section: [email protected]

To send a message to Logistics Section: [email protected]

To send a message to Finance Section: [email protected]

P91

Leger, Cheryl (BOS)


Requester,

DPH Sunshine Tuesday, March 8, 2022 4:34 PM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 /File No 20059 CDC Emails_Batch2.pdf

We have conducted a diligent search for records responsive to your request. We have located responsive records, which are available to you here and have also been uploaded to NextRequest case #20-1076/ SOTF File 20059. Due to the need to continue reviewing, we will produce any additional responsive records on a rolling basis.

Thank you.


Hello,




heard of it being inaccessible and that you were unable to view our response to your records request seeking

clarification. It was never our intention to withhold information.

DPH has identified a voluminous number of emails potentially responsive to your request. We would

appreciate any narrowing down of the request. Could you please provide specific names of individuals that

you'd request the information?

In the meantime, until we hear from you, to the best of abilities of our abilities, we will begin processing this

request based on the narrowing by individuals as opposed to the entire Department. We will provide these

documents to you on a rolling basis.

We have included the original request below for reference.

All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS 11 "COV/0 11 11COVID19 11 11COV/D-19 11 11SARS-CoV-2 11 112019-nCOV11 11nCOV" 11severe acute respiratory syndrome 11 "viral pneumonia 11 11pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2"

P92

"2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.

Thank you,

DPH Sunshine Team

POO

Leger, Cheryl (BOS)

From: Sent: To: Cc: Subject:

Hello,

DPH Sunshine Tuesday, March 1, 2022 1:15 PM [email protected] SOTF, (BOS)

Public Records Request #20-1076




We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/D19" "COVID-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/D19" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.


P9.4

From: To:


DPH-DOC Plans Sit Stat Aram. bran [email protected]; mhccsitreps&[email protected]; DPH-Inteqration Steering Committee; [email protected]; [email protected]; [email protected]; [email protected]; DutyOfficer, DEM (DEM) SFDPH DOC Incident Action Plan (IAP) for Operational Period 7 Friday, February 28, 2020 3:47:01 PM OP7 COVID-19 IAP 2020.02.28 FINAL.pdf

Please find attached SFDPH DOC Incident Action Plan (!AP) for Operational Period 7 (Saturday

2/29/2020 through Friday 3/6/2020).




DPH. DOC. Pia [email protected]


DPH. DOC.Plans.SitStat@sfd ph .org

P95


DPH-DOC Plans Sit Stat DPH-COVID-19 DPH Activation 2020; DPH-Inteqration Steering Committee SFDPH Incident Action Plan (IAP)- Operational Period 7 Friday, February 28, 2020 3:46:33 PM OP? COVID-19 IAP 2020.02.28 FINAL.pdf

Please find attached SFDPH DOC Incident Action Plan (IAP) for Operational Period 7 (Saturday

2/29/2020 through Friday 3/6/2020).




[email protected]

P96


State and Local Readiness (CDC)

State and Local Readiness (CDC) CDC Text Illness Monitoring (T.I.M) System Update

Friday, February 28, 2020 11:56:57 AM

T.I.M. FAQ forPH 02.27.2020.pdf


Dear Colleagues,

The Text Illness Monitoring (T.l.M.) system has recently been modified to allow county-level

campaigns to be added under state campaigns. This allows for local use of T.l.M. for COVID-19

symptom monitoring.

If a state would like to add county-level users in T.l.M., they should provide the names of the

counties that should be activated. Once the T.l.M. support team activates these counties,

states may then add county-level users as appropriate.

Local jurisdictions will be assigned at the county level and will have access to the data for that

county only, and states will have access to all data within the state.

Local jurisdictions should coordinate with their state for access. States may send the list of

counties they wish to activate in T.l.M. to [email protected].

Thank you,

State Coordination Task Force

Sent by BCC to PHEP Directors, SHOS, State Epis, Non-governmental Partners, STLTs, and

BCHC

P97

From: To:

CCSF Department of Emergency Management Colfax, Grant CDPH)

Subject: Date:

DEM 24-Hour Daily Situational Awareness Report - 02-28-2020 Friday, February 28, 2020 9:31:44 AM

Report Date: 02-28-2020

24-Hour Daily Situational Awareness Report

Priority Information I Current Notable Local Incidents:

-The Centers for Disease Control and Prevention (CDC) has confirmed 11 cases of

the recently named COVID-19 (novel coronavirus-2019) in California:

2 - San Benito County

2 - San Diego County

2 - Santa Clara County

1 - Humbolt County

1 - Los Angeles County

1 - Orange County

1 - Sacramento County

1 - Yolo County

-The Department of Homeland Security issued supplemental instructions for inbound

flights with individuals who have been in China. For more information, see:

https://www.dhs.gov/news/2020/02/02/dhs-issues-supplemental-instructions-inbound

flights-individuals-who-have-been-china

-The CDC has issued travel advisories to countries affected by the virus:

https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html

-US Health and Human Services has declared a public health emergency. For more

information, see: https://www.hhs.gov/about/news/2020/01/31/secretary-azar

declares-public-health-emergency-us-2019-novel-coronavirus.html

·Additional coronavirus information: https://.cdc.gov/coronavirus/2019-

P98

ncov/index.html or by calling 800-CDC- INFO I (800-232-4636) I TTY: (888) 232-6348

• CDC information for healthcare providers: https://www.cdc.gov/coronavirus/2019-

nCoV/guidance-hcp.html

• Information for San Francisco residents:

https://www.sf72.org/

https://www.sfdph.org/dph/

DEM Contact Information:

Watch Center Operations

Mon-Sun, 0600-2230 Hours

- Primary ( 415) 260-2591

- Desk (415) 558-2738

- Email: [email protected]

Duty Officer (After Hours)


- Current Duty Officer: Ed Trinh I 415-260-2591

Manager On Call (MOC): Bijan Karimi - 415-640-8269 - [email protected]

Public Information Officer: Kristin Hogan - 415-518-2834 -

[email protected] I 415-558-2712

Current EOC Status: Level 2

EOC Activation Levels:

I Level II EOG Status II Description II Time I I DO I MOC II EOC Standby II Duty Officer I Manager On-Call II After-hours & Weekends I

~I EOC Open I

Watch Center 0600-2230; daily (Monitoring) (excluding holidays)

CJI EOC Open I Partial w/ 1st Response

I As Needed I Elements & Support

~! EOC Open I Full Activation

I As Needed I (All Sections and Positions)

P99

Weather Summary and Forecast:

Today - Partly sunny with a high of 69. Winds of 5 to 7 mph.

Tonight- Cloudy with a low of 50. Winds of 10 mph.

Tomorrow - Mostly sunny with a high of 59. Winds of 13 to 21 mph with gusts of 26

mph.

Air Quality Index (AQI):

Current: 77

Forecast: 59 www.airnow.gov

Happening Today - Special Events for 02-28-2020:

Friday (2/28/2020)

-RSA Data Security Conference @ Moscone Center, 7:00am to 7:00pm

-Galantis @ Bill Graham, 8:00pm to 12:00am

-Filming Street Closure @ Quincy St between California and Pine, 7:00am to 7:00pm

and Sacramento between Leidesdorff and Battery, 8:00pm to March 1, 7:00pm and

Sansome between Clay and Sutter

Happening This Week - Special Events from 02-29-2020 to 03-06-2020:

Saturday (2/29/2020)

-Dash and Splash Polar Plunge @Aquatic Park, 7:00am to 3:00pm

-Filming Street Closure@ Pine between Front and Montgomery, 7:00am to 5:00am

-Filming activity@ 444 Stockton, 5:00pm to 5:00am

Sunday (3/1/2020)

-YMCA Chinese New Years Run @Portsmouth Square (street closures), 7:30am to

10:30am

-Warriors vs. Wizards @ Chase Center, 5:30pm to 9:00pm

-Filming Street Closure @ Pine between Montgomery and Market, 3:00pm to 5:00am

-Filming activity@ 444 Stockton, 5:00pm to 5:00am

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Monday (3/2/2020)

-No large events scheduled

Tuesday (3/03/2020)


Wednesday (3/04/2020)

-Hamilton Education Program@ Fulton between Hyde and Larkin (street closures),

8:00am to 6:00pm

Thursday (3/05/2020)

-Warriors vs. Raptors @ Chase Center, 7:30pm to 11 :OOpm

Friday (3/06/2020)

-No Large events scheduled

Critical Branch Updates:

CCSF Transportation Branch:

- SFMTA Muni Alert messages: https://www.sfmta.com

CCSF Infrastructure Branch:

- Nothing significant to report.

CCSF Public Safety Branch:


CCSF Health and Human Services Branch:

- The San Francisco Department of Public Health continues to coordinate with partner

agencies to monitor the COVID-19 (novel coronavirus-2019) situation.

CCSF Community Branch:

- Community Branch has activated to provide COVID-19 information to city partners,

schools and the private sector.

P101

Domestic and International News:

Earthquake shakes Lake County area, felt as far as Petaluma

A magnitude 3.5 earthquake rattled a remote area of Lake County near Cobb Thursday afternoon,

according to officials with the U.S. Geological Survey. The small quake struck at 3:27 p.m. in the area

south of Clear Lake, about four miles northwest of Cobb, the USGS reported. Some reported feeling the

earthquake as far south as Petaluma, which is 60 miles south of Cobb. The USGS characterized its

intensity as a light earthquake.

https:/lwww.sacbee.com/news/local/article240712501. html

8,400 people in Calif. are being monitored for coronavirus, Gov. Newsom says

California Governor Gavin Newsom said in a press conference Thursday that at least 8,400 people are

being monitored for new coronavirus in the state. The news comes a day after the Centers for Disease

Control announced what's being called the first American case of unknown origin. That Solano County

resident is being treated at UC Davis Medical Center near Sacramento. State and federal health officials

are trying to locate everyone who came in contact wit.h the Northern California woman. She had no known

connection to individuals who traveled abroad or other known causes. The woman lives in Solano

County, home to Travis Air Force Base, where dozens of people infected in China or on cruise ships have

been treated. But Sonia Angell, director of the California Department of Public Health, said there was no

evidence the woman had any connection to the base. "We are not overreacting, but we are not

underreacting," Newsom said. "Yesterday's case generated a lot of attention, but we all knew this was

inevitable." Newsom declined comment when asked by reporters to name the community in Solano

County where the woman is from. He urged people to take precautions while emphasizing that the risks

to public health are low. He said there was no need to declare a public health emergency. "Everybody in

this country is rightfully anxious about this moment," Newsom said. "I think they should know we are

meeting this moment with the kind of urgency that is necessary and I don't want to over extend the

anxiety."

https://www.sfgate.com/bayarea/article/Gavin-Newsom-coronavirus-California-people-monitor-15089928.php

Congress eyes billions in funding to fight coronavirus

WASHINGTON (AP) - Capitol Hill negotiations on emergency spending to combat the coronavirus

outbreak are likely to produce a bill that's double or even triple the $2.5 billion plan requested by

President Donald Trump just days ago. Lawmakers and aides involved in the talks say they are

proceeding well and are likely to produce legislation in the $6 billion to $8 billion range. Both the

Democratic-controlled House and GOP-held Senate are eager to complete work on the measure in the

next two weeks.

https://apnews.com/c3b49aaa207f10607f4affcc821 d42d4

The City & County of San Francisco (CCSF) Department of Emergency Management's Duty Officer

P102

Program compiles and disseminates this product in order to maintain situational awareness among public

safety partners.

CCSF Alert is owned and operated by the City and County of San Francisco. To change the way you

receive CCSF Alerts, contact your Department's Disaster Preparedness Coordinator.

P103

From: To:

State and Local Readiness (CDC) State and Local Readiness (CDC)

Subject: Date:

2-28-2020 CDC Media Telebriefing: Update on COVID-19 Friday, February 28, 2020 8:24:46 AM


Media Advisory

For Immediate Release Friday Feb. 28, 2020

Contact: CDC Media Relations (404) 639-3286

CDC Media Telebriefing: Update on COVID-19

What The Centers for Disease Control and Prevention (CDC) will provide an update to media on the COVID-19 response.

Who Nancy Messonnier, M.D., Director, National Center for Immunization and Respiratory Diseases

When 12:15 p.m. ET Friday, Feb. 28, 2020

Dial-In

Non-Media: 888-795-0855 International: 1-630-395-0498 PASSCODE: 6656039

Important Instructions Due to anticipated high volume, please plan to dial in to the telebriefing 15 minutes before the start time.

Media: If you would like to ask a question during the call, press *1 on your touchtone phone. Press *2 to withdraw your question. You may queue up at any time. You will hear a tone to indicate your question is pending.

TRANSCRIPT A transcript will be available following the briefing at CDC's web site:www.cdc.gov/media.

###

P104

U.S. Department of Health and Human Services

CDC works 2417 protecting America's health, safety and security. Whether diseases start at home or abroad, are curable or preventable, chronic or acute, or from human activity or

deliberate attack, CDC responds to America's most pressing health threats. CDC is headquartered in Atlanta and has experts located throughout the United States and the world.

P105

From: ~ To: Colfax Grant CDPHl Subject: Date:

CCSF Situation Report - Update - COVID-19 (#19) Thursday, February 27, 2020 7:25:58 PM

Importance: High

Please click here to acknowledge receipt of this message

Situation Report - Update - cov10-19 Department of Emergency Management

Division of Emergency Services

02-27-2020 - 19:24:02

Change Since Last Situation Report:

Situation Update:

• International data:

o 82,557 confirmed cases; 78,497 cases in mainland China; 2,745 deaths in mainland China; 65

deaths outside mainland China

o 4,053 confirmed cases outside of mainland China across 51 countries/regions. (total includes 705

cases on the Diamond Princess cruise ship docked at Yokohama, Japan)

• National (U.S.) data:

o 60 total confirmed cases in the USA (includes repatriation flights to Travis AFB, Lockland AFB,

Providence Sacred Heart-Spokane & University of Nebraska-Omaha)

• 9 total confirmed cases in California

• The U.S. Centers for Disease Control and Prevention (CDC) yesterday confirmed a

possible first case of person-to-person transmission of COVID-19 in California among

the general public.

• The individual is a resident of Solano County and is receiving medical care in

Sacramento County. The individual had no known exposure to the virus through travel or

close contact with a known infected individual.

• https · //gisanddata maps a rcgis.com/apps/opsdashboardliodex. html#/bda7594 7 40fd40299423467b48e9ecf6

o NOTE: Information may vary as events and reporting are rapidly evolving. Differences in number of

confirmed cases may vary due to the fol/owing reporting methods:

• Global cases sourced from Jonhs Hopkins University CSSE site.

• U.S. cases sourced from CDC site.

• CA cases sourced from COPH site.

• There are no confirmed cases among San Francisco residents.

• There are no recommendations to cancel events.

• We are in flu season. The San Francisco Department of Public Health (DPH) recommends that

persons with symptoms stay home from work, school and social gatherings. Practice hand

washing precautions. It is not too late to get the flu vaccine.

• The City and County of Sao Francisco, led by the Health Department, is working on preventing the virus,

P106

containing its spread, and reducing harm in the community. We are focused on the most vulnerable

groups, including children, people in congregate settings and the elderly. However, every sector has a role

to play to ensure community health and safety. The health care system, schools, businesses and

individuals can all do their part.

SFDEM (Department of Emergency Management) Activities:

• To support the Department of Public Health response, the Department of Emergency Management

continues expanded activation of San Francisco's Emergency Operations Center (EOC) to assist with

coordination of resources and established a Community Branch comprised of community, faith, business

and education partners. As a result, community and government partners can work together to identify and

coordinate our response to emerging issues.

• Mayor Breed made an emergency declaration to strengthen the City's preparedness and to surge

resources and capabilities, and ensure San Francisco is as ready as possible in the event that the new

virus comes to our community. The declaration was announced by the Mayor during a press conference

on February 25· 2020.

" The declaration of a local emergency will mobilize city resources, accelerate emergency planning,

streamline staffing, coordinate agencies across the city, allow for future reimbursement by the state and

federal governments and raise awareness throughout San Francisco about how everyone can prepare in

the event that COVID-19 (novel coronavirus) appears in our community.

SFDPH (Department of Public Health) Activities:

" CDC has expanded its COVID-19 Persons Under Investigation (PUI) criteria, and SFDPH will be sending

out an expanded definition to healthcare providers.

" SF Public Health Laboratories are finalizing preparations to start COVID-19 testing in SF, with the goal of

starting testing soon.

" SFDPH Department Operations Center (DOC) is seeing a surge in clinical consultation calls in the last 24

hours. The DOC is working to identify more staff resources to the clinical consultation unit.

• A meeting has been scheduled with key City and County of San Francisco (CCSF) stakeholders to provide

information and updates regarding what the city's COVID-19 response

" The SFDPH DOC and the Department of Emergency Management's (DEM) EOC are collaborating to

strengthen engagement with the community, including the Chinese community, and support ongoing

communication.

" SFDPH is responding to requests from out of network health facilities for masks.

" The DPH DOC finalized cleaning/disinfection guidance (based on CDC guidelines) for businesses and

organizations such as BART and MUNI.

• SFDPH Call Center Agents implemented a process for 7 and 14 Day follow up with return travelers from

China. They will align processes with CDC guidance, as the follow up model may change.

• SFDPH Communicable Disease Control and Prevention information: https://www.sfcdcp.org/infectious

diseases-a-to-z/coronavirus-2019-novel- %20%20%20coronavirus/

Public Information Activities:

• SFDPH and the San Francisco Department of Emergency Management (DEM) continue to operate the

Joint Information Center to develop and disseminate accurate, timely, relevant and accessible public

P107

information about COVID-19 (Novel Coronavirus). The Joint Information Center will expand to include

additional regular members from other city agencies.

" Public Information Objectives:

1. Rumor Control

2. Engagement and Outreach with the multilingual communities

3. Manage media inquiries and requests

4. Develop simplified and accessible public information education

materials

5. Create a COVID-19 communications toolkit for NGOs and

community serving organizations to increase public information and education among diverse and at

risk communities

• DPH and DEM have public announcement plans should a San Francisco resident contract COVID-19. The

Office of Civic Engagement and Immigrant Affairs (OCEIA) continues to translate emerging materials in all

threshold languages.

• Talking points were updated to include key messages regarding the San Francisco emergency declaration

and continued emphasis on preparedness

• DPH and DEM Public Information Officers (PIOs) continue to respond to media inquiries and prioritize

Chinese language media. Public messaging also highlights ongoing preparedness work for possible

COVID-19 cases in San Francisco in the future.

• 311 has received an increase of incoming call volume due to the mayor's proclamation announced on

Tuesday.

• Upcoming External Affairs Outreach Events:

o District 9- 2/28/20-10:00-11 :OOa; Family Connections Portola (2565 San Bruno Ave);

Audience: Families; 30-50 families expected in attendance.

o District 1 - 2129120 - 10:30-12:30; Fulton Street Safety Project - Argonne Elementary School

(680 rnth St); Audience: MTA, SFPD, & the Public; 200-300 expected attendance; 10-20 minute

presentation.

o District 11 - 2129120 -11 :00-15:00; Annual Lunar New Year Celebration & Summer Resource

Fair - Minnie & Lovie Ward Recreation Center (650 Capitol Ave); Audience: Public; 400 expected

attendance; tabling event.

CPPH (California Department of Public Health):

• CDPH reported 1 new confirmed case of COVID-19 in Solano County, CA as of 02127120. CA now has 9

confirmed cases. This Solano County case is the first possible community transmission case. Contact

tracing and investigation has begun. https://www.cdph.ca.gov/Programs/OPA/Pages/NR20-

006.aspx[NB1] [KL2]

• CDPH reports there are 33 positive cases in California: 24 are from repatriation flights. The other 9

confirmed cases include 7 that are travel related, one due to person-to-person exposure from a very close

contact (a spouse) and one from an unknown source.

• CDPH reported that approximately 80% of global COVID-19 confirmed cases have not exhibited

symptoms requiring hospitalization.

• https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/nCOV2019.aspx

P108

CDC (U.S. Centers for Disease Control & Prevention):

.. CDC provides links to National Pandemic Flu plans and Pandemic plans for busihesses. These policies

were within the last couple of years and are research and evidence

based. https·//www.cdc.gov/flu/pandemic-resources/national-strategy/index html

" CDC reports there are 15 confirmed cases in the U.S. https://www.cdc gov/media/releases/2020/s0213-

15th-coronavirus-case.html

'" https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us. html

WHO (World Health Organization):

" WHO stated that 9 new countries (Brazil, Denmark, Estonia, Georgia, Greece, Norway, Pakistan,

Romania, and The Former Yugoslav Republic of Macedonia) reported cases of COVID-19 in the past 24

hours. (as of 02/27/20)

• WHO is utilizing an international network of expert laboratories to provide support in the detection of the

COVID-19 virus globally.

" https: //www.who.int/emerg en cies/ d iseases/n ovel-coronavirus-201 9/situ ation-reports

Resources:

" Department of Public Health (SFDPH): https'//www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-

2019-novel-coronavirus/

" SFDPH's Policy for return travelers: https://www.sfcdcp.org/wp-content/uploads/2020/02/lnterim-

G u ida n ce-on-Mo n ito ring-and-Movement-for-Sa n-F ran ci sea ns-a n d-T ravel-Before-F eb-3 rd-SF DP H-F I NAL-

02. 07. 2020. pdf

" SFDPH COVID-19 clinical intake form: https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-

2019-novel-coronavirus/coronavirus-2019-informatjon-for-healthcare-providersl

" SFDPH General Facts: https'//www.sfcdcp.org/infectious-diseases-a-to-zlcoronavirus-2019-novel-


• Department of Emergency Management (DEM): https'//SF72 org

• Centers for Disease Control and Prevention (CDC): https://www.cdc.gov/coronavirus/2019-ncov/index.html

e CDC Respirator Supply Strategy Guidelines: (https://www.cdc.gov/coronavirus/2019-ncov/hco/respirator-

supply-strategies.htrnl

., World Health Organization (WHO): https://www.who.int/emergencies/diseaseslnovel-coronavirus-2019

.. For operational coordination and information sharing, visit WebEOC (https://sfvem.org) under Incident

Name: 2020-01-21 2019 Covid-19 (formerly 2020-01-21 2019-nCoV). Note - WebEOC is password

protected.

Situation Summary:

" CDC is closely monitoring an outbreak of respiratory illness caused by COVID-19 that was first detected in

Wuhan City, Hubei Province, China and which continues to expand .

., Chinese health officials have reported thousands of infections with COVID-19 in China, with the virus

reportedly spreading from person-to-person in many parts of that country.

• Infections with COVID-19, most of them associated with travel from Wuhan, also are being reported in a

P109

growing number of international locations, including the United States.


Duty Officer (415) 260-2591

Watch Center Operations (415) 558-2738; operational Mon-Sun, 0600-2200 Hours

Email: demdutyofficer@sfgov org

THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY

CONTAIN INFORMATION THAT IS PRIVILEGED OR CONFIDENTIAL, THE RECIPIENT OF THIS REPORT SHOULD BE AWARE

THAT THIS REPORT MAY CONTAIN INFORMATION THAT IS NOT VERIFIED.

CCSF Alert is owned and operated by the City and County of San Francisco. To change the way you receive CCSF Alerts, contact your

Department's Disaster Preparedness Coordinator.

P110

From: To: Subject:

Leonoudakjs Kristina rDPHl DPH-COVID-19 DPH Activation 2020: DPH-lnteqration Steering Committee SFDPH DOC COVID-19 Situation Status Report (02/27/2020)

Date: Thursday, February 27, 2020 3:47:41 PM

SFDPH DOC COVID-19 Situation Status Report (02/27 /2020)


# of Cases/Deaths Worldwide: 82,557 Cases/ 2,810 Deaths (John Hopkins CSSE, link below) US: 56 Cases (see notes below)/ 0 Deaths (CDC) CA: 11 Cases I 0 Deaths (.C!2£.l:i) SF: 0 Cases https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6



• SF Public Health Laboratories are finalizing preparations to start COVID-19 testing in SF, with the goal of

starting testing soon.

• SFDPH DOC is seeing a surge in clinical consultation calls in the last 24 hours. The DOC is working to identify

more staff resources to the clinical consultation unit.

• SFDPH consultation units are reporting an increase in calls after the Mayor's declaration of a local

emergency.

• A meeting has been scheduled with key CCSF stakeholders to provide information and updates regarding

what the city's COVID-19 response

" The SFDPH DOC and the Department of Emergency Management's (DEM) EOC are collaborating to

strengthen engagement with the community, including the Chinese community, and support ongoing

communication.

• SFDPH is responding to requests from out of network health facilities for masks.

• The DPH DOC finalized cleaning/disinfection guidance (based on CDC guidelines) for businesses and

organizations such as BART and MUNI.

• SFDPH Call Center Agents implemented a process for 7 and 14 Day follow up with return travelers from

China. They will align processes with CDC guidance, as the follow up model may change.



• CDC provides links to National Pandemic Flu plans and Pandemic plans for businesses. These policies were

within the last couple of years and are research and evidence based. https://www.cdc.gov/flu/pandemic

resou rces/nationa I-strategy/index. htm I

• CDC reports there are 15 confirmed cases in the U.S.

https ://www.cdc.gov/med ia/rel eases/2020/s0213-15th-coronavi rus-case. htm I

• https ://www .cd c. gov /coronavi rus/2019-ncov /cases-in-us. htm I

p 111


• WHO stated that 9 new countries (Brazil, Denmark, Estonia, Georgia, Greece, Norway, Pakistan, Romania,

and The Former Yugoslav Republic of Macedonia) reported cases of COVID-19 in the past 24 hours. (as of

02/27 /20)

• WHO is utilizing an international network of expert laboratories to provide support in the detection of the

COVID-19 virus globally.

• https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports


• CDPH reported 1 new confirmed case of COV\D-19 in Solano County, CA as of 02/27 /20. CA now has 9

confirmed cases. This Solano County case is the first possible community transmission case. Contact tracing

and investigation has begun. https://www.cdph.ca.gov/Programs/OPA/Pages/NR20-006.aspx[NB1) rm1

• CDPH reports there are 33 positive cases in California: 24 are from repatriation flights. The other 9

confirmed cases include 7 that are travel related, one due to person-to-person exposure from a very close

contact (a spouse) and one from an unknown source.

• CDPH reported that approximately 80% of global COVID-19 confirmed cases have not exhibited symptoms

requiring hospitalization.

• https · //www .cd ph .ca. gov /programs/Cl D/DCDC/Pages/\ mm u n jzation/nCOV2019.aspx


https ://gisa nd data. maps.a rcgis.com/a pps/opsdash boa rd/index. htm 1#/bda 7594 7 40fd40299423467b48e9ecf6

International data-

• 82,557 confirmed cases globally.

• 78,497 confirmed cases in mainland China; 4,053 confirmed cases outside of mainland China, in 51

countries.

• 2,745 deaths in mainland China+ 65 additional deaths (Afghanistan, Bahrain, Iraq, Oman, Iran, Italy,



Differences in number of confirmed cases may vary due to reporting methods.

Global cases sourced from Jons Hopkins site.

- U.S. cases sourced from CDC site.

- CA cases sourced from CDPH site.

Kristina Leonoudakis-Watts, HPC3/0perations Manager


Public Health Emergency Preparedness and Response

(415) 558-5934 office

(415) 377-8549 mobile

kristina. m. leonou da kis@sfdp h. org

P112

The San Francisco Health Network is the city's only comprehensive system of care. Our top goal is to improve the value of services provided to our patients, staff, and San Franciscans.

This message and any attachments are solely for the intended recipient, and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use, or distribution of this message and any attachments is prohibited. If you have received this communication in error, please notify the sender by reply email, and immediately and permanently delete this message and any attachments. Thank you.

P113

From: To: Subject: Date:

State and Local Readiness (CDC) State and Local Readiness (CDC) Updated CDC COVID-19 Guidance: Evaluating and Reporting Persons Under Investigation (PUI) Thursday, February 27, 2020 1:29:47 PM


Dear Colleagues:

CDC has posted updated Criteria to Guide Evaluation of PUI for COVID-19.

https://www.cdc.gov/coron avi rus/2019-n cov /h cp/cli n i ca 1-crite ria. htm I

Revisions were made on February 27, 2020, to reflect the following:

Information updated in the "Criteria to Guide Evaluation of PUI for COVID-19" section.

Thank you,

State Coordination Task Force

Sent by BCC to PHEP Directors, SHOS, State Epis, Non-governmental Partners, STLTs, and

BCHC

P114

From: To:

Cc: Subject: Date: Attachments:

Chrissie Juliano Allison Arwady; Barbara Ferrer; Bob McDonald; Colfax. Grant (DPH); Dawn Emerick (SAMHD): Denise Fair ([email protected]); Dzirasa, Letitia; Fermin Leguen; Gibbie Harris; Gretchen Musicant ([email protected]; Jeff Duchin - Public Health - Seattle & King County [email protected]); Kelly Colopy ([email protected]); Kimi Watkins-Tartt; LaOuandra Nesbitt; Marcy Flanagan ([email protected]); Merle R. Gordon; Muntu Davis ; Mysheika Roberts ; Oxiris Barbot; Patty Hayes; Phil Huang; Rachael Banks ([email protected]); Rex Archer; Rita Nieves; Sara Cody - Santa Clara Countv Public Health Department ([email protected]); Stephanie Hayden ([email protected]); Stephen Williams; Thomas Farley ; Aragon. Tomas (DPH); Villalta. Yesenia Q; Vinny Taneja - Tarrant County Health Department [email protected]); Wilma Wooten Gabrielle Nichols FW: Syndromic Surveillance Data Sharing for COVID-19 Thursday, February 27, 2020 11:12:41 AM COVID19Sharing.png FW Request to Share Data for Novel Coronavirus Response.msg


Jose mentioned this at our meeting on Tuesday. I will add it to the meeting notes but in the interest

of getting it out, sending to y'all directly.

Chrissie Juliano, MPP

Executive Director

Big Cities Health Coalition \ @BigCitiesHealth

Desk Phone: 301-664-2989

7501 Wisconsin Ave., Ste. 1310E

Bethesda, MD 20814

From: Lansang Tran, Rhea La nee (CDC/DDPHSIS/CSTLTS/OD) <[email protected]>


To: Chrissie Juliano <[email protected]>

Subject: Syndromic Surveillance Data Sharing for COVID-19

Hi Chrissie,

Please see the two attachments regarding syndromic data sharing for COVID-19. Please share with

the Big Cities members as you see fit. It was encouraging to see so much and interest and support;

we hope they sign up at their earliest convenience.

Thank you!

Respectfully,

Rhea-La nee Lansang Tran, MPH, CHES

P115

Special Assistant to the CSTLTS Director

Office of the Director

Center for State, Tribal, Local, and Territorial Support

Centers for Disease Control and Prevention

Desk phone: (404) 498-1045

Work cell: (404) 310-4015

From: Yoon, Paula (CDC/DDPHSS/CSELS/DHIS) <[email protected]>


Jose,

Attached is the latest map and the email that went out to SyS colleagues in states about the data

sharing collaboration. Feel free to share these materials as needed.

Thank you again for all of your help with this!

Paula

P116

From: Aragon Tomas CDPHl To: Cc:

Kagan. Rachael (DPHl; Colfax. Grant (DPHl; Bobba. Naveena (DPHl; Philio. Susan (DPHl; Stoltey. Juliet (DPH) Stier. David (DPHl: Nquyen Rita (DPH)


Re: help with language in light of new case Wednesday, February 26, 2020 7:59:19 PM image003.png





https: //www. cd c. gov /coro n avi rns/2019-n cov /locations-confirmed-cases. htm I

Confirmed 2019-nCoV Cases Globally I CDC

Links with this icon indicate that you are leaving the CDC website .. The Centers for Disease Control and Preve11tion (CDC) cannot attest to the accuracy of a non-federal website. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the spo11Sors or the information and products presented on the website.

www.cdc.gov

Tomas



415-515-5734 (cell); 415-554-2898 (office)


Director, Population Health Division (PHO)


101 Grove St., Rm 308, SF CA 94102

"Radical transformational leadership is leading change from the universal values of dignity, equity,

compassion and humility to transform self, people, systems and cultures towards equity and sustainable results." (learn more http://bit.ly/phd-lead)




From: Kagan, Rachael (DPH) <[email protected]> Sent: Wednesday, February 26, 2020 5:58 PM To: Colfax, Grant (DPH) <[email protected]>; Bobba, Naveena (DPH) <[email protected]>; Philip, Susan (DPH) <[email protected]>; Aragon, Tomas (DPH) <[email protected]>; Stoltey, Juliet (DPH) <[email protected]>

P117



Hi team,






Thank you,

Rachael








P118




California has a strong health care system and public health infrastructure. California has prepared for the potential spread of diseases, such as H1 N1, in the past and is prepared and actively responding to the potential community spread of COVID-19. Contact tracing in this case has already begun.








" Avoiding close contact with people who are sick are all ways to reduce the risk of infection with a number of different viruses.

• Staying away from work, school or other people if you become sick with respiratory

P119

symptoms like fever and cough.


www.cdph.ca.gov

To unsubscribe from the CDPHOPA list, click the following link: ht_tps://listserv.cdph.ca.gov/cgi-bin/wa.exe?SUBEDI=CDPHOPA&A=l

P120

From: ~ To: colfax Grant CDPH) Subject: Date:

CCSF Situation Report- Update -COVJD-19 (#18) Wednesday, February 26, 2020 7:54:57 PM

Importance: High


Situation Report - Update - cov10-19 (#18)

Department of Emergency Management


02-26-2020" 19:50:40


Situation Update:

• International data: o 81,322 confirmed cases; 78,064 cases in mainland China; 2,719 deaths in mainland China; 55

deaths outside mainland China o 3,258 confirmed cases outside of China across 47 countries/regions. (total includes 705 cases on

the Diamond Princess cruise ship docked at Yokohama, Japan) " National (U.S.) data:

o 15 total confirmed cases in the USA (does not include 42 patients repatriated from the Diamond Princess to Travis AFB, Lockland AFB, Providence Sacred Heart-Spokane or the University of Nebraska-Omaha or the 3 repatriated form Wuhan)

• There are no confirmed cases among San Francisco residents. o The risk of COVID-19 in California remains low.

• https'//gjsanddata maps arcgjs com/apps/opsdashboard/jndex html#/bda7594740fd40299423467b48e9ecf6 o NOTE: Information may vary as events and reporting are rapidly evolving.

" The U.S. Centers for Disease Control and Prevention today confirmed a possible first case of person-to

person transmission of COVID-19 in California in the general public. The individual is a resident of Solano

County and is receiving medical care in Sacramento County. The individual had no known exposure to the

virus through travel or close contact with a known infected individual.

• There are no recommendations to cancel events. " We are in flu season. The San Francisco Department of Public Health (DPH) recommends that

persons with symptoms stay home from work, school and social gatherings. Practice handwashing precautions. It is not too late to get the flu vaccine.

" The City and County of San Francisco, led by the Health Department, is working on preventing the virus, containing its spread, and reducing harm in the community. We are focused on the most vulnerable groups, including children, people in congregate settings and the elderly. However, every sector has a role to play to ensure community health and safety. The health care system, schools, businesses and individuals can all do their part.

SFDEM Activities:

" To support the Department of Public Health response, the Department of Emergency Management continues expanded activation of San Francisco's Emergency Operations Center to assist with coordination of resources and established a Community Branch comprised of community, faith, business and education partners. As a result, community and government partners can work together to identify and coordinate our response to emerging issues.

" Mayor Breed made an emergency declaration to strengthen the City's preparedness and to surge

P1 21

resources and capabilities, and ensure San Francisco is as ready as possible in the event that the new virus comes to our community. The declaration was announced by the Mayor during a press conference

on February 25· 2020. • The declaration of a local emergency will mobilize city resources, accelerate emergency planning,

streamline staffing, coordinate agencies across the city, allow for future reimbursement by the state and federal governments and raise awareness throughout San Francisco about how everyone can prepare in the event that COVID-19 appears in our community.

SFDPH Activities:

• SFDPH DOC expanded community outreach and mitigation efforts, working closely with the CCSF Emergency Operations Center (EOC) in anticipation of increased inquiries due to the declaration of a local emergency.

• SFDPH is focusing on providing a comprehensive picture of past and current preparation and mitigation efforts, forward leaning departmental objectives, and the data and information being used to guide the work.

• SFDPH and the EOC are collaborating to create a process for routing briefing and other informational requests (from media and non-media sources) to the appropriate channels.

• SFDPH drafted guidelines for housing plans for confirmed COVID-19 cases, potential COVID-19 cases, and medium risk individuals who live in congregate living situations including Single Room Occupancies (SROs).

• SFDPH completed a preparedness consultation site visit to Chinese Hospital 02/25/20 and UCSF Mission Bay today 02/26/20.

• SF Public Health Laboratory is strengthening their safety measures for lab personnel, including enhanced Personal Protective Equipment (PPE) requirements.

• SF Public Health Laboratory is still awaiting delivery of CDC testing kits. CDC reported they will have a ship date for the testing kits by the end of this week.

• SFDPH is updating their COVID-19 Fact Sheet to include the most recent updates and align messaging and information across DPH and CCSF sites.

• SFDPH Public Information Office recently completed a COVID-19 prevention focused informational poster, which will soon be displayed on BART Trains.

• SFDPH CDCP information: https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-noyel%20%20%20coronavjrus/

Public Information:

• SFDPH and the San Francisco Department of Emergency Management (DEM) continue to operate the Joint Information Center to develop and disseminate accurate, timely, relevant and accessible public information about COVID-19. The Joint Information Center will expand to include additional regular members from other city agencies.

• Public Information Objectives:

1. Rumor Control 2. Engagement and Outreach with the multilingual communities 3. Manage media inquiries and requests 4. Develop simplified and accessible public information education materials 5. Create a COVID-19 communications toolkit for NGOs and community serving organizations to

increase public information and education among diverse and at risk communities

• DPH and DEM have public announcement plans should a San Francisco resident contract COVID-19. The Office of Civic Engagement and Immigrant Affairs (OCEIA) continues to translate emerging materials in all threshold languages.

• Talking points were updated to include key messages regarding the San Francisco emergency declaration and continued emphasis on preparedness

• DPH and DEM Public Information Officers (PIOs) continue to respond to media inquiries and prioritize Chinese language media. Public messaging also highlights ongoing preparedness work for possible COVID-19 cases in San Francisco in the future.

• 311 has received an increase of incoming call volume due to the emergency declaration announced Tuesday

CDPH (California Department of Public Health):

P122

CDPH reported new cases of COVID-19 in CA in the 24 hours. Number of confirmed cases in CA: 7 travelrelated, 1 close contact case and 1 community case.

" https://www.cdph.ca.gov/Progra ms/CI D/DCD Cf Pages/I mmunization/nCOV2019 .aspx


• CDC updated their travel advisory to include South Korea. https://wwwnc.cdc.gov/travel/notices/warning/coronavirus-south-korea

• CDC reports that to date 445 people have been tested in the U.S. " https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html


• WHO stated that 4 new countries (Algeria, Austria, Croatia, and Switzerland) reported cases of COVID-19 in the past 24 hours. (as of 02/26/20)

" https ://www.who.int/emergencies/ d iseases/nove 1-coro n avi rus-2019/situation-re ports

Resources:

" Department of Public Health (SFDPH): https'//www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel-coronavirus/

" SFDPH's Policy for return travelers: https://www.sfcdcp.org/wp-content/uploads/2020/02/lnterimGuidance-on-Monitoring-and-Movement-for-San-Franciscans-and-Travel-Before-Feb-3rd-SFDPH-FINAL-02 07 2020 pdf

• SFDPH COVID-19 clinical intake form: https:Uwww.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel-coronavirus/coronavirus-2019-information-for-healthcare-providers/

• SFDPH General Facts: https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel-%20%20%20coronavirus/

• Department of Emergency Management (DEM): https'//SF72 org • Centers for Disease Control and Prevention (CDC): https://www.cdc.gov/coronavirus/2019-ncov/index.html " CDC Respirator Supply Strategy Guidelines: (https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirator-

supply-strategies. html • World Health Organization (WHO): https'//www.who int/emergencies/diseases/novel-coronavirus-2019 " For operational coordination and information sharing, visit WebEOC (https'//sfvem.org) under Incident

Name: 2020-01-21 2019 Covid-19 (formerly 2020-01-21 2019-nCoV). Note - WebEOC is password protected.

Situation Summary:

" CDC is closely monitoring an outbreak of respiratory illness caused by COVI D-19 that was first detected in Wuhan City, Hubei Province, China and which continues to expand.

" Chinese health officials have reported thousands of infections with COVID-19 in China, with the virus reportedly spreading from person-to-person in many parts of that country.

" Infections with COVID-19, most of them associated with travel from Wuhan, also are being reported in a growing number of international locations, including the United States.




Email: [email protected]






P123

From: Subject: Attachments:

CDC IMS State Coordination Task Force CSCTF) Operations CDC Returning Traveler Discussion 7 Key Questions MCCM 2.18.20.pptx Public Health Management Decision Making Algorithm Feb 18 2020.pdf


CDC Returning Traveler Discussion

CDC's 2019 Novel Coronavirus (COVID-19) response team will host a recurring call series from 3 p.m. to 4 p.m. EST every Wednesday's and Friday's, to discuss plans for returning travelers, including movement & monitoring, quarantine, data reporting, and status reports or concerns.

Invited participants include state, local, and territorial preparedness directors, state epidemiologists, state health officials, public health laboratory directors, emergency management officials and nongovernmental partner leadership. In order to ensure and maintain the appropriate target audience, please have ONE representative from each CORE function listed participate from your jurisdiction. Participant information can be found below.

Participant Information

Bridgeline: 1(888)455-7719

Passcode: 6905931

For your situational awareness, the forwarding option for this invite is DISABLED.

Please contact [email protected] <mailto:[email protected]> if you have any questions.

P124

From: To:

CCSF Department of Emergency Management

Colfax, Grant CDPH)

Subject:

Date:

DEM 24-Hour Daily Situational Awareness Report - 02-18-2020

Tuesday, February 18, 2020 9:24:13 AM




-The Centers for Disease Control and Prevention (CDC) has confirmed 8 cases of the

recently named COVID-19 (novel coronavirus-2019) in California:




1 - Orange County

2 - San Diego County

The Department of Homeland Security issued supplemental instructions for inbound



flig hts-ind iv id uals-who-have-been-ch ina




•Additional coronavirus information: https://.cdc.gov/coronavirus/2019-





P125






- Primary (415) 260-2591

- Desk (415) 558-2738




- Current Duty Officer: Susan Clark I 415-260-2591

Manager On Call (MOC): Francis Zamora - 415-558-3830 -

[email protected]

Public Information Officer: Nubia Mendoza - 415-615-2173 -





LJI I Watch Center I 0600-2230; daily EOC Open

(Monitoring) (excluding holidays)

LJI EOC Open I

Partial w/ 1st Response


LJI EOC Open I

Full Activation I As Needed I (All Sections and Positions)


Today - Sunny with a high of 63. Winds of 5 mph.

P126

Tonight- Cloudy with a low of 45. Winds of 3 to 7 mph.

Tomorrow - Cloudy with a high of 63.


Current: 40



Tuesday (2/18/2020)


Happening This Week - Special Events from 02-19-2020 at 00:00, 02-25-2020 at

00:00:




-Film shoot on Taylor Street between California and Sacramento Streets

-Warriors vs. Rockets@ Chase Center, 7:30pm to 11 :OOpm

Friday (2/21/2020)

-Film shoot on De Haro St between Mariposa & 18th; Twin Peaks Blvd. between

Burnett & Christmas Tree Point Road


-Film shoot on Twin Peaks Blvd. between Burnett & Christmas Tree Point Road

-Chyi Yu@ Bill Graham, 8:00pm to 12:00am

-Oprah @ Chase Center, 8:00am to 4:30pm

Sunday (2/23/2020)

-Warriors vs Pelicans @ Chase Center, 5:30pm to 9:00pm

P127

Monday (2/24/2020)


Tuesday (2/25/2020)


-Warriors vs. Kings @ Chase Center, 7:30pm to 11 :OOpm










agencies to monitor the COVID-19 (novel coronavirus-2019) situation.




Air Force officials: Coronavirus patients will not stay at Fairfield base

The group of coronavirus patients whisked to Travis Air Force Base in Fairfield late Sunday after

evacuating a Japanese cruise ship did not linger for long at the California military facility. While the base

opened its gates for uninfected passengers who had been quarantined aboard the cruise ship, military

officials said they would not be treating coronavirus patients at the airfield. Instead, the infected people

were transported by the State Department to medical facilities in California and Nebraska. "None of the

passengers currently on the installation have tested positive for (coronavirus) or are symptomatic," Travis

officials said in a statement Monday. "If any passenger displays symptoms, they will be transported to an

off-base hospital for containment and specialized care." In all, 328 Americans were evacuated from the

Diamond Princess cruise ship, 177 of whom went to Travis. Seven of those had been diagnosed with the

P128

virus, and three more were isolated for feverish conditions during the flight. Four people who tested

positive for coronavirus, but have not yet presented symptoms, were taken to health care facilities near

the base, a State Department official said.

https ://www. sf ch ronic\e. com/bayarea/a rticle/ Ai r-F orce-officia\s-Coronavi rus-pati ents-wil 1-15062 7 54. p hp#

Hospital workers in Santa Clara County to rally against staffing shortages

SANTA CLARA COUNTY, Calif. (KRON) - Hospital workers in Santa Clara County on Tuesday will

gather to rally against staffing shortages. Valley Medical Center employees say the staffing shortage

causes increased wait times for patients. This comes months after the labor agreement between the

county and the workers' union expired. Today's rally will happen at noon at Valley Medical Center in San

Jose.

https://www.kron4.com/news/bay-area/hospita\-workers-in-santa-clara-county-to-rally-against-staffing-shortages/

Despite coronavirus fears, San Francisco expects record number of cruise ships in 2020

This year was supposed to be huge for the San Francisco cruise industry. More ships than ever before -

117, up from 85 last year - are calling at the port. But the pall cast by the coronavirus over the cruise

industry may affect the city. Vessels come here primarily from other U.S. ports, as well as from Mexico

and Canada, and the Port of San Francisco doesn't expect any ships to stay away. Nonetheless, the virus

is preoccupying travelers - especially since a cruise ship stationed off Japan has had hundreds of

passengers infected and far more stuck in quarantine. The 117 cruise calls scheduled for the city this

year involve 32 vessels from 19 cruise lines. Many of the ships return to the city several times. The

Carnival Miracle, which is set to make its maiden voyage to San Francisco in March, plans to make a total

of 28 calls in San Francisco, accounting for much of the increase the city will see this year. The ship

usually departs from Long Beach and heads to Hawaii and Mexico. Port officials are monitoring the

coronavirus situation, which has caused many travelers to cancel vacations and cruise companies' stocks

to tank, but they say that so far they expect no decrease in passengers.

https://www.sfchronicle.com/business/article/SF-expects-record-number-of-cruise-ships-in-2020-15063202.php



safety partners.



P129


CCSF Department of Emergency Management Colfax, Grant CDPH) DEM 24-Hour Daily Situational Awareness Report - 02-02-2020 Sunday, February 2, 2020 10:40:42 AM




- The Centers for Disease Control and Prevention (CDC) has confirmed three cases

of the 2019 Novel Coronavirus in California, one each in Orange, Los Angeles, and

Santa Clara Counties.


information, see: https://www.hhs.gov/about/news/2020/01 /31 /secretary-azar

declares-public-health-emergency-us-2019-novel-coronavirus. html








• SFO travel information: https://www.flysfo.com/passengers-arriving-wuhan-china

are-being-screened-novel-coronavirus

-The National Weather Service has issued a Wind Advisory now until 4:00am

February 3. Winds of 15 to 30 mph are predicted with gusts up to 50 mph possible.

P130


. Watch Center Operations


- Primary (415) 260-2591

- Desk (415) 558-2738




- Current Duty Officer: Andrea Jorgensen I 415-260-2591


Public Information Officer: Victor Lim - 415-748-0028 - [email protected] I 415-

558-2712

Current EOC Status: Level 2 (5:00pm - midnight)



c=JI EOC Open I Watch Center 0600-2230; daily (Monitoring) (excluding holidays)

~I EOC Open I Partial w/ 1st Response


~I EOC Open I Full Activation

I As Needed I (All Sections and Positions)


Today - Partly sunny, then gradually becoming sunny, with a high near 54. Breezy,

with a northwest wind 15 to 23 mph, with gusts as high as 30 mph.

Tonight- Clear, with a low around 42. North northwest wind 14 to 20 mph, with gusts

as high as 29 mph.

P131

Tomorrow - Sunny, with a high near 54. North wind around 14 mph.


Current: 30



Sunday (2/2/2020)

- Society of Photographic Instrumentation Engineers (SPIE) Photonics West

Convention, from 7:30am to 8:00pm@ Moscone North, South, and West

- Kaiser Permanente Half Marathon, from 8:00am to 12:00pm@ Golden Gate Park.

Road closures: Oak St btwn Stanyan and Broderick; Fell St btwn Stanyan and

Broderick; Baker St btwn Hayes and Page; Masonic St btwn Hayes and Page;

Stanyan St btwn Hayes and Page; Kezar Dr btwn Lincoln Way and Stanyan; Great

Highway btwn Fulton & Skyline Blvd.

- 49ers Super Bowl Game, from 3:30pm to 6:30pm @ Hard Rock Stadium in Miami,

FL. Associated unofficial events will take place throughout San Francisco during and

after the game.


Monday (2/3/2020)



Tuesday (2/4/2020)






Thursday (2/6/2020)

P132



Friday (2/7/2020)


Saturday (2/8/2020)

- KTVU Broadcast of CNY Parade, from 3:00pm to 11 :OOpm, at Geary Between

Stockon and Powell Streets.

- Chinese New Year Parade, from 5:00pm to 9:00pm. Begins at 2nd St and Market,

continues around Union Square, ends at Kearny St and Columbus Ave

- Armin Van Buuren Concert, from 5:00pm to midnight@ Bill Graham

- Warriors vs Lakers, from 5:30pm to 9:00pm @ Chase Center










agencies to monitor the Novel Coronavirus (2019-nCoV) situation.




Knowing fact from fiction as Northern California base becomes coronavirus

quarantine site

P133

Fairfield's Travis Air Force Base was named Saturday as the first quarantine site in

Northern California for international travelers who may have come in contact with a

new coronavirus that originated in Wuhan, China, according to a statement posted on

the base's Facebook page. Travis, located just 32 miles southwest of Sacramento, is

one of four military installations in the United States setting aside housing for the

travelers at the request of U.S. Secretary of Defense Mark Esper, who is making

room for a combined 1,000 travelers to assist the federal Department of Health and

Human Services. They are expected to be quarantined for 14 days because public

health officials believe it can take that long before symptoms of the virus manifest.

This means that California will have three sites housing people who potentially have

had exposure to the outbreak. March Air Reserve Base in Riverside already is

housing U.S. government employees evacuated out of Wuhan, and could be joined

by Travis as well as Marine Corps Air Station, Miramar, near San Diego. "At this time,

Travis Air Force Base will only provide housing support, while HHS will be

responsible for all care, transportation, and security of the evacuees," the release

said. "Travis airmen and personnel will not be directly in contact with the evacuees

and evacuees will not have access to any base location other than their assigned

housing."

https://www.sacbee.com/news/local/health-and-medicine/article239878663 html

U.S. universities set up front-line defenses to keep coronavirus at bay

On its sprawling campus in America's heartland, thousands of miles from China, the

University of Illinois at Urbana-Champaign has taken aggressive steps to keep the

fast-spreading coronavirus away from its classrooms and students. The school, with

one of the highest percentages of Chinese students among U.S. universities, has

suspended academic programs in China for the spring semester and banned

students from traveling to the country for academic-related matters. It has advised

faculty and staff to follow federal travel advisories that, as of Friday, warned against

going to China. "We want to take all of the precautions we can so, in the worst-case

scenario, we keep our community healthy," said Robin Kaler, associate chancellor for

public affairs at the University of Illinois, 135 miles (217 km) south of Chicago, where

the first human-to-human transmission of the disease in the United States was

confirmed last week. More than 350,000 Chinese students are pursuing higher

education in the United States and 10,000 American students are enrolled in

P134

academic programs in China. The sheer number of the students, many of whom have

traveled to their home country in recent weeks, makes schools a potential incubator

for a widespread outbreak in the United States, given the close proximity of dormitory

life. At University of Illinois, with some 5,800 Chinese students, Kaler sees a

challenge in keeping the campus free of the new coronavirus without infringing on

rights or fanning xenophobia. There is a need to strike a "delicate balance" between

public safety and personal freedom when dealing with a growing public health issue,

Kaler said. Even so, officials would prefer to err on the side of caution. "If they want to

come and fuss at us later, we would rather have them be alive to be able to come

fuss at us than not," she said. USC, where 6,600 students from China attend college,

has taken similar steps in banning students from traveling to China and strongly

advising against faculty making the trip.

https://www.reuters.eom/article/us-ehina-health-usa-edueation/u-s-universities-set-up-front-line-defenses-to-keep-eoronavirus-at-bay

idUSKBN1ZWOFD

Panic buying of face masks is unwarranted and could pose risks for health

workers, experts say

Epidemiologists and infectious diseases experts have cautioned against panic as the

number of cases linked to the new coronavirus in China continues to rise. Some warn

that the widespread scramble for face masks is unwarranted. In fact, they cautioned

that hoarding behavior by those who do not exhibit respiratory symptoms have

sparked concerns in medical circles that there could be a possible shortage of

personal protective equipment in the coming weeks."Panic purchases of face masks

in low-risk countries like the U.S. is not warranted. People who are well should refrain

from hoarding masks 'just in case' they need it, as this may lead to a lack of masks in

settings that really need it," said Annelies Wilder-Smith, a professor of emerging

infectious diseases at the London School of Hygiene and Tropical Medicine. "While

we should take the outbreak seriously, we mustn't panic and behave in a manner that

is disproportionate to the threat we are confronted with," said Wilder-Smith, who was

a front-line clinician at Singapore's Tan Tock Seng Hospital during the severe acute

respiratory syndrome outbreak in 2003. In the United States and Canada - halfway

around the world from the novel coronavirus' epicenter in central China - major

retailers and medical supply stores have been reporting medical mask shortages

since the start of this week. It comes even as the number of confirmed cases in both

countries remain relatively low - [eight] in the U.S. and three in Canada.

https://www. en be. eom/2020/01 /31 /ehi na-eo ron avi ru s-shorta ge-of-faee-m asks-eoul d-pose-ris ks-fo r-hea ltheare-workers. htm I

P135



safety partners.



P136

From: To: Cc: Subject: Date:

Schmidt. Jeffrey (DPH) DPH-SFGH Management Forum-Master List; DPH-SFGH NEC Damiano, Margaret CUCSF); Hammer, Hali CDPH); Robert Anna (DPH) Wuhan Coronavirus (2019 nCoV) Wednesday, January 22, 2020 10:41:01 AM

Memorandum from Infection Prevention and Control

TO: All Staff - please forward as needed to ensure widest appropriate distribution to include nurse

practitioners, residents and medical students

Re: Wuhan Coronavirus (2019-nCoV) - Wuhan City, China

As you may have heard, an outbreak of respiratory illnesses associated with a novel coronavirus has

been identified in Wuhan City, Hubei Province, China. There have been about 300 cases to date, with

many of the cases linked to exposure to a seafood and animal market. There is some suggestion of

possible limited person-to-person spread. CDC has reported a single case of this novel coronavirus

in a Washington state patient who had traveled around the region near Wuhan, China. While CDC

considers this is a serious public health concern, based on current information, the immediate health

risk from 2019-nCoV to the general American public is considered low at this time. As a proactive

measure, CDC is expanding travel screening for flights returning from China to 5 airports: JFK, SFO,

LAX, Atlanta and Chicago. At this time patients who screen positive as a potential "suspected case"

are being transported to San Mateo County for further evaluation. Asymptomatic travelers from

Wuhan are being given education and counseling to seek care if they develop symptoms.

CDC has a website with updated information: https://www.cdc.gov/coronavirus/novel-coronavirus-

2019.html

ZSFG. in accordance with direction from SF DPH and CDC. has initiated the following measures:

For any patient whom you suspect could have Wuhan virus:

Instruct patient to wear a yellow, ear loop, isolation mask as soon as they are identified

• Promptly place patient in a private room with the door closed, ideally a negative

pressure isolation room if available.

• Place High Level Respiratory Isolation and Contact Isolation signs on the door to

room

• Patient disposition to be determined in consultation with SF DPH (e.g. if patient

condition allows discharge the plan must be pre-approved by SF DPH)

For Healthcare personnel: don the following items when entering the room:

• N95 respirator mask

• Isolation gown

• Gloves

• Eye protection (e.g., goggles or a face shield).

Report immediately by phone to the following:

AOD

Infection Control Team, pager 415-443-1566

SFDPH Communicable Disease Control Unit at (415) 554-2830. If calling after hours, call

P137

(415) 554-3613 to reach the SFDPH on-call physician.

Collect Laboratory Specimens:

• Respiratory Pathogen Panel (RPP) at a minimum, additional specimens will be

determined in consultation with SF DPH provider.

• RPP Results interpretation:

o Positive test results - may lower the level of suspicion for Wuhan virus, but not

conclusive. Additional testing likely to be requested.

o Negative test results maintain higher level of suspicion; additional testing will be

required.

Criteria to Guide Evaluation of Patients Under Investigation (PUI) for 2019-nCoV:

Clinical Features & Epidemiologic Risk

In the last 14 days before symptom onset, a history of

Fever and symptoms of lower travel from Wuhan City, China.

respiratory illness (e.g., cough, and -or-In the last 14 days before·symptom onset, close

difficulty breathing) contact with a person who is under investigation for 2019-nCoV while that person was ill.

Fever or symptoms of lower In the last 14 days, close contact with an ill laboratory-

respiratory illness (e.g., cough, and confirmed 2019-nCoV patient.

difficulty breathing)

o Fever may not be present in some patients, such as those who are very young, elderly,immunosuppressed,

or taking certain fever-lowering medications. Clinical judgment should be used to guide testing of patients in

such situations.

o Close contact is defined as-

a) being within approximately 6 feet (2 meters), or within the room or care area, of a novel coronavirus

case for a prolonged period of time while not wearing recommended personal protective equipment

or PPE (e.g., gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection); close contact

can include caring for, living with, visiting, or sharing a healthcare waiting area or room with a novel

coronavirus case.

-or-

b) having direct contact with infectious secretions of a novel coronavirus case (e.g., being coughed on)

while not wearing recommended personal protective equipment.

The situation is dynamic and will likely change over the coming days to weeks, as more

information becomes available. Please contact infection control if there are any questions.

Jeffrey A. Schmidt, RN MPH Director, Clinical Operations

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Zuckerberg San Francisco General Hospital and Trauma Center 1001 Potrero Avenue Room San Francisco, CA 9411 O Phone: (415) 206-3525

ZuckerbergSanFranciscoGeneral.org Follow us on Facebook

This e-mail is intended for the recipient only. If Protected Health Information (PHI) is contained in this email, unauthorized

disclosure may subject the discloser to civil or criminal penalties under state and federal privacy laws. If you received this

email in error, notify me and destroy the email immediately.

P139


CCSF Department of Emergency Management Colfax. Grant (DPH) DEM 24-Hour Daily Situational Awareness Report- 01-22-2020 Wednesday, January 22, 2020 10:02:10 AM




The Centers for Disease Control and Prevention (CDC) continues to closely monitor

an outbreak of a 2019 Novel Coronavirus (2019-nCoV) in Wuhan City, Hubei

Province, China that began in December 2019. Since yesterday, the CDC is

screening passengers on direct and connecting flights from Wuhan China at San

Francisco International Airport. The CDC continues to coordinate with their partners

and may adjust response activities as the outbreak investigation continues and more

is learned about the newly emerging virus.

- It is possible that more cases will be identified in the coming days. This is an

ongoing investigation and given previous experience with MERS-CoV and SARS

CoV, it is possible that person-person spread may occur. There is much more to learn

about the transmissibility, severity, and other features associated with 2019-nCoV as

the investigations in China, Thailand, and Japan continue. Additional information

about this novel virus is needed to better inform population risk.

- CDC information: https://www.cdc.gov/coronavirus/2019-nCoV/summary.html.

- Additional Coronavirus information is available at: https://.cdc.gov/coronavirus/2019-


- Information for healthcare providers: See CDC's Interim Healthcare Infection

Prevention and Control Recommendations for Patients Under Investigation for 2019

Novel Coronavirus (https://www.cdc.gov/coronavirus/2019-nCoV/infection-

control. html).

P140

- Information specific to SFO: https://www.flysfo.com/passengers-arriving-wuhan

china-are-being-screened-novel-coronavirus


Watch Center - Primary (415) 260-2591

Watch Center - Desk ( 415) 558-2738


Watch Center Operations: Mon-Sun, 0600-2230 Hours

After Hours Duty Officer: Mon-Sun, 2230-0600 Hours. Current DO: Anthony Perez

Manager On Call (MOC): Lisa Starliper - 415-517-5092 - [email protected]

Public Information Officer: Victor Lim -415-748-0028 [email protected] I 415-

558-2712



I Level II EOG Status II Description II Time

~ EOC Duty Officer I Manager On- After-hours & Standby Call Weekends c

DI EOC Open I Watch Center 0600-2230; daily (Monitoring) (excluding holidays)

DI EOC Open I Partial w/ 1st Response I As Needed Elements & Support

DI EOC Open !

Full Activation I As Needed (All Sections and Positions)


Today: Sunny, with a high near 59. Calm wind becoming north northwest around 5

mph in the afternoon.

Tonight: Mostly clear, with a low around 48. Light and variable wind.

P141

I

I !

Tomorrow: Patchy fog between ?am and Sam. Otherwise, mostly cloudy, with a high

near 60. Calm wind becoming north northwest around 6 mph in the afternoon.

Current Air Quality Index (AQI): 29

AQI Forecast: 53

www.airnow.gov



- Warriors vs Jazz, from 7:00pm to 10:30pm @ Chase Center



- No large events are scheduled

Friday (1/24/2020)

- Warriors vs Pacers, from 7:30pm to 11 :OOpm @ Chase Center

Saturday (1 /25/2020)

- Chinese New Year Kick Off Event, from 9:30am to 1 :OOpm@ Portsmouth Square

- Walk for Life March, from 11 :OOam to 2:30pm@ Civic Center Plaza, Market Street,

Justin Herman Plaza. Info Faire at Civic Ctr Plaza: 11 :00 am to 1 :30 pm. Rally at

Civic Ctr Plaza: 12:30 pm to 1 :30 pm. Walk starts at Civic Ctr Plaza: 1 :30 pm - will be

walking on Market Street to Justin Herman Plaza. For detailed street closure

information: sfmta.com

Sunday (1/26/2020)


Monday (1 /27 /2020)


Tuesday ( 1 /28/2020)


P142









- The San Francisco Department of Public Health is coordinating with partner

agencies to monitor the Novel Coronavirus (2019-nCoV) situation. Please see the

statement at the beginning of this report for more information.




WHO to decide whether China coronavirus is a global health emergency -

Here's what that means

The World Health Organization on Wednesday will convene a panel of experts in

Geneva, Switzerland, to consider whether a mysterious coronavirus that has sickened

hundreds of people in China should be a global health emergency. The meeting

comes two days after global health officials said that the respiratory illness, which has

evdked memories of the 2003 outbreak of severe acute respiratory syndrome, or

SARS, is capable of spreading from person to person. This weekend, the U.S.

Centers for Disease Control and Prevention and Homeland Security began screening

people traveling to the United States from Wuhan, China, where the outbreak is

believed to have started. WHO doesn't enact these emergencies easily, public health

officials say. The international health agency has only applied the emergency

designation five times since the rules were implemented in the mid-2000s. WHO

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defines the emergency, also known as a Public Health Emergency of International

Concern, as an "extraordinary event" that is "serious, unusual or unexpected."

Declaring an emergency gives WHO Director-General Tedros Adhanom

Ghebreyesus power to issue recommendations, including asking countries not to

implement any travel or trade bans.The designation can also prompt outside help to

raise money and other assistance.

https://www.cnbc.com/2020/01/21/who-to-decide-whether-china-coronavirus-is-a-qlobal-health-emerqency.html

Anti-5G group plans global protest

The U.S. government and cell service providers -- particularly the Federal

Communications Commission (FCC) and AT&T -- have been making strides to catch

up with China's ever-growing 5G technology, which is expected to be the new global

wireless standard since it will deliver significantly faster and more precise internet

connections to users than the 4G technology the U.S. uses today. But some activists

are worried about the "biological and health effects of electromagnetic fields" related

to wireless technology, saying it can lead to radiation that causes cancer, and a group

called the NYC 5G Wake-Up Call is taking its concerns to the public on Jan. 25, the

Global Day of Protest to Stop 5G on Earth and in Space. "This is a really big

mistake," health and environmental activist Camilla Rees told FOX Business of 5G.

"Follow the money and you find that it's also about the mass collection of data." Rees

and Grassroots Environmental Education Associate Director Doug Wood brought up

a 2018 study conducted by the Department of Health and Human Services' National

Toxicology Program that found "clear evidence" of cancer linked to cellphone

radiofrequency. Tumors were found in the brains, hearts and adrenal glands of male

rats exposed to cellphone frequency, and DNA damage was found in female rats.

"There's not one study that shows what happens to rats in an experiment won't

happen to humans," Wood said. While there haven't been studies specifically linking

. 5G to radiation and other damaging health effects because it is too early in the world

of 5G wireless to conduct such research, there are other studies linking the biological

effects of cellphone radiowaves, Rees said.

https://www.foxbusiness.com/technology/anti-5q-qroup-plans-qlobal-protest

San Francisco police say crime is down; not everyone is convinced

San Francisco police have crunched the numbers and say crime is down in the city,

P144

but some San Franciscans are saying if that's the case, they're not seeing changes

on the streets. In a city the size of San Francisco crime is a reality. Now, three weeks

into the new year, San Francisco police have data comparing 2019 to 2018, and the

chief says the news is good. "We're pleased With the way our statistics trended in

2019, particularly with violent crime," said Chief Bill Scott. The department says

violent crime is down 6%. Homicides are down 11 %. Rapes are down 15%.

Robberies and aggravated assaults are down as well. It's the same story with

property crimes. Burglaries are down 14%, and auto burglaries down 2%. At 7th and

Market streets, many say they may hear that crime is down, but that doesn't match up

with what they're seeing. "What I do see is an absence of a police presence, here on

one of the more challenging corners," said a fifth generation San Franciscan named

Ellen, who did not give a last name. "What I see is a plethora of drug use, and drug

dealing. That's just a fact." Chief Scott said he hears those concerns, and is working

to take the data learned over the last year, and apply that going forward, with a focus

on some of the city's hot spots. "We're going to further increase our foot patrols, and

focus continually on the Mid-Market area," said Chief Scott. He says his officers will

continue to work to make San Francisco a safer place, and make it feel like a safer

place to those who live and work here.

https://www.ktvu.com/news/san-francisco-police-say-crime-is-down-not-everyone-is-convinced



safety partners.



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I I

Operational Period

Accompanying Documents


Department Operations Center

D c Tl N

COVID-19 Activation

Start OP 1

End

1:8J SF ICS 202- Incident Objectives

0 SF !CS 203 - Organization List

~ SF ICS 204 - Assignment List

O SF !CS 205 - Communications Plan

1:8J SF ICS 205A - Communications List

0 SF ICS 206 - Medical Plan

~ SF ICS 207 - Organization Chart

Saturday 02-29-2020

Friday 03-06-2020

Event Maps o _________ _ o _________ _ o _________ _ o _________ _ o _________ _ D

Prepared By Approved By Submitted On 02-28-2020 Alecia Martin, Plans - Situation Status Gabrielle Aldern, Plans Chief

Unit

***FOR df~1~16..L USE ONLY***

SF ICS 202 DPH Department Operations Center

DOC OBJECTIVES

1. EVENT NAME: 2. DATE I TIME: 3. OPERATIONAL PERIOD (Date/Time):

COVID-19 Activation Feb 28, 2020 I 12:00 Mar 2, 2020 - Mar 8, 2020

4. SITUATIONAL UPDATE FOR DPH DOC RESPONSE:

Situation Background (updated 2020-02-26} Sources: https://www.cdc.gov/coronavirus/2019-nCo V /summary. html https ://www. who. inti eme rg en cies/d iseases/novel-co ro navirus-2019/situ atio n-repo rts/

CDC is closely monitoring an outbreak of respiratory disease caused by a novel (new) coronavirus that was first detected in Wuhan City, Hubei Province, China and which continues to expand. On February 11, 2020, the World Health Organization named the disease coronavirus disease 2019 (abbreviated "COVID-19"). Chinese health officials have reported tens of thousands of cases of COVI D-19 in China, with the virus reportedly spreading from person-to-person in parts of that country. COVI D-19 illnesses, most of them associated with travel from Wuhan, also are being reported in a growing number of international locations, including the United States. Some person-to-person spread of this virus outside China has been detected. The United States reported the first confirmed instance of person-to-person spread with this virus on January 30, 2020.

On January 30, 2020, the International Health Regulations Emergency Committee of the World Health Organization declared the outbreak a "public health emergency of international concern" (PHEIC). On January 31, 2020, Health and Human Services Secretary Alex M. Azar II declared a public health emergency (PHE) for the United States to aid the nation's healthcare community in responding to COVID-19. Also on January 31, the President of the United States signed a presidential "Proclamation on Suspension of Entry as Immigrants and Nonimmigrants of Persons who Pose a Risk of Transmitting 2019 Novel Coronavirus." These measures were announced at a press briefing by members of the President's Coronavirus Task Force.

On February 25, 2020, San Francisco Mayor London Breed declared a local emergency due to COVID-19. Although there are still zero confirmed cases in San Francisco residents, the global picture is changing rapidly. On February 24, 2020, the WHO-China joint commission determined although new cases are declining in China, a sudden increase in new cases globally is concerning. Given the high volume of travel between SF and mainland China, and the global spread of the virus, there is a growing likelihood San Francisco will see cases eventually. The declaration of a local emergency will mobilize city resources, accelerate emergency planning, streamline staffing, coordinate agencies across the city, allow for future reimbursement by the state and federal governments and raise awareness throughout San Francisco about how everyone can prepare in the event that COVID-19 (novel coronavirus) appears in San Francisco.

Coronaviruses are a large family of viruses that are common in many different species of animals, including camels, cattle, cats, and bats. Rarely, animal coronaviruses can infect people and then spread between people such as with MERS-CoV and SARS-CoV.

There are ongoing investigations to learn more. This is a rapidly evolving situation and information will be updated as it becomes available.

P147

Estimation of total number of cases (updated 2020-02-28 at 11 :11 PSTl Sources: https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6 https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/nCOV2019.aspx

# of Cases/Deaths - Data from JHU CSSE Map Worldwide: 83, 867 Cases/2,867 Deaths US: 60 Cases/O Deaths CA: 11 cases/O Deaths SF: 0 Cases/O Deaths

Situation Summary in U.S. (CDC updated 2020-02-27) Source: https://www.cdc.gov/coronavirus/2019-nCo V /summary. html

Imported cases of COVID-19 infection in travelers have been detected in the U.S. Person-to-person spread of COVID-19 also has been seen among close contacts of returned travelers from Wuhan, but at this time, this virus is NOT currently spreading in the community in the United States.

CDC Response (updated 2020-02-27) Source: https://www.cdc.gov/coronavirus/2019-nCoV/summary.html

The federal government is working closely with state, local, tribal, and territorial partners as well as public health partners to respond to this public health threat. The public health response is multi-layered, with the goal of detecting and minimizing introductions of this virus in the United States so as to reduce the spread and the impact of this virus.

• CDC established a COVID-19 Incident Management Structure on January 7, 2020. On January 21, 2020, CDC activated its Emergency Operations Center to better provide ongoing support to the COVID-19 response.

• The U.S. government has taken unprecedented steps with respect to travel in response to the growing public health threat posed by this new coronavirus:

o Effective February 2, 2020 at 5pm, the U.S. government suspended entry of foreign nationals who have been in China within the past 14 days.

o U.S. citizens, residents and their immediate family members who have been in Hubei province and other parts of mainland China are allowed to enter the United States, but they are subject to health monitoring and possible quarantine for up to 14 days.

o CDC has issued the following travel guidance related to COVID-19: • China - Level 3, Avoid Nonessential Travel - updated February 22 • South Korea - Level 3, Avoid Nonessential Travel - updated February 24

• CDC is issuing clinical guidance, including: o CDC issued an interim Health Alert Network (HAN) Update to inform state and local health

departments and healthcare professionals about this outbreak on February 1, 2020. o On January 30, 2020, CDC published guidance for healthcare professionals on the clinical

care of COVID-19 patients. Updated February 12, 2020. o On February 3, 2020, CDC posted guidance for assessing the potential risk for various

exposures to COVID-19 and managing those people appropriately. Updated February 8, 2020.

• CDC has deployed multidisciplinary teams to Washington, Illinois, California, and Arizona to assist health departments with clinical management, contact tracing, and communications.

***FOR c:l?~1t4Jk USE ONLY***


• CDC laboratories have supported the COVID-19 response, including: o CDC has developed a real time Reverse Transcription-Polymerase Chain Reaction (rRT

PCR) test that can diagnose COVID-19 in respiratory and serum samples from clinical specimens. On January 24, 2020, CDC publicly posted the assay protocol for this test. Currently, testing for this virus must take place at CDC.

o CDC has been uploading the entire genome of the viruses from reported cases in the United States to GenBank as sequencing was completed.

o CDC has grown the COVID-19 virus in cell culture, which is necessary for further studies, including for additional genetic characterization. The cell-grown virus was sent to NI H's BEi Resources Repository for use by the broad scientific community.

o CDC submitted an Emergency Use Authorization (EUA) package to the U.S. Food and Drugs Administration on February 3, 2020.

o FDA approved the EUA, on February 4, 2020. On February 5, 2020, CDC test kits were available for ordering by domestic and international partners through the agency's International Reagent Resource.

Situation Summary in San Francisco (updated 202Q.::.02-27) There are zero confirmed coronavirus cases at this time in SF. The SF Department of Public Health (DPH) is working closely with the U.S. Centers for Disease Control and Prevention (CDC) and the California Department of Public Health, monitoring the outbreak and preparing a response that protects the public.

DPH activated the DOC on 1/21/2020. CCSF activated the EOC on 1/27/2020. A local emergency was declared on 02/25/2020.

DPH continues to coordinate with federal, state, regional, City agencies and community partners on COVI D-19 response efforts. Areas of focus include: working with key stakeholders to implement federal quarantine orders; conducting evaluation of returning travelers; identifying PUI housing options; providing public information that is accurate and accessible; providing guidance to clinicians; and coordinating with local healthcare facilities and assessing hospital readiness.

SFDPH DOC Response Activities during previous operational period (updated 2020-02-281 • DPH DOC Operational Period reporting has changed to Saturday-Friday reporting. • A comprehensive and extensive plan has been developed with multiple DPH and CCSF inter

agency partners to provide guidance, consultation, and instruction to healthcare providers, hospitals, outpatient healthcare facilities, and field teams to prepare them for potential COVI D-19 patients, as DPH continues to follow-up with returned travelers from mainland China.

• DPH continues to monitor return travelers from China, with a goal of contact within 72 hours. Line lists of returning travelers have been coming in and a system has been established by Epi and Surveillance Branch to manage and track follow up with these travelers.

• DPH is tracking and following up with return travelers from China by phone and/or community outreach if needed. Children under 19 years of age (and their respective family members) and other populations who frequent congregate spaces are being prioritized for follow up.

• Mayor London Breed declared a local emergency 02/25/20, allowing CCSF to access additional resources to prepare for potential COVID-19 cases in SF.

• SFDPH DOC expanded community outreach and mitigation efforts, working closely with the CCSF Emergency Operations Center (EOC) in anticipation of increased inquiries due to the declaration of a local emergency.

P149

• SFDPH is focusing on providing a comprehensive picture of past and current preparation and mitigation efforts, forward leaning departmental objectives, and the data and information being used to guide the work.

• SFDPH and the EOC are collaborating to create a process for routing briefing and other informational requests (from media and non-media sources) to the appropriate channels.

• SFDPH drafted guidelines for housing plans for confirmed COVID-19 cases, potential COVID-19 cases, and medium risk individuals who live in congregate living situations including Single Room Occupancies (SROs).

• SFDPH completed a preparedness consultation site visit to Chinese Hospital 02/25/20 and UCSF Mission Bay today 02/26/20.


• SF Public Health Laboratory is still awaiting delivery of CDC testing kits. CDC reported they will have a ship date for the testing kits by the end of this week.

" SFDPH is updating their COVID-19 Fact Sheet to include the most recent updates and align messaging and information across DPH and CCSF sites.

" SFDPH Public Information Office recently completed a COVID-19 prevention focused informational poster, which will soon be displayed on BART Trains.

" SFDPH CDCP information: https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel-coronavirus/

5. OBJECTIVES/ACTIVITIES FOR OPERATIONAL PERIOD (overarching departmental citywide objectives)

OBJECTIVE

1. Protect the public and vulnerable populations

ACTIVITIES

1.1 Transmission containment 1.2 Develop notification and

referral process for SF healthcare facilities

1.3 Review and adapt CDC healthcare and infection control guidelines

1.4 Develop EMS transport plan 1.5 Identify personnel to fill the role

of Equity Officer to ensure protection of impacted communities

1.6 Identify Community Outreach Branch roles, responsibilities and staff

1.7 Develop guidance to inform plans that address vulnerable populations in congregate settings

1.8 Develop policy decisions specific to closures, e.g. schools, public events, etc.

RESPONSIBLE SECTION/UNIT/BRANCH 1.1 Containment Branch 1.2 Medical Branch 1.3 Info & Guidance 1.4 Medical Branch/EMS 1.5 Plans/IC 1.6 Plans/IC 1.7 Info & Guidance/ Community/ESF 6 1.8 Policy Group/IC/ Community

***FOR OFFICIAL USE ONLY*** P150

Status

1.1 In Progress 1.2 In Progress 1.3 In Progress 1.4 In Progress 1.5 In Progress 1.6 In Progress 1.7 In Progress 1.8 Not Started


2. Support the 2.1 Maintain tracking system and 2.1 Epi & Surveillance 2.1 Ongoing Communicable develop line list for PUis 2.2 Lab 2.2 In Progress Disease 2.2 Conduct verification test for 2.3 Lab 2.3 Not Started surveillance and CDC-provided COVID-19 test 2.4 Logistics 2.4 In progress laboratory testing kit, upon receiving the test kit 2.5 Clinical Consult Team 2.5 Ongoing infrastructure. 2.3 Perform COVID-19 lab tests on 2.6 Info & Guidance/ 2.6 In Progress

PUI samples (contingent on Logistics/ Medical Branch 2.7 In Progress 2. 7 OSH/Medical Branch 2.8 In Progress

completion of Objective 2.3) 2.8 Info & Guidance/ 2.9 Ongoing

2.4 Expedite resource requests Medical Branch 2.10 In Progress and hiring process for 2.9 IC/Operations/ 2.11 Ongoing additional staff to support Logistics 2.12 Not Started Operations activities 2.10 Info & Guidance

2.5 Provide guidance to clinicians 2.11 Info & Guidance and conduct patient follow up 2.12 Epi & Surveillance/

2.6 Identify additional nurse staff Logs

for field investigation teams to deploy for patient follow-up

2. 7 Coordinate and provide PPE training and fit testing to field teams

2.8 Develop clinician FAQs sheet and talking points to support Clinical Consult Team

2.9 Build infrastructure to contact, interview, and monitor returning travelers

2.10 Develop and prioritize all healthcare system guidance

2.11 Develop EMS advisory guidelines

2.12 Develop infrastructure to receive, answer and manage data requests

3. Maintain 3.1 Establish regular 3.1 IC/Plans/Med Health 3.1 Ongoing situational communication with key 3.2 PIO 3.2 Ongoing awareness and partners (EMS, DEM, CDPH, 3.3 PIO 3.3 Ongoing provide messaging Healthcare Facilities) 3.4 PIO 3.4 Ongoing to the public 3.2 Coordinate with ABAHO JIC on 3.5 PIO/DPH HR 3.5 In Progress

regional media messages, 3.6 PIO/JIC 3.6 Ongoing

3.3 Develop communications, 3.7 PIO/JIC 3.7 Ongoing

education, and outreach plan 3.8 PIO/JIC 3.8 Ongoing 3.9 PIO/JIC 3.9 Ongoing

for Chinese Community 3.10 Plans 3.10 In progress 3.4 Update public information on

digital sources, as needed 3.5 Refine the DHR messaging for

City staff to include DPH HR

P151

messaging and disseminate to DPH staff

3.6 Provide updates to elected officials

3.7 Rumor control - ensure that accurate information is posted on various media outlets

3.8 Provide preparedness info to the public through the media, published materials and outreach

3.9 Assess and meet needs for public information - for example, masks, discrimination, cancelling events, defining the virus, rules for returning travelers

3.10 Coordinate with DEM to align communications, meetings, info sharing.

4. Maintain 4.1 Develop clinical guidelines 4.1 Info & Guidance 4.1 In Progress situational 4.2 Develop a dissemination 4.2 IC/Operations 4.2 In Progress awareness on strategy 4.3 Medical Branch 4.3 In Progress medical surge and 4.3 Monitor and prepare the 4.4 Medical Branch 4.4 In Progress support healthcare healthcare system (Hospitals, 4.5 Medical Branch 4.5 In Progress facilities EMS) for potential surge 4.6 PIO/ Info & Guidance/ 4.6 In Progress

4.4 Provide information on hospital Medical Branch

readiness to CDPH 4.5 Engage primary care and outpatient clinics to mitigate hospital surge 4.6 Develop messaging and guidance to health care facilities around N95 masks and appropriate screening procedures

5. Develop 5.1 Identify events/or conditions 5. 1 Plans Section 5.1 In progress advance planning likely to occur for future operational 5.2 Advance Planning 5.2 In progress strategy periods and anticipated resource Team 5.3 In progress

needs 5.3 IC/Command 5.4 In progress 5.2 Identify potential impacts if 5.41C COVI D-19 establishes itself in San Francisco 5.3 Maintain DPH's continuity of

-. operations 5.4 Develop policy and criteria for

potential special event

***FOR Of!=1® USE ONLY**'~


I I cancellation I I 6. MAJOR DECISIONS/POLICY CHANGES

• City attorney has adopted modified isolation & home quarantine orders. • There is a need to further expand DOC capacity to meet operational objectives. • Additional DOC positions will be activated and DPH staff identified to fill these roles. • The DOC will also begin to schedule shift changes to provide activated staff with rest periods. • The CDC has shifted its messaging to prepare for the possible community transmission. DPH will

begin to shift its messaging to align with CDC. • Mayor London Breed declared a local emergency on February 25, 2020.

7. DPH DOC SAFETY MESSAGE DOC staff- Remember to take breaks, eat, and hydrate, as needed, to avoid fatigue

Field teams - work with the DOC Safety Officer regarding PPE requirements

8. DPH DOC DOCUMENTS/PRODUCTS DEVELOPED (Include title, name of Branch/Group that developed, and location of document) All final documents uploaded onto TEAMs site

a. DOC Staff Tracking I Logistics I Teams/Files/Logistics/Personnel/Staffing

b. 214 Timekeeping Workflow I Finance I Teams/Files/Finance

c. 2019 Novel Coronavirus Guidance for Child Care and Preschool Settings I T earns/Files/Operations/Containment

d. Preparing Your Clinic for COVID-19 (2/14/20)

e. COVID-19 Clinical Intake Form and Worksheet (2/18/20)

f. Process for 7 + 14 Day Check-In and Generating Release Letter I T earns/Files/Operations/Containment

g. Release 14-Day Letter I Teams/Files/Operations/Containment

h. Frequently Asked Questions from Return Travelers I Teams/Files/Operations/Containment

i. Housing Options by Risi< Tiers Grid I Teams/Files/Operations/Containment

j. Timeline_Master DPH COVID19 starting 2020-01-20 updated 2020-02-25.xls I T eams/Files/Plans/Documentation/Timeline

9. MAJOR PROBLEMS OR CONCERNS

DOC Staffing Additional staffing is needed in multiple DOC sections to meet expanding operational objectives and planned shift changes.

• DOC staff redundancy immediate need for: o Operations Chief o Operations Deputy o Medical Health Branch Lead o Logistics Chief o Investigation Group Lead

Logistics section should be expanded to assist with Call Center staffing and scheduling.

PUI Housing PUis who are symptomatic but not sick enouqh to be hospitalized will need housing options. DPH DOC, in

P153

I

collaboration with other City Agencies and partners, need to solidify housing options for SF PU l's and potentially non-SF residents identified at airport who may need to be housed locally. A minor plan is in place and a follow-up meeting will be scheduled to identify additional options.

DPH needs to identify a team to work on how housing will be provided to PUis who cannot home isolate. Once formed, DPH team will work with City Agencies through the EOG as part of the Care and Shelter Branch to operationalize plan and identify possible locations.

PUI Protocol There are gaps in developing the PUI protocol in the following areas: safe transport (to/from SFO airport, patient homes, medical facilities, and housing facilities), methods to track all contacts, and data entry.

DPH DOC There is a need to evaluate the physical location of our DOC, Clinical Consultation call center, and Returning Traveler Call Center. Both are currently reserved through the end of February; extension of current room reservations or alternate physical locations should be addressed.

Recommendation to use DOC emails to assist with transition of communication and knowledge as shift changes.

DPH DOC PLANNING There is a need to better track the progress DOC Objectives and Activities. The Objectives and Activities are being worked on but we need to implement tracking systems that allow us to better report our status and actions.

Resource Allocation Travis AFB is one of the designated federal quarantine sites for persons repatriated to the US. Notification processes to transport persons from Travis AFB to local hospitals are unclear. Federal, state, and local agencies are working to identify gaps in the notification process to ensure communication with local jurisdiction and consideration for resource allocation at the state and local levels.

DOC Physical Location Need to evaluate physical location of Call Centers and DOC workstations. Additional meeting room is needed. Considerations include relocation of workstations from 5th floor conference room to space at 30 Van Ness. Will need to consider reserving all conference rooms in 25 Van Ness for DOC use.

Operations Challenges and Concerns

"' Operations branch leaders must be on the line or in attendance at meetings m Need to be prepared for possible strategy change in consideration of the following:

o Community transmission o PUI criteria change o Positive SF cases

., Containment Branch Concerns/Questions: m Should the Returning Traveler Call Center remain open on weekends? m Decisions regarding the 7-day check in process

***FOR cJ?~iOtlL USE ONLY***


a. How many attempts at each check in: 3 attempts on both day 7 and day 14; or 1 attempt on day 7 and 3 attempts on day 14

b. How we should group the return travelers who are currently between 7 and 14 days c. When we should begin the 7-day check in process, since we just started piloting the 14

day. 0 Where and how to document branch SMART goals "' Need guidance document for long term care facilities (highest risk patients)

a. Need to reach out to contacts at these facilities 0 Not getting enough federal community outreach guidance ° CPMC Van Ness isolation mask supply short 0 PUI Transportation Plan

a. Will need to be documented b. Should include various possibilities including

i. Self-transport ii. Ride-share transport

c. Question if county cars can use used for transport? i. Must consider:

1. Safety 2. Training 3. Availability

rn Out of jurisdiction patient transport to SF without adequate notification to SF Health Officer 6 Need to identify return travelers who may have identified SRO as place of stay " Lab testing limitations " Questions that arose:

a. Can nurses serve quarantine/isolation orders? b. What lab kit is CDPH using? c. Can we use same lab-kit as CDPH?

m EH input needed regarding SROs

Finance Some employees only submit time on a bi-weekly basis which could be confusing alongside instructions to submit 214 forms according to the weekly activation period. For now, guidance is to prepare 214 forms in alignment with the activation period (weekly) and submit them at the same time as you submit your time.

10. Weather Conditions/Forecast/Events Source: https://www.noaa.gov/

Monday 3/2 - Sunny, with a high near 64. Tuesday 3/3 - Sunny, with a high near 65. Wednesday 3/4 - Sunny, with a high near 65.

Prepared By: Alecia Martin, Plans Situation Status Unit

Date/Time: Feb 28, 2020 / 18:00

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SF !CS 205A I EVENT NAME: I DATEfflME PREPARED: I OPERATIONAL PERIOD COMMUNICATIONS LIST COVID-19 Activation 2/28/2020 16:40 OP #7 2/29/2020-03/06/2020

DEPARTMENT COMMUNICATIONS INFORMATION POSITION NAME LOCATION- PHONE# EMAICf''' RADIO

DOC Staff

Incident Commander Naveena Sobba DOC 415.554.2769 office

[email protected] 415-518-8772 mobile

Policy Group Tomas Aragon DOC 415-554-2898 office


CD/Info Officer Juliet Stolley 25 Van Ness 415-437-6343 office


Operations SME Amie DuBois 25 Van Ness 628-217-6348 office

[email protected] (650) 270-6874 mobile

PIO/Media Officer Rachael Kagan 101 Grove 415-554-2507 office


PIO/Media Officer Veronica Vien 101 Grove 415-438-0263 office [email protected]

PIO/Media Officer Linda Acosta 101 Grove 415-554-2928 office


PIO/Media Officer Cristina Padilla ZSFGH 628-206-7174 office


PIO/Media Officer Brent Andrew ZSFGH 628-206-6995 office


Safety Officer Ed Ochi 101 Grove 415-554-2797 office


Liaison Officer Israel Nieves 101 Grove 628-206-7687 office


HR Liaison Michael Brown 101 Grove 415-554-2592 office


Susan Philip 25 Van Ness 628-206-7638 office


Deputy Ops Chief TBD

Ops Section Documentation Olivia Thanh 25 Van Ness 415-759-2310 office [email protected]

415-637-8493 mobile

Info & Guidance Branch David Stier (L) 101 Grove 415-554-2648 office

[email protected]

Info & Guidance Branch Rita Nguyen 25 Van Ness 415-437-6244 office

rita. ng uyen@sfd Qh. org 408-209-7518 mobile Info & Guidance Support

Kenya Thomas 25 Van Ness (415) 554-2887

[email protected] Staff Mobile not available

Dissemination Group Erin Bachus (EMS) 90 Van Ness 628-206-7652 office erin. [email protected]

Dissemination Group Frank Strona 90 Van Ness

[email protected] ; [email protected]

Content Group Kelly Johnson 415-221-4810 ext. 2129 [email protected]

Content Group Tamara Ooms 415-407-4502 mobile [email protected]

Containment Branch Mivic Hirose 101 Grove 628-206-1250 office [email protected]

l&Q Returning Travelers Karen Luk [email protected]

l&Q Returning Travelers Wendy Lu 628-217-6268 office [email protected]

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Restriction Exclusion & Michael Paquette

628-217-6224 office [email protected]

Clearance 415-846-0898 Community Outreach &

John Melichar [email protected] Mitigation Community Outreach

Curtis Chan 30 Van Ness 415-57 5-5672 office [email protected] Education

Community Outreach Consuelo Martinez [email protected]

Medical Branch Kenpou Saelee 30 Van Ness 415-558-5947 office [email protected] 510-685-7595 mobile

SFHN Liaisons Albert Yu ZSFG 628-206-1170 office albert.l'[email protected]

SFHN Liaisons Jeff Schmidt (ZSFG) ZSFG 415-206-3525 office


SFHN Liaisons John Grimes (LHH) LHH 415-759-4545 office [email protected] 510-219-6421 mobile

SFHN Liaisons Kim Lin LHH 415-759-3321 office


Hospital Coordination Amy Ovadia 30 Van Ness 415-558-5917 office [email protected] 925-900-8545 mobile

Outpatient Coordination Anna Robert 30 Van Ness 415-759-3596 office

[email protected] 415-244-2089 mobile Occupational Health/ Ed Ochi 101 Grove 415-554-2797 office

[email protected] Infection Control 415-205-3620 mobile Occupational Health/

Karen Heckman 101 Grove (415) 554-2762 office [email protected] Infection Control

EMSA Andrew Holcomb (Weekend 90 Van Ness 415-487-5018 office

[email protected] Coveraoe) 312-246-2125 mobile

EMSA-MHOAC John Brown 90 Van Ness 415-487-5034 office [email protected] 415-760-8548 mobile

EMSA Support Staff Ryan Seymour 90 Van Ness 415-487-5032 office [[email protected]

EMSA Support Staff Leolshoda 90 Van Ness 415-487-5049 office

[email protected] 661-466-6989 mobile Environmental Health

Stephanie Cushing ( 415) 252-3926 office

[email protected] Branch 510-703-0875 mobile

Epi & Surveillance Branch Wayne Enanoria 25 Van Ness 415-437-6356 office


Investigation & PUI Janice Louie DOC 510-910-9968 mobile [email protected]

Clinical Consultation Team See Schedule

Field Investigation Team Sheilah Zarate 90 Van Ness 415-487-5019 office


Surveillance Group Melissa Ongpin 25 Van Ness 628-217-7402 office [email protected] 415-305-4907 mobile

Surveillance Group Melissa Sanchez 25 Van Ness 415-437-6215 office

[email protected]

Data Group Michelle Kirian 25 Van Ness (415) 252-3952 (office)

[email protected] (510) 295-8833 (mobile)

Data Center Staff See Schedule

Laboratory and Testing Godfred Masinde 101 Grove 415-554-2685 office

godfred.masinde@sfd[!h.org 909-556-5893 mobile

P157

~ Cj-okoCmomo 415-554-2903 office


Gabby Aldem DOC 415-581-2453 office

gabriel\[email protected] 909-289-6291 mobile

Planning Section Deputy Gretchen Paule 408-306-8783 mobile

[email protected] 415-554-2820 office

Documentation/ Ad min Farah Del Arroz 415-203-8036 office


Documentation Unit Priscilla Chu DOC 628-206-7686 office


Documentation Unit Cimma Sefat 228-369-0224 mobile [email protected]

Situation Status Unit Kris L. Watts DOC 415-558-5934 office


Situation Status Unit Alecia Martin 415-437-6202 office [email protected]

Demobilization Unit Gary Naja-Riese 25 Van Ness 628-217-6226 office

ga[l'[email protected] (415)637-2923 mobile

Resource Tracking Unit Karen Yu 415-252-3957 mobile [email protected]

Logistics Section Chief Melissa Ta DOC 415-558-5948 office [email protected] 562-458-1360 mobile

Deputy Logistics Chief TBD

Personnel Unit Christine Siador 25 Van Ness 628-206-7621 office


Personnel Unit Staff Karen Hill 415-530-6392 mobile [email protected]

Personnel Unit Staff Niike Andino

510-604-8746 mobile [email protected] (activation) 415-554-2731 office

IT Unit Ken Buckley IT 925-783-7351 mobile [email protected]

Supplies Unit Solomon Gebala ZSFG 628-217-6171 mobile [email protected]

Facilities Unit Isela Ford 510-301-3945 mobile [email protected]

Finance S!3ction Chief Drew Murrell 101 Grove 415-613-8431 mobile

drew.murrel\@sfdQh.org 415-554-2539 office

Deputy Finance Chief Amanda Kwong 25 Van Ness 628-206-7618 office

[email protected] 415-238-2168. mobile

Time Tracking/Payroll Unit David Palma 101 Grove 415.554.2546 office

[email protected] Mobile not available

Procurement Unit Katherine Gee 1380 Howard 415-255-3553 office


Admin Support Anastassia Galan\ 101 Grove 415-554-2729 office


DPH Leaaer'ship·:

Director of Health Grant Colfax 101 Grove 415-627-7876 mobile [email protected]

Deputy Director Naveena Sobba 101 Grove 415-518-8772 mobile [email protected]

;1o:u~1CleJP\deii'cV:Pl:intacf1nt4ri\'iaJJon EOG DEM Duty Officer 1011 Turk St 415-260-2591 [email protected]

SF JCS 205 A I PREPARED BY: APPROVED BY: DPH DOC Marisel Brown Gabrielle Aldern

Updated: 2/28/2020 I PAGE: ***FOR OFFICIAL USE OML Y ***

P158

SFDPH DOC Org Churt nCoV-2019 Response OP7: ?./:'?9-316!'.2020

lop Lead= (L)I

Plans·sectioli Chief G:Lti'iPJl-1~ .h.:dem

Advnncc Planning 1BD

Documentation Unit Cimmµ Sefat Prh;cl!la Chu

Situation Status Unit Al~c1r. M&tin

i>'.1i!:i Leotl''JtHli:k•s VJsJts (L)

bemobili7ation Unit Gary t.!flja-Rir::;:e

!ieSource rfacklng Unit

r:;;.ren Yu

Documentation Faruh Dt:J Arror

Policy Group iL'nl.:IS Amgr;,q

Liaison Officer - DEM !;;.f:!fJt,l1f;S\;:;

HR Liaison Officer f/ic 1rni;;il1m:m

. Operations sEctJon Chief 5~1:i'i;'!\ pfr;:;p Dept11y: TBD

Info & Guidance Dnvirj S\:;;-r(L) fH!u Ng~y~n

Documentation li:i?nyri H;omE!l:

Containment t.l1,1;r.Hros1.·

Community Outreach & Mlligaiion

John r~1~!ich,1r

Medical Branch 11ff.:.r1y Ri'.'>.ra

E11vi1onmental Health Stephanie Cushing

Epi & Surveillance W.:o1yne Enanori::..

Laboratory G(;dfti::d Ma.sf11:J1.:

Documentation {)f1v·d lhru:h

SFOPH DOC Incident Commander

N.weeri.~ linbb::i

CD SME/lnfo Officer ,ivhe S1o!ti;y

Operations SME /,rme DuBo•;

Dissemination Erin Siri::h:is (L)

rmn:.. S:1onr1

Content Kelly Johr.·.>~n Tam::irn O-omi:.

l&Q/Retumlng Travelers t<~nt.n Lu~

Wt·ndy W

Restriction Exclusion & Clearance

k!U.:.:r:..•\ Pn,1u1;\1e

Community Outreach Education

Cu;trs Chan, Cons.ur:-lc.· t.~o.rtint:z

Hospital Coo(tfinalion Kenpou Saeoii;c

SFHN Coordlnation Alb-enYtJ

OUtpatient Al1n<J Robr,·rt(L)

t,myOvad1u

Occ. Health/Infection Control Ed Orni (L)

r~wcn He.::l•m:in

EMSA .l\r.dr'f~'; Hc't:~Jrr.b

lnvesligaiion & PU! Junic.:o Le1..1I\"

Data (,\d1r.!lcV.1rl:m

P159

Safety Officer Mark Matyjas

COOP Officer TBD

Equity Officer TBD

Media Officer V:.>:ron1..-::a Vien

Roch;;,r;I K11g;;n (L) Cr1£"tin[. f'£.d11la Lin du 4r;;_,;~ ta 8rnnt l•ndrG\'/

-----~------, Documentation

E;;.n~y r·~g

SFHN Coordination Terun Jell Schrpittr · ZSFG

Jorn Grime~, J<,lrn I in - l I !H AnnR Robr;11 · r~c

MHOAC John 810.::n

EMSA Suppon SUrlf r::.•an Sr:-y1r.uv1

lc-c•l:;ri.:1l10.

Clinical Consufration Team (Phon~ triage/case follow-up}

S!O,,_ Scn:oju1:: vi MDs and Nµi~.tiG

Field lnvestiga1ion $hF,:1!11h Z..'1JBle

Data Center Staff S<J~ s:.nfi t:.:tts!er

Logistics Section Chier f,l\!J:.:,s:1Tn

DEM SME Support EIU.fil;etll 8F.s.sman

Facilities Unit ltr:-13 Fcr:J

Personnel Unit Christine Sindor

Kar::nHm f'!ii~.L' Pridl110

Supply Unit So:omon GcbrtlR

IT Unit Km Eld::-~Jey

Field lnvcs1igallon Al·tm\f;sl!i;:jr;i

S.'i.',h2Collh':r D<:'ln Vr;i:ir,g;,_;,

AmiiCDSU:.

lime Trackiog!Payroll Do.'1k1 P.;i~rr:::i

Procurement Knti1er1n['! Gr.:c

Admin Support ,'>nasta:,$ia Ga\i'.,n\

From: Aragon. Tomas (DPH) To: Cc:

Kagan. Rachael (DPH); Colfax. Grant CDPH); Sobba, Naveena CDPH); Philip. Susan CDPH); Stoltey. Juliet CDPHl Stier David (DPH); Nguyen Rita (DPH)


Re: help with language in light of new case Wednesday, February 26, 2020 7:59: 19 PM image003 .png





https: //www.cdc.gov/coro n avi rus/2019-ncov /locations-confirmed-cases. htm I

Confirmed 2019-nCoV Cases Globally \ CDC

1 Links with this icon indicate that you are leaving the CDC website .. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.

www.cdc.gov

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

"Radical transformational leadership is leading change from the universal values of dignity, equity, compassion and humility to transform self, people, systems and cultures towards equity and sustainable results." (learn more http://bit.ly/phd-lead)




From: Kagan, Rachael (DPH) <[email protected]>


To: Colfax, Grant (DPH) <[email protected]>; Bobba, Naveena (DPH) <[email protected]>; Philip,


<[email protected]>

P160

Cc: Stier1 David (DPH) <[email protected]>; Nguyen1 Rita (DPH) <[email protected]>


Hi team 1

So much happening. l1d like to draw your attention to one particular question (among many).

In terms of the xenophobia and discrimination theme/ we have been saying: This virus is not about race, ethnicity or culture. The risk of getting COVID-19 is based on travel history, and contacts with people who are sick.

In light of the new California case having no travel history and no known contacts with travelers or people who are sick1 how would we modify our statement? I realize we don 1t have all the answers right now1 but the Mayor and Carmen Chu are submitting an op-ed tomorrow about discrimination 1 and I am helping them update this language. How about:


Is that safe to say? Note that this is not a clinical piece1 but we still want to be accurate.

Thankyou 1

Rachael


Sent: Wednesday1 February 261 2020 5:39 PM




li)l[_l .. 1


CALIFORNIA DEPARTMENT OF PUBLIC HEALTH

P161


CDC Confirms Possible First Instance of COVIDM19 Community Transmission in California








" Washing hands with soap and water.

" Avoiding touching eyes, nose or mouth with unwashed hands.

" Avoiding close contact with people who are sick are all ways to reduce the risk of infection with a number of different viruses.

• Staying away from work, school or other people if you become sick with respiratory

P162

symptoms like fever and cough.


www.cdph.ca.gov

To unsubscribe from the CDPHOPA list, click the following link: bttps://listserv .cdpb.ca.gov/cgi-bin/wa.exe?SUBED 1 =CD PH OP A&A= I

P163

From: ~ To: Colfax Grant CDPHl Subject: CCSF Situation Report - Update - COVID-19 (#18)

Wednesday, February 26, 2020 7:54:57 PM Date: Importance: High


Situation Report - Update - cov10-19 (#18) Department of Emergency Management


02-26-2020 - 19:50:40


Situation Update:

• International data: o 81,322 confirmed cases; 78,064 cases in mainland China; 2,719 deaths in mainland China; 55

deaths outside mainland China o 3,258 confirmed cases outside of China across 47 countries/regions. (total includes 705 cases on

the Diamond Princess cruise ship docked at Yokohama, Japan) • National (U.S.) data:

o 15 total confirmed cases in the USA (does not include 42 patients repatriated from the Diamond Princess to Travis AFB, Lockland AFB, Providence Sacred Heart-Spokane or the University of Nebraska-Omaha or the 3 repatriated form Wuhan)

• There are no confirmed cases among San Francisco residents. o The risk of COVID-19 in California remains low.

• https-/lgisanddata maps arcgis com/apps/opsdashboard/index html#/bda7594740fd40299423467b48e9ecf6 o NOTE: Information may vary as events and reporting are rapidly evolving.

• The U.S. Centers for Disease Control and Prevention today confirmed a possible first case of person-to

person transmission of COVID-19 in California in the general public. The individual is a resident of Solano

County and is receiving medical care in Sacramento County. The individual had no known exposure to the

virus through travel or close contact with a known infected individual.

• There are no recommendations to cancel events. • We are in flu season. The San Francisco Department of Public Health {DPH) recommends that

persons with symptoms stay home from work, school and social gatherings. Practice handwashing precautions. It is not too late to get the flu vaccine.

• The City and County of San Francisco, led by the Health Department, is working on preventing the virus, containing its spread, and reducing harm in the community. We are focused on the most vulnerable groups, including children, people in congregate settings and the elderly. However, every sector has a role to play to ensure community health and safety. The health care system, schools, businesses and individuals can all do their part.

SFDEM Activities:

• To support the Department of Public Health response, the Department of Emergency Management continues expanded activation of San Francisco's Emergency Operations Center to assist with coordination of resources and established a Community Branch comprised of community, faith, business and education partners. As a result, community and government partners can work together to identify and coordinate our response to emerging issues.

• Mayor Breed made an emergency declaration to strengthen the City's preparedness and to surge

P164

resources and capabilities, and ensure San Francisco is as ready as possible in the event that the new virus comes to our community. The declaration was announced by the Mayor during a press conference

on February 25· 2020. " The declaration of a local emergency will mobilize city resources, accelerate emergency planning,

streamline staffing, coordinate agencies across the city, allow for future reimbursement by the state and federal governments and raise awareness throughout San Francisco about how everyone can prepare in the event that COVID-19 appears in our community.

SFDPH Activities:

" SFDPH DOC expanded community outreach and mitigation efforts, working closely with the CCSF Emergency Operations Center (EOC) in anticipation of increased inquiries due to the declaration of a local emergency.

" SFDPH is focusing on providing a comprehensive picture of past and current preparation and mitigation efforts, forward leaning departmental objectives, and the data and information being used to guide the work.

" SFDPH and the EOC are collaborating to create a process for routing briefing and other informational requests (from media and non-media sources) to the appropriate channels.

" SFDPH drafted guidelines for housing plans for confirmed COVID-19 cases, potential COVID-19 cases, and medium risk individuals who live in congregate living situations including Single Room Occupancies (SROs) .

.. SFDPH completed a preparedness consultation site visit to Chinese Hospital 02/25/20 and UCSF Mission Bay today 02/26/20.


" SF Public Health Laboratory is still awaiting delivery of CDC testing kits. CDC reported they will have a ship date for the testing kits by the end of this week.

" SFDPH is updating their COVID-19 Fact Sheet to include the most recent updates and align messaging and information across DPH and CCSF sites.

• SFDPH Public Information Office recently completed a COVID-19 prevention focused informational poster, which will soon be displayed on BART Trains.

" SFDPH CDCP information: https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel%20%20%20coronavirus/

Public Information:

" SFDPH and the San Francisco Department of Emergency Management (DEM) continue to operate the Joint Information Center to develop and disseminate accurate, timely, relevant and accessible public information about COVID-19. The Joint Information Center will expand to include additional regular members from other city agencies .

.. Public Information Objectives:

1. Rumor .Control 2. Engagement and Outreach with the multilingual communities 3. Manage media inquiries and requests 4. Develop simplified and accessible public information education materials 5. Create a COVID-19 communications toolkit for NGOs and community serving organizations to

increase public information and education among diverse and at risk communities

.. DPH and DEM have public announcement plans should a San Francisco resident contract COVID-19. The Office of Civic Engagement and Immigrant Affairs (OCEIA) continues to translate emerging materials in all threshold languages.

" Talking points were updated to include key messages regarding the San Francisco emergency declaration and continued emphasis on preparedness

• DPH and DEM Public Information Officers (PIOs) continue to respond to media inquiries and prioritize Chinese language media. Public messaging also highlights ongoing preparedness work for possible COVID-19 cases in San Francisco in the future.

" 311 has received an increase of incoming call volume due to the emergency declaration announced Tuesday

CDPH (California Department of Public Health):

P165

CDPH reported new cases of COVID-19 in CA in the 24 hours. Number of confirmed cases in CA: 7 travelrelated, 1 close contact case and 1 community case.

• https://www.cdph.ca.gov/Progra ms/CID/DC DC/Pages/lmmu nization/nCOV2019 .aspx


• CDC updated their travel advisory to include South Korea. https://wwwnc.cdc.gov/travel/notices/warning/coronavirus-south-korea

• CDC reports that to date 445 people have been tested in the U.S. • https :l/www.cdc.gov/coronavirus/2019-ncov/cases-in-us. html


• WHO stated that 4 new countries (Algeria, Austria, Croatia, and Switzerland) reported cases of COVID-19 in the past 24 hours. (as of 02/26/20)

• https://www who.intlemergencies/diseases/novel-coronavirus-2019/situation-reports

Resources:

• Department of Public Health (SFDPH): https·lfwww sfcdcp org/infectjous-djseases-a-to-z/coronavirus-2019-novel-coronavirus/

• SFDPH's Policy for return travelers: https://www.sfcdcp.org/wp-content/uploads/2020/02/lnterimGuidance-on-Monitoring-and-Movement-for-San-Franciscans-and-Travel-Before-Feb-3rd-SFDPH-FINAL-02 07.2020 pdf

• SFDPH COVID-19 clinical intake form: https:l/www.sfcdcp.org/jnfectious-djseases-a-to-z/coronavjrus-2019-novel-coro n avj rus/coron aviru s-2019-i nfo rmation-for -healthca re-providers/

• SFDPH General Facts: https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel-%20%20%20coronavjrus/

• Department of Emergency Management (DEM): httpS'//SF72 org • Centers for Disease Control and Prevention (CDC): https:l/www.cdc.gov/coronavirus/2019-ncov/index.html • CDC Respirator Supply Strategy Guidelines: (https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirator

supply-strategies.html • World Health Organization (WHO): https· lfwww who intlemergencies/djseases/novel-coronavjrus-2019 • For operational coordination and information sharing, visit WebEOC (https:l/sfvem org) under Incident

Name: 2020-01-21 2019 Covid-19 (formerly 2020-01-21 2019-nCoV). Note -WebEOC is password protected.

Situation Summary:

• CDC is closely monitoring an outbreak of respiratory illness caused by COVI D-19 that was first detected in Wuhan City, Hubei Province, China and which continues to expand.

• Chinese health officials have reported thousands of infections with COVID-19 in China, with the virus reportedly spreading from person-to-person in many parts of that country.

• Infections with COVID-19, most of them associated with travel from Wuhan, also are being reported in a growing number of international locations, including the United States.










P166

I (BOS


Requester,

DPH Sunshine

Friday1 March n 2022 4:44 PM DPH Sunshine; SOTF1 (BOS) [email protected]

RE: Public Records Request #20-1076 I File No 20059 TomasAragon_ CD PHemails_Batch3.pdf

We have conducted a diligent search for records responsive to your request. We have located responsive records, which

are available to you here and have also been uploaded to NextRequest case #20-1076/ SOTF File 20059. Due to the need to continue reviewing1 we will produce any additional responsive records on a rolling basis.

Thank you.


Sent: Tuesday, March 1, 2022 1:15 PM

To: [email protected] Cc: SOTF, (BOS) <[email protected]>

Subject: Public Records Request #20-1076

Hello, I am responding on behalf of SFDPH regarding public records request #20-1076. We first wanted to offer our sincere our apologies. We were not aware that you did not have access to the NextRequest system to view the Department's response to your request. Your experience in the NextRequest system was the first we had heard of it being inaccessible and that you were unable to view our response to your records request seeking clarification. It was never our intention to withhold information.



We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COVJD-19" "SARS-CoV-2" "2019-nCOV" "nCOV'' "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2"

P1:67



Pt68

From: To:

California Health Alert Network Aragon, Tomas CDPH)

Subject: CAHAN LHD Conference Call Notification - Local Health Officer Coronavirus Update LHD Conference Call 2/5/2020 at 6 PM

Date: Wednesday, February 5, 2020 4:04:32 PM

The California Department of Public Health will be conducting a conference call to

update California Local Health Officers on the 2019 Novel Coronavirus today,

2/5/2020 at 6:00 PM PST.

Please see call-in information and call outline below:

Participation Access Information

Toll-free: (877) 336-4441


• Epidemiology Updates

• Monitoring Plan

• General Questions

P169

From: Cc:

Feaster, Matthew DPH-sandra ,h uang; Munira [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Susan .Farley@cchealth, orq; Paul. [email protected]; Sara, [email protected]; [email protected] .us; [email protected]; [email protected],us; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; nancy,[email protected]; [email protected]; [email protected]; [email protected]; skochkumar@fresnocountyca ,gov; dluchini@fresnocountyca ,gov; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; edykehouse@co,humboldt.ca,us; [email protected]; [email protected]; [email protected],us; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; nora ,[email protected]; cindy. torres@longbeach ,gov; belinda ,[email protected]; [email protected]; [email protected]; mokim@ph,lacounty.gov; FPratt@ph,lacounty.gov; pgounder@ph .lacounty,gov; rciven@ph,lacounty.gov; [email protected]; UHalai@ph,lacounty.gov; BHwang@ph,lacounty.gov; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; cheyenneo"[email protected]; [email protected]; [email protected]; [email protected],gov; [email protected],ca.us; [email protected]; [email protected]; [email protected]; [email protected]; [email protected],ca.us; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Goh, Ying-Ying; Feaster, Matthew; Diggs, Christine; Evangelista, Sharon; HashimotoRaju, Lani; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected],gov; [email protected]; [email protected]; [email protected]; [email protected]; [email protected],gov; Stoltey, Juliet (DPH); Aragon. Tomas (DPH); Portnoy, Diane (DPH); Kim, Brian CDPH); DuBois, Amie (DPH); Philip, Susan CDPH); Enanoria, Wayne (DPH); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Kelly,[email protected]; [email protected]; jessica,oltmanns@santacruzcou nty. us; kramstrom@co,shasta.ca. us; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]. us; sdavis@co .siskiyou .ca. us; kvarga@co .Siskiyou .ca.us; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; mheredia@co,sutter.ca.us; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; christopher.ornelas@ventu ra .org; [email protected]. us; [email protected], ca. us; [email protected]; Anna Sutton; [email protected]; [email protected]; [email protected]; Haydee. [email protected]; [email protected]; [email protected] .us; [email protected]; [email protected]; [email protected]; [email protected]; [email protected],gov; [email protected]; [email protected]; [email protected]; [email protected]; DPH - Sarah.New; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected],gov; [email protected]; [email protected]; [email protected]; DPH -Rachel.Mclean; [email protected]; [email protected]; [email protected]; [email protected]; Eva. [email protected]; Erin ,[email protected]; Samantha [email protected] .gov; [email protected]; [email protected] .gov; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected], us; [email protected]; Maria [email protected]; Cecilia. [email protected]; [email protected]; [email protected]; [email protected];

P170

[email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]

Subject: Request for nCoV notification contacts Date: Wednesday, February 5, 2020 2:38:26 PM


**CACDC Members: please see important message from our CDPH partners regarding novel

coronavirus (nCOV). This is going to other statewide groups, but only one response per LHD is

necessary-Matt**

Dear colleagues,

We would like to compile a list of individuals in each local health jurisdiction (LHJ) who should

receive novel coronavirus (nCoV) notifications from CDPH. Examples of notifications include nCoV

laboratory results, returning traveler lists, flight contact notifications, and interjurisdiction transfers.

Please send the following information to [email protected] with the subject: 'Novel

coronavirus notification contacts for [enter your local health jurisdiction]'

Name(s):

Email address(s):

Phone number(s) to call after-hours:

Thank you!

Lauren Stockman, MPH

Epidemiologist Supervisor


Immunization Branch

850 Marina Bay Parkway

Building P, 2nd Floor

Richmond, CA 94804

Phone: 510-620-3848


P171

From: Nieves. Israel CDPH) To: [email protected]; [email protected] Cc: Aragon. Tomas (DPH); Siador. Christine (DPH); Philip. Susan (DPH) Subject: REQUEST FOR AN EXTENSTION TO SUBMIT THE DOCUMENTS FOR INFECTIOUS DISEASE PREVENTION AND

CONTROL LOCAL INFRASTRUCTURE FUNDS Date: Wednesday, February 5, 2020 1:54:54 PM

Hello Taylor St. Mary and Bill Rhinehart,

I am writing on behalf of the San Francisco Department of Public Health to request an extension on submitting the required documents for the Infectious Disease Prevention and Control infrastructure funds. We request this extension due to our local activation of the Novel Coronavirus. Please let me know if you have any questions.

Best

Israel

Israel Nieves-Rivera

PHD Policy Director

Population Health Division


25 Van Ness Avenue, 8th Floor, Room 4, SF, CA 94102 I 628 206-7687

REACH -for- Results, Equity, and Accountability with Cultural Humility

Our Mission: To protect and promote health and well-being for all in San Francisco

Our Vision: Making San Francisco the healthiest place on earth!

\

**CONFIDENTIALITY NOTICE** This email message and any attachments are solely for the

intended recipient and may contain confidential or privileged information. If you are not the

intended recipient, any disclosure, copying, use or distribution of the information included in

this message and any attachments is prohibited. If you have received this communication in

error, please notify the sender immediately and permanently delete or otherwise destroy the

information.

P172

From: To:


CDPH CCLHO Mailbox CDPH CCLHO DL; CDPH CHEAC DL; Arakawa. G; Sobba. Naveena CDPH); Cheuno. Michele (Orange # 2); Cole. Thomas; Dean Sidelinger; DeBurgh. [email protected]; Ennis. Josh (Humboldt); Furst. Karen@San Joaquin County; Goldstein. pavid (Contra Costa); Gunzenhauser. Jeffrey: Han. George@Santa Clara County; Hernandez. Liz@County of San Diego; Kagoda, Mercy ; Kinnison. Michael@SutterCounty; DPH - sarah.lewis; Limbos. Marv Ann (Yolo); McMillan. Craig (Mendocino); McNitt. Louise@Countra Costa County; Michele Violich ([email protected]); Morrow. Gib ; Newel. Gail; Northrop. Leah@SutterCo; Pan. Erica (Alameda); Papasozomenos. Thea; DPH-daniel.peddycord; Perti. Tara (Santa Clara); Nichole Ouick; Radhakrishna. Rohan (Contra Costa); Rice. [email protected]; Rosen. Frederick; Sallenave. Catherine (San Mateo); Santora. [email protected]: Smith. Denise@Kern County; Stoltey. Juliet (DPH); Taylor. Melody@Sacramento County; Tzvieli. Ori (Contra Costa); Warne. Thomas (Contra Costa); Wu. Christine; Zahn, Matt@Orange County Coronavirus Update LHD Conference Call image001.png


Disclaimer: This is a teleconference for health officials only, not members of the news media.

Note: This call in number is only for PARTICIPANT use only. A separate email/calendar invite has been sent to SPEAKERS.

Please feel free to forward as you deem necessary

The California Department of Public Health (CDPH) is convening a conference call to provide an update to the Local Health Officers on Coronavirus.

Start Time: 06:00P (TZ: Pacific) 60 Mins.

P173

From: To:

CDPH CCLHO Mailbox Sisson. Aimee@Placer; Teske. Milton; CDPH CCLHO DL; Barbosa. Ashley@CDPH; Bobba. Naveena (DPH); Cheung. Michele (Orange# 2); DeBurnh. [email protected]; Ennis. Josh (Humboldt); Furst. Karen@San Joaquin County; Goldstein. David (Contra Costa); Gunzenhauser. Jeffrey; Gustafson. Erin (Lake); jjg.n,. George@Santa Clara County; Hernandez. Liz@County of San Diego; Hoover. Cora (DPH); Joseph Iser ([email protected]): Holbrook. Karen (SONOMA); Taylor. Melody@Sacramento County: DPH - sarah.lewis; Limbos, Mary Ann (Yolo); McMillan. Craig (Mendocino); McNitt. Louise@Countra Costa County; Michele Vio\ich ([email protected]); Newel. Gail; Northrop. Leah@CDPH; pan, Erica (Alameda); Paoasozomenos. Thea; DPH-daniel.peddycord; Perti. Tara (Santa Clara); Nichole Quick; Radhakrishna. Rohan (Contra Costa); Ramstrom. Karen; Rosen, Frederick; Sallenave. Catherine (San Mateo); Santora, [email protected]; Smith. Denise@Kern County; Stacey, Michael (Solano County); Stoltey. Juliet (DPH); Thihalolipavan, Sayone@SD County: Torno. Mauro (Long Beach); Tzvieli, Ori (Contra Costa); Warne, Thomas (Contra Costa); Zahn. Matt@Orange County; Baldwin, Steve CCCLHDN); Ball, Angela (DPHN - Alameda): Beetham. Diane (DPH); Buettner, Joel (MVCAC); Cabuslay, Edith (CCLDHE); Castro Ibanez. Maridet (County of. Orange Health Care Agency); Chan. Curtis (DPH); Cox, Robin (CCLDHEl; Dabritz, Haydee; Emery, Elaine (Stanislaus Co); Fay, Lawrence@(SANTA BARBARA COUNTY); Flippin, Bonnie (San Bernardino); Flores, Jaime (CCLHDN-Santa Clara); Green. Nicole (Los Angeles); Holguin. John (Long Beach); Huntsman. Danielle@Riverside hillmty; King-Todd, April (Los Angeles/CTCA); Loose. Patrick@San Diego County; Lynch, Dan@Central CA EMS; Malin, Kiko (MCAH Action); McDonald, Eric (San Diego County); McPherson, James@Santa Clara County; DPH -Nicholas.Moss; Obrinsky M.D .. Diana, Public Health. FHS; Patel. Nayan CShasta/CCLHDNl; Pineda, Marisela (San Joaquin-CCLDHEl; Rahn, Rose Mary CDPHNl; Rodriguez. Yvonne (Sacramento/CCLDHE); Steffy. Megan (DPHN); Vaishampayan. Julie 2; Venable, Tina (PLUMAS); Wendy (CCLHPM) Hetherington ([email protected]); Williams, Terri@LA County; Al-Saghbini. Samer@Fresno County; Andersen-Rodgers. Elizabeth@CDPH; Judith Thigoen (CTCA) ([email protected]); Linda Rudolph; Monique Spence ([email protected]); OlsonMornan. Janne@CHHS; Openiano, Bianca (CDPH-CHSI); Paz, Tony; Peck, Caroline@CDPH; Pellon, Samantha (CMA); Petek, Sonja (LAO); Porco, Alice (OSHPDl; Ramstrom, Karen@CDPH; Rattray, Tracey (PHI); Reese, Anaa; Vargas, Rigoberto@Ventura County; Rivera, Anna; Roeseler. April@CDPH; Rogers. Debbie (CHA); Rosales, Reyna; Royce. Sarah@CDPH; DPH - Michael.Samuel; Schoenfelder, Cristal@OSHPD; Scott, Linette (DHCSIMD)@DHCS; Scott. Tamerin; Sexton, Michael; Simon. Paul Clos Angeles); Slone. Latesa@CDPH; Sloss, Gordon@CDPH; Smith, Karen@CDPH; Solomon, Gina@EPA; Somerhausen. Laurie (CCLHDN); Srzentic. Tamara@CDPH; Starck. Nancy; Starr. Mark@CDPH; Steinmaus. Craig@OEHHA; Swims, Shannon (San Bernardino); Tadlock, Lisa; Tonooka, Justin@OSHPD; Tovar. Ian@CDPH; Vugia, Duc@CDPH; Wagoner. Monica@CDPH; Walton-Haynes. Lynn@CDPH; Watt. James@CDPH; Weiss, Lara (Humboldt); Westenhouse. Janice@CDPH; Williams, Seleda; Wolfe, Ashby (HHS Region 9); Zuniga, Patricia; Abbott. Peter; Agurto. Tony@CDPH; Alamo. Stacy@CDPH; Alkon, Ellen; Arena, Julie@CDPH; Baca. Elizabeth (OPR); Backer, Howard@EMSA; Balmin, Judith@CDPH; Beety, Nina (EMF Safety); Belmusto. Vivian; Berrada, Zenda CCAPHLD/San Mateo); Bertolli. Thomas (Mendocino); Bhatia, Anui@StanislausCo; Bick, Joseph@CDCR; Bird, Ken; Blake, Michele (Sutter); Blocher, Tricia@CDPH; Brown, Janet (Alameda): Brown, John (DPH); Brunner, Wendel@Contra Costa County; Butler. Naomi (CCLHDN); Caldwell. Connie; Call. Cassandra CCRIHB); Chang, David@San Mateo County: Chao, Kevin@CDPH; Chavez. Gil@CDPH; Christine Adam [email protected]); Christman. Scott@OSHPD; Cole. Barbara; Crumpler. Megan; Dauphine, David@CDPH; Davis. Shelly; Deckert. Andrew; Demarais, Susan; Rosenquist. Katey@CDPH; Dickey, Larry (EXECOHIT)@DHCS; Dixon, Pam (Dixon); Dominguez, Martha@CDPH; Doran. Karen@CDPH; Duerr, Jacguolyn ; Dunning. Lauren; Epstein-Corbin. Melanie@CDPH; Erwin. Patricia (DPHl; Feldman. Gary; Felten, Pat; DPHjennifer.flood; Flores, George; Foster. Kimberly (Napa); Fox. April (San Diego); Fritz, Curtjs@CDPH; Fuhrman. Jerry@CDPH; Fujimoto, Scott@CDPH; Katy Carlsen; Mudgett, Michael (CRIHB); Sphar. Stacy (Modoc County); zzzAdams. Michelle@CDPH; Gaiger. Christjne (SAN LUIS OBISPO): Garza, Alvaro; Gibbons, [email protected]; Gonzalez. Eloisa; Gooze, Lisa; Gould, Solange@CDPH; Greene, Jim@CDPH; Gutierrez, Carmella; Hajmeer, Maha@CDPH; Hanni. Krista; Hattis, Ronald; Hecht. Christina ; Heinzerling, Julia (Los Angeles); Holliday-Hanson. Merry@OSHPD; Horton. Mark; Jerry Jeffe (CALBHBC); Johnson, Michael (SNHD); Jonah, Claudia; Karle. Kathleen; Kelley, Kelly@CDPH; Kim. Janice@CDPH; Kimsey, Paul@CDPH; Koch-Kumar, Stephanie (Fresno); Koehn. Jill; Kramer, Vicki@CDPH; Krawczyk, Chris@OSHPP; Kumar. Jayanth@CDPH; Lachica. Mimi; Lapointe, Blanca (Los Angeles); Latta, Robert; Lawrence, Amanda@CDPH; Ledin. Katya@CDPH; Lee. Patricia COMD)@DHCS; DPH -~; Lockett. Cassius@San Mateo County; Logan. Julia (OMD)@DHCS; Lu, Wendy (DPH); Lundbera. Mark@Butte County; Lyman, Donald; Mack, Sarah (Riverside); Maclean, Michael; Marsom. Matthew; Martin, Shawn; Mcpermid. Lindsey; Melton. Robert; Menge, Jennifer; Mikanda. John (DHCS-IMDl@DHCS; Mitchell. Connie@CDPH; Mohammadi. Mina; Mohle-Boetani. Janet@CDCR; Moore, Cynthia; Moore. Dana@CDPH; Morales. Monica@CDPH; Morrisson, Mary@Fresno County; Nagasako, Julie@CDPH; Navarro, Dalia; Nevarez. Carmen; Nguyen, Rita (DPH): Nunes. Brandon@CDPH; Nunez de Ybarra, Jessica@CDPH; Nunez. David@San Bernardino; Raymond Herr; Materna, Barbara@CDPH; Fanelli. Susan@CDPH; [email protected]; Lella Tesema; [email protected]; Ramos, Marisa@CDPH; Goh. Ying-Ying; Baird. Donald; Chapman, Ron; Matyas. Bela; Sergienko. Eric; Ohikhuare, Maxwell; Baldwin. Kismet@SJCPHS; Kaiser, Cameron; Michael Johnson; Dean, Charity; Relucio, Karen; McPherson, James (Jim); Cutler. Kenneth; Oldham. Robert; Sidhu, Gursimran@CDPH; San. Carmen@CDPH; Lyon, Kristopher; Heather Anders; Borenstein. Penny; Hernandez. Lisa (City of Berkeley); Goldgraben. Sara@Fresno; Tom Renfree; Cummings, Lou Anne; Haught. Karen; Handler, Eric; Beilenson. Peter@SacCounty; Newel. Gail; Davis, Anissa; [email protected]; Lambert. Verna@CDPH; bfilt Arnold; Reeves. Aimee@CDPH; Mudgett. Michael (CRIHB); Kapoor. Anjum@CDPH; Kumar, Raman@CDPH; Tompkins. Jacque\ine@CDPH; Hanson, Jake@CDPH; Cresci. Vanesscia (CRIHB); Kagoda. Mercy; Murray. Danielle@CDPH; [email protected]; Dhapodkar. Shruti (SMCGOV); Johnson. Drew@CDPH; Kile-Puente, Amy@CDPH; Abeyta, Itze G@CDPH; Bhushan, Devika ; Cano. Mayra@CDPH; Chen. Annie; Flores, George; Guarino, Alnino; Hammer, Gwendolyn@CDPH; Hicks, Benjamin@CDPH; Jeffe, Jerry; Kurtz. Caro\ine@CDPH; Northrop, Leah@SutterCo; Barbara Roth; Okeefe. Deborah; Verma. Rajeev; Vohra, Rais; Yu, Alexander@CPPH; Achermann, Bob; Barbara Cole; Hemal Parikh ; Strong, Susan; Wittie, Jeremy; Yvonne Choong; Stumpf, Danielle@CDPH

P174

Cc:


Theresa Miranda; Kaiser. Cameron; Joe Iser; Cody, Sara; Chris Farnitano. M.D.; Bernstein, Robert; Canton. David; Kasirve. Olivia; Sutton-Pado. Celia; Ori Tzvieli; Pace. Garv@Mendocino County; Bonnie Davies; JablonskiSheffield. Madison@CDPH; Peters. Philip@CDPH; Alanna Bares; McGinnis. Amy@CDPH; Michele Violich; Doohan. Noemi; Willis. Matthew; Dean. Charity A@CDPH; Ngoc-Phuong Luu; Raymond Herr; Goldstein, David; Daniel W. Peddycord; [email protected]; Beyers. Matt. Public Health. CAPE; Gaffney. Leslie@CDPH; Burt.Gregorv; Davis. Muntu (Los Angeles); Barraza. Adrian@CDPH; Huspen Kerr. Rita HOLD THE DATE: CCLHO Board of Directors Meeting CCLHO Board Agenda Final 2-6-20.odf January 2020 meeting minutes.pdf CACDC affiliate report 1-29-20.doc CTCAFebAffiliateReport. pdf Regular-Rulemakinq-Flowchart FINAL June-2014-2.pdf CCLHO OHSPD - Draft.docx Effectiveness of HPV School Entry Vaccination Requirement on HPV Vaccination Initiation Coveraoe.pdf HPV vaccine CA resolution 3 8 18 CSHCA 8.2. 19 updatedv2.docx IZ - HPV regs process etc CCLFO CD 04 17 19.pptx MBeyers-CCLH0-2020-01-06 ,pptx CCLHO 2020 Policy Platform Final.docx Strategic Map draft 2020.pptx

This message is from outside the City email system. Do not open links or attaclunents from untrusted sources.

1-415-655-0001

Access code: 927 497 727

WebEx <https://cdph-conf.webex.com/cdph-conf/j.php?MTID=mel38ed4a63496lbe968d6fbedl 7a98c9>

Materials attached:

*

Agenda

Minutes

CCLHO Policy Platfonn (draft)

CCLHO strategic map (draft)

Affiliate reports

o CACDC

o CTCA

Presentations

o OSHPDData

* OSHPD Draft letter

o HPV discussion

* Resolution

* Rule Flow chart

* IZ - HPV regs process

P175

From: To: Subject:

Date: Attachments:

Hanson. Jake@CDPH CDPH CCLHO DL CAHAN Disease Notification - CDC MMWR: Initial Public Health Response and Interim Clinical Guidance for the 2019 Novel Coronavirus Outbreak Wednesday, February 5, 2020 12:55:24 PM mm6905el-H.pdf


FYI


Sent: Wednesday, February 5, 2020 11:31 AM

To: Hanson, Jake@CDPH <[email protected]>

Subject: CAHAN Disease Notification - CDC MMWR: Initial Public Health Response and Interim

Clinical Guidance for the 2019 Novel Coronavirus Outbreak

The Centers for Disease Control have released the attached Morbidity and Mortality Weekly Report e-book: Initial Public Health Response and Interim Clinical Guidance for the 2019 Novel Coronavirus Outbreak.

The full e-book is attached.

P176

From: To: Subject:

Date: Attachments:

California Health Alert Network Aragon, Tomas (DPH) CAHAN Disease Notification - CDC MMWR: Initial Public Health Response and Interim Clinical Guidance for the 2019 Novel Coronavirus Outbreak Wednesday, February 5, 2020 11:31:26 AM mm6905e1-H.pdf

The Centers for Disease Control have released the attached Morbidity and Mortality

Weekly Report e-book: Initial Public Health Response and Interim Clinical Guidance

for the 2019 Novel Coronavirus Outbreak.

The full e-book is attached.

P177

From: To:

CDPH CCLHO Mailbox Sisson. Aimee@Placer; Teske. Milton; CDPH CCLHO DL; Barbosa. Ashley@CDPH; Sobba. Nayeena CDPH); Cheung. Michele (Orange # 2); DeBurqh. [email protected]; Ennis. Josh (Humboldt); Furst. Karen@San Joaquin County; Goldstein. David (Contra Costa); Gunzenhauser. Jeffrey; Gustafson. Erin (Lake); !:lim.. George@Santa Clara County; Hernandez. Liz@County of San Diego; Hoover. Cora CDPH); Joseoh Iser [email protected]); Holbrook. Karen (SONOMA); Taylor. Melody@Sacramento County; DPH - sarah.lewis; Limbos. Mary Ann (Yolo); McMillan. Craig (Mendocino); McNitt. Louise@Countra Costa County; Michele Violich [email protected]); Newel. Gail; Northrop. Leah@CDPH; Pan. Erica (Alameda); Papasozomenos. Thea; DPH-daniel.peddycord; Perti. Tara CSanta Clara); Nichole Quick; Radhakrishna. Rohan (Contra Costa); Ramstrom, Karen; Rosen, Frederick; Sallenave. Catherine (San Mateo): Santora, [email protected]; Smith. Denise@Kern County: Stacey, Michael (Solano County); Stoltey, Juliet (DPH); Thihalolipavan. Sayone@SD County; Torno. Mauro (Long Beach): Tzvieli. Ori (Contra Costa); Warne. Thomas (Contra Costa); Zahn. Matt@Oranqe County; Baldwin. Steve (CCLHDN); Ball. Angela CDPHN - Alameda); Beetham. Diane (DPHl; Buettner. Joel (MVCAC); Cabuslay, Edith (CCLDHEl; Castro Ibanez. Maridet (County of Orange Health Care Agency); Chan. Curtis (DPH); Cox. Robin CCCLDHE); Dabritz. Haydee; Emery. Elaine (Stanislaus Co); Fay. Lawrence@( SANTA BARBARA COUNTY); Flippin. Bonnie (San Bernardino); Flores. Jaime (CCLHDN-Santa Clara); Green. Nicole (Los Angeles); Holquin. John (Long Beach); Huntsman. Danielle@Riverside County; King-Todd, April (Los Anqeles/CTCA): Loose. Patrick@San Diego County; Lynch. Dan@Central CA EMS; Malin. Kiko (MCAH Action): McDonald. Eric (San Diego County); McPherson. James@Santa Clara Countv; DPH -Nicholas.Moss; Obrinsky M.D., Diana. Public Health. FHS; Patel. Nayan (Shasta/CCLHDN); Pineda. Marisela (San Joaquin-CCLDHE); Rahn. Rose Mary CDPHN); Rodriquez. Yvonne (Sacramento/CCLDHE); Steffy, Megan (DPHN); Vaishampayan. Julie 2; Venable. Tina (PLUMAS); Wendy (CCLHDM) Hetherington ([email protected]); Williams, Terri@LA County; Al-Saghbini. Samer@Fresno County; Andersen-Rodaers. Elizabeth@CDPH; Judith Thigpen (CTCA) [email protected]); Linda Rudolph; Monique Spence ([email protected]): OlsonMorqan. Janne@CHHS; Openiano, Bianca (CDPH-CHSI); Paz. Tony; Peck. Caroline@CDPH; Pellon. Samantha (CMA); Petek, Sonja (LAO); Porco, Alice (OSHPD); Ramstrom. Karen@CDPH; Rattray. Tracey (PHI); Reese. Anaa; Varaas. Riqoberto@Ventura County; Rivera. Anna; Roeseler. April@CDPH; Rogers. Debbie (CHA); Rosales. Reyna; Royce. Sarah@CDPH; DPH - Michael.Samuel; Schoenfelder. Cristal@OSHPD; Scott. Linette (DHCSIMD)@DHCS; Scott. Tamerin; Sexton. Michael; Simon. Paul (Los Angeles); Slone. Latesa@CDPH; Sloss. Gordon@CDPH; Smith. Karen@CDPH; Solomon. Gina@EPA; Somerhausen. Laurie (CCLHDN); Srzentic. Tamara@CDPH; Starck. Nancy; Starr. Mark@CDPH; Steinmaus. Craiq@OEHHA; Swims. Shannon (San Bernardino); Tadlock. Lisa; Tonooka. Justin@OSHPD; Tovar. Ian@CDPH; Vuqia, Duc@CDPH; Wagoner. Monica@CDPH; Walton-Haynes. Lynn@CDPH; Watt, James@CDPH; Weiss. Lara (Humboldt); Westenhouse. Janice@CDPH; Williams. Seleda; Wolfe. Ashby (HHS Region 9); Zuniga, Patricia; Abbott. Peter; Aqurto. Tony@CDPH; Alamo. Stacy@CDPH; Alkon. Ellen; Arena, Julie@CDPH; Baca. Elizabeth CoPR); Backer. Howard@EMSA; Balmin. Judith@CDPH; Beety. Nina (EMF Safety); Belmusto. Vivian; Berrada, Zenda (CAPHLD!San Mateo); Bertolli. Thomas (Mendocino); Bhatia. Anuj@StanislausCo; Bick. Joseph@CDCR; Bird, Ken; Blake. Michele (Sutter); Blocher. Tricia@CDPH; Brown. Janet (Alameda); Brown, John (DPH); Brunner. Wendel@Contra Costa County; Butler. Naomi (CCLHDN); Caldwell. Connie; Call. Cassandra (CRIHB); QiQn.Q,, David@San Mateo County; Chao. Kevin@CDPH; Chavez. Gil@CDPH; Christine Adam ([email protected]); Christman. Scott@OSHPD; Cole, Barbara; Crumpler. Megan; Dauphine, David@CDPH; Davis. Shelly; Deckert. Andrew; Demarais. Susan; Rosenquist. Katey@CDPH; Dickey. Larrv CEXECOHIT)@DHCS; Dixon. Pam (Dixon); Dominquez. Martha@CDPH; Doran. Karen@CDPH; Duerr. Jacquolyn ; Dunning. Lauren; Epstein-Corbin. Melanie@CDPH; Erwin. Patricia CDPH); Feldman. Gary; Felten. Pat; DPHjennifer.flood; Flores, Georae; Foster. Kimberly (Napa); Fox. April (San Diego); Fritz. Curtis@CDPH; ElJhtrrurn.,. Jerry@CDPH; Fujimoto. Scott@CDPH; Katy Carlsen; Mudgett. Michael (CRIHB); Sphar. Stacy (Modoc County); zzzAdams. Michelle@CDPH; Gaiqer. Christine (SAN LUIS OBISPO); Garza. Alvaro; Gibbons. [email protected]; Gonzalez. Eloisa; Gooze. Lisa; Gould. Solange@CDPH; Greene. Jim@CDPH; Gutierrez. Carmella; Hajmeer. Maha@CDPH; Hanni. Krista; Hattis. Ronald; Hecht. Christina ; Heinzerling. Julia (Los Angeles); Holliday-Hanson, Merry@OSHPD; Horton. Mark; Jerry Jeffe (CALBHBC); Johnson. Michael (SNHD); Jonah. Claudia; Karle. Kathleen; Kelley. Kelly@CDPH; Kim. Janice@CDPH; Kimsey, Paul@CDPH; Koch-Kumar. Stephanie (Fresno); Koehn. Jill; Kramer. Vicki@CDPH; Krawczyk. Chris@OSHPD; Kumar. Jayanth@CDPH; Lachica. Mimi; Lapointe. Blanca (Los Angeles); Latta. Robert; Lawrence. Amanda@CDPH; Ledin. Katya@CDPH; Lee, Patricia (OMD)@DHCS; DPH -Y!gyy; Lockett. Cassius@San Mateo County; Logan. Julia (OMD)@DHCS; Lu. Wendy (DPH); Lundberg. Mark@Butte County; Lyman. Donald; Mack. Sarah (Riverside); Maclean. Michael; Marsom. Matthew; Martin. Shawn; McDermid. Lindsey; Melton. Robert; Menge, Jennifer; Mikanda. John (DHCS-IMD)@DHCS; Mitchell; Connie@CDPH; Mohammadi. Mina; Mohle-Boetani. Janet@CDCR; Moore. Cynthia; Moore. Dana@CDPH; Morales. Monica@CDPH; Morrisson. Mary@Fresno County; Naqasako. Julie@CDPH; Navarro. Dalia; Nevarez. Carmen; Nquyen, Rita CDPH); Nunes, Brandon@CDPH; Nunez de Ybarra, Jessjca@CDPH; Nunez. David@San Bernardino; Raymond Herr; Materna. Barbara@CDPH; Fanelli. Susan@CDPH; [email protected]; Lello Tesema; [email protected]; Ramos, Marisa@CDPH; Goh. Ying-Ying; Baird. Donald; Chapman, Ron; Matyas, Bela; Seraienko. Eric; Ohikhuare. Maxwell; Baldwin. Kismet@SJCPHS; Kaiser. Cameron; Michael Johnson; Dean. Charity; Relucio. Karen; McPherson, James (Jim); Cutler, Kenneth; Oldham. Robert; Sidhu, Gursimran@CDPH; San, Carmen@CDPH; Lyon. Kristopher; Heather Anders; Borenstein, Penny; Hernandez. Lisa (City of Berkeley); Goldqraben. Sara@Fresno; Tom Renfree; Cummings, Lou Anne; Haught. Karen; Handler, Eric; Beilenson. Peter@SacCounty; Newel. Gail; Davis, Anissa; [email protected]; Lambert. Verna@CDPH; Ll;;ft. Arnold; Reeves. Aimee@CDPH; Mudgett. Michael (CRIHB); Kapoor. Anjum@CDPH; Kumar. Raman@CDPH; Tompkins, Jacqueline@CDPH; Hanson. Jake@CDPH; Cresci. Vanesscia (CRIHB); Kaqoda. Mercy; Murray, Danielle@CDPH; [email protected]; Dhapodkar. Shruti (SMCGOV); Johnson, Drew@CDPH; Kile-Puente, Amy@CDPH; Abeyta. Itze G@CDPH; Bhushan. Devika ; Cano, Mayra@CDPH; Chen. Annie; Flores. Georae; Guarino. Alnino; Hammer, Gwendolyn@CDPH; Hicks. Benjamin@CDPH; Jeffe. Jerry; Kurtz, Caroline@CDPH; Northrop, Leah@SutterCo; Barbara Roth; Okeefe, Deborah; Verma. Rajeev; Vohra. Rais; Yu. Alexander@CDPH; Achermann. Bob; Barbara Cole; Hemal Parikh; Strong. Susan; Wittie. Jeremy; Yvonne Choonq; Stumpf, Danielle@CDPH

P178

Cc:


Theresa Miranda; Kaiser, Cameron; Joe Iser; Cody, Sara; Chris Farnitano, M.D,; Bernstein, Robert; Canton, David; Kasirye, Olivia; Sutton-Pado, Celia; Ori Tzvieli; Pace, Gary@Mendocino County: Bonnie Davies; JablonskiSheffield, Madison@CDPH; Peters, Philip@CDPH; Alanna Bares; McGinnis, Amy@CDPH; Michele Violich; Doohan, Noemi; Willis, Matthew; Dean, Charity A@CDPH; Nooe-Phuong Luu; Raymond Herr; Goldstein, David; Daniel W, Peddycord; Ansoro, [email protected]; Beyers, Matt, Public Health, CAPE; Gaffney, Leslie@CDPH; Burt, Gregory; Davis, Muntu (Los Angeles); Barraza, Adrian@CDPH HOLD THE DATE: CCLHO Board of Directors Meeting CCLHO Board Agenda Final 2-6-20,pdf January 2020 meeting minutes,pdf CACDC affiliate report 1-29-20.doc CTCAFebAffiliateReport,pdf Regular-Rulemaking-Flowchart FINAL June-2014-2,pdf CCLHO OHSPD - Draftdoc:x Effectiveness of HPV School Entry Vaccination Requirement on HPV Vaccination Initiation Coverage,pdf HPV vaccine CA resolution 3 8 18 CSHCA 8.2.19 uodatedv2,docx IZ - HPV regs process etc CCLFO CD 04 17 19.pptx MBeyers-CCLH0-2020-01-06, pptx


1-415-655-0001


WebEx <https://cdph-conf.webex.com/cdph-conflj .php?MTID=me 13 8ed4a634961be968d6fbed1 7a98c9>

Materials attached:

Agenda

Minutes

Affiliate reports

o CACDC

o CTCA

* Presentations

o OSHPDData

* OSHPD Draft Jetter

o HPV discussion

* Resolution

* Rule Flow chart

* IZ - HPV regs process

P179

From: DPH Pbeor IDPHl To: Holcomb Andrew IDPHl: DPH-PHD-Public Health Emergency Preparedness and Resoonse; Ochi Ed CDPHl; Vien Veronjca CDPHl: ~

Juliet CDPHl; Stier David CDPHl; DuBois Amie IDPHl; Duren James IDPHl; Majeski Nick IADMl; Sanchez Melissa CDPHl; Maslnde Godfred £Q!1D; Siador Christine CDPHl; Aragon Tomas CDPHl; Kwong Amanda CDPHl: DPH-Integratlon Steerjnq Committee; [email protected]; [email protected] gov; DutyOfficer DEM CDEMl; mhccsltreos&[email protected]; cbess@ncric ca gov; Padilla. Cristina CDPHl; Acosta. Linda CDPHl; Naser Rawan CDPH); Nguyen. Rita CUCSFl; Van Etten. Susan CDPH); [email protected]: Zarate Sheilah CDPHl; Robert Anna (DPH); OVADIA AMY (DPHl; Saelee Kenoou CDPHl; McDonald Thomas (ADMl; Barbrjch Krzysztof IADMl; Enanoria Wayne IDPH); Sanchez Melissa CUCSF); Ongoin. Melissa CDPHl; Do. Jennifer-Xuan CDPHl; Paule Gretchen CDPH); Sefat Clmma (DPH); Bunting Buffy CDPHl; Pierce Karen CDPH); Rodriguez Marjse CDPH); Ta Melissa (DPH); Jge... Elaine CDPH); Buckley. Ken CDPHl; Aouallo. Daisy CDPHl: Obien. Elajne (DPHl; Palma. David (DPH); Gee. Katherine (DPH); Murrell Drew IDPHl; Schmidt Jeffrey CDPH); Grjmes John CDPHl: Louie Janjce CDPH); Bacon Oliver IUCSF); Lam WaiMjnq CDPH): Maxson Latonya £Q!1D; Chan Curtis CDPHl; Matvias Mark CDPH)

Subject: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat 02/04/20 Tuesday, February 4, 2020 1:40:56 PM Date:

SFDPH DOC nCo V Situation Status report #10 (02/04/20)


# of Cases/Deaths Worldwide: 20,704 cases/427 Deaths (John Hopkins CSSE, link below) US: 11 Cases/0 Deaths CA: 6 Cases/O Deaths

Updates and Response: SFDPH Summary of actions

• DPH outreach to the Chinese community remains a top priority. Round table meeting held today with

Chinese Community stakeholders, including 50 different organizations, family associations, merchants, and

community leaders.

• SFDPH Department Operation Center (DOC) continues to expand to accommodate operational, logistical,

and administrative needs.

• DPH Supply Unit is actively locating and securing adequate Personal Protective Equipment (PPE) for staff;

PPE is in high demand at this time from commercial suppliers, which may impact availability and/or order

turnaround time.

• Collaboration at the regional level to coordinate messaging and guidance to pre-hospital providers (aligning

with Health Officers' strategies), as well as 911 dispatch screening parameters and standards.

• DPH Primary Care personnel are bringing PPE training and guidance to outpatient clinics.

• CCSF Departments outside of DPH have been working together to accommodate space, time, and staff for

the DOC. Resources are being identified and made available to support the nCoV-2019 activation response

• DPH is engaging with hospital partners to coordinate placement of PUI cases and confirmed cases, develop

standard protocols for transport and relocation across the city, region and the State.

• CCSF Laboratories are preparing to receive and test specimen (if needed) 7 days a week.

• 2 San Benito confirmed cases continue to be hospitalized in in San Francisco. The SF community is not at

risk as proper transport and isolation techniques are being followed.

SFDPH Page: https ://www .sfcdcp.org/infectious-d iseases-a-to-z/coronavi rus-2019-novel-coronavi rus/

• CDC reports of number of PUis in the U.S. -11 positive, 167 negative, and 82 pending tests. 36 states with

PUis (unchanged from 02/03/20).

• CDC reported that nCoV-2019 is not spreading in the U.S. community at this time.

• CDC Infection Control Guidance for 2019-nCoV revised 02/03/20.

• CDC plans to release guidance on quarantine of medium and high-risk travelers returning to the U.S. from

P180

affected areas, as related to the Federal Quarantine Orders that went into effect over the weekend. Interim

guidance can be found here: https'//www.cdc.gov/coronavjrus/2019-ncov/php/risk-assessmenthtml

CDC nCoV page:

https://www.cdc.gov/coronavirus/201 9-ncov /ind ex. htm I

:WOO (World Health Organization)-

• WHO stated that no new countries reported cases of 2019-nCoV since 02/03/20.

• WHO developed a protocol for the investigation of early cases: https://www.who.int/publications-detail/the

fi rst-f ew-x-( ffx)-cases-a nd-contact-i nvestigati on-protocol-for-2019-n ovel-coronavi rus-( 2019-n covl-i nfectj on

• WHO prepared a disease commodity package that includes an essential list of biomedical equipment,

medicines and supplies necessary to care for patients with 2019-nCoV: https://www.who.int/publications

detail/disease-commodity-package---novel-coronavirus-(ncovl

WHO nCoV-2019 page: https://www.who.int/emergencies/diseases/novel-coronavirus-2019


• Confirmed 6 cases in California: Santa Clara County (2), San Benito (2), Los Angeles (1), Orange County (1).

• As of 1800 hours on February 3, 2020 there have been 79 persons in California tested for 2019- nCoV. Six

test results were positive, 50 test results were negative, and the remaining 23 results are pending.

• Currently coordinating with Federal authorities around quarantine orders for returning travelers from Hubei

Province, coming through FO or LAX.

CDPH nCoV page:

https ://www.cdph.ca .gov /programs/Cl D/DCDC/Pages/I mm u n ization/nCOV2019. as px

Johns Hopkins Data Dashboard (real time updates, data sources- WHO, CDC, NHC, and DXY.) International data:

• 20,704 confirmed cases (99% of all confirmed cases globally) and 427 deaths in China (an increase of 66 cases since yesterday). 2.1 % of confirmed cases in China have resulted in death.

• 2 additional deaths in the Philippines and Hong Kong. • 212 confirmed cases outside of China (an increase of29 cases since yesterday) across 27 countries.


• 11 confirmed cases in the U.S. (Seattle, Chicago - 2, Tempe, LA County, Orange County, Santa Clara County -2, San

Benito County-2, Boston).

• 167 negative PUis; 82 Pending PUis; 6.2% of PUis have come back positive. PUis in 36 states.

https://gjsa nd data. maps .a rcgis.com /a pps/opsdash boa rd /ind ex. htm 1#/bda 7594 7 40fd40299423467 b48e9ecf6


Public Health Emergency Preparedness & Response (PHEPR) Branch


P181

From: To: Cc:

McDonald. Eric Harriman. Kathleen@CDPH Pan. Erica (Alameda); Sallenave. Catherine (San Mateo #1); Zahn. Matt@Oranqe County; Han. George@Santa Clara County; Cody, Sara; DPH-sandra.huang; Morrow. Scott; Aragon. Tomas (DPH); Stoltey. Juliet (DPH)

Subject: Re: Commentary by Peter Sandman Date: Tuesday, February 4, 2020 1:18:11 PM


Extremely sensible comments. Thanks. Eric

Sent from my iPhone

On Feb 4, 2020, at 12:10 PM, Harriman, Kathleen@CDPH <[email protected]> wrote:

You may find this commentary by Peter Sandman, an expert in risk

communication (now semi-retired), to be interesting.

"No Reason for Alarm" Is a Foolishly Over-Reassuring Message about the Novel

Coronavirus Spreading from Wuhan, China

http://www.psandman.com/articles/Corona1.htm

We've been corresponding for years and when I saw this post I emailed him last

night. Here is his response, which he said I could share (he mentions his wife. Jody

Lana rd is also a risk communication expert):

Lovely to hear from you, Kathy. I thought I might. Lots of former colleagues, clients, friends, media contacts, etc. have been reaching out.

With some reluctance, Jody and I have been reaching back.

There will be more on the website in the days to come, I think. I sent my webmaster one thing today (yesterday here in Australia - but I'm keeping my thinking on NYC time), but she obviously didn't post it. I have two more things I've written but won't post till they're published or it's clear they won't be. And Jody and I have a long list of additional things we want to write/say if and when we get to them.

In spite of all that, most of what we have to say is a recycling of things we have said before. IfI were going to recommend two old articles to Dr. Angell or anyone, they would be "Fear Is Spreading Faster than SARS": And So It Should! and Containment as Signal: Swine Flu Risk Miscommunication. Sadly, we may end up having need as well for What to Say When a Pandemic Looks Imminent:

P182

Messaging for WHO Phases Four and Five, though that was written with H5Nl in mind, and the imminent coronavirus pandemic looks like it will be orders of magnitude less severe. Some of what I wrote about stigma also seems on target, especially Coping with Ebola stigma.

(It's kind of neat that the four links I thought of first as relevant to this coronavirus were from SARS, swine flu, bird flu, and Ebola.)

I'd be grateful for your thinking on what risk communication problems you're seeing this time around.

Below a broader summary I sent yesterday to a shipmate. I'd appreciate your feedback on anything I should change next time some friend asks me what I think is going on. Here it is:

In a teeny-tiny nutshell:  1.  The experts we respect pretty

much all think the coronavirus will almost certainly go pandemic. That means it will infect a lot of people in a lot of places over a relatively short period. It's not impossible that it will burn itself out. It's not impossible that a developed country like the U.S. can manage to keep it from spreading. But both are long shots.

2. I think most of the experts are signaling that they think this pandemic will be mild. Jody thinks they're signaling that it won't be horrendously severe. Either way, they have weaker grounds for hypotheses about severity than about infectiousness. They really don't know. Still, they're sounding significantly less worried about likely severity than they sounded a few days ago.

3. Even a pandemic that isn't severe can kill a lot of people, just because it's infecting so many. And even a pandemic that isn't severe can cause disruptions of all sorts: hospital overcrowding, supply chain problems, absenteeism, etc. The less severe it is, obviously, the less disruption. And the slower it moves, the less disruption.

4. The things that make sense to try to stop or slow an emerging infectious disease (isolating patients, tracing and monitoring contacts, restricting travel, etc.) no longer make sense once it's clear they have failed and the pandemic has arrived. This doesn't necessarily mean governments won't keep doing them.

All the best.

--Peter

Peter M. Sandman 275 Conover Street, Apt. 4N Brooklyn, NY 11231-1037

P183

(718) 208-6271 [email protected] wwvv.psandman.com

Mailing address: 500 Westover Drive PMB [Private Mail Box] 11067 Sanford, NC 27330-8941

P184

From: To:

Subject: Date:

Harriman. Kathleen@CDPH Pan. Erica (Alameda); Sallenave. Catherine (San Mateo #1); Zahn. Matt@Orange County; McDonald, Eric (San Diego County); Han. Georae@Santa Clara County; Cody. Sara; DPH-sandra.huang; Morrow. Scott; Aragon. Tomas (DPH); Stoltey. Juliet CDPH) Commentary by Peter Sandman Tuesday, February 4, 2020 12: 10:31 PM


You may find this commentary by Peter Sandman, an expert in risk communication (now semi

retired), to be interesting.

"No Reason for Alarm" Is a Foolishly Over-Reassuring Message about the Novel Coronavirus

Spreading from Wuhan, China

http://www.psandman.com/articles/Coronal.htm

We've been corresponding for years and when I saw this post I emailed him last night. Here is

his response, which he said I could share (he mentions his wife. Jody Lanard is also a risk

communication expert):

Lovely to hear from you, Kathy. I thought I might. Lots of former colleagues, clients, friends, media contacts, etc. have been reaching out.

With some reluctance, Jody and I have been reaching back.

There will be more on the website in the days to come, I think. I sent my webmaster one thing today (yesterday here in Australia but I'm keeping my thinking on NYC time), but she obviously didn't post it. I have two more things I've written but won't post till they're published or it's clear they won't be. And Jody and I have a long list of additional things we want to write/say if and when we get to them.

In spite of all that, most of what we have to say is a recycling of things we have said before. If I were going to recommend two old articles to Dr. Angell or anyone, they would be "Fear Is Spreading Faster than SARS": And So It Should! and Containment as Signal: Swine Flu Risk Miscommunication. Sadly, we may end up having need as well for What to Say When a Pandemic Looks Imminent: Messaging for WHO Phases Fam and Five, though that was written with H5Nl in mind, and the imminent coronavirus pandemic looks like it will be orders of magnitude less severe. Some of what I wrote about stigma also seems on target, especially Coping with Ebola stigma.

(It's kind of neat that the four links I thought of first as relevant to this coronavirus were from SARS, swine flu, bird flu, and Ebola.)

I'd be grateful for your thinking on what risk communication problems you're seeing this time around.

Below a broader summary I sent yesterday to a shipmate. I'd appreciate your feedback on

P185

anything I should change next time some friend asks me what I think is going on. Here it is:

In a teeny-tiny nutshell: 1. The experts we respect pretty much all think the coronavirus will almost certainly

go pandemic. That means it will infect a lot of people in a lot of places over a relatively short period. It's not impossible that it will bum itself out. It's not impossible that a developed country like the U.S. can manage to keep it from spreading. But both are long shots.

2. I think most of the experts are signaling that they think this pandemic will be mild. Jody thinks they're signaling that it won't be horrendously severe. Either way, they have weaker grounds for hypotheses about severity than about infectiousness. They really don't lmow. Still, they're sounding significantly less worried about likely severity than they sounded a few days ago.

3. Even a pandemic that isn't severe can kill a lot of people, just because it's infecting so many. And even a pandemic that isn't severe can cause disruptions of all sorts: hospital overcrowding, supply chain problems, absenteeism, etc. The less severe it is, obviously, the less disruption. And the slower it moves, the less disruption.

4. The things that make sense to try to stop or slow an emerging infectious disease (isolating patients, tracing and monitoring contacts, restricting travel, etc.) no longer make sense once it's clear they have failed and the pandemic has arrived. This doesn't necessarily mean governments won't keep doing them.

All the best.

--Peter

Peter M. Sandman 275 Conover Street, Apt. 4N Brooklyn, NY 11231-1037 (718) 208-6271 peter@,psandman.com www.psandman.com

Mailing address: 500 Westover Drive PMB [Private Mail Box] 11067 Sanford, NC 27330-8941

P186

From: To:


Almendares, Olivia M. (CDCIDDIDINCIRDIDBD) Rolfes, Melissa CCDCIDDID/NCIRDIIDl; Mattison, Claire CCDC/DDID/NCIRD/DVD); Bozio. Catherine H. (CDC/DDID/NCIRDIID); Reddy, Sujan C. (CDC/DDIDINCEZID/DHOP); Link-Gelles, Ruth (CDC/DDID/NCIRD/DVDl; Wilson, Katie (CDC/DDID/NCEZID/DHOP); Mcclung, Nancy (CDC/DDID/NCIRD/DVD); WHITEHILL Florence (CDC/DDNID/NCBDDDIDBDID); Marlow, Mariel Asbury (CDC/DDID/NCIRDIDVD); Clemmons, Nakia (CDCIDDIDINCIRDIDVD); Vasquez, Amber Marie (CDC/DDID/NCEZID/DHQP); Duca, Lindsey (CDC/DDNIDINCCDPHPIDPH); Woodruff, Rebecca (CDC/DDNID/NCCDPHP/DHDSP); Arriola, Carmen Sofia (CDC!DDID/NCIRD/ID); Kuiawski. Stephanie (CDC/DDID/NCIRD/DVD); Harriman, Kathleen@CDPH; Hoover, Cora@CDPH; Heinzerling, Amy (CDC cdph.ca.gov); Stockman. Lauren@CDPH; Murray. [email protected] (CDC cdph.ca.gov); Mello, Lynn@San Benito County; [email protected]; [email protected]; Stoltey, Juliet (DPH); Aragon. Tomas (DPH) San Benito/SanFran/CDPH/CDC Coordination Call CDC 2019-nCoV Case and Contact investigation materials 2-01-2020.zip


Hi All,

The purpose of this call is to figure out coordination primarily for the San Benito and San Francisco efforts in case and contact tracking.

For your information, I've attached the packet of information with the case and contact investigation materials.

Thanks,

Olivia

Join Skype Meeting <https://webconfcdc.gov/gttl/57C4HBPD>

Trouble Joining? Try Skype Web App <https://webconf.cdc.gov/gttl/57C4HBPD?sl=l>

Join by phone

(404) 553-8912,,46140161# (Atlanta Dial-in Conference Region)


Find a local number <https://webaudio.cdc.gov?id=46140161>

Conference ID: 46140161

English (United States)


Forgot your dial-in PIN? <https://webaudio.cdc.gov> !Help <https://o15.officeredir.microsoft.com/r/rlidLyncl5?clid=l033&pl =5&p2=2009>

[!OC([I033])!]

P187

From: To:

Steinecker. Heidi@CDPH Aragon. Tomas CDPH)

Cc:

Subject: Marana. Diana@CDPH; Dunham. Cassie@CDPH; Montalbano. John@CDPH RE: Use of isolation rooms at ZSFGH and Laguna Honda

Date: Tuesday, February 4, 2020 9:26:37 AM Attachments: image001.png


Dear Thomas,

I received your request to plan for coronavirus and desire to have a program flex to the regulations

to create an isolation room. Please work with Diana Marana at the SF District Office on submitting a

program flex request so the team there can make sure you have that immediately set up.

I've copied her on this email so the two of you can connect.

Thank you

Heidi

Heidi W. Steinecker

Deputy Director Center for Health Care Quality (CHCQ), California Department of Public Health

C.1li(()fl1ia Dcp·artmcnt ul'

PubHcHe.afth


Sent: Monday, February 3, 2020 9:51 PM

To: Angell, Sonia Y@CDPH

Cc: Bobba, Naveena (San Francisco County); Smith, Adrian (DPH); Louie, Janice (DPH); Rivera,

Tiffany; Stoltey, Juliet@San Francisco County; Siador, Christine (DPH}; Philip, Susan@SFDPH

Subject: Re: Use of isolation rooms at ZSFGH and Laguna Honda




Dear Sonia, We think we need a waiver from CDPH Licensing and Certification to re-purpose

P188

some of our SNF isolation rooms for nCoV.

Who is the person w authority to answer:

" do we need waiver?

.. if not, how to we get it asap?

This would be a huge help in re-purposing our assets for our shared nCoV containment goals.

Thanks for your consideration.

With gratitude,

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

From: Philip, Susan (DPH) <[email protected]>


To: Siador, Christine (DPH) <[email protected]>; Aragon, Tomas (DPH)

<[email protected]>; Stoltey, Juliet (DPH) <[email protected]>; Rivera, Tiffany (DPH)

<[email protected]>

Cc: Bobba, Naveena (DPH) <[email protected]>; Smith, Adrian (DPH)

<[email protected]>; Louie, Janice (DPH) <janice [email protected]>

Subject: RE: Use of isolation rooms at ZSFGH and Laguna Honda

Adrian,

Thank you so much for talking today. A few quick notes from our conversation to get others up to

speed (please correct or add if needed). I've added Janice and Tiffany from our Operations Section,

and Kelly who has been helping us think through placement.

e Any person who is diagnosed with novel Coronavirus (nCoV) and meets usual

criteria for acute hospital admission could be taken at ZSFG (no change)

" We discussed that for now, CDC guidance has been to admit all cases for isolation

and also serial specimen collection, even if they do not meet usual clinical criteria for

admission to an acute bed. Adrian will check on this, but feels given CDC guidance

P189

Susan

and the national and international public health emergency declarations, admitting

an asymptomatic case should be possible if coordinated through the Administrator

on Duty (AOD).

" For LHH, there are two issues (we clarified that we are NOT currently considering

placing cases at LHH, only possibly persons under investigation (PUis) while awaiting

test results.

o Most of their isolation rooms are licensed as a SNF. PUis would not meet SNF

licensing requirements for admission, so the CDPH Licensing and

Certification district office would have to grant a waiver. Adrian is checking

on possible procedures for how this could be done. Adrian agreed that It

would be helpful to have our CDPH CD and HO colleagues also talk to the

L&C to reiterate the need for this flexibility, Tomas could you ask Sonia

Angell about this?

o LHH is almost full and don't have bed capacity for isolation rooms. Adrian is

also going to check on this. I let Adrian know that Kelly had said she was

available to help problem solve to free up beds, if needed-thank you, Kelly.

I'm also happy to get on a call to explain how we are envisioning this process

potentially working, and get feedback from the LHH team to further refine

this.

" In parallel, we are working to add nursing staff and capability to our ICS Operations

team to collect specimens in people's homes (for those who can be separated from

others in their home and do not need ongoing medical care). We are reaching out

to hospital and clinical partners to explore all options, but will certainly work to use

these other options and reserve beds as much as possible!

****************************************

Susan Philip MD, MPH


Director, Disease Prevention and Control Branch



25 Van Ness Avenue, Suite 345

San Francisco 94102

(628) 206-7638 (tel)

(415) 554-9636 (fax)

[email protected]

DPH e-mails sent to and from personal email accounts or outside the DPH/UCSF servers are not

secured data transmissions for Protected Health Information (PHI), as defined by the Healthcare

Portability and Accountability Act (HIPAA). It is the responsibility of all parties involved to take all

reasonable actions to protect this message from non-authorized disclosure. This e-mail is intended

for the recipient only. If you receive this e-mail in error, notify the sender and destroy the e-mail

immediately. Disclosure of the PHI contained herein may subject discloser to civil or criminal

P190

penalties under state and federal privacy laws.

From: Philip, Susan (DPH)

Sent: Monday, February 3, 2020 8:54 AM



<[email protected]>

Cc: Sobba, Naveena (DPH) <[email protected]>; Smith, Adrian (DPH)

<Adrian [email protected]>


Thank you - but we will need the permission immediately once we identify a person who needs this

care.

Adrian, really appreciate your help and I'll reach out to you today to discuss. If we can proceed with

placing someone, and then retroactively get the waiver that would likely be OK. If not, we will need

to ask the state for advance permission.

Susan (Deputy Incident Commander)

****************************************







San Francisco 94102

(628) 206-7638 (tel)

(415) 554-9636 (fax)

[email protected]








From: Siador, Christine (DPH) <[email protected]>


To: Aragon, Tomas (DPH) <[email protected]>; Stoltey, Juliet (DPH)

<[email protected]>; Rivera, Tiffany (DPH) <[email protected]>; Philip, Susan (DPH)

<[email protected]>

P191

Cc: Bobba, Naveena (DPH) <[email protected]>

Subject: Use of isolation rooms at ZSFGH and Laguna Honda

Importance: High

Hi All,

Naveena asked Tomas and I to follow-up with Adrian Smith (Director of Regulator Affairs at

ZSFGH & Chief Quality Officer at Laguna Honda) to discuss the process for getting waivers to

use licensed beds for anything other than approved use. He indicated that when know we

need the rooms (either at ZSFGH or LHH) we need to page him at (415) 327-1820. He will

then contact the District Administrator at the State to get a waiver - usually get answer the

same day. We discussed the need to prioritize rooms for sick patients that cannot be isolated

at home or other settings.

He indicated that ZSFGH respiratory isolation room availability is slim because they are

normally always in use. However, there is often rooms available at Laguna Honda.

Adrian's contact number is below:

Adrian Smith, RN, MSN

ZSFGH Director of Regulatory Affairs

Laguna Honda Chief Quality Officer

Phone#: (628) 206-6449

Pager#: (415) 327-1820

* Our office has moved. Please note new address & phone #.

Christine Siador, MPH Deputy Director, Population Health Division Director, Office of Operations, Finance & Grants Management San Francisco Department of Public Health 25 Van Ness, Suite 200, SF CA 94102

Tel: 628-206-7621 E-mail:[email protected]

Our Mission: Drawing upon community wisdom and science, we support, develop, and implement evidence-based policies, practices, and partnerships that protect and promote health, prevent disease and injury, and create sustainable environments and resilient communities.

Our Vision: To be a community-centered leader in public health practice and innovation.

**CONFIDENTIALITY NOTICE** This email message and any attachments are solely for the intended recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use or distribution of the information included in this message and any attachments is prohibited. If you have received this communication in error, please notify the sender immediately and

P192

permanently delete or otherwise destroy the information.

P193

From: Bobba. Naveena (DPH) To: Angell. Sonia Y@CDPH; Aragon. Tomas CDPH); Fanelli. Susan@CDPH; [email protected] Cc: Smith. Adrjan CDPH); Louie. Janice CDPH); Rivera. llffany (DPH); Stoltey, Juliet (DPH); Sjador. Christine CDPH):

Philip. Susan (DPH) Subject: Date:

Re: Use of isolation rooms at ZSFGH and Laguna Honda Tuesday, February 4, 2020 8:07:58 AM

+ Susan and Charity. Naveena Get Outlook for iOS

From: Angell, Sonia Y@CDPH <[email protected]>

Sent: Monday, February 3, 2020 10:01:14 PM

To: Aragon, Tomas (DPH) <[email protected]>


<[email protected]>; Louie, Janice (DPH) <[email protected]>; Rivera, Tiffany (DPH)

<[email protected]>; Stoltey, Juliet (DPH) <[email protected]>; Siador, Christine (DPH)

<[email protected]>; Philip, Susan (DPH) <[email protected]>



Hi Thomas,

Hi Thomas,

Adding Susan Fanelli and Charity Dean here re: waiver discussion.

Thanks!

Sonia

Sonia Y Angell, MD, 11PH State Public Health Officer & Director California Department of Public Health




Cc: Sobba, Naveena (San Francisco County); Smith, Adrian (DPH); Louie, Janice (DPH); Rivera,

Tiffany; Stoltey, Juliet@San Francisco County; Siador, Christine (DPH); Philip, Susan@SFDPH




P194

password. To report suspicious emails, click "Report Phish" button. - -·




• do we need waiver?

• if not, how to we get it asap?



With gratitude,

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102





<[email protected]>


<[email protected]>; Louie, Janice (DPH) <[email protected]>


Adrian,




<> Any person who is diagnosed with novel Coronavirus (nCoV) and meets usual criteria

for acute hospital admission could be taken at ZSFG (no change)

P195

I

Susan

We discussed that for now, CDC guidance has been to admit all cases for isolation and

also serial specimen collection, even if they do not meet usual clinical criteria for


and the national and international public health emergency declarations, admitting an

asymptomatic case should be possible if coordinated through the Administrator on

Duty (AOD).

• For LHH, there are two issues (we clarified that we are NOT currently considering


test results.

a Most of their isolation rooms are licensed as a SNF. PUis would not

meet SNF licensing requirements for admission, so the CDPH Licensing

and Certification district office would have to grant a waiver. Adrian is

checking on possible procedures for how this could be done. Adrian

agreed that It would be helpful to have our CDPH CD and HO

colleagues also talk to the L&C to reiterate the need for this

flexibility, Tomas could you ask Sonia Angell about this?

a LHH is almost full and don't have bed capacity for isolation rooms.

Adrian is also going to check on this. I let Adrian know that Kelly had

said she was available to help problem solve to free up beds, if needed

- thank you, Kelly. I'm also happy to get on a call to explain how we are

envisioning this process potentially working, and get feedback from the

LHH team to further refine this.

• In parallel, we are working to add nursing staff and capability to our \CS Operations


others in their home and do not need ongoing medical care). We are reaching out to

hospital and clinical partners to explore all options, but will certainly work to use


****************************************







San Francisco 94102

(628) 206-7638 (tel)

(415) 554-9636 (fax)

Susan. [email protected]




P196









<[email protected]>


<[email protected]>



care.





****************************************







San Francisco 94102

(628) 206-7638 (tel)

(415) 554-9636 (fax)

[email protected]










P197



<[email protected]>



Importance: High

Hi All,





then contact the District Administrator at the State to get a waiver - usually get answer the









Phone#: (628) 206-6449

Pager#: (415) 327-1820



Tel: 628-206-7621 E-mail:[email protected]



**CONFIDENTIALITY NOTICE** This email message and any attachments are solely for the intended

P198

recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use or distribution of the information included in this message and any attachments is prohibited. If you have received this communication in error, please notify the sender immediately and permanently delete or otherwise destroy the information.

P199

From: To:

Angell. Sonia Y@CDPH Aragon, Tomas (DPH)

Cc: Bobba, Naveena (DPH); Smith, Adrian (DPH); Louie, Janice (DPH); Rivera. Tiffany (DPH); Stoltey, Juliet (DPH); Siador. Christine (DPH); Philip. Susan (DPH)

Subject: Date:

Re: Use of isolation rooms at ZSFGH and Laguna Honda Monday, February 3, 2020 10:02:15 PM


Hi Thomas,

Hi Thomas,

Adding Susan Fanelli and Charity Dean here re: waiver discussion.

Thanks!

Sonia

Sonia Y Angell, MD, MPH State Public Health Officer & Director California Department of Public Health




Cc: Bobba, Naveena (San Francisco County); Smith, Adrian (DPH); Louie, Janice (DPH); Rivera,

Tiffany; Stoltey, Juliet@San Francisco County; Siador, Christine (DPH); Philip, Susan@SFDPH








• do we need waiver?

• if not, how to we get it asap?



P200

With gratitude,

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102





<[email protected]>


<[email protected]>; Louie, Janice (DPH) <[email protected]>


Adrian,




o Any person who is diagnosed with novel Coronavirus (nCoV) and meets usual criteria

for acute hospital admission could be taken at ZSFG (no change)

• We discussed that for now, CDC guidance has been to admit all cases for isolation and

also serial specimen collection, even if they do not meet usual clinical criteria for


and the national and international public health emergency declarations, admitting an

asymptomatic case should be possible if coordinated through the Administrator on

Duty (AOD).

e For LHH, there are two issues (we clarified that we are NOT currently considering


test results.

o Most of their isolation rooms are licensed as a SNF. PUis would not

meet SNF licensing requirements for admission, so the CDPH Licensing

and Certification district office would have to grant a waiver. Adrian is

checking on possible procedures for how this could be done. Adrian

agreed that It would be helpful to have our CDPH CD and HO

P201

colleagues also talk to the L&C to reiterate the need for this

flexibility, Tomas could you ask Sonia Angell about this?

o LHH is almost full and don't have bed capacity for isolation rooms.

Adrian is also going to check on this. I let Adrian know that Kelly had

said she was available to help problem solve to free up beds, if needed

-thank you, Kelly. I'm also happy to get on a call to explain how we are

envisioning this process potentially working, and get feedback from the

LHH team to further refine this.

• In parallel, we are working to add nursing staff and capability to our ICS Operations


others in their home and do not need ongoing medical care). We are reaching out to

hospital and clinical partners to explore all options, but will certainly work to use


Susan ****************************************







San Francisco 94102

(628) 206-7638 (tel)

(415) 554-9636 (fax)

[email protected]












<[email protected]>

Cc: Sobba, Naveena (DPH) <[email protected]>; Smith, Adrian (DPH)

<[email protected]>


P202


care.





****************************************







San Francisco 94102

(628) 206-7638 (tel)

(415) 554-9636 (fax)

[email protected]












<susan .phili [email protected]>



Importance: High

Hi All,





P203

then contact the District Administrator at the State to get a waiver- usually get answer the









Phone#: (628) 206-6449

Pager#: (415) 327-1820



Tel: 628-206-7621 E-mail: [email protected]



** CONFIDENTIALITY NOTICE** This email message and any attachments are solely for the intended recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use or distribution of the information included in this message and any attachments is prohibited. If you have received this communication in error, please notify the sender immediately and permanently delete or otherwise destroy the information.

P204

From: Ochi. Ed (DPH)

To: Aragon, Tomas CDPH); Duren. James CDPH); Philip, Susan CDPH); Stoltey, Juliet (DPHl; Louie. Janice (DPH); Rivera, Tiffany (DPH)

Cc: Walsh, Douglas (DPH); Aldern, Gabrielle (DPH) Subject: Date:

RE: Cal/OSHA Issues Guidance on Requirements to Protect Health Care Workers from 2019 Novel Coronavirus Monday, February 3, 2020 7:41:36 PM

Attachments: imaqeOOl.pnq

Thanks,

Nothing hugely earth-shattering in the message. Basic ATD standard (8 CCR 5199) compliance,

including:

- the selection and provision of personal protective equipment (PPE),

- training of staff on the selected PPE including proper donning and doffing technique, and

medical qualification for respirator use and respirator fit testing,

are all moving forward.

Complicated by a fast-evolving case definition its going to take a bit time, but sooner, rather than

later, basic training to all front-line staff who may have initial (incoming) patient contact, not just

providers, will be needed on what steps are needed when a suspect patient presents. Contents

might include where (which room) etc the patient should be placed, who should be notified, and

some general risk communication and hazard mitigation steps (close door to patient room, post sign,

etc) specific to each facility will be needed. OSH staff who were in the PPE "train the trainer" session

this afternoon indicate that clinic staff present voiced some concern about "not knowing what's

going on", a common problem when you move further away from the DOC.

- Ed

Edward Ochi, CIH, CSP

Director of Occupational Safety & Health


Occupational Safety & Health Division

101 Grove Street, Room 217


Desk: (415) 554-2797

Main: (415) 554-2793

FAX: (415) 554-2562


c ·.ti . 1 _cupa ... ona fety &

ea Ith **CONFIDENTIALITY NOTICE** This email message and any attachments are solely for the intended recipient and may contain

confidential, privileged, or protected health information. If you are not the intended recipient, any disclosure, copying, use or

distribution of the information included in this message and any attachments is prohibited. If you have received this

communication in error, please notify me immediately and permanently delete or otherwise destroy the information.

P205



To: Ochi, Ed (DPH) <[email protected]>; Duren, James (DPH) <[email protected]>; Philip,

Susan (DPH) <[email protected]>; Stoltey, Juliet (DPH) <[email protected]>; Louie, Janice

(DPH) <[email protected]>; Rivera, Tiffany (DPH) <[email protected]>

Cc: Walsh, Douglas (DPH) <[email protected]>; Aldern, Gabrielle (DPH)

<[email protected]>

Subject: Fw: Cal/OSHA Issues Guidance on Requirements to Protect Health Care Workers from 2019

Novel Coronavirus

FYI

Tomas




To: Feaster, Matt (Pasadena) <[email protected]>; McNitt, Louise

<[email protected]>

Cc: DPH-sandra.huang <[email protected]>; '[email protected]'

<[email protected]>; Pan, Erica (Alameda) <[email protected]>; Oschsner,

Allyson@AlamedaCo <[email protected]>; '[email protected]'

<[email protected]>; '[email protected]' <[email protected]>;

'[email protected]' <[email protected]>; '[email protected]'

<[email protected]>; Johnson, Richard (ALPINE) <[email protected]>;

Streeper, Tim (ALPINE) <[email protected]>; Dupuis, Tamara@AlpineCount

<[email protected]>; Huspen Kerr, Rita <[email protected]>; Desvoignes,

Liz@Amadorgov <[email protected]>; '[email protected]'

<[email protected]>; Hernandez, Lisa (City of Berkeley)

<[email protected]>; Lewis, Linda@Butte County <[email protected]>; Thao,

Mary (Butte County) <[email protected]>; Miller, Andrew <[email protected]>;

Kelaita, Dean <[email protected]>; Rodriguez, Colleen <[email protected]>;

Gregory, Burt <[email protected]>; '[email protected]'

<[email protected]>; Rios, Connie <[email protected]>;


<[email protected]>; Leung, Paul (CCHealth) <[email protected]>;

'[email protected]' <[email protected]>; Rehwaldt, Warren <[email protected]

norte.ca.us>; Machado, Colleen <[email protected]>; Bodenstab, [email protected]

norte.ca.us <[email protected]>; Ungeheuer, Michael (El Dorado County)

<[email protected]>; Orchard, Heather@EDCGOV <[email protected]>;

Mackey, Teresa@EIDoradoCo <[email protected]>; '[email protected]'

<[email protected]>; '[email protected]' <[email protected]>; Williams,

Nancy <[email protected]>; Robinson, Nathan (El Dorado County)

<nath an. robi [email protected]>; 'salsaghbin [email protected]'

P206

<salsaghbi n [email protected]>; 'mmorrisson@fresnocou ntyca .gov'

<[email protected]>; '[email protected]'

<skoch ku ma [email protected]>; 'di uch [email protected]'

<di uch i ni@fresnocou ntyca .gov>; '[email protected]' <[email protected]>;

Norton, Grinnell@Glenn County <[email protected]>; Nelson, Mary Lou@Glenn County

<[email protected]>; '[email protected]' <[email protected]>; Baird,

Donald <[email protected]>; '[email protected]'

<H Phillips@co. Humboldt.CA. US>; '[email protected]' <[email protected]>;



Kriner, Paula <[email protected]>; Lopez, Karla (Imperial County)

<[email protected]>; Whitney, Timothy@inyo <[email protected]>; Scott, Anna

(INYO) <[email protected]>; Hernandez, Kimberly@Kern County

<[email protected]>; Walker, Ann@Kern County <[email protected]>;

'[email protected]' <[email protected]>; Teske, Milton

<[email protected]>; Soong, Sharon (Kings County) <[email protected]>; Hill,

Edward@Kings <[email protected]>; '[email protected]'

<[email protected]>; King, Christine@kingscounty <[email protected]>;

'[email protected]' <[email protected]>; Tarpley, Mary (Lake

County) <[email protected]>; May, Helen@Lassen <[email protected]>; Davis,

Anissa <[email protected]>; Holman, Emily@Long Beach

<[email protected]>; Barin, Nora@Long Beach <[email protected]>; Torres,

Cindy@LongBeach <[email protected]>; Prado, Belinda@Long Beach

<[email protected]>; Balter, Sharon@Los Angeles County <[email protected]>;

Terashita, Dawn@LA County <[email protected]>; '[email protected]'





<[email protected]>; Thomas, Cole <[email protected]>;

'[email protected]' <[email protected]>;



<[email protected]>; Emerson, Cicily@MarinCounty <[email protected]>;

'[email protected]' <[email protected]>; Santora, [email protected]

<[email protected]>; Sergienko, Eric <[email protected]>; King, Margarita


<[email protected]>; Convery, Sharon <[email protected]>; Pace,

Gary@Mendocino County <[email protected]>; '[email protected]'


<Yer. Chang@cou ntyofmerced .com>; 'Jessica.J [email protected]'

<Jessica.Ju [email protected]>; 'Parmjit.Sa [email protected]'


<[email protected]>; Schulz, Tanya <[email protected]>; Sphar, Stacy

(Modoc County) <[email protected]>; Richert, Edward <[email protected]>;

P207

'cheyenneo '[email protected]' <cheyenneo'[email protected]>; Wheeler, Bryan

<[email protected]>; Pearce, Sandra@Mono County <[email protected]>; Boo, Thomas

(MONO) <[email protected]>; Moreno, Edward <[email protected]>; Michie, Kristy

<m ich [email protected]. us>; 'Lindsey.T ermin [email protected]'

<Lindsey. T ermin [email protected]>; 'Jen [email protected]'

<Jen [email protected]>; 'Beth .G rant@cou ntyofna pa.org'

<[email protected]>; Cutler, Kenneth <[email protected]>; Key, Cindy

(Nevada County) <[email protected]>; Wilson, Cynthia@Nevada County

<[email protected]>; Zahn, Matt@Orange County <[email protected]>; Cheung,

Michele (Orange# 2) <[email protected]>; Jacobs, Josh@Orange County <[email protected]>;

Meulman, Marc (Orange County) <[email protected]>; Goh, Ying-Ying

<[email protected]>; Feaster, Matt (Pasadena) <[email protected]>; 'Diggs,

Christine' <[email protected]>; 'Evangelista, Sharon' <[email protected]>;

Hashimoto-Raju, Lani@Pasadena City <[email protected]>; Oldham, Robert

<[email protected]>; Holland, April (PLACER) <[email protected]>;

'[email protected]' <[email protected]>; Venable, Tina (PLUMAS)

<[email protected]>; Cole, Barbara (Riverside County) <[email protected]>;

Kasirye, Olivia <[email protected]>; Taylor, Melody@Sacramento County

<[email protected]>; Mello, Lynn@San Benito County <[email protected]>; Ahern, Kevin@San

Benito <[email protected]>; '[email protected]' <[email protected]>; Ibrahim, Diana

<[email protected]>; Strong, Susan <[email protected]>;

'[email protected]' <[email protected]>; McDonald, Eric (San

Diego County) <[email protected]>; Wooten, Wilma

<[email protected]>; Kao, Annie (San Diego County) <[email protected]>;

Johnson, Jeff (San Diego County) <[email protected]>; Stoltey, Juliet (DPH)

<[email protected]>; Aragon, Tomas (DPH) <[email protected]>; Portnoy, Diane (DPH)

<[email protected]>; Kim, Brian (DPH) <[email protected]>; DuBois, Amie (DPH)

<[email protected]>; Philip, Susan (DPH) <[email protected]>; Enanoria, Wayne (DPH)

<[email protected]>; '[email protected]' <[email protected]>; Pehl,

Veronica@San Joaquin <[email protected]>; Borenstein, Penny <[email protected]>; Gaiger,

· Christine (SAN LUIS OBISPO) <[email protected]>; Rosen, Frederick <[email protected]>;

Sallenave, Catherine (San Mateo #1) <[email protected]>; Bock, Carly@San Mateo County

<[email protected]>; Geltmaker, Matt@San Mateo County <[email protected]>; Linquist,

Jeanne (San Mateo County) <[email protected]>; Batson, Paige@Santa Barbara

<[email protected]>; Leff, Arnold <[email protected]>;

'[email protected]' <[email protected]>; Meza, Amy@Santa Cruz

County <[email protected]>; '[email protected]'

<[email protected]>; Ramstrom, Karen <[email protected]>;

'[email protected]' <[email protected]>; Goshong, Mega@Shasta County

<[email protected]>; Sutton-Pado, Celia <[email protected]>; Anseth,

Shanna (SIERRA) <[email protected]>; '[email protected]'

<[email protected]>; Kolpacoff, Stephen <[email protected]>; Harris,

[email protected] <[email protected]>; Davis, Shelly <[email protected]>;

Varga, Kristin@siskiyou <[email protected]>; Salvatierra, Belle@Solano County

<[email protected]>; Acosta, Meileen@Solano County

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Hernandez, Emely@Sonoma County <[email protected]>; 'PHNurse@sonoma

county.org' <[email protected]>; Vaishampayan, Julie 2 <[email protected]>;

Vassell, Barbara@Stanislaus County <[email protected]>; '[email protected]' <[email protected]>;

Sanford, Denise@Stanislaus Co <[email protected]>; Heredia, Maria <[email protected]>;


<[email protected]>; Nagra, Daljinder (Sutter County) <[email protected]>;

'[email protected]' <[email protected]>; Wickenheiser, Richard

<[email protected]>; Schmidt, Michelle <[email protected]>; Martin,

Kotty@Tehama County <[email protected]>; Hopper, Dolly <[email protected]>;

Sagar, Minnie@Tehama Co <[email protected]>; Loomis, Sharayne

<[email protected]>; '[email protected]' <[email protected]>; Haught,

Karen <[email protected]>; Kempf, Jeremy (Tulare County) <[email protected]>;

Bernstein, Robert <[email protected]>; Denney, Patty@Tuolumne

<[email protected]>; Levin, Robert <[email protected]>; Edmondson,

Hannah@Ventura County <[email protected]>; Reeder, Eva@Ventura

<[email protected]>; Gipson, Sandra@Ventura County <[email protected]>;



'[email protected]' <[email protected]>; Chapman, Ron

<[email protected]>; Anna Sutton <[email protected]>;

'[email protected]' <[email protected]>; Weivoda, Kristin@Yolo County Health

Department <[email protected]>; Kelsch, Katie <[email protected]>;

'[email protected]' <[email protected]>; Moua, Xee

<[email protected]>; Rice, [email protected] <[email protected]>;

'[email protected]' <[email protected]>; Vugia, Duc@CDPH <[email protected]>; Jain,

Seema@CDPH <[email protected]>; Kimura, Akiko@CDPH <[email protected]>;

Kamali, Amanda@CDPH <[email protected]>; Snyder, Robert@CDPH

<[email protected]>; Yu, Alexander@CDPH <[email protected]>; Abe,

Kentaro@CDPH <[email protected]>; DPH - Sarah.New <[email protected]>; Hoover,

Cora@CDPH <[email protected]>; Royce, Sarah@CDPH <[email protected]>; Yen,

Cynthia@CDPH <[email protected]>; Glenn-Finer, Rosie@CDPH <Rosie.Glenn

[email protected]>; Murray, Erin@CDPH <[email protected]>; Bregman, Brooke@CDPH

<[email protected]>; Hacker, Jill@CDPH <[email protected]>; Ruiz, Juan@CDPH

<[email protected]>; Kim, Janice@CDPH <[email protected]>; Siegel, Jane@CDPH

<[email protected]>; Epson, Erin@CDPH <[email protected]>; '[email protected]'

<[email protected]>; DPH - Rachel.Mclean <[email protected]>; Stockman,

Lauren@CDPH <[email protected]>; arellano, [email protected]


Garrison, Jared@Glenn <[email protected]>; Weinstein, Eva (NAPA)

<[email protected]>; Gustafson, Erin@SBCounty

<[email protected]>; Johnston, Samantha@CDPH

<[email protected]>; Romero, Mike (PLACER) <[email protected]>; Sinel, Kim

(Placer# 3) <[email protected]>; Schechter, Robert@CDPH <[email protected]>;

P209

Volkman, Hannah@CDPH <[email protected]>; '[email protected]'


'[email protected]' <[email protected]>;

'[email protected]' <[email protected]>; Herrick, Robert@sutter

<[email protected]>; Baldwin, Kismet@SJCPHS <[email protected]>;


<[email protected]>; Whittaker, Holly (Nevada County)


Han, George@Santa Clara County <[email protected]>; Martin, Brittany@CDPH

<[email protected]>; '[email protected]' <Gib.Morrow@sonoma

county.org>; Chai, Shua@CDPH <[email protected]>; Brodie, Georgia@CalaverasCounty

<[email protected]>; Balter, Michelle M@San Luis Obispo County <[email protected]>;


<[email protected]>

Subject: Cal/OSHA Issues Guidance on Requirements to Protect Health Care Workers from 2019

Novel Coronavirus

This message is from outside the City email system. Do not open links or attachments from

untrusted sources.

NEWS Release Number: 2020-08 February 3, 2020

RELEASE

Cal/OSHA Issues Guidance on Requirements to Protect Health Care Workers from 2019 Novel Coronavirus

Oakland- Cal/OSHA is issuing guidance on protecting health care workers from exposure to 2019 Novel Coronavirus (2019-nCoV). The guidance covers the safety requirements when providing care for suspected or confirmed patients of the respiratory disease or when handling pathogens in laboratory settings in California.

"It is vital that employers take the necessary steps to protect workers in health care settings where they may be at risk of exposure to 2019 Novel Coronavirus/' said Cal/OSHA Chief Doug Parker. "Cal/OSHA will provide guidance and resources on how to protect workers from this airborne infectious disease."

The risk for infection is higher in health care settings such as hospitals and clinical laboratories. The U.S. Centers for Disease Control and Prevention (CDC) is providing updates and closely monitoring suspected cases of 2019-nCoV infection and transmission.

2019-nCoV is an airborne infectious disease covered by Cal/OSHA's Aerosol Transmissible Diseases (ATD) standard, which requires employers to protect workers from diseases and pathogens transmitted by aerosols and droplets.

P210

The ATD standard requires employers to have an ATD Exposure Control Plan with procedures to identify 2019-n-CoV cases or suspected cases as soon as possible and protect employees from infection.

The ATD standard further requires employers to provide training on the:

" Signs and symptoms of 2019-nCoV.

" Modes of transmission of the disease and source control procedures.

" Tasks and activities that may expose the employee to 2019-nCoV.

.. Use and limitations of methods to prevent or reduce exposure to the disease including decontamination and disinfection procedures.

" Selection of personal protective equipment, its uses and limitations, and the types, proper use, location, removal, handling, cleaning, decontamination and disposal of protective equipment.

• Proper use of respirators.

" Available vaccines, when they become available.

.. Employer's plan if an exposure incident occurs and surge plan, if applicable.

Employers must use feasible engineering and work practice controls to minimize employee exposure to 2019-nCoV. Examples of engineering controls include airborne infection isolation rooms or areas, exhaust ventilation, air filtration and air disinfection. Work practice controls include procedures for safely moving patients through the operation or facility, handwashing, personal protective equipment donning and doffing procedures, the use of anterooms, and cleaning and disinfecting contaminated surfaces, protective equipment, articles and linens.

Visit Cal/OSHA's webpage for further interim guidance on 2019-nCoV exposure in health care settings. In order to help employers comply with the ATD standard, Cal/OSHA has posted several publications including The California Workplace Guide to Aerosol Transmissible Diseases and fillable ATD model exposure control and laboratory biosafety plans.

Several occupational safety and health standards, including Cal/OSHA's Bloodborne Pathogens Standard adopted in 1992 and the ATD Standard adopted in 2009, address worker protections when exposure to infectious diseases including coronavirus may occur in health care settings. The standards apply to hospital workers and emergency medical services, as well as workers in biological laboratories, decontamination workers, public health workers, or public safety employees who may be exposed to infectious disease hazards.

Cal/OSHA reminds all employers and workers that any suspected cases of 2019-nCoV must be promptly reported to the local public health department.

The California Department of Public Health has updated information on 2019-nCoV and reporting requirements. The Centers for Disease Control and Prevention has also posted specific information for health care workers and laboratory settings.

The California Division of Occupational Safety and Health, or Cal/OSHA, is the division

P211

within the Department of Industrial Relations (DIR) that helps protect California's workers from health and safety hazards on the job in almost every workplace. Cal/OSHA's Consultation Services Branch provides free and voluntary assistance to employers to improve their safety and health programs. Employers should call (800) 963-9424 for assistance from Cal/OSHA Consultation Services.

Employees with work-related questions or complaints may contact DIR's Call Center in English or Spanish at 844-LABOR-DIR (844-522-6734).

P212

From: To: Cc:

Subject: Date:

Catherine Sallenave Harriman, Kathleen@CDPH Feaster, Matt (Pasadena); McNitt, Louise; DPH-sandra.huang; [email protected]; Pan, Erica (Alameda); Oschsner, Allyson@AlamedaCo; Dustin, [email protected]; Brendan. Kober@acgov .orq; Rita .Sh [email protected]; [email protected]; Johnson, Richard CALPINE); StreeRer, Tim (ALPINE): Dupuis, Tamara@AIRineCount; HusRen Kerr, Rita; Desvoignes, Liz@Amadorgov; [email protected]; Hernandez, Lisa (City of Berkeley); Lewis, Linda@Butte County; Thao, Mary (Butte County): Miller, Andrew; Kelaita, Dean; Rodriguez, Colleen; Gregorv, Burt; [email protected]; Rios, Connie; [email protected]; [email protected]; Leung, Paul (CCHealth); [email protected]; Rehwa\dt, Warren; Machado, Colleen; Bodenstab, She\[email protected]; Unqeheuer, Michael (El Dorado County); Orchard, Heather@EDCGOV; Mackey, Teresa@E\DoradoCo; christine.cifelli@edcqov, us; alicia .don [email protected]; Williams, Nancy; Robinson, Nathan (El Dorado County); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Norton, Grinnell@G\enn County; Nelson, Mary Lou@G\enn County; [email protected]; Baird, Donald; [email protected]; [email protected]; KLHanson@co,humboldt.ca.us; [email protected]; [email protected]; Kriner, Paula; Lopez, Karla (Imperial County); Whitney, Timothy@inyo; Scott, Anna !INYO); Hernandez, Kimberly@Kern County; Walker, Ann@Kern County; [email protected]; Teske, Milton; Soong, Sharon (Kings County); J:li!1. Edward@Kings; [email protected]; King, Christine@kingscounty; [email protected]; Tarpley, Mary (Lake County); May, He\en@Lassen; Davis, Anissa; Holman, Emily@Long Beach; Barin, Nora@Long Beach; Torres, Cindy@LongBeach; Prado, Belinda@Long Beach; Balter, Sharon@Los Angeles County; Terashita, Dawn@LA County; [email protected]; [email protected]; pgounder@Rh, lacounty.qov; rciven@ph. lacounty. gov; [email protected]; UHalai@ph,lacounty.gov; [email protected]; Thomas, Cole; [email protected]; [email protected]; [email protected]; [email protected]; Emerson, Cicily@MarinCounty; \[email protected]; Santora, [email protected]: Sergienko, Eric; King, Margarita; [email protected]; Convery, Sharon; Pace, Gary@Mendocino County: Sydney,[email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Schulz, Tanya; Sphar, Stacy (Modoc County); Richert, Edward; cheyenneo"[email protected]; Wheeler, Bryan; Pearce, Sandra@Mono County; Boo, Thomas (MONO); Moreno, Edward; Michie, Kristy; Lindsey,[email protected]; [email protected]; [email protected]; Cutler, Kenneth; Key, Cindy (Nevada County); Wilson, Cynthia@Nevada County; Zahn, Matt@Orange County; Cheung, Michele (Orange# 2); Jacobs, Josh@Orange County; Meu\man, Marc (Orange County); Goh, Ying-Ying; Diggs, Christine; Evangelista, Sharon; Hashimoto-Raju, Lani@Pasadena City; Oldham, Robert; Holland, April (PLACER); \[email protected],gov; Venable, Tina (PLUMAS); Cole, Barbara (Riverside County); Kasirye, Olivia; Taylor, Me\ody@Sacramento County; Mello, Lynn@San Benito County; Ahern, Kevin@San Benito; [email protected]; Ibrahim, Diana; Strong, Susan; [email protected]; McDonald, Eric (San Diego County); Wooten, Wilma; Kao, Annie (San Diego County); Johnson, Jeff (San Diego County); Stoltey, Juliet CDPH); Aragon, Tomas (DPH); Portnoy, Diane (DPH); Kim, Brian (DPH); DuBois, Amie (DPHl; Philip, Susan (DPH): Enanoria, Wayne (DPH); [email protected]; Pehl, Veronica@San Joaquin; Borenstein, Penny; Gaiger, Christine (SAN LUIS OBISPO); Rosen, Frederick; Carly Bock; Matthew Geltmaker; Jeanne Linguist; Batson, Paige@Santa Barbara; Leff, Arnold; Ke\\y,[email protected]; Meza, Amy@Santa Cruz Countv: [email protected]; Ramstrom, Karen; [email protected]; Goshong, Mega@Shasta County; Sutton-Pado, Celia; Anseth, Shanna ~; [email protected],gov; Kolpacoff, Stephen; Harris, [email protected],ca.us; Davis, Shelly; Varga, Kristin@siskiyou; Salvatierra, Belle@So\ano County; Acosta, Meileen@Solano County; [email protected]; [email protected]; Hernandez, Emely@Sonoma County; [email protected]; VaishamRayan, Julie 2; Vassell. Barbara@Stanislaus County; [email protected]; Sanford, Denise@Stanislaus Co; Heredia, Maria; [email protected]; [email protected]; Nagra, Da\jinder (Sutter County); [email protected]; Wickenheiser, Richard; Schmidt, Michelle; Martin, Kottv@Tehama County; Hopper, Dolly; Sagar, Minnie@Tehama Co; Loomis, Sharayne; [email protected]; Haught, Karen; Kempf, Jeremy (Tulare County): Bernstein, Robert; Denney, Patty@Tuolumne; Levin, Robert; Edmondson, Hannah@Ventura County; Reeder. Eva@Ventura; Gipson, Sandra@Ventura County; [email protected]; christopher.orne\[email protected]; [email protected]; [email protected]; Chapman, Ron; Anna Sutton; [email protected]; Weivoda, Kristin@Yo\o County Health Department; Kelsch, Katie; [email protected]; Moua, Xee; ~ [email protected]; [email protected]; Vuqia. Duc@CDPH; Jain. Seema@CDPH; Kimura, Akiko@CDPH; Kama\i, Amanda@CDPH; Snyder, Robert@CDPH; Yu, Alexander@CDPH; Abe. Kentaro@CDPH; DPH - Sarah.New; Hoover, Cora@CDPH; Royce, Sarah@CDPH; Yen, Cynthla@CDPH; Glenn-Finer, Rosie@CDPH; Murray, Erin@CDPH; Bregman, Brooke@CDPH; Hacker, Ji\l@CDPH; Ruiz, Juan@CDPH; Kim, Janice@CDPH; Siegel. Jane@CDPH; Epson, Erin@CDPH; [email protected]; DPH Rachel.Mclean; Stockman, Lauren@CDPH; are\lano, [email protected]; [email protected]; Garrison, Jared@Glenn; Weinstein, Eva (NAPA); Gustafson, Erin@SBCounty: Johnston, Samantha@CDPH; Romero, Mike (PLACER); Sine\, Kim (Placer# 3): Schechter. Robert@CDPH; Volkman, Hannah@CDPH; [email protected]; [email protected]; [email protected]; [email protected]; Herrick, Robert@sutter; Baldwin, Kismet@SJCPHS; [email protected]; [email protected]; Whittaker. Holly (Nevada County); [email protected]; Han, George@Santa Clara County; Martin, Brittany@CDPH; Gib.Morrow@sonomacounty.org; Chai. Shua@CDPH; Brodie, Georgia@Ca\averasCounty; Balter, Michelle M@San Luis Obispo County; [email protected]; [email protected] Re: Cal/OSHA Issues Guidance on Requirements to Protect Health Care Workers from 2019 Novel Coronavirus Monday, February 3, 2020 7:29:43 PM

P213


Thanks! Ca th

On Feb 3, 2020, at 7:16 PM, Harriman, Kathleen@CDPH <[email protected]. gov> wrote:

CAUTION: This email originated from outside of San Mateo County. Unless you recognize the

sender's email address and know the content is safe, do not click links, open attachments or

reply.


RELEASE



"It is vital that employers take the necessary steps to protect workers in health care settings where they may be at risk of exposure to 2019 Novel Coronavirus," said Cal/OSHA Chief Doug Parker. "Cal/OSHA will provide guidance and resources on how to protect workers from this airborne infectious disease."



The ATD standard requires employers to have an ATD Exposure Control Plan with procedures to identify 2019-n-CoV cases or suspected cases as soon as

P214

possible and protect employees from infection.


" Signs and symptoms of 2019-nCoV.

" Modes of transmission of the disease and source control procedures.

" Tasks and activities that may expose the employee to 2019-nCoV.

" Use and limitations of methods to prevent or reduce exposure to the disease including decontamination and disinfection procedures.

" Selection of personal protective equipment, its uses and limitations, and the types, proper use, location, removal, handling, cleaning, decontamination and disposal of protective equipment.

" Proper use of respirators.

" Available vaccines, when they become available.

" Employer's plan if an exposure incident occurs and surge plan, if applicable.

Employers must use feasible engineering and work practice controls to minimize employee exposure to 2019-nCoV. Examples of engineering controls include airborne infection isolation rooms or areas, exhaust ventilation, air filtration and air disinfection. Work practice controls include procedures for safely moving patients through the operation or facility, handwashing, personal protective equipment donning and doffing procedures, the use of anterooms, and cleaning and disinfecting contaminated surfaces, protective equipment, articles and linens.

Visit Cal/OSHA's webpage for further interim guidance on 2019-nCoV exposure in health care settings. In order to help employers comply with the ATD standard, Cal/OSHA has posted several publications including The California Workplace Guide to Aerosol Transmissible Diseases and fillable ATD model exposure control and laboratory biosafety plans.

Several occupational safety and health standards, including Cal/OSHA's Bloodborne Pathogens Standard adopted in 1992 and the ATD Standard adopted in 2009, address worker protections when exposure to infectious diseases including coronavirus may occur in health care settings. The standards apply to hospital workers and emergency medical services, as well as workers in biological laboratories, decontamination workers, public health workers, or public safety employees who may be exposed to infectious disease hazards.

Cal/OSHA reminds all employers and workers that any suspected cases of 2019-nCoV must be promptly reported to the local public health department.

The California Department of Public Health has updated information on 2019-nCoV and reporting requirements. The Centers for Disease Control and Prevention has also posted specific information for health care workers and laboratory settings.

P215

The California Division of Occupational Safety and Health, or Cal/OSHA, is the division within the Department of Industrial Relations (DIR) that helps protect California's workers from health and safety hazards on the job in almost every workplace. Cal/OSHA's Consultation Services Branch provides free and voluntary assistance to employers to improve their safety and health programs. Employers should call (800) 963-9424 for assistance from Cal/OSHA Consultation Services.

Employees with work-related questions or complaints may contact DIR's Call Center in English or Spanish at 844-LABOR-DIR (844-522-6734).

P216

From: To: Cc:

Subject:

Harriman, Kathleen@CDPH Feaster. Matt (Pasadena); McNitt, Louise DPH-sandra.huang; "[email protected]"; Pan, Erica (Alameda); Oschsner, Allyson@AlamedaCo; "Dustin Heaton@acgov ,org"; "Brendan, Kober@acgov ,org"; "Rita.Shiau@acoov, org"; "[email protected]"; Johnson, Richard (ALPINE); Streeper. Tim (ALPINE); Dupuis, Tamara@AlpineCount; Huspen Kerr, Rita; Desvoignes, Liz@Amadoraov; "[email protected]"; Hernandez, Lisa (City of Berkeley); Lewis, Linda@Butte County; Thao, Mary (Butte County); Miller, Andrew; Kelaita, Dean; Rodriguez, Colleen; Gregory, Burt; "[email protected]"; Rios, Connie; "[email protected]"; "[email protected]"; Leung, Paul (CCHealth); "[email protected]"; Rehwaldt. Warren; Machado, Colleen; Bodenstab, [email protected],us; Ungeheuer, Michael (El Dorado County); Orchard, Heather@EDCGOV; Mackey, Teresa@EIDoradoCo; "[email protected]"; "[email protected]"; Williams, Nancy; Robinson, Nathan (El Dorado County); "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; Norton, Grinnell@Glenn County; Nelson, Mary Lou@Glenn County; "[email protected]"; Baird, Donald; "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; "kkelly@co,humboldt.ca.us"; Kriner. Paula; Lopez, Karla (Imperial County); Whitney, Timothy@inyo; Scott, Anna (INYO); Hernandez, Kimberly@Kern County; Walker, Ann@Kern County; "[email protected]"; Teske, Milton; Soong, Sharon (Kings County); Hill. Edward@Kings; "[email protected]"; King, Christine@kingscounty; "[email protected]"; Tarpley, Mary (Lake County); May, Helen@Lassen; Davis, Anissa; Holman, Emily@Long Beach; Sarin, Nora@Long Beach; Torres, Cindy@LongBeach; Prado, Belinda@Long Beach; Balter, Sharon@Los Angeles County; Terashita, Dawn@LA County; "[email protected]"; "FPratt@ph .lacounty,gov"; "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; "BHwang@ph, lacounty,gov"; Thomas, Cole; "jenn [email protected]"; "jpeterson@co .madera ,ca .gov"; "[email protected]"; "sara, [email protected]"; Emerson, Cicily@MarinCounty; "[email protected]"; Santora, [email protected]; Sergienko, Eric; King, Margarita; "[email protected]"; Convery, Sharon; pace, Gary@Mendocino County; "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; Schulz, Tanya; Sphar, Stacy (Modoc County); Richert, Edward; "cheyenneo"[email protected]"; Wheeler, Bryan; Pearce, Sandra@Mono County; Boo, Thomas (MONO); Moreno, Edward; Michie, Kristy; "[email protected]"; "[email protected]"; "Beth,[email protected]"; Cutler, Kenneth; Key, Cindy (Nevada County); Wilson, Cynthia@Nevada County; Zahn, Matt@Orange County; Cheung, Michele (Orange# 2); Jacobs, Josh@Orange County; Meulman, Marc (Orange County); Goh, Ying-Ying; Feaster. Matt (Pasadena); "Diggs, Christine"; "Evangelista, Sharon"; Hashimoto-Raju, Lani@Pasadena City; Oldham, Robert; Holland, April (PLACER); "[email protected]"; Venable, Tina (PLUMAS); Cole, Barbara (Riverside County); Kasirye, Olivia; Taylor, Melody@Sacramento County; Mello, Lynn@San Benito County; Ahern, Kevin@San Benito; "[email protected]"; Ibrahim, Piana; Strong, Susan; "[email protected]"; McDonald, Eric (San Diego County); Wooten, Wilma; Kao, Annie (San Diego County); Johnson, Jeff (San Diego County); Stoltey, Juliet CDPH): Aragon, Tomas (DPH); Portnoy, Diane (DPH); Kim, Brian CDPH); DuBois, Amie (DPH); Philip, Susan (DPH); Enanoria, Wayne (DPH); "[email protected]"; Pehl. Veronica@San Joaquin; Borenstein, Penny; Gaiger, Christine (SAN LUIS OBISPO); Rosen, Frederick; Sallenave, Catherine (San Mateo #1); Bock, Carly@San Mateo County: Geltmaker. Matt@San Mateo County; Linguist, Jeanne (San Mateo County); Batson, Paige@Santa Barbara; Leff, Arnold; "[email protected]"; Meza, Amy@Santa Cruz County; "[email protected]"; Ramstrom, Karen; "[email protected]"; Goshong, Mega@Shasta County; Sutton-Pado, Celia; Anseth, Shanna (SIERRA); "[email protected]"; Kolpacoff. Stephen; Harris, [email protected]; Davis, Shelly; Varga, Kristin@siskiyou; Salvatierra, Belle@Solano County; Acosta, Meileen@Solano County; "[email protected]"; "[email protected]"; Hernandez, Emely@Sonoma County; "[email protected]"; Vaishampayan. Julie 2; Vassell. Barbara@Stanislaus County; "[email protected]"; Sanford, Denise@Stanislaus Co; Heredia, Maria; "[email protected]"; "[email protected]"; Nagra, paljinder (Sutter County); "[email protected]"; Wickenheiser, Richard; Schmidt. Michelle; Martin, Kotty@Tehama County: Hopper, Dolly; Sagar, Minnie@Tehama Co; Loomis, Sharayne; "[email protected]"; Haught. Karen; Kempf, Jeremy (Tulare County); Bernstein, Robert; Denney, Patty@Tuolumne; Levin, Robert; Edmondson, Hannah@Ventura County: Reeder. Eva@Ventura; Gipson, Sandra@Ventu ra County; "megan. steffy@ventura .ora"; "[email protected]"; "[email protected],us"; "[email protected]"; Chapman, Ron; Anna Sutton; "[email protected]"; Weivoda, Kristin@Yolo County Health Department; Kelsch, Katie; "[email protected]"; Moua, Xee; Rice, [email protected]; "[email protected]"; Vugia, Duc@CDPH; Jain, Seema@CDPH; Kimura, Akiko@CDPH; Kamali, Amanda@CDPH; Snyder, Robert@CDPH; ::f\1. Alexander@CDPH; Abe, Kentaro@CDPH; DPH - Sarah.New; Hoover. Cora@CDPH; Royce, Sarah@CDPH; :'@.lL. Cynthia@CDPH; Glenn-Finer, Rosie@CDPH; Murray, Erin@CDPH; Bregman, Brooke@CDPH; Hacker. Jill@CDPH; Ruiz, Juan@CDPH; Kim, Janice@CDPH; Siegel. Jane@CDPH; Epson, Erin@CDPH; "[email protected]"; DPH -Rachel.Mclean; Stockman, Lauren@CDPH; arellano, [email protected]; "[email protected]"; Garrison, Jared@Glenn; Weinstein, Eva (NAPA); Gustafson, Erin@SBCounty; Johnston, Samantha@CDPH; Romero, Mike (PLACER); Sine!. Kim (Placer# 3); Schechter, Robert@CDPH; Volkman, Hannah@CDPH; "[email protected]"; "smtaylor@co .shasta .ca. us"; "gordon .ara [email protected]"; "[email protected]"; Herrick, Robert@sutter; Baldwin. Kismet@SJCPHS; "Maria.Morales@ventura,ora"; "Cecilia,[email protected]"; Whittaker, Holly (Nevada County): "[email protected]"; 1:iillh Georoe@Santa Clara County; Martin, Brittany@CDPH; "[email protected]"; Chai, Shua@CDPH; Brodie, Georgia@CalaverasCounty; Balter, Michelle M@San Luis Obispo County: "[email protected]"; "[email protected]" Cal/OSHA Issues Guidance on Requirements to Protect Health Care Workers from 2019 Novel Coronavirus

P217

Date: Monday, February 3, 20207:16:38 PM



RELEASE



"It is vital that employers take the necessary steps to protect workers in health care settings where they may be at risk of exposure to 2019 Novel Coronavirus," said Cal/OSHA Chief Doug Parker. "Cal/OSHA will provide guidance and resources on how to protect workers from this airborne infectious disease."



The ATD standard requires employers to have an ATD Exposure Control Plan with procedures to identify 2019-n-CoV cases or suspected cases as soon as possible and protect employees from infection.


.. Signs and symptoms of 2019-nCoV.

.. Modes of transmission of the disease and source control procedures .

.. Tasks and activities that may expose the employee to 2019-nCoV.

.. Use and limitations of methods to prevent or reduce exposure to the disease including decontamination and disinfection procedures.

.. Selection of personal protective equipment, its uses and limitations, and the types, proper use, location, removal, handling, cleaning, decontamination and disposal of protective equipment.

.. Proper use of respirators .

.. Available vaccines, when they become available.

P218

I (BOS)


Requester,

DPH Sunshine Friday, March 11, 2022 4:54 PM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 /File No 20059 TomasAragon_CDPHemails_Batch4.pdf


Thank you.


Hello, I am responding on behalf of SFDPH regarding public records request #20-1076. We first wanted to offer our












All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COVID19" "COVID-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCCfor items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: 11coronavirus 11 "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2"

112019-nCOV11 "nCOV" "severe acute respiratory syndrome" "viral pneumonia 11 "pneumonia of unknown origin 11

"novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.

Thank you,

DPH Sunshine Team

Pi20

From: To:

DPH Pheor CDPHl DPH-PHD-Public Health Emeraency Preoaredness and Resocnse; Ochi Ed (DPH); Vien Veronica CDPH); Stoltey Juliet CDPH); Stier David (DPH): DuBois Amie CDPH): Duren James CDPHl; Majeski Nick CADMJ; Sanchez Melissa (DPHl: Masinde Godfred IDPHl: Siador Christine (DPH): Aragon Tomas CDPHl; Kwong Amanda IDPH): DPH-lnteqration Steering Committee; [email protected]; [email protected]; PutvOfficer DEM IDEM); mhccsitreos&resourcereauests@cdoh ca.gov; [email protected]; Padilla Cristina (DPH): Acosta. Linda IDPHl; Heckman. Karen CDPH); Naser, Rawan CDPH); Nquyen. Rita CUCSF); Van Etten, Susan (DPH); [email protected]: Zarate Sheilah IDPHJ; Robert Anna CDPHJ; OVADIA AMY CDPHl; Saelee Kenoou CDPHl; McDonald Thomas Uilltll; Barbrich. Kczvsztof (ADM): Enanoria. Wayne (DPH); Sanchez. Melissa CUCSF); Ongpin Melissa IDPH); Do, Jennifer-Xuan CDPHl; Paule Gretchen (DPHJ; Sefat Cimma (DPHl; Bunting Buffy IDPHJ; Pierce Karen (DPHl; Rodriquez Marise CDPH); Ta Melissa CDPHJ; ~ Elaine CppHJ: Buckley Ken IDPHl; Aguallo. Daisy CDPH); Obien Elaine IDPH): Palma. David CDPH); Gee. Katherine CDPHl: Murrell. Drew illE/il; Schmidt Jeffrey IDPHl; Grjmes John CDPHl

Subject: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat 01/31/20 Friday, January 31, 2020 2:10:08 PM Date:

SFDPH DOC nCoV Situation Status report #8 (01/31/20)


# of Cases/Deaths

Worldwide: 9,925 Cases/213 Deaths (John Hopkins CSSE, link below) US: 6 Cases/0 Deaths CA: 2 Cases/0 Deaths


SFDPH

Summary of actions • DPH top priority: outreach to the Chinese community. This includes culturally competent messaging re: masks, in

person visits to Chinese media outlets, and convening Chinese community leaders and elected officials with CCSF

city leaders (DPH, DEM, Mayor's office).

• DPH met with 6 different SF Chinese Media outlets today to build communications relationships and provide

additional validated and updated information.

• DPH is working with Chinese Hospital and other community partners who are planning a press conference next

week, to talk about donation efforts.

• Coordinating planning efforts and sharing resources with privately operated and consortium urgent care and

outpatient health care clinics across SF.

• Secured 1 SF facility that can house up to 15 PUIS; no restrictions on who can be housed, including children, and

wrap around services are available at the site.

• DPH DOC continues to expand to accommodate finance needs, tracking of staff hours, and work with other

agencies supporting DOC and response work.

• Training modules are being developed and administered to support staff by DPH and DEM, to support ongoing

operations.

• Collaboration is happening at the regional level re: containment planning and guidance.

• DPH is assessing placement of PUis within a spectrum of different types of available housing options (i.e. acute

hospitals vs. outpatient sites/shelters).

S FD PH Page: https: //www.sfcdcp.org/i nfectious-d iseases-a-to-z/ coron avi rus-2019-nove 1-coronavi rus/

111 CDC coordinating with State Health Departments to provide guidance on monitoring individuals in their

jurisdiction for the 14-day incubation period of the 2019-nCoV.

• CDC issued new criteria for defining a "PU\." New component broadens the travel history to anywhere in

mainland China (within 14 days of onset of symptoms) if the person requires hospitalization. Discussions

occurring on whether this definition may result in missing some of the less severe, but still infectious cases.

P221

CDC report of number of PUis in the U.S. As of 01/31/20: 6 positive, 114 negative, and 121 pending tests. 36

states with PUis.

CDC nCoV page:

https://www.cdc.gov/coronavirus/2019-ncov /j ndex. htm I

:wHQ (World Health Organization)-

• On January 30, 2020 WHO determined the rapidly spreading 2019-nCoV outbreak constitutes a "Public

Health Emergency of International Concern." WHO nCoV page: https://www.who.int/emergencjes/diseases/novel-coronavirus-2019

CI1rli (California Department of Public Health)-

• On January 30, 2020 the State Department issued updated travel guidance, recommending travelers avoid

travel to China entirely. https://travel.state .gov /content/trave lie n/traveladvisories/trave la dvisories/china

travel-a dvisory. htm I

• CDP H's Medical and Health Coordination Center (MHCC) activated at a Level 2 (with Level 1 being the

highest) operating from 0700 to 1900 hours daily.

• CDPH MHCC established a Joint Information Center (JIC) to monitor all media, respond to inquiries (149

received so far), and develop risk communications (FAQs, talking points, etc.).

" Centers for Infectious Disease (CID) reports there have been 58 persons in California tested for 2019- nCoV.

Two test results were positive, 27 test results were negative, and the remaining 29 results are pending.

" CDPH has been asked to provide representation at an upcoming press conference (date TBD). CDPH is

aligning their messaging and shared information with the State and local jurisdictions, by referring requests

to the local health officer, directing them to Frequently Asked Questions on the CDPH website, and to the

Centers for Disease Control (CDC) website.

CDPH nCoV page: https://www.cdph.ca.gov/Programs/CID/DCDC/pages/lmmunizatjon/nCOV2019.aspx

Johns Hopkins Data Dashboard (real time updates)

• Data sources- WHO, CDC, NHC, and DXY.

• 9,925 cases globally

'" In China: 9,658 cases; 222 deaths.

" 118 cases confirmed outside of China in 22 countries.

https ://gisa nddata. maps.a rcgis.com/a pps/opsdas h boa rd/index. html#/bda 7594 7 40fd40299423467b48e9ecf6


P222



P223

From: Blocher. Tricia@CDPH To: Cc: Subject:

Fanelli. Susan@CDPH; CDPH CCLHO DL; CDPH CHEAC DL; Gibbons. [email protected] Angell. Sonia Y@CDPH; Dean. Charity A@CDPH; Watt. James@CDPH; Hanson, Jake@CDPH RE: Novel Coronavirus Messaging and Guidance

Date: Friday, January 31, 2020 1:11:23 PM


Hello all,

Both the LHO and PIO calls (at 1pm and 2pm respectively) will be delayed by 30 minutes. We are

watching the White Press Conference and would like to make sure we have the most up to date

information to discuss.

Thank you for your understanding.

Tricia

Tricia N. Blocher

Deputy Director

Emergency Preparedness Office


Office: (916) 650-6710

Mobile: (916) 712-1261

From: Fanelli, Susan@CDPH

Sent: Thursday, January 30, 2020 8:57 PM

To: CDPH CCLHO DL <[email protected]>; CDPH CHEAC DL <[email protected]>; Gibbons,

[email protected] <[email protected]>

Cc: Angell, Sonia Y@CDPH <[email protected]>; Blocher, Tricia@CDPH

<[email protected]>; Dean, Charity A@CDPH <[email protected]>; Watt,

James@CDPH <[email protected]>; Hanson, Jake@CDPH <[email protected]>

Subject: Novel Coronavirus Messaging and Guidance

Good evening,

This email is to provide you with updated information and messaging around novel coronavirus. We

have heard from many of you about communication challenges and want you to know we are

working hard to address your needs.

1. We have posted the following statement on our website:

The California Department of Public Health's (Health Department) recommendations

regarding quarantine of returning travelers have not changed. The Health Department

does NOT recommend routine quarantine of returning travelers from China. Furthermore,

P224

we are not recommending the cancelation of public events at this time.

The immediate health risk from novel coronavirus to the general public in California is

low. There is no evidence of sustained person-to-person transmission of the virus in our

US. One instance of person-to-person transmission was confirmed today in Chicago, but it

was with a close household contact.

We still consider this a serious public health concern. We are actively working with the

CDC, with local governments and health care providers across the state to protect your

health.

Please see the Coronavirus web page for this new statement.

2. Attached is a DRAFT Quicksheet we have sent out conference call information to CCLHO and

CHEAC for 1 pm tomorrow to get your feedback on this draft document. We recognize this

may need to be updated when new guidance comes out from CDC. We also invite those who

have confirmed cases and/or have prepared for repatriation to share a little of their

experience.

3. CDPH has scheduled a PIO call for 2 pm tomorrow (following the CCLHO and CHEAC call on

the DRAFT Quicksheet). We will share additional ideas for public messaging.

Thank you for your patience as we continue to work through these issues and do not hesitate to

raise additional needs with us.

Thank you.

Susan

Susan Fanelli

Chief Deputy Director of Policy and Programs


(916) 558-1736

P225

From: Fanelli. Susan@CDPH To: Cc:

CDPH CCLHO DL; CDPH CHEAC DL; Gibbons. [email protected] Angell. Sonia Y@CDPH; Blocher. Tricia@CDPH; Dean. Charity A@CDPH; Watt James@CDPH; Hanson. Jake@CDPH

Subject: RE: Novel Coronavirus Messaging and Guidance Friday, January 31, 2020 12:13:28 PM Date:

Attachments: Revised CDPH 2019-nCoV Ouicksheet 1 31V4.docx


Good afternoon,

Response to novel Coronavirus continues to evolve, the agenda for today's call will be:

1. Review of Updated CDC Guidance • New PUI definition (See attached updated Quicksheet • CDC decision to Quarantine at March AFB (repatriation) " Asymptomatic Transmission

2. Review of revised Quicksheet (see updated version attached) - we will focus on key issues not the technical pieces such as lab specimens and reporting

3. Sharing for local colleagues who have had a positive case or prepared for repatriation - if time we will allow questions after their presentations.

Thanks we look forward to talking with you.

Susan

From: Fanelli, Susan@CDPH


To: CDPH CCLHO DL ([email protected]) <[email protected]>; CDPH CHEAC DL

([email protected]) <[email protected]>; Gibbons, [email protected]

<[email protected]>

Cc: Angell, Sonia Y@CDPH <[email protected]>; Blocher, Tricia (CDPH-EXEC-DIR)

([email protected]) <[email protected]>; Dean, Charity A@CDPH

<[email protected]>; Watt, James (CDPH-CID-DCDC) ([email protected])

<[email protected]>; Hanson, Jake@CDPH <[email protected]>


Good evening,




P226






The immediate health risk from novel coronavirus to the genera/ public in California is






health.


2. Attached is a DRAFT Quicksheet - we have sent out conference call information to CCLHO and




experience.





Thank you.

Susan

Susan Fanelli



(916) 558-1736

P227

From: To: Cc:

Kagan, Rachael CDPHl Bobba, Naveena(DPH)

Subject: Vien. Veronica CDPH); Aragon, Tomas (DPH) Re: Novel Coronavirus Messaging and Guidance Friday, January 31, 2020 7:47:16 AM Date:

Yes I plan to be on CDPH PIO call.

Sent from my overrated iPhone

On Jan 31, 2020, at 7:42 AM, Bobba, Naveena (DPH) <[email protected]> wrote:

Making sure you are aware of the cdph pio call. Tomas- assuming you or Susan P can cover the cclho/cheac call? Naveena

Get Outlook for iOS

From: Fanelli, Susan@CDPH <[email protected]>

Sent: Thursday, January 30, 2020 8:57:08 PM

To: CDPH CCLHO DL <[email protected]>; CDPH CHEAC DL

<[email protected]>; Gibbons, [email protected] <[email protected]>


<[email protected]>; Dean, Charity A@CDPH <[email protected]>;

Watt, James@CDPH <[email protected]>; Hanson, Jake@CDPH

<[email protected]>


This message is from outside the City email system. Do not open links or

attachments from untrusted sources.

Good evening,

This email is to provide you with updated information and messaging around novel

coronavirus. We have heard from many of you about communication challenges and

want you to know we are working hard to address your needs.


The California Department of Public Health's {Health Department)

recommendations regarding quarantine of returning travelers have not

changed. The Health Department does NOT recommend routine quarantine

of returning travelers from China. Furthermore, we are not recommending

the cancelation of public events at this time.

P229

The immediate health risk from novel coronavirus to the general public in

California is low. There is no evidence of sustained person-to-person

transmission of the virus in our US. One instance of person-to-person

transmission was confirmed today in Chicago, but it was with a close

household contact.

We still consider this a serious public health concern. We are actively

working with the CDC, with local governments and health care providers

across the state to protect your health.

Please see theCoronavirus webpage for this new statement.

2. Attached is a DRAFT Quicksheet- we have sent out conference call information

to CCLHO and CHEAC for 1 pm tomorrow to get your feedback on this draft

document. We recognize this may need to be updated when new guidance

comes out from CDC. We also invite those who have confirmed cases and/or

have prepared for repatriation to share a little of their experience.

3. CDPH has scheduled a PIO call for 2 pm tomorrow (following the CCLHO and

CHEAC call on the DRAFT Quicksheet). We will share additional ideas for public

messaging.

Thank you for your patience as we continue to work through these issues and do not

hesitate to raise additional needs with us.

Thank you.

Susan

Susan Fanelli



(916) 558-1736

<CDPH 2019-nCoV Quicksheet2020 01 30 DRAFT v4.docx>

P230


Bobba, Naveena(DPH) Kagan, Rachael (DPH); Vien, Veronica CDPH) Aragon, Tomas (DPH) Fwd: Novel Coronavirus Messaging and Guidance Friday, January 31, 2020 7:42:43 AM

Attachments: CDPH 2019-nCoV Ouicksheet 2020 01 30 DRAFT v4.docx

Making sure you are aware of the cdph pio call. Tomas- assuming you or Susan P can cover the cclho/cheac call? Naveena

Get Outlook for iOS

From: Fanelli, Susan@CDPH <[email protected]>


To: CDPH CCLHO DL <[email protected]>; CDPH CHEAC DL <[email protected]>; Gibbons,

[email protected] <[email protected]>


<[email protected]>; Dean, Charity A@CDPH <[email protected]>; Watt,

James@CDPH <[email protected]>; Hanson, Jake@CDPH <[email protected]>



untrusted sources.

Good evening,









The immediate health risk from novel coronavirus to the general public in California is





P231

CDC, with local governments and health care providers across the state to protect your health.

Please see theCoronavirus web page for this new statement.

2. Attached is a DRAFT Quicksheet-we have sent out conference call information to CCLHO and




experience.





Thank you.

Susan

Susan Fanelli



(916) 558-1736

P232

From: To: Cc:

Fanelli. Susan@CDPH CDPH CCLHO DL; CDPH CHEAC DL; Gibbons, [email protected] Angell. Sonia Y@CDPH; Blocher, Tricia@CDPH; Dean, Charity A@CDPH; Watt, James@CDPH; Hanson, Jake@CDPH

Subject: Novel Coronavirus Messaging and Guidance Thursday, January 30, 2020 8:59:45 PM Date:

Attachments: CDPH 2019-nCoV Ouicksheet 2020 01 30 DRAFT v4.docx


Good evening,









The immediate health risk from novel coronavirus to the genera/ public in California is

low. There is no evidence of sustained person-to-person transmission of the virus in our US. One instance of person-to-person transmission was confirmed today in Chicago, but it




health.


2. Attached is a DRAFT Quicksheet- we have sent out conference call information to CCLHO and




experience.


P233




Thank you.

Susan

Susan Fanelli



(916) 558-1736

P234

From: To:

DPH Pheor IDPHl

DPH-PHD-Public Health Emergency Preoaredness and Response; Ochi Ed CDPHl; Vien Veronica IDPHl: Stoltey Juliet IDPHl; Stier David CDPHl; DuBois Amie IDPHl; Duren James (DPHl; Majeski Nick CADMl; Sanchez Melissa IDPHl; Masinde Godfred CDPH); Siador Christine IDPHl; Aragon Tomas IDPHl; Kwong Amanda IDPHl; DPH-Inteqration Steering Committee; [email protected]; [email protected]: DutyOfficer DEM IDEM): mhccsitreps&resourcereguests@cdoh ca.gov; [email protected]; Padilla Cristina CDPHl; Acosta Linda IDPHl; Heckman. Karen IDPHl: Naser Rawan IDPHl; Nauyen Rita IUCSFl; Van Etten Susan (DPHl; [email protected]; Zarate Sheilah IDPHl; Robert Anna IDPHl: OVADIA AMY IDPHl; Saelee Kenoou CDPHl; McDonald Thomas (ADM); Barbrich Krzysztof CADMl; Enanoria Wayne (DPHl; Sanchez. Melissa CUCSFl; Ongoin. Melissa CDPHl; Do, Jennifer-Xuan IDPHl; Paule Gretchen (DPH); Sefat Cimma (DPHl: Bunting Buffy (DPH); Pierce Karen (DPHl: Rodriquez Marise (DPHl; Ta Melissa (DPHl; Lee Elaine IDPHl; Buckley Ken (DPH); Aguallo Daisy IDPHl; Objen, Elajne (DPH)

Subject: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat #7

Date: Thursday, January 30, 2020 3:13:39 PM



# of Cases/Deaths

Worldwide: 8,235 Cases/171 Deaths US: 5 Cases/0 Deaths CA: 2 Cases/0 Deaths


SFDPH

Summary of actions

" CCSF's Department of Emergency Management (DEM) and the DPH DOC met with Director of Health Dr.

Grant Colfax to strategize and support plans for an extended response period for emergency response staff.

" Public Information Office has increased staffing and is currently providing real time updates online, via

social media, and to Chinese language media sources in 4 threshold languages .

., Outreach has been enhanced to Health Care Providers, Elected Officials, CBOs, and Media in the Chinese

Community. Messaging re: use of masks as a protective measure are in development.

" DPH is developing a basic outline and framework for the care and shelter of varying levels of PUis. In this

process DPH is coordinating with SF hospitals and outpatient clinics to identify resources and capacity .

., A field team is being developed to support current and potential future Communicable Disease needs,

including testing and outreach to PUis .

., PUI surge housing has been identified at 1 site in SF and plans are to work with the Mayor's Office on

Housing and the Volunteer Organizations Active in a Disaster (SF VOAD) to identify additional housing sites .

., 911 dispatch implemented a new screening process that can be used any time a caller volunteers

information re: travel to Wuhan or contact with a confirmed nCoV-2019 case .

., DEM working with DPH to develop daily messaging for citywide situational awareness to outside CCSF

agencies.

S FD PH Page: bttps: //www.sfcdcp.org/i nfecti ous-d iseases-a-to-z/ coron avi rus-2019-n ovel-coron avi rus/

., CDC providing the number of PUis in the U.S. As of 01/30/20: 5 positive, 68 negative, and 92 pending tests.

This is unchanged from yesterday's report.

., CDC is hospitalizing and/or isolating PUI cases testing positive for nCoV-2019. Serial PCRs (testing at a

molecular level to confirm infection) are being conducted on PUis and PUI contacts.

" CDC has confirmed the first U.S. person to person transmission in Chicago, IL CDC nCo V page:

P235

https://www.cdc.gov/coronavjrus/2019-ncov/index.html

Wfil1 (World Health Organization)- 01/30/20

• First confirmed cases of 2019-nCoV in Finland, India and Philippines; all had travel history to Wuhan City.

• International Health Regulations is meeting today to discuss whether the outbreak constitutes a "public

health emergency of international concern."

• WHO recommends that the interim name of the disease should be "2019-nCoV acute respiratory disease."

This name complies with the WHO Best Practices for Naming of New Human Infectious Diseases. Naming is

still undecided at this point.

• WHO working on enhancing global diagnostic capacity for 2019-nCoV by enhancing availability of tests,

national capacity, and creating a network of key expert laboratories.

WHO nCoV page:

https:l/www.who.int/emergencies/diseases/novel-coronavirus-2019

CDPH (California Department of Public Health) 01/29/20

• CDPH nCoV page: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/nCOV2019.aspx

Johns Hopkins Data Dashboard

• Data sources used are the WHO, CDC, NHC, and DXY.

• Provides updated information in real time.

• 8,235 cases globally (up 2,170 from 01/29/20)

• In China: 8,124 cases (about 99% of total cases globally); 12,167 PUis; 1,370 severely ill cases; 171 deaths

{19% of cases in China are severely ill or have resulted in death).

• 111 cases confirmed outside of China in 21 countries.

https://gisa nd data.maps.a rcgis. com/a pps/opsdashboa rd/ind ex. htm 1#/bda 75 94 7 40fd40299423467b48e9ecf6




P236

From: To:

Subject: Date:

Chiari-Keith, Larissa (CTR) Nilsen, Donata, Public Health, DCDCP; Stoltey, Juliet IDPH); Gurley, Jan CDPHl; Harrison Steins; Karishma Kumar; NICOLE CERRI; Albert Trinh; Alex Efros; OVADIA, AMY CDPH); Franqipane, Anthony: Aram.bronston [email protected]); Barb Osterman; [email protected]; Bonin. Brandon ([email protected]); Britt Ehrhardt [email protected]); Carl Hanson; Carl Hess ([email protected]); Charles Knoderer ([email protected]); [email protected]; Dave Bush; David Goldstein - Contra Costa County [email protected]): Davis, Amber; Walsh, Douglas CDPH): Erica Pan ([email protected]); Erika Jensen; Galli, Laura; Gerald Tamayo ([email protected]); Hernandez. Lisa ([email protected]); [email protected]; Lisa Santora; [email protected]; Mahtab Shahkarami ([email protected]); Marianna Moles ([email protected]); Kovner, Matt; Matthew Willis - Marin Countv ([email protected]); Sobba, Naveena (DPH); Nicole Mazar; Paul Leung; [email protected]; Ridel, Suzanne [email protected]); Rodriguez. Rachel ([email protected]); [email protected]; Sara Cody - Santa Clara County ([email protected]); Scott Morrow; Sefat. Cimma IDPH); Shruti Dhapodkar MD ([email protected]); Todd Piantedosi - FBI ([email protected]); Aragon, Tomas (DPH); Travis Kusman [email protected]); Zerlyn Ladua [email protected]) RE: Cancellation: FBI Sponsored Smallpox Workshop 19 February 2020 Thursday, January 30, 2020 9:35:52 AM


Bay Area BAC,

Please see message from the FBI Smallpox Workshop Planning Team below:

Due to the recent outbreak of the novel coronavirus (nCoV) the California Smallpox Response

Workshop has been postponed. The Smallpox Response Workshop is intended to bring together and

enhance coordination and awareness of representatives from Federal, State and Local Public Health

and Law Enforcement Agencies in response to a Smallpox incident in the United States. Progressing

forward with the February 19 workshop date would not yield the desired outcome, as many of the

Local, State and Federal representatives from Public Health Departments and Agencies are activated,

engaged and responding to the nCoV outbreak. There is no desire to hamper any real-world

response and therefore the unanimous decision to postpone the workshop was made.

We will reconvene planning in the coming weeks and work to coordinate and identify new dates,

and discuss new options for workshop conduct that will be beneficial to all participants at the three

areas of responsibility (Bay Area, South Coast, and San Diego).

We appreciate your time, effort, and patience thus far, and look forward to working with you all

again soon.

Respectfully,

Larissa Chiari-Keith, MPH

Support Contractor

BioWatch Jurisdictional Coordinator, San Diego and San Francisco/Bay Area

Countering Weapons of Mass Destruction

U.S. Department of Homeland Security

Larissa. Chia [email protected]

P237

OHS Mobile: (619) 755-7914

Mobile: (619) 823-6451

**Bio Watch work described or referenced in this email is conducted under the direction of of Mr. Mark Oliphant, BioWatch Program Leadership and Director of Jurisdictional Coordination, Countering Weapons of Mass Destruction, U.S. Department of Homeland Security**

From: Chiari-Keith, Larissa (CTR)

Sent: Thursday, January 30, 2020 8:05 AM

To: Nilsen, Donata, Public Health, DCDCP <[email protected]>; Stoltey, Juliet (DPH)

<[email protected]>; Gurley, Jan (DPH) <[email protected]>; Harrison Steins

<[email protected]>; Karishma Kumar <[email protected]>; NICOLE CERRI

<[email protected]>; Albert Trinh <[email protected]>; Alex Efros

<[email protected]>;Amy Ovadia <[email protected]>; Anthony Frangipane

([email protected]) <[email protected]>; Aram.bronston

([email protected]) <[email protected]>; Barb Osterman

<[email protected]>; [email protected]; Bonin, Brandon

([email protected]) <[email protected]>; Britt Ehrhardt

([email protected]) <[email protected]>; Carl Hanson

<[email protected]>; Carl Hess ([email protected]) <[email protected]>; Charles

Knoderer ([email protected]) <[email protected]>; Chiari-Keith, Larissa (CTR)

(larissa.chia ri-keith@associ ates. hq .d hs.gov) <[email protected]>;

[email protected]; Dave Bush <[email protected]>; David Goldstein - Contra

Costa County ([email protected]) <[email protected]>; Davis, Amber

<[email protected]>; Douglas Walsh <[email protected]>; Erica Pan

([email protected]) <[email protected]>; Erika Jensen <[email protected]>;

Galli, Laura <[email protected]>; Gerald Tamayo ([email protected])

<[email protected]>; Hernandez, Lisa ([email protected])

<[email protected]>; [email protected]; Lisa Santora

<[email protected]>; [email protected]; Mahtab Shahkarami

([email protected]) <[email protected]>; Marianna Moles

([email protected]) <[email protected]>; Matt Kovner

([email protected]) <[email protected]>; Matthew Willis - Marin County

([email protected]) <[email protected]>; Naveena Sobba

<[email protected]>; Nicole Mazar <[email protected]>; Paul Leung

<[email protected]>; [email protected]; Ridel, Suzanne ([email protected])

<[email protected]>; Rodriguez, Rachel ([email protected])

<[email protected]>; [email protected]; Sara Cody- Santa Clara County

([email protected]) <[email protected]>; Scott Morrow

<[email protected]>; Sefat, Cimma (DPH) <[email protected]>; Shruti Dhapodkar

MD ([email protected]) <[email protected]>; Todd Piantedosi - FBI

([email protected]) <[email protected]>; Tomas Aragon <[email protected]>; Travis

Kusman ([email protected]) <[email protected]>; Zerlyn Ladua ([email protected])

<[email protected]>

Subject: Cancellation: FBI Sponsored Smallpox Workshop 19 February 2020

P238

Bay Area BAC:

This email is sent on behalf of the Bay Area Bio Watch Advisory Committee Chairs and the Smallpox

Workshop Planning Committee.

The FBI sponsored Smallpox Workshop on 19 February 2020 is cancelled due to the ongoing and

evolving response to the 2019 novel coronavirus (2019-nCov) outbreak. The workshop will be

rescheduled to a future date, to be determined.


Please feel free to reach out to me with any questions.

Respectfully,

Larissa Chiari-l<eith, MPH

Support Contractor




Larissa. Ch iari-Keith@associ ates. hq.dhs.gov

OHS Mobile: (619) 755-7914

Mobile: (619) 823-6451


P239

From: To:

Subject: Date:

Chiari-Keith. Larissa (CTR) Nilsen. Donata, Public Health, DCDCP; Stoltey, Juliet (DPH); Gurley, Jan (DPHl; Harrison Steins; Karishma Kumar; NICOLE CERRI; Albert Trinh; Alex Efros; OVADIA, AMY (DPH); Frangipane, Anthony; Aram.bronston ([email protected]); Barb Osterman; [email protected]; Bonin. Brandon ([email protected]); Britt Ehrhardt [email protected]): Carl Hanson; Carl Hess ([email protected]); Charles Knoderer ([email protected]); Chiari-Keith. Larissa (CTR); [email protected]; Dave Bush; David Goldstein - Contra Costa Countv ([email protected]); Davis. Amber; Walsh. Douglas (DPH); Erica Pan [email protected]); Erika Jensen; Galli. Laura; Gerald Tamayo [email protected]); Hernandez, Lisa ([email protected]): [email protected]; Lisa Santora; [email protected]; Mahtab Shahkarami ([email protected]); Marianna Moles ([email protected]); Kovner, Matt; Matthew Willis - Marin County [email protected]); Bobba. Naveena (DPH); Nicole Mazar; Paul Leung; [email protected]; Ridel, Suzanne (SRidel@ci .berkeley. ca .us); Rodriguez, Rachel (Ra [email protected] ); [email protected]; Sara Cody - Santa Clara County ([email protected]); Scott Morrow; Sefat. Cimma (DPH): Shruti Dhapodkar MD ([email protected]); Todd Piantedosi - FBI ([email protected]); Aragon. Tomas (DPH): Travis Kusman ([email protected]); Zerlyn Ladua ([email protected]) Cancellation: FBI Sponsored Smallpox Workshop 19 February 2020 Thursday, January 30, 2020 8:05:36 AM


Bay Area BAC:

This email is sent on behalf of the Bay Area Bio Watch Advisory Committee Chairs and the Smallpox

Workshop Planning Committee.

The FBI sponsored Smallpox Workshop on 19 February 2020 is cancelled due to the ongoing and

evolving response to the 2019 novel coronavirus (2019-nCov) outbreak. The workshop will be

rescheduled to a future date, to be determined.


Please feel free to reach out to me with any questions.

Respectfully,

Larissa Chiari-Keith, MPH

Support Contractor




Larissa.Chia ri-Keith@associates. hq .dhs.gov

OHS Mobile: (619) 755-7914

Mobile: (619) 823-6451


P240


Hanson. Jake@CDPH CDPH CCLHO DL FW: CAHAN HCP Conference Call Notes- CDPH Update on 2019 Novel Conference Call 1/27/2020 at 11 AM Thursday, January 30, 2020 7:06:49 AM Coronavirus+HCP+Conference+Ca II+ Sp ea ker+Notes+ 1. 28. 20. pdf


FYI


Sent: Wednesday, January 29, 2020 5:18 PM


Subject: CAHAN HCP Conference Call Notes- CDPH Update on 2019 Novel Conference Call

1/27 /2020 at 11 AM

**(EXTERNAL MESSAGE]** FROM: [email protected]



California Department of Public Health (CDPH) conducted a call to update healthcare providers on the latest information regarding the 2019 Novel Coronavirus on Monday, January 27th, 2020 at 11 AM.

Please see attached notes from this call.

P242

From: To: Subject:

Hanson, Jake@CDPH CDPH CCLHO DL

Date: FW: CAHAN LHD Conference Call Notes - CDPH Update on 2019 Novel Conference Call 1/27/2020 at 10 AM Thursday, January 30, 2020 7:06:12 AM

Attachments: Coronavi rus+LH D+Confe ren ce+Ca 11+ Speaker+ Notes+ 1. 28. 20. pdf

FYI





Subject: CAHAN LHD Conference Call Notes- CDPH Update on 2019 Novel Conference Call

1/27 /2020 at 10 AM



password. To report suspicious emails, click "Report Phish" button. - ---·---- - ·-- - -- -- - ----· -·---- - --~ ~ ·- -- -

California Department of Public Health (CDPH) conducted a call to update Local Health Departments on the latest information regarding the 2019 Novel Coronavirus on Monday, January 27th, 2020 at 10 AM.


P243

From: To: Cc:

Kagan. Rachael (DPH)

Hammer. Hall IDPH)

Philip, Susan IDPH); Vien. Veronica IDPH); Aragon. Tomas (DPH); Rivera. Tiffany (DPH); Ehrlich. Susan (DPH); Andrew, Brent (DPH); Acosta, Linda IDPH); Padilla. Cristina IDPH)

Subject: Re: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat #6

Date: Thursday, January 30, 2020 6:14:46 AM

Attachments: image001.png

Thanks Hali.

We are doing aggressive rumor control, but it is hard to be air tight. It is the nature of these things. I hope you told your patient that was not accurate, that there are no confirmed cases in SF, and that we will make an announcement of that changes.

We have also done: Social media monitoring and correcting rumors. Two all-staff messages to ZSFG. One all-DPH staff message from Grant. Circulated multilingual fact sheets and those are up on SFDPH.org, SFGOV, and SF72.org. Held 2 press conferences. Done multiple media interviews and answered inquiries, including Chinese media. Updated the BOS several times.

I am including the full PIO team working on this issue.

Thanks Rachael

Sent from my overrated iPhone

On Jan 29, 2020, at 10:38 PM, Hammer, Hali (DPH) <[email protected]> wrote:

Hi all. Not exactly social media, but I did want to pass on what I heard from two patients

in evening clinic at the General today: these were patients who have the upper

respiratory infection that we've seen so much of over the past month. After I did my

assessment, they told me how relieved they were to know that they don't have

coronavirus. They said that "word on the street" in the Mission is that there are two

patients at the General with confirmed virus, and the city is waiting to break the news so

it's done in a way that won't cause panic.

Not sure what more we can do to dispel these myths, and I think our job is made more

difficult because so many people are suffering from respiratory symptoms right now.

--Hali

Hali Hammer, MD

Director of Ambulatory Care

San Francisco Health Network


Assistant: Tammy Stribling (415) 255-3411

Voicemail: 628-206-5122

P244

Cell: 510-290-3433

Pronouns: her I she I hers

<image001.png>

From: DPH, Phepr (DPH) <[email protected]>


To: DPH-PHD-Public Health Emergency Preparedness and Response <DPH

PublicHealthEmergencyPreparednessandResponse@SFGOVl.onmicrosoft.com>; Ochi,

Ed (DPH) <[email protected]>; Vien, Veronica (DPH) <[email protected]>;

Stoltey, Juliet (DPH) <[email protected]>; Stier, David (DPH)

<[email protected]>; DuBois, Amie (DPH) <[email protected]>; Duren, James

(DPH) <[email protected]>; Majeski, Nick (ADM) <[email protected]>;

Sanchez, Melissa (DPH) <[email protected]>; Masinde, Godfred (DPH)

<[email protected]>; Siador, Christine (DPH) <[email protected]>;

Aragon, Tomas (DPH) <[email protected]>; Kwong, Amanda (DPH)

<[email protected]>; DPH-lntegration Steering Committee

<[email protected]>; [email protected]; [email protected];

DutyOfficer, DEM (DEM) <[email protected]>;

mhccsitreps&[email protected]; [email protected]; Padilla, Cristina (DPH)

<[email protected]>; Acosta, Linda (DPH) <[email protected]>; Heckman,

Karen (DPH) <[email protected]>; Naser, Rawan (DPH)

<[email protected]>; Nguyen, Rita (UCSF) <[email protected]>; Van Etten,

Susan (DPH) <[email protected]>; [email protected]; Zarate, Sheilah

(DPH) <[email protected]>; Robert, Anna (DPH) <[email protected]>;

OVADIA, AMY (DPH) <[email protected]>; Saelee, Kenpou (DPH)

<[email protected]>; McDonald, Thomas (ADM)

<[email protected]>; Barbrich, Krzysztof (ADM)

<[email protected]>; Enanoria, Wayne (DPH) <[email protected]>;

Sanchez, Melissa (UCSF) <[email protected]>; Ongpin, Melissa (DPH)

<[email protected]>; Do, Jennifer-Xuan (DPH) <[email protected]>;

Paule, Gretchen (DPH) <[email protected]>; Sefat, Cimma (DPH)

<[email protected]>; Bunting, Buffy (DPH) <[email protected]>; Pierce,

Karen (DPH) <[email protected]>; Rodriguez, Marise (DPH)

<[email protected]>; Ta, Melissa (DPH) <[email protected]>; Lee, Elaine

(DPH) <[email protected]>; Buckley, Ken (DPH) <[email protected]>; Aguallo,

Daisy (DPH) <[email protected]>; Obien, Elaine (DPH)

<[email protected]>



Status: Yellow

P245

Outlook: Worsening

Need: None

# of Cases/Deaths

Worldwide: 6,065 Cases/132 Deaths

US: 5 Cases/O Deaths

CA: 2 Cases/0 Deaths


SFDPH

Summary of actions

• SFDPH Health Officer Dr. Tomas Aragon gave an interview in Spanish to l<IQI.

• Public FAQ for https://www.sfcdq:i.org/developed and out for review. The

site is now separated into a page for the public and a page for clinicians.

• DPH Operations continues to expand significantly to support functions of

information and guidance dissemination, clinician guidance, and containment

planning. Training is being provided where needed.

• DPH HR is working on an expedited process to secure additional RN support.

• Refining messaging about masks for the community, in collaboration with the

DOC, CHEP, and SFHN.

• FAQs for the SF 311 call center have been revised and updated by Pl Os.

• The SF City Attorney is currently reviewing (draft) Health Officer orders.

• Plans in development for PPE deployment (if needed) and preparing for

respirator users who do not routinely use N95 respirators (i.e. setting up

medical screening, fit testing, and training)

• Staff worked on tailoring prevention messages to the Chinese community

especially with respect to face masks.

• Efforts are expanding to a city-wide level around housing and resource

support for PUis. DPH is working with DEM and HSA to identify options.

• Continued monitoring of social media, to be able to respond in real time to

unvalidated or misleading information.

• DPH launched a new social media message around prevention.

SFDPH Page: https ://www.sfcdcp.org/infectious-diseases-a-toz/ coronavirus-2019-novel-coronavirus/

P246

" CDC is posting and updating the number of PUis in the U.S. As of 01/29/20: 5

positive 1 68 negative 1 and 92 pending tests.

" Working with CDPH to make lab testing possible at the local level. Currently

CDC continues to the source for all CA nCoV-2019 testing.

CDC nCo V page:

https://www.cdc.gov/coronavirus/2019-ncov /index.html

WHO (World Health Organization)- 01/29/20

.. 4 newly confirmed cases reported in United Arab Emirates1 in individuals

traveling from Wuhan City.

• WHO has set up a public private collaboration called {!The Pandemic Supply

Chain Network (PSCNt. It is a Market Network that seeks to provide a

platform for data sharing1 market visibility1 and operational coordination and

connecting.

• PSCN develop a market capacity and risk assessment for personal protective

equipment (PPE) to be used in matching the global demand for PPE with the

global supply. Expected to be completed by 5 February 2020.

" Global confirmed cases 60651 China 5997 confirmed cases. 1239 severe

cases1 132 deaths.

" Outside of China- 68 confirmed cases in 15 countries.

" 9239 PUis.

WHO nCoV page:

https://www.who.int/emergencies/diseases/novel-coronavirus-2019


" CDPH is using the California Health Alert Network (CAHAN) and hosting

P247

conference calls to ensure that local health departments and healthcare

providers are aware and kept abreast of updated information as it becomes

available.

• As of 0800 hours on January 27, 2020 there have been 33 persons in

California tested for novel coronavirus. Two test results were positive, 18 test

results were negative, and the remaining 13 results are pending.

• CDPH Office of Public Affairs (OPA)has responded to 11 media inquiries.

Inquiries include updates on confirmed cases and PUis.

• Preparing for the release of the 2019-nCoV laboratory assay within the next

two weeks. Currently making appropriate staffing and equipment plans to

perform the 2019-nCoV assay. Current priorities are to report all lab reports

from CDC to CID leadership, provide up-to-date communication to the

California Local Public Health Lab Network on 2019-nCoV laboratory

procedures as they become available, and assisting local Public Health Labs

to prepare for testing at the local level.

CDPH nCoV page:

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/nCOV2019.aspx




P248

From: Hammer, Hali (DPH) To: Cc:

Philip, Susan (DPHl; Kagan, Rachael CDPHl; Vien, Veronica (DPHl; Aragon, Tomas (DPHl Rivera. llffany (DPH); Ehrlich, Susan (DPH)

Subject: Date:

FW: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat #6 Wednesday, January 29, 2020 10:38:32 PM

Attachments: image001.pnq

Hi all. Not exactly social media, but I did want to pass on what I heard from two patients in evening

clinic at the General today: these were patients who have the upper respiratory infection that we've

seen so much of over the past month. After I did my assessment, they told me how relieved they

were to know that they don't have coronavirus. They said that "word on the street" in the Mission is

that there are two patients at the General with confirmed virus, and the city is waiting to break the

news so it's done in a way that won't cause panic.

Not sure what more we can do to dispel these myths, and I think our job is made more difficult

because so many people are suffering from respiratory symptoms right now.

--Hali

Hali Hammer, MD

Director of Ambulatory Care

San Francisco Health Network


Assistant: Tammy Stribling (415) 255-3411

Voicemail: 628-206-5122

Cell: 510-290-3433

Pronouns: her I she I hers

(~ ::i11 Fr-"r1 . .__)t;.). ~ ' 0 : sco ealth e

From: DPH, Phepr (DPH) <[email protected]>


To: DPH-PHD-Public Health Emergency Preparedness and Response <DPH

PublicHealthEmergencyPreparednessandResponse@SFGOVl.onmicrosoft.com>; Ochi, Ed (DPH)

<[email protected]>; Vien, Veronica (DPH) <[email protected]>; Stoltey, Juliet (DPH)

<[email protected]>; Stier, David (DPH) <[email protected]>; DuBois, Amie (DPH)

<[email protected]>; Duren, James (DPH) <[email protected]>; Majeski, Nick (ADM)

<[email protected]>; Sanchez, Melissa (DPH) <[email protected]>; Masinde, Godfred

(DPH) <[email protected]>; Siador, Christine (DPH) <[email protected]>; Aragon,

Tomas (DPH) <[email protected]>; Kwong, Amanda (DPH) <[email protected]>;

DPH-lntegration Steering Committee <[email protected]>; [email protected];

[email protected]; DutyOfficer, DEM (DEM) <[email protected]>;

mhccsitreps&[email protected]; [email protected]; Padilla, Cristina (DPH)

<[email protected]>; Acosta, Linda (DPH) <[email protected]>; Heckman, Karen (DPH)

<[email protected]>; Naser, Rawan (DPH) <[email protected]>; Nguyen, Rita (UCSF)

P249

<[email protected]>; Van Etten, Susan (DPH) <[email protected]>;

[email protected]; Zarate, Sheilah (DPH) <[email protected]>; Robert, Anna (DPH)

<[email protected]>; OVADIA, AMY (DPH) <[email protected]>; Saelee, Kenpou (DPH)

<[email protected]>; McDonald, Thomas (ADM) <[email protected]>; Barbrich,

Krzysztof (ADM) <[email protected]>; Enanoria, Wayne (DPH)

<[email protected]>; Sanchez, Melissa (UCSF) <[email protected]>; Ongpin,

Melissa (DPH) <[email protected]>; Do, Jennifer-Xuan (DPH) <[email protected]>;

Paule, Gretchen (DPH) <[email protected]>; Sefat, Cimma (DPH) <[email protected]>;

Bunting, Buffy (DPH) <[email protected]>; Pierce, Karen (DPH) <[email protected]>;

Rodriguez, Marise (DPH) <[email protected]>; Ta, Melissa (DPH) <[email protected]>;

Lee, Elaine (DPH) <[email protected]>; Buckley, Ken (DPH) <[email protected]>; Aguallo,

Daisy (DPH) <[email protected]>; Obien, Elaine (DPH) <[email protected]>



Status: Yellow

Outlook: Worsening

Need: None

# of Cases/Deaths

Worldwide: 6,065 Cases/132 Deaths

US: 5 Cases/O Deaths

CA: 2 Cases/O Deaths


SFDPH

Summary of actions

• SFDPH Health Officer Dr. Tomas Aragon gave an interview in Spanish to KIQI.

• Public FAQ for https://www.sfcdcp.org/developed and out for review. The site is now

separated into a page for the public and a page for clinicians.

• DPH Operations continues to expand significantly to support functions of information

and guidance dissemination, clinician guidance, and containment planning. Training is

P250

being provided where needed .

.. DPH HR is working on an expedited process to secure additional RN support.

.. Refining messaging about masks for the community, in collaboration with the DOC,

CHEP, and SFHN.

" FAQs for the SF 311 call center have been revised and updated by P\Os.

" The SF City Attorney is currently reviewing (draft) Health Officer orders .

.. Plans in development for PPE deployment (if needed) and preparing for respirator users

who do not routinely use N95 respirators (i.e. setting up medical screening, fit testing,

and training)

• Staff worked on tailoring prevention messages to the Chinese community especially

with respect to face masks.

" Efforts are expanding to a city-wide level around housing and resource support for PUis.

DPH is working with DEM and HSA to identify options.

" Continued monitoring of social media, to be able to respond in real time to unvalidated

or misleading information.

" DPH launched a new social media message around prevention.

SFDPH Page: https ://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel-coronavirus/

" CDC is posting and updating the number of PUis in the U.S. As of 01/29/20: 5 positive,

68 negative, and 92 pending tests.

" Working with CDPH to make lab testing possible at the local level. Currently CDC

continues to the source for all CA nCoV-2019 testing.

CDC nCoV page:

https ://www.cdc.gov/coronavirus/2019-ncov/index.html


" 4 newly confirmed cases reported in United Arab Emirates, in individuals traveling from

P251

Wuhan City.

• WHO has set up a public private collaboration called "The Pandemic Supply Chain

Network (PSCN)". It is a Market Network that seeks to provide a platform for data

sharing, market visibility, and operational coordination and connecting.

• PSCN develop a market capacity and risk assessment for personal protective equipment

(PPE) to be used in matching the global demand for PPE with the global supply.

Expected to be completed by 5 February 2020.

• Global confirmed cases 6065, China 5997 confirmed cases. 1239 severe cases, 132

deaths.

• Outside of China- 68 confirmed cases in 15 countries.

• 9239 PUis.

WHO nCoV page:

https: //www.who.int/e mergenci es/d iseases/novel-coron avi rus-2019


• CDPH is using the California Health Alert Network (CAHAN) and hosting conference calls

to ensure that local health departments and healthcare providers are aware and kept

abreast of updated information as it becomes available.

• As of 0800 hours on January 27, 2020 there have been 33 persons in California tested

for novel coronavirus. Two test results were positive, 18 test results were negative, and

the remaining 13 results are pending.

• CDPH Office of Public Affairs (OPA)has responded to 11 media inquiries. Inquiries

include updates on confirmed cases and PUis.

• Preparing for the release of the 2019-nCoV laboratory assay within the next two weeks.

Currently making appropriate staffing and equipment plans to perform the 2019-nCoV

assay. Current priorities are to report all lab reports from CDC to CID leadership, provide

up-to-date communication to the California Local Public Health Lab Network on 2019-

nCoV laboratory procedures as they become available, and assisting local Public Health

Labs to prepare for testing at the local level.

CDPH nCoV page:



P252



P253

From: To:

DPH, Pheor CDPH) DPH-PHD-Public Health Emera ency Preparedness and Response; Ochi. Ed (DPH); Vien, Veronica (DPH); Stoltey, Juliet (DPH); Stier, David CPPH); DuBois. Amie (DPH); Duren, James (DPH); Majeski. Nick (ADM); Sanchez. Melissa (DPH); Masinde, Godfred (DPH); Siador, Christine (DPH); Aragon. Tomas (DPH): Kwong. Amanda (DPH); DPH-Intearation Steering Committee; [email protected]; [email protected]; DutyOfficer. DEM (DEM); mhccsitreps&[email protected]; [email protected]; Padilla, Cristina CDPH); Acosta. Linda (DPH); Heckman. Karen CDPH); Naser. Rawan CDPH); Nguyen. Rita CUCSF); Van Etten. Susan CDPH); [email protected]; Zarate. Sheilah (DPH); Robert. Anna CDPH); OVADIA, AMY (DPH); Saelee, Kenpou (DPH); McDonald, Thomas (ADM); Barbrich. Krzvsztof (ADM): Enanoria. Wayne (DPH); Sanchez, Melissa (UCSF); Ongpin, Melissa (DPH); Do, Jennifer-Xuan (DPH): Paule. Gretchen (DPH); Sefat. Cimma (DPH); Bunting, Buffy CDPH): Pierce. Karen CDPH); Rodriguez, Marise CDPH); Ta. Melissa (DPH); Lee, Elaine CDPH); Buckley, Ken (DPH); Aguallo, Daisy CDPH); Obien, Elaine CDPH)

Subject: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat #6 Wednesday, January 29, 2020 6:37:20 PM Date:



# of Cases/Deaths

Worldwide: 6,065 Cases/132 Deaths US: 5 Cases/O Deaths CA: 2 Cases/0 Deaths


SFDPH

Summary of actions

• SFDPH Health Officer Dr. Tomas Aragon gave an interview in Spanish to l<IQI.

GI Public FAQ for https://www.sfcdcp.org/developed and out for review. The site is now


• DPH Operations continues to expand significantly to support functions of information


being provided where needed.


GI Refining messaging about masks for the community, in collaboration with the DOC,

CHEP, and SFHN.

• FAQs forthe SF 311 call center have been revised and updated by PIOs.

GI The SF City Attorney is currently reviewing (draft) Health Officer orders.

• Plans in development for PPE deployment (if needed) and preparing for respirator users


and training)

• Staff worked on tailoring prevention messages to the Chinese community especially


• Efforts are expanding to a city-wide level around housing and resource support for PUis.

P254


• Continued monitoring of social media, to be able to respond in real time to unvalidated



SF DP H Page: https ://www .sfcd cp. o rg/i nfecti o us-di seases-a-to-z/co ro n avi rus-2019-n ove 1-co ro n avi ru s/

e1 CDC is posting and updating the number of PUis in the U.S. As of 01/29/20: 5 positive,


e1 Working with CDPH to make lab testing possible at the local level. Currently CDC


CDC nCo V page: https://www.cdc.gov/coronavirus/2019-ncov/index.html


• 4 newly confirmed cases reported in United Arab Emirates, in individuals traveling from

Wuhan City.


Network (PSCN}". It is a Market Network that seeks to provide a platform for data





• Global confirmed cases 6065, China 5997 confirmed cases. 1239 severe cases, 132

deaths.


• 9239 PUis.

WHO nCoV page:

https: //www.who.int/e mergen cies/d iseases/novel-coro navi rus-2019


• CDPH is using the California Health Alert Network (CAHAN} and hosting conference calls



P255

• As of 0800 hours on January 27, 2020 there have been 33 persons in California tested





• Preparing for the release of the 2019-nCoV laboratory assay within the next two weeks.






CDPH nCoV page:





P256

From: To:


California Health Alert Network

Aragon, Tomas (DPHl

CAHAN HCP Conference Call Notes- CDPH Update on 2019 Novel Conference Call 1/27/2020 at 11 AM

Wednesday, January 29, 2020 5:19:01 PM

Coronavirus+HCP+Conference+Call+Speaker+Notes+1.28.20.pdf

California Department of Public Health (CDPH) conducted a call to update healthcare

providers on the latest information regarding the 2019 Novel Coronavirus on Monday,

January 27th, 2020 at 11 AM.


P257


lll

California Health Alert Network Aragon, Tomas (DPH) CAHAN LHD Conference Call Notes CDPH Update on 2019 Novel Conference Call 1/27/2020 at 10 AM Wednesday, January 29, 2020 5:09:27 PM Coronavirus+LHD+Conference+Call+Speaker+Notes+ 1.28.20.pdf

California Department of Public Health (CDPH) conducted a call to update Local

Health Departments on the latest information regarding the 2019 Novel Coronavirus

on Monday, January 27th, 2020 at 10 AM.


P258

From: To:

CDPH CCLHO Mailbox Sisson. Aimee@Placer; Teske, Milton; CDPH CCLHO DL; Barbosa. Ashlev@CDPH; Bobba. Naveena CDPH); Cheung, Michele (Orange # 2); DeBurgh. [email protected]; Ennis. Josh (Humboldt); Furst. Karen@San Joaquin Countv; Goldstein. David (Contra Costa); Gunzenhauser. Jeffrey; Gustafson. Erin (Lake); l:t!I1. Georae@Santa Clara County: Hernandez. Liz@County of San Diego; Hoover, Cora CDPH); Joseph Iser ([email protected]); Holbrook, Karen (SONOMA); Taylor, Melody@Sacramento County; DPH - sarah.lewis; Limbos, Mary Ann (Yolo): McMillan. Craig (Mendocino); McNitt, Louise@Countra Costa County; Michele Violich ([email protected]); Newel. Gail; Northrop, Leah@CDPH; Pan, Erica (Alameda); Papasozomenos, Thea; DPH-daniel.peddycord; Perti, Tara (Santa Clara); Nichole Quick; Radhakrishna, Rohan (Contra Costa); Ramstrom, Karen; Rosen. Frederick; Sallenave. Catherine (San Mateo): Santora, [email protected]; Smith, Denise@Kern County; Stacey, Michael (Solano Countv); Stoltey. Juliet (DPH); Thihalolipavan, Sayone@SD County; Torno, Mauro (Long Beach); Tzvieli, Ori (Contra Costa); Warne, Thomas (Contra Costa); Zahn, Matt@Orange County; Baldwin, Steve (CCLHDN); Ball, Angela (DPHN - Alameda); Beetham. Diane CDPH); Buettner, Joel (MVCAC); Cabuslay, Edith (CCLDHE); Castro Ibanez, Maridet (County of Orange Health Care Agency); Chan, Curtis (DPH); Cox, Robin (CCLDHE); Dabritz. Haydee; Emery, Elaine (Stanislaus Co); Fay, Lawrence@(SANTA BARBARA COUNTY); Flippin. Bonnie (San Bernardino); Flores. Jaime (CCLHDN-Santa Clara); Green. Nicole (Los Angeles); Holguin, John (Long Beach); Huntsman, Danielle@Riverside County; King-Todd, April (Los Anqeles/CTCA); Loose, Patrick@San Diego County; Lynch, Dan@Central CA EMS; Malin, Kiko (MCAH Action); McDonald, Eric (San Diego County); McPherson, James@Santa Clara County; DPH -Nicholas.Moss; Obrinsky M.D .. Diana. public Health. FHS; Patel. Nayan (Shasta/CCLHDN); Pineda Marisela (San Joaquin-CCLDHE); Rahn. Rose Marv (DPHN); Rodriguez. Yvonne (Sacramento/CCLDHE); Steffy, Megan CDPHN); Vaishampayan. Julie 2; Venable. Tina (PLUMAS); Wendv CCCLHDM) Hetherington [email protected]); Williams, Terri@LA County; Al-Saqhbini, Samer@Fresno County; Andersen-Rodgers, Elizabeth@CDPH; Judith Thigpen (CTCA) ([email protected]); Linda Rudolph; Monique Spence ([email protected]); OlsonMorgan, Janne@CHHS; Openiano. Bianca (CDPH-CHSI); Paz, Tony; Peck, Caroline@CDPH; Pellon. Samantha (CMA); Petek, Sonja (LAO); Porco. Alice (OSHPD); Ramstrom, Karen@CDPH; Rattray, Tracey (PHI); Reese, Anaa; Vargas, Riqoberto@Ventura County; Rivera, Anna; Roeseler, April@CDPH; Rogers. Debbie (CHA}: Rosales, Reyna; Royce, Sarah@CDPH; DPH - Michael.Samuel; Schoenfelder, Cristal@OSHPD; Scott, Linette CDHCSIMD)@DHCS; Scott, Tamerin; Sexton, Michael; Simon, Paul (Los Angeles); Slone. Latesa@CDPH; Sloss, Gordon@CDPH; Smith. Karen@CDPH; Solomon, Gina@EPA; Somerhausen, Laurie (CCLHDN); Srzentic, Tamara@CDPH; Starck, Nancy; Starr. Mark@CDPH; Steinmaus. Craiq@OEHHA; Swims, Shannon (San Bernardino); Tadlock, Lisa; Tonooka, Justin@OSHPD; Tovar. Ian@CDPH; Vugia, Duc@CDPH; Wagoner, Monica@CDPH; Walton-Haynes, Lynn@CDPH; Watt, James@CDPH; Weiss, Lara (Humboldt); Westenhouse, Janice@CDPH; Williams, Seleda; Wolfe, Ashby (HHS Region 9); Zuniga, Patricia; Abbott. Peter; Aqurto, Tony@CDPH; Alamo, Stacy@CDPH; Alkon, Ellen; Arena, Julie@CDPH; Baca, Elizabeth (OPR); Backer, Howard@EMSA; Balmin, Judith@CDPH; Beety, Nina (EMF Safety); Belmusto, Vivian; Berrada, Zenda (CAPHLD/San Mateo): Bertolli, Thomas (Mendocino); Bhatia, Anuj@StanislausCo; Bick, Joseph@CDCR; Bird, Ken; Blake, Michele (Sutter); Blocher, Tricia@CDPH; Brown, Janet (Alameda); Brown, John (DPH); Brunner, Wendel@Contra Costa County; Butler, Naomi (CCLHDN); Caldwell. Connie; Call. Cassandra (CRIHB); Chang, David@San Mateo County; Chao, Kevin@CDPH; Chavez, Gil@CDPH; Christine Adam ([email protected]); Christman, Scott@OSHPD; Cole, Barbara; Crumpler, Megan; Dauphine. David@CDPH; Davis, Shelly; Deckert, Andrew; Demarais, Susan; Rosenquist. Katey@CDPH; Dickey. Larry (EXECOHITl@DHCS; Dixon, Pam (Dixon); Dominquez. Martha@CDPH; Doran, Karen@CDPH; Duerr. Jacquelyn ; Dunning, Lauren; Epstein-Corbin. Melanie@CDPH; Erwin, Patricia CDPH); Feldman, Gary; Felten, Pat; DPHjennifer.flood; Flores, George; Foster. Kimberly (Napa); Fox, April (San Diego); Fritz, Curtis@CDPH; Fuhrman, Jerry@CDPH; Fujimoto, Scott@CDPH; Katy Carlsen; Mudgett, Michael (CRIHB); Sphar, Stacy (Modoc County); zzzAdams, Michelle@CDPH; Gaiqer, Christine (SAN LUIS OBISPO); Garza, Alvaro; Gibbons. [email protected]; Gonzalez, Eloisa; Gooze, Lisa; Gould, Solange@CDPH; Greene, Jim@CDPH; Gutierrez, Carmella; Hajmeer, Maha@CDPH; Hanni. Krista; Hattis, Ronald; Hecht. Christina ; Heinzerling, Julia (Los Angeles); Holliday-Hanson, Merry@OSHPD; Horton, Mark; Jerry Jeffe (CALBHBC); Johnson, Michael (SNHD); Jonah, Claudia; Karle. Kathleen; Kelley. Kelly@CDPH; Kim, Janice@CDPH; Kimsey, Paul@CDPH; Koch-Kumar, Stephanie (Fresno); Koehn. Jill; Kramer, Vicki@CDPH; Krawczyk, Chris@OSHPD; Kumar, Jayanth@CDPH; Lachica, Mimi; Lapointe, Blanca (Los Angeles); Latta, Robert; Lawrence, Amanda@CDPH; Ledin. Katya@CDPH; Lee, Patricia (OMD)@DHCS; DPH -yjgyy; Lockett, Cassius@San Mateo County; Looan. Julia IOMD)@DHCS; Lu, Wendy CDPH); Lundbera. Mark@Butte County; Lyman. Donald; Mack. Sarah (Riverside); Maclean, Michael; Marsom, Matthew; Martin, Shawn; McDermid, Lindsey; Melton, Robert; Menge. Jennifer; Mikanda. John (DHCS-IMD)@DHCS; Mitchell. Connie@CDPH; Mohammadi. Mina; Mohle-Boetani. Janet@CDCR; Moore. Cynthia; Moore. Dana@CDPH; Morales, Monica@CDPH; Morrisson, Mary@Fresno County; Naqasako, Julie@CDPH; Navarro, Dalia; Nevarez, Carmen; Nquyen, Rita (DPH); Nunes, Brandon@CDPH; Nunez de Ybarra, Jessica@CDPH; Nunez David@San Bernardino; Raymond Herr; Materna, Barbara@CDPH; Fanelli, Susan@CDPH; [email protected]; Lella Tesema; [email protected]; Ramos, Marisa@CDPH; Goh, Ying-Ying; Baird, Donald; Chapman, Ron; Matyas, Bela; Sergienko. Eric; Ohikhuare, Maxwell; Baldwin, Kismet@SJCPHS; Kaiser, Cameron; Michael Johnson; Dean, Charitv; Relucio. Karen; McPherson, James (Jim); Cutler, Kenneth; Oldham, Robert; Sidhu, Gursimran@CDPH; San, Carmen@CDPH; Lyon, Kristopher; Heather Anders; Borenstein, Penny; Hernandez. Lisa (City of Berkeley); Goldqraben, Sara@Fresno; Tom Renfree; Cummings, Lou Anne; Haught. Karen; Handler, Eric; Beilenson, Peter@SacCounty; Newel. Gail; Davis, Anissa; [email protected]; Lambert, Verna@CDPH; \gft. Arnold; Reeves, Aimee@CDPH; Mudgett. Michael (CRIHB); Kaooor, Anjum@CDPH; Kumar, Raman@CDPH; Tomokins, Jacqueline@CDPH; Hanson, Jake@CDPH; Cresci. Vanesscia (CRIHB); Kagoda. Mercy; Murray, Danielle@CDPH; [email protected]; Dhapodkar. Shruti (SMCGOV); Watt, James@CDPH; Johnson, Drew@CDPH; Kile-Puente, Amy@CDPH; Abeyta, Itze G@CDPH; Adams, Michelle (CDPH-CHSI-PHPRB); Arena, Julie (CDPH-PS-OOA); Bhushan, Devika; Brown. John CDPH); Cano, Mayra@CDPH; Chen. Annie; Dominguez, Martha (CDPH-DIR); Flores, George; Hoover, Cora (DPH); Gould, Solange@CDPH; Guarino. Alnino; Hammer. Gwendolyn@CDPH; Hicks. Benjamin@CDPH; Jeffe. Jerry; Kurtz, Caroline@CDPH; Lee. Patricia (OMD)@DHCS; Logan, Julia (EXEC-DIR)@DHCS; McPherson, James@Santa Clara County; Mikanda, John CDHCS-IMD)@DHCS; Northrop, Leah@SutterCo; Barbara Roth; Okeefe. Deborah; Olson-Moraan, Janne@CHHS; DPH-

P259

Cc:

Subject:· Attachments:

daniel.peddycord; Ramstrom. Karen CCDPH-CDIC); Schoenfelder. Cristal@OSHPD; Smith. Karen@CDPH; Srzentic. Tamara@CDPH; Stacey, Michael (Solano County); Tonooka. Justin@OSHPD; Verma. Rajeev; Vohra. Rais; ,)'.!,!,_ Alexander@CDPH; Achermann. Bob; Barbara Cole; Hemal Parikh ; Strong. Susan; Wittie. Jeremy; Yvonne Choong; Stumpf, Danielle@CDPH Theresa Miranda; Kaiser. Cameron; Joe Iser; Cody, Sara; Chris Farnitano. M.D.; Bernstein, Robert; Canton. David; Kasirye. Olivia; Sutton-Pado, Celia; Ori Tzvieli; Pace. Gary@Mendocino County; Bonnie Davies; JablonskiSheffield, Madison@CDPH; Peters. Philip@CDPH; Alanna Bares; McGinnis. Amy@CDPH; Michele Violich; Doohan, Noemi; Willis, Matthew HOLD THE DATE: CCLHO Board of Directors Meeting CCLHO Board Agenda Final 2-6-20.pdf


Materials attached:

Agenda

1-415-655-0001


W ebEx <https:// cdph-conf. webex. com/ cdph-conf/j. php?MTID=me 13 8ed4a634 961be968d6fbedl 7 a98c9>

P260

I (BOS)


Requester,

DPH Sunshine Friday, March 11, 2022 5:00 PM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 I File No 20059 TomasAragon_CDPHemails_Batch5.pdf


Thank you.


Hello,













All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVIO" "COV/019" "COV/0-19" "SARS-CoV-2 11 "2019-nCOV" 11nCOV11 11severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin 11 11novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: 11coronavirus 11 11wuhan 11 11SARS 11 "COV/0 11 "COV/019" "COV/0-19" "SARS-CoV-2 11

P2161


Thank you,

DPH Sunshine Team

PZ262

From: To: Cc:

Stoltey. Juliet CDPH) Aragon. Tomas CDPH) Philip, Susan CDPH)

Subject: Date:

Fw: 2019 Novel Coronavirus - process/communications to refer Wuhan travelers for assessment Sunday, January 19, 2020 8:45:02 PM

Hi Tomas,

Forwarding this email correspondence. I understand that there was a change of plans and the

San Mateo DPH on-call number is not being provided to incoming passengers after all. Erica

Pan requested that CDC create a triage line for incoming passengers from Wuhan if they

develop symptoms; the SFO officer-in-charge at the quarantine station, Susan Dwyer,

responded below that she would bring it up with her leadership.

Also, you likely saw this, but there was a large increase in cases reported by China today

- https: //www .statn ews .com /2020/01/19 /china-reports-sh a rp-rise-i n-case-of-nove I-virus

a mid-growing-con cerns-of-person-to-pe rson-tra nsm ission I

CDPH has requested a call with CDC for 10am tomorrow (Monday) - I don 1t know if that is

happening yet or not - the last I heard the call was currently on hold. I will send you the call-in

information if I receive it (if it ends up being scheduled).

Thanks,

Julie

Julie Stoltey, MD, MPH

Director, Communicable Disease Control and Prevention



25 Van Ness, Suite 500, San Francisco, CA 94102

Direct line: 415-437-6343

email: [email protected]

CD Control main number: 415-554-2830

http://www.sfdph.org/cdcp

**CONFIDENTIALITY NOTICE** This email message and any attachments are solely for the intended recipient and

may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying,

use or distribution of the information included in this message and any attachments is prohibited. If you have

received this communication in error, please notify the sender immediately and permanently delete or otherwise

destroy the information.

P263

From: Dwyer, Susan A.(CDC/DDID/NCEZID/DGMQ)<[email protected]>

Sent: Sunday, January 19, 2020 7:41 PM

To: Pan M.D., Erica, Public Health, DCDCP <[email protected]>

Cc: Morrow, Scott (CDC smcgov.org) <[email protected]>; Han, George@Santa Clara County

<[email protected]>; Stoltey, Juliet (DPH) <[email protected]>; DPH-sandra.huang

<[email protected]>; [email protected] <[email protected]>; Jeanne

Chevillet <[email protected]>; Kendra Benttinen <[email protected]>; Cassius Lockett

<[email protected]>; Carly Bock <[email protected]>; Sallenave, Catherine (San Mateo #1)

<csal\[email protected]>; Luc, Mary (CDC/DDID/NCEZID/DGMQ) <[email protected]>; Shemsu,

Munira, Public Health, DCDCP <[email protected]>; Harriman, Kathleen@CDPH

<[email protected]>; Watt, James (CDC cdph.ca.gov) <[email protected]>;

FOUNTAIN, Maya (CDC/ODID/NCEZID/DGMQ) <[email protected]>; Smith, Lee

(CDC/DDID/NCEZID/DGMQ) <[email protected]>

Subject: RE: 2019 Novel Coronavirus - process/communications to refer Wuhan travelers for

assessment


untrusted sources.

Erica,

Thank you for this suggestion and idea. My current thought is that we're having such challenges

organizing, training, and scheduling badging for the deployed staff that it's too much for me/us to

consider setting up a phone line here at the Q station for the calls which might come in. But as tide

continues, and depending on how quickly it bubbles, and the fact that this will be decided above our

QS level, we'd want to support this suggestion. I'll talk more tomorrow with our Preparedness and

Policy Coordination Lead, who's with us until Tuesday.

Thank you again,

Susan

PS. Vanessa just took a job with DTBE and begins Tuesday in Richmond. We're sad, but happy for her

and California!

From: Pan M.D., Erica, Public Health, DCDCP <[email protected]>

Sent: Saturday, January 18, 2020 9:43 PM

To: Dwyer, Susan A.(CDC/DDID/NCEZID/DGMQ)<[email protected]>; Fong, Vanessa C.



<[email protected]>; Stoltey, Juliet@San Francisco County <[email protected]>;

Huang, Sandra, Public Health, DCDCP <[email protected]>; [email protected];

Jeanne Chevil\et <jchevil\[email protected]>; Kendra Benttinen <[email protected]>; Cassius

Lockett <[email protected]>; Carly Bock <[email protected]>; Sal\enave, Catherine (San Mateo

#1) <[email protected]>; Shemsu, Munira, Public Health, DCDCP

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<M [email protected]>; Harriman, Kathleen@CDPH <[email protected]>;

Watt, James (CDC cdph.ca.gov) <[email protected]>


assessment

Hi Susan & Vanessa,

I am sure you are both completely swamped with this situation, but wanted to pitch an

idea/proposal to you all at DGMQ at SFO. (and possibly the other 2 DGMQ sites?)

I got an update from Scott Morrow today about the discussion/considerations of what instructions

to give incoming travelers from Wuhan if they do develop symptoms, and I understand the current

plan is to hand out these cards/messages attached to the CAHAN alert below which tell the traveler

to '1seek medical care right away and call ahead." (and not call the San Mateo or other local PH CD

Control#).

I do have concerns after we had started to discuss in our county scenarios of travelers being

assessed at some of our less resourced sites in our jurisdiction about appropriate infection control

management, notifications, etc.

Is there a possibility of CDC setting up a phone# at each of the 3 DGMQ sites for travelers to call

that could receive calls and then appropriately triage them to the local jurisdiction where the

traveler is at that time? That way we could ideally do some communication and coordination of

appropriate assessment (including ensuring there is an AllR at the receiving facility) and transport if

needed to a site that is prepared and can implement appropriate infection control precautions

immediately. It seems like a potential compromise between the specific individual traveler

notifications we did for Ebola and just leaving the assessment up to a more unpredictable

evaluation.

Maybe this could be discussed at the Tuesday update call? (Or I'm happy to discuss the idea sooner

over the weekend if you think this is something CDC could have some of the deployed staff do.) Let

us know, but if LHDs can be notified (we/or likely CDPH can share the list of CD Control contact

#s/after hour #s for CDC staff to call?) we know our facilities and can try to arrange as smooth as an

assessment as possible and may also help with public information/media management as well. Just

thinking of some of the false alarms and hospital/clinic reactions during Ebola (as well as some

concerning infection control practices in some locations) and want to work with everyone to figure

out how we can best feasibly manage these situations.

Thanks!

Erica

510-506-5895


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Subject: CAHAN Disease Notification - CDC HAN 426 Update and Interim Guidance on Outbreak of

2019 Novel Coronavirus

The Centers for Disease Control and Prevention (CDC) continues to closely monitor an outbreak of a 2019 novel coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China that began in December 2019. CDC has established an Incident Management System to coordinate a domestic and international public health response.

Please see the attachments for the Updated Interim Guidance

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From: To: Subject:

Date: Attachments:

California Health Alert Network Aragon, Tomas (DPH) CAHAN Disease Notification - CDC HAN 426 Update and Interim Guidance on Outbreak of 2019 Novel Coronavirus Friday, January 17, 2020 7:16:00 PM CDC+HAN+426+Update+2019+Novel+Coronavirus.odf



Province, China that began in December 2019. CDC has established an Incident

Management System to coordinate a domestic and international public health

response.

Please see the attachment for the full update and interim guidance.

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From: To: Cc:


Harriman. Kathleen@CDPH Feaster. Matt (Pasadena); McNitt. Louise DPH-sandra.huang; [email protected]; Pan, Erica (Alameda); Oschsner. Allyson@AlamedaCo; Dustin. [email protected]; Brendan. [email protected]; [email protected]; [email protected]; Johnson. Richard CALPINE); Streeoer, Tim CALPINE): Dupuis. Tamara@AlpineCount; Huspen Kerr, Rita; Desvoignes. Liz@Amadorgov; [email protected]; Hernandez. Lisa (Citv of Berkeley): Lewis. Linda@Butte Countv; Thao. Marv (Butte County); Miller. Andrew; Kelaita. Dean; Rodriguez. Colleen; ~ Burt; [email protected]; Rios. Connie; [email protected]; [email protected]; Leung. Paul (CCHealth); [email protected]; Rehwaldt. Warren; Machado, Colleen; Bodenstab, [email protected]; Ungeheuer. Michael (El Dorado County); Orchard. Heather@EDCGOV; Mackey. Teresa@EIDoradoCo; [email protected]; [email protected]; Williams. Nancy; Robinson, Nathan (El Dorado County); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Norton. Grinnell@Glenn County; Nelson. Mary Lou@Glenn Coun!y; [email protected]; Baird. Donald; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Kriner. Paula; Lopez. Karla (Imperial County); Whitney. Timothy@inyo; Scott. Anna CINYO); Hernandez. Kimberly@Kern Coun!y; Walker. Ann@Kern Coun!y; [email protected]; Teske. Milton; Soong. Sharon (Kings County); Hill. Edward@Kings; [email protected]; King, Christine@kingscoun!y; [email protected]; Taroley. Mary (Lake County); May. Helen@Lassen; Davis. Anissa; Holman. Emily@Long Beach; Barin, Nora@Long Beach; Torres. Cindy@LongBeach; Prado, Belinda@Long Beach; Balter. Sharon@Los Angeles County; Terashita. Dawn@LA County; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Thomas. Cole; [email protected]; [email protected]; [email protected]; [email protected]; Emerson. Cicily@MarinCounty; [email protected]; Santora. [email protected]: Sergienko, Eric; King, Margarita; [email protected]; Convery. Sharon; Pace. Gary@Mendocino County; Sydney. Loewen@cou ntyofrnerced, com; Yer. Ch ang@cou ntyofrnerced . com; Jessica .J uarez@cou ntyofrnerced .com; [email protected]; [email protected]; Schulz. Tanya; Sphar. Stacy (Modoc County); Richert. Edward; cheyenneo"[email protected]; Wheeler. Bryan; Pearce. Sandra@Mono Coun!y: Boo. Thomas (MONO); Moreno. Edward; Michie. Kristy; [email protected]; [email protected]; [email protected]; Cutler. Kenneth; Key. Cindy (Nevada Countv); Wilson. Cynthja@Nevada County; Zahn, Matt@Oranqe Coun!y: Cheung, Michele (Orange # 2); Jacobs, Josh@Orange County; Meulman. Marc (Orange County); Goh. Ying-Ying; Feaster. Matt (Pasadena): Qig.as,_ Christine; Evangelista. Sharon; Hashimoto-Raju. Lani@Pasadena City; Oldham. Robert; Holland. April (PLACER); [email protected]; Venable. Tina (PLUMAS): Cole. Barbara (Riverside County); Kasirye, Olivia; :@y)Qr,_ Melody@Sacramento County; Mello. Lynn@San Benito County: Ahern. Kevin@San Benito; [email protected]; Ibrahim. Diana; Strong, Susan; [email protected]; McDonald. Eric (San Diego County); Wooten. Wilma; Kao. Annie (San Diego County); Johnson. Jeff (San Diego County); Stoltey. Juliet (DPH); Aragon. Tomas CDPH); Portnoy, Diane (DPH); Kim. Brian CDPH); DuBois. Amie (DPH); Philip, Susan CDPH); Enanoria, Wayne (DPH); [email protected]; Pehl. Veronica@San Joaquin; Borenstein. Penny; Gaiqer. Christine (SAN LUIS OBISPO); Rosen. Frederick; Sallenave. Catherine (San Mateo #1); Bock. Carly@San Mateo County; Geltmaker. Matt@San Mateo County: Linguist. Jeanne (San Mateo County); Batson, Paige@Santa Barbara; Leff. Arnold; [email protected]; Meza. Amy@Santa Cruz County; [email protected]; Ramstrom. Karen; [email protected]; Goshong. Mega@Shasta County: Sutton-Pado. Celia; Anseth. Shanna (SIERRA); [email protected]; Kolpacoff. Stephen; Harris. [email protected]; Davis. Shelly; Varna. Kristin@siskiyou; Salvatierra. Belle@Solano County; Acosta. Meileen@Solano County; [email protected]; [email protected]; Hernandez. Emely@Sonoma County; [email protected]; Vaishampayan. Julie 2; Vassell. Barbara@Stanislaus County; [email protected]; Sanford. Denise@Stanislaus Co; Heredia. Maria; [email protected]; [email protected]; Nagra. Daliinder (Sutter County); [email protected]; Wickenheiser. Richard; Schmidt. Michelle; Martin. Kottv@Tehama County; Hopper. Dolly; Sagar. Minnie@Tehama Co; Loomis. Sharayne; [email protected]; Haught. Karen; Kempf, Jeremy (Tulare County); Bernstein, Robert; Denney. Pattv@Tuolumne; Levin. Robert; Edmondson. Hannah@Ventura County; Reeder. Eva@Ventura; Gipson. Sandra@Ventura County: [email protected]; [email protected]; [email protected]; [email protected]; Chapman. Ron; Anna Sutton; [email protected]; Wejvoda. Kristin@Yolo County Health Department; Kelsch. Katie; [email protected]; Moua. Xee; ~ [email protected]; [email protected]; Vugia. Duc@CDPH; Jain. Seema@CDPH; Kimura. Akiko@CDPH; Kamali. Amanda@CDPH; Snyder. Robert@CDPH; Yu, Alexander@CDPH; Abe. Kentaro@CDPH; DPH - Sarah.New; Hoover. Cora@CDPH; Royce. Sarah@CDPH; Yen. Cynthia@CDPH; Glenn-Finer. Rosie@CDPH; Murray. Erin@CDPH; Bregman. Brooke@CDPH; Hacker. Jill@CDPH; Ruiz. Juan@CDPH; Kim. Janice@CDPH; Siegel. Jane@CDPH; Epson. Erin@CDPH; [email protected]; DPH - Rachel.Mclean; Stockman. Lauren@CDPH; arellano. [email protected]; [email protected]; Garrison. Jared@Glenn; Weinstein. Eva (NAPA); Gustafson. Erin@SBCounty; Johnston. Samantha@CDPH; Romero. Mike (PLACER); Sinel. Kim (Placer# 3); Schechter. Robert@CDPH; Volkman. Hannah@CDPH; [email protected]; [email protected]; [email protected]; [email protected]; Herrick. Robert@sutter; Baldwin. Kismet@SJCPHS; [email protected]; [email protected]; Whittaker. Holly (Nevada County); [email protected]; Han. George@Santa Clara County: Martin, Brittany@CDPH; Gib.Morrow@sonomacounty.org; Chai. Shua@CDPH; Brodie. Georaia@CalaverasCounty; Balter. Michelle M@San Luis Obispo County; [email protected]; [email protected]; Mitsunaga. Tisha@CDPH; Nagra. Daljinder (Sutter County) CDC HAN: Update and Interim Guidance on Outbreak of 2019 Novel Coronavirus (2019-nCoV) in Wuhan, China Friday, January 17, 2020 6:21:44 PM CDC HAN 426 Update 2019 Novel Coronavirus (2019-nCoV) in Wuhan China-01-17-2020.pdf

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This is an official

CDC HEAL TH UPDATE Distributed via the CDC Health Alert Network January 17, 2020, 2030 ET (8:30 PM ET) CDCHAN-00426

Update and Interim Guidance on Outbreak of 2019 Novel Coronavirus (2019-nCoV) in Wuhan, China

Summary The Centers for Disease Control and Prevention (CDC) continues to closely monitor an outbreak of a 2019 novel coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China that began in December 2019. CDC has established an Incident Management System to coordinate a domestic and international public health response.

Coronaviruses are a large family of viruses. Some cause illness in people; numerous other coronaviruses circulate among animals, including camels, cats, and bats. Rarely, animal coronaviruses can evolve and infect people and then spread between people such as has been seen with Middle Eastern Respiratory Syndrome Coronavirus (MERS-CoV) (https://www.cdc.gov/coronavirus/mers/index.html) and Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) (https://www.cdc.gov/sars/index.html).

Chinese authorities report most patients in the Wuhan City outbreak have been epidemiologically linked to a large seafood and animal market, suggesting a possible zoonotic origin to the outbreak. Chinese authorities additionally report that they are monitoring several hundred healthcare workers who are caring for outbreak patients; no spread of this virus from patients to healthcare personnel has been reported to date. Chinese authorities are reporting no ongoing spread of this virus in the community, but they cannot rule out that some limited person-to-person spread may be occurring. China has reported that two of the patients have died, including one with pre-existing medical conditiqns. Chinese health officials publicly posted the genetic sequence of the 2019-nCoV on January 12, 2020. This will facilitate identification of infections with this virus and development of specific diagnostic tests.

Thailand and Japan have confirmed additional cases of2019-nCoV in travelers from Wuhan, China. It is possible that more cases will be identified in the coming days. This is an ongoing investigation and given previous experience with MERS-CoV and SARS-CoV, it is possible that person-person spread may occur. There is much more to learn about the transmissibility, severity, and other features associated with 2019-nCoV as the investigations in China, Thailand, and Japan continue. Additional information about this novel virus is needed to better inform population risk.

This HAN Update provides a situational update and guidance to state and local health departments and healthcare providers that supersedes guidance in CDC's HAN Advisory 424 distributed on January 8, 2020. This HAN Update adds guidance for evaluation of patients under investigation (PUI) for 2019-nCoV, prevention and infection control guidance, including the addition of an eye protection recommendation, and additional information on specimen collection.

Background An outbreak of pneumonia of unknown etiology in Wuhan City was initially reported to WHO on December 31, 2019. Chinese health authorities have confirmed more than 40 infections with a novel

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coronavirus as the cause of the outbreak. Reportedly, most patients had epidemiological links to a large seafood and animal market. The market was closed on January 1, 2020. Currently, Chinese health authorities report no community spread of this virus, and no transmission among healthcare personnel caring for outbreak patients. No additional cases of infection with 2019-nCoV have been identified in China since January 3, 2020.

On January 13, 2020 public health officials in Thailand confirmed detection of a human infection with 2019-nCoV in a traveler from Wuhan, China. This was the first confirmed case of 2019-nCoV documented outside China. On January 17, 2020 a second case was confirmed in Thailand, also in a returned traveler from Wuhan City. On January 15, 2020 health officials in Japan confirmed 2019-nCoV infection in a returned traveler from Wuhan City. These persons had onset dates after January 3, 2020. These cases did not report visiting the large seafood and animal market to which many cases in China have been linked.

On January 11, 2020, CDC updated the level 1 travel health notice ("practice usual precautions") for Wuhan City, Hubei Province, China with additional information (originally issued on January 6, 2020): https://wwwnc.cdc.gov/travel/notices/watch/novel-coronavirus-china.

Recommendations for Healthcare Providers Limited information is available to characterize the spectrum of clinical illness associated with 2019-nCoV. No vaccine or specific treatment for 2019-nCoV infection is available; care is supportive.

The CDC clinical criteria for a 2019-nCoV patient under investigation (PUI) have been developed based on what is known about MERS-CoV and SARS-CoV and are subject to change as additional information becomes available.

Healthcare providers should obtain a detailed travel history for patients being evaluated with fever and acute respiratory illness. CDC guidance for evaluating and reporting a PUI for MERS-CoV remains unchanged.

Criteria to Guide Evaluation of Patients Under Investigation (PUI) for 2019-nCoV Patients in the United States who meet the following criteria should be evaluated as a PUI in association with the outbreak of 2019-nCoV in Wuhan City, China.

1) Fever1 AND symptoms of lower respiratory illness (e.g., cough, shortness of breath) -and in the last 14 days before symptom onset,

• History of travel from Wuhan City, China -or-

• Close contact2 with a person who is under investigation for 2019-nCOV while that person was ill.

2. Fever 1 OR symptoms of lower respiratory illness (e.g., cough, shortness of breath) -and in the last 14 days before symptom onset,

• Close contact2 with an ill laboratory-confirmed 2019-nCoV patient.

The above criteria are also available at https://www.cdc.gov/coronavirus/novel-coronavirus-2019/clinicalcriteria.html. The criteria are intended to serve as guidance for evaluation. Patients should be evaluated and discussed with public health departments on a case-by-case basis if their clinical presentation or exposure history is equivocal (e.g., uncertain travel or exposure).

Recommendations for Reporting, Testing, and Specimen Collection Healthcare providers should immediately notify both infection control personnel at their healthcare facility and their local or state health department in the event of a PUI for 2019-nCoV. State health departments that have identified a PUI should immediately contact CDC's Emergency Operations Center (EOC) at 770-488-7100 and complete a 2019-nCoV PU! case investigation form available at https://www.cdc.gov/coronavirus/novel-coronavirus-2019/downloads/pui-form.pdf. CDC's EOC will assist local/state health departments to collect, store, and ship specimens appropriately to CDC, including

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during afterhours or on weekends/holidays. At this time, diagnostic testing for 2019-nCoV can be conducted only at CDC. Testing for other respiratory pathogens should not delay specimen shipping to CDC. If a PUI tests positive for another respiratory pathogen, after clinical evaluation and consultation with public health authorities, they may no longer be considered a PUI. This may evolve as more information becomes available on possible 2019 nCoV co-infections. For biosafety reasons, it is not recommended to perform virus isolation in cell culture or initial characterization of viral agents recovered in cultures of specimens from a PUI for 2019-nCoV. To increase the likelihood of detecting 2019-nCoV infection, CDC recommends collecting and testing multiple clinical specimens from different sites, including all three specimen types-lower respiratory, upper respiratory, and serum specimens. Additional specimen types (e.g., stool, urine) may be collected and stored. Specimens should be collected as soon as possible once a PUI is identified regardless of time of symptom onset. Additional guidance for collection, handling, and testing of clinical specimens is available at https://www.cdc.gov/coronavirus/2019-nCoV/. Interim Healthcare Infection Prevention and Control Recommendations for Patients Under Investigation for 2019-nCoV Although the transmission dynamics have yet to be determined, CDC currently recommends a cautious approach to patients under investigation for 2019-nCoV (https://www.cdc.gov/coronavirus/2019-nCoV/clinical-criteria.html). Such patients should be asked to wear a surgical mask as soon as they are identified and be evaluated in a private room with the door closed, ideally an airborne infection isolation room if available. Healthcare personnel entering the room should use standard precautions, contact precautions, airborne precautions, and use eye protection (e.g., goggles or a face shield). Immediately notify your healthcare facility's infection control personnel and local health department.

Additional Infection Control Practices Resources " Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare

Settings (https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html)

Notes 1 Fever may not be present in some patients, such as those who are very young, elderly, immunosuppressed, or taking certain fever-lowering medications. Clinical judgment should be used to guide testing of patients in such situations. 2close contact with a person who is under investigation for 2019-nCOV. Close contact is defined as-

a) being within approximately 6 feet (2 meters), or within the room or care area, of a novel coronavirus case for a prolonged period of time while not wearing recommended personal protective equipment or PPE (e.g., gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection); close contact can include caring for, living with, visiting, or sharing a healthcare waiting area or room with a novel coronavirus case. -or-b) having direct contact with infectious secretions of a novel coronavirus case (e.g., being coughed on) while not wearing recommended personal protective equipment.

See CDC's Interim Healthcare Infection Prevention and Control Recommendations for Patients Under Investigation for 2019 Novel Coronavirus (https://www.cdc.gov/coronavirus/2019-nCoV/infectioncontrol.html). Data to inform the definition of close contact are limited. Considerations when assessing close contact include the duration of exposure (e.g., longer exposure time likely increases exposure risk) and the clinical symptoms of the person with novel coronavirus (e.g., coughing likely increases exposure risk as does exposure to a severely ill patient). Special consideration should be given to those exposed in healthcare settings.

For More Information More information is available at https://.cdc.gov/coronavirus/2019-ncov/index. html or by calling 800-CDCINFO I (800-232-4636) I TTY: (888) 232-6348

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The Centers for Disease Control and Prevention (CDC) protects people's health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health

issues; and promotes healthy living through strong partnerships with local, national, and international organizations.

Categories of Health Alert Network messages: Health Alert Requires immediate action or attention; highest level of importance Health Advisory May not require immediate action; provides important information for a specific incident or situation Health Update Unlikely to require immediate action; provides updated information regarding an incident or situation HAN Info Service Does not require immediate action; provides general public health information

##This message was distributed to state and local health officers, state and local epidemiologists, state and local laboratory directors, public information officers, epidemiologists, HAN coordinators, and clinician

organizations##

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From: To: Subject:

Date: Attachments:


Aragon, Tomas (DPH)

CAHAN Disease Notification - CDC Telebriefing Update on 2019 Novel Coronavirus (2019-nCoV)

Friday, January 17, 2020 3:57:50 PM

2019+Novel+Coronavirus+Communications Januarv+17 2020 Partners.docx

The Centers for Disease Control and Prevention (CDC) and the Department of

Homeland Security's Customs and Border Protection (CBP) will implement enhanced

health screenings to detect ill travelers traveling to the United States on direct or

connecting flights from Wuhan, China. This activity is in response to an outbreak in

China caused by a novel (new) coronavirus (2019 nCoV), with exported cases to

Thailand and Japan.

Starting January 17, 2020, travelers from Wuhan to the United States will undergo

entry screening for symptoms associated with 2019-nCoV at three U.S. airports that

receive most of the travelers from Wuhan, China: San Francisco (SFO), New York

(JFK), and Los Angeles (LAX) airports.

"To further protect the health of the American public during the emergence of this

novel coronavirus, CDC is beginning entry screening at three ports of entry.

Investigations into this novel coronavirus are ongoing and we are monitoring and

responding to this evolving situation," said Martin Cetron, M.D., Director of CDC's

Division of Global Migration and Quarantine.

Based on current information, the risk from 2019-nCoV to the American public is

currently deemed to be low. Nevertheless, CDC is taking proactive preparedness

precautions.

Entry screening is part of a layered approach used with other public health measures

already in place to detect arriving travelers who are sick (such as detection and

reporting of ill travelers by airlines during travel and referral of ill travelers arriving at a

US port of entry by CBP) to slow and reduce the spread of any disease into the

United States.

CDC is deploying about 100 additional staff to the three airports (SFO, JFK, and LAX)

to supplement existing staff at CDC quarantine stations located at those airports.

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From: To:

California Health Alert Network Aragon, Tomas (DPH)

Subject: CAHAN LHD Conference Call Notification - CDC's 2019 Novel Coronavirus (2019-nCoV) All State Update Conference Call [foday - 1/17 /2020 1 pm PST]

Date: Friday, January 17, 2020 11:43:02 AM

g:

The CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host an update

call from 1 p.m. to 2 p.m. PST on Friday, January 17, 2020 to provide state and local

partners with the latest information on the Novel Coronavirus outbreak and U.S.


Invited participants include state, local, and territorial preparedness directors, state

epidemiologists, state health officials, public health laboratory directors, and

nongovernmental partners. Participant information can be found below.

Participant Information:

Bridgeline: 1 (888)-989-4402

Participant Passcode: 6001456

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From: To:

Hanson. Jake@CDPH CDPH CCLHO DL

Subject: Date:

Fwd: CDC 2019 Novel Coronavirus (2019-nCoV) call today at 1:00 pm Friday, January 17, 2020 11:36:53 AM


Press Release

Embargoed until 2:00 pm Friday, January 17, 2020

Contact: CDC Media Relations

(404) 639-3286

Public Health Screening to Begin at 3 U.S. Airports for 2019 Novel Coronavirus ("2019-nCoV")

The Centers for Disease Control and Prevention (CDC) and the Department of Homeland Security's Customs and Border Protection (CBP) will implement enhanced health screenings to detect ill travelers traveling to the United States on direct or connecting flights from Wuhan, China. This activity is in response to an outbreak in China caused by a novel (new) coronavirus (2019 nCo V), with exported cases to Thailand and Japan.

Starting January 17, 2020, travelers from Wuhan to the United States will undergo entry screening for symptoms associated with 2019-nCo V at three U.S. airports that receive most of the travelers from Wuhan, China: San Francisco (SFO), New York (JFK), and Los Angeles (LAX) airports.

"To further protect the health of the American public during the emergence of this novel coronavirus, CDC is beginning entry screening at three ports of entry. Investigations into this novel coronavirus are ongoing and we are monitoring and responding to this evolving situation," said Martin Cetron, M.D., Director of CDC's Division of Global Migration and Quarantine.

Based on current information, the risk from 2019-nCo V to the American public is currently deemed to be low. Nevertheless, CDC is taking proactive preparedness precautions.

Entry screening is part of a layered approach used with other public health measures already in place to detect arriving travelers who are sick (such as detection and reporting of ill travelers by airlines during travel and referral of ill travelers arriving at a US port of entry by CBP) to slow and reduce the spread of any disease into the United States.

CDC is deploying about 100 additional staff to the three airports (SFO, JFK, and LAX) to supplement existing staff at CDC quarantine stations located at those airports.

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CDC is actively monitoring this situation for pertinent information about the source of outbreak, and risk for further spread through person-to-person or animal-to-person transmission. CDC may adjust screening procedures and other response activities as this outbreak investigation continues and more is learned about the newly emerging virus. Entry screening alone is not a guarantee against the possible importation of this new virus but is an important public health tool during periods of uncertainty and part of a multilayered government response strategy. As new information emerges, CDC will reassess entry screening measures and could scale activities up or down accordingly.

On Jan. 11, 2020, CDC updated a Level 1 Travel Health Notice ("practice usual precautions") for travelers to Wuhan City and an updated Health Alert to health care professionals and public health partners with new and updated guidance is forthcoming.

China health officials report that most of the patients infected with 2019-nCo V have had exposure to a large market where live animals were present, suggesting this is a novel virus that has jumped the species barrier to infect people. Chinese authorities additionally report that several hundred health care workers caring for outbreak patients are being monitored and no spread of this virus from patients to health care workers has been seen. They report no sustained spread of this virus in the community, however there are indications that some limited person-to-person spread may have occurred. CDC is responding to this outbreak out of an abundance of caution, ready to detect people infected with 2019-Co V.

For the latest information on the outbreak, visit CDC's Novel Coronavirus 2019 website.

From: Hanson, Jake@CDPH <[email protected]>

Sent: Friday, January 17, 2020 10:54 AM

To: Harriman, Kathleen@CDPH <[email protected]>

Subject: RE: CDC 2019 Novel Coronavirus (2019-nCoV) call today at 1:00 pm

Sending out now!

Thanks!


Sent: Friday, January 17, 2020 10:33 AM


Subject: CDC 2019 Novel Coronavirus (2019-nCoV) call today at 1:00 pm

Jake1 can you please send this out to Hos? Thanks, Kathy

CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host an update call from 1 p.m. to 2 p.m. PST on Friday, January 17, to provide state and local partners with the latest information on the novel coronavirus outbreak and US preparedness efforts.

Invited participants include state, local, and territorial preparedness directors, state epidemiologists, state health officials, public health laboratory directors, and

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nongovernmental partners. Participant information can be found below.


Bridgeline: 1 (888)-989-4402 Participant Passcode: 6001456

CDC State Coordination Task Force (SCTF) - Operations [email protected] https://www.cdc.gov/coronavirus/novel-coronavirus-2019.html

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From: To: Cc:

Subject:

Harriman, Kathleen@CDPH Feaster, Matt (Pasad_ena); McNitt, Louise DPH-sandra,huang; "[email protected]"; Pan, Erica (Alameda); Oschsner, Allyson@AlamedaCo; "Dustin,[email protected]"; "Brendan,[email protected]"; "[email protected]"; "[email protected]"; Johnson, Richard (ALPINE); Streeper, Tim (ALPINE); Dupuis, Tamara@AlpineCount; Huspen Kerr, Rita; Desvoignes, Liz@Amadorgov; "[email protected]"; Hernandez, Lisa (City of Berkeley); Lewis, Linda@Butte County: Thao, Mary (Butte County); Miller, Andrew; Kelaita, Dean; Rodriguez, Colleen; Gregory, Burt; "[email protected]"; Rios, Connie; "[email protected]"; "[email protected]"; Leung, Paul (CCHealth); "[email protected]"; Rehwaldt. Warren; Machado, Colleen; Bodenstab, [email protected]; Ungeheuer, Michael CEI Dorado County): Orchard, Heather@EDCGOV; Mackey. Teresa@EIDoradoCo; "[email protected]"; "[email protected]"; Williams. Nancy; Robinson, Nathan (El Dorado County); "[email protected]"; "[email protected]"; "skochkumar@fresnocountyca gov"; "[email protected]"; "[email protected]"; Norton, Grinnell@Glenn County: Nelson, Mary Lou@Glenn County; "[email protected]"; Baird, Donald; "[email protected] US"; "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; Kriner, Paula; Lopez, Karla (Imperial County); Whitney, Timothy@inyo; Scott, Anna (INYO); Hernandez, Kimberly@Kern County; Walker, Ann@Kern County; "[email protected]"; Teske. Milton; Soong, Sharon (Kings County); Hill. Edward@Kings; "Nichole,[email protected],ca us"; King, Christine@kingscounty; "courtney.derenia@lakecountyca,gov"; Tarpley, Mary (Lake County); May, Helen@Lassen; Davis, Anissa; Holman, Emily@Long Beach; Barin, Nora@Long Beach; Torres, Cindy@LongBeach; Prado, Belinda@Long Beach; Balter, Sharon@Los Angeles County; Terashita, Dawn@LA County; "mokim@ph,lacounty.gov"; "FPratt@ph,lacounty gov"; "[email protected],gov"; "[email protected]"; "[email protected]"; "UHala [email protected]"; "[email protected]"; Thomas, Cole; "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; Emerson, Cicily@MarinCounty; "liohnson@marincounty,org"; Santora, [email protected]; Sergienko, Eric; King, Margarita; "mfazio@mariposacounty om"; Convery, Sharon; Pace, Gary@Mendocino County: "[email protected]"; "Yer ,[email protected]"; "[email protected]"; "[email protected]"; "Raul.Medina@countyofrnerced com"; Schulz, Tanya; Sphar, Stacy (Modoc County); Richert, Edward; "cheyenneo"[email protected]"; Wheeler, Bryan; Pearce, Sandra@Mono County: Boo, Thomas (MONO); Moreno, Edward; Michie, Kristy; "[email protected]"; "[email protected]"; "[email protected]"; Cutler, Kenneth; Key, Cindy (Nevada County); Wilson, Cynthia@Nevada County: Zahn, Matt@Orange County; Cheung, Michele (Orange # 2); Jacobs. Josh@Orange County; Meulman, Marc (Orange County); Goh, Ying-Ying; Feaster, Matt (Pasadena); "Diggs. Christine"; "Evangelista, Sharon"; Hashimoto-Raju, Lani@Pasadena City; Oldham, Robert; Holland, April (PLACER): "[email protected],gov"; Venable, Tina CPLUMAS): Cole. Barbara (Riverside County): Kasirye, Olivia; Taylor. Melody@Sacramento County; Mello, Lynn@San Benito County; Ahern, Kevin@San Benito; "[email protected]"; Ibrahim, Diana; Strong, Susan; "[email protected]"; McDonald, Eric (San Diego County); Wooten, Wilma; Kao, Annie (San Diego County); Johnson, Jeff (San Diego County); Stoltey. Juliet CDPH): Aragon, Tomas (DPH); Portnoy, Diane (DPH); Kim, Brian CDPH); DuBois, Amie (DPH); Philip, Susan CDPH); Enanoria, Wayne (DPH); "jmaghirang@sjcphs om"; Pehl. Veronica@San Joaquin; Borenstein, Penny; Gaiger, Christine (SAN LUIS OBISPO); Rosen. Frederick; Sallenave. Catherine (San Mateo #1); Bock. Carly@San Mateo County: Geltmaker. Matt@San Mateo County; Linquist, Jeanne (San Mateo County); Batson. Paige@Santa Barbara; Leff, Arnold; "[email protected]"; Meza, Arny@Santa Cruz County; "[email protected]"; Ramstrorn. Karen; "[email protected]"; Goshong. Mega@Shasta County: Sutton-Pado, Celia; Anseth, Shanna (SIERRA); "[email protected]"; Kolpacoff. Stephen; Harris, [email protected]; Davis, Shelly; Vama. Kristin@siskiyou; Salvatierra. Belle@Solano County; Acosta, Meileen@Solano County; "[email protected]"; "[email protected]"; Hernandez, Emely@Sonoma County; "[email protected]"; Vaishampayan. Julie 2; Vassell. Barbara@Stanislaus County; "[email protected]"; Sanford, Denise@Stanislaus Co; Heredia, Maria; "[email protected]"; "[email protected]"; Nagra, Daljinder (Sutter County); "[email protected]"; Wickenheiser, Richard; Schmidt. Michelle; Martin. Kottv@Tehama County; Hopper. Dolly; Sagar. Minnie@Tehama Co; Loomis, Sharayne; "[email protected]"; Haught. Karen; Kempf, Jeremy (Tulare County); Bernstein, Robert; Denney, Patty@Tuolumne; Levin. Robert; Edmondson. Hannah@Ventura County; Reeder. Eva@Ventura; Gipson, Sandra@Ventura County; "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; Chapman. Ron; Anna Sutton; "[email protected]"; Weivoda, Kristin@Yolo County Health Department; Kelsch, Katie; "Haydee.Dabritz@yolocounty orq"; Moua. Xee; Rice, [email protected] ca us; "[email protected]"; Y'.llilia.. Duc@CDPH; Jain. Seema@CDPH; Kimura. Akiko@CDPH; Kamali, Amanda@CDPH; Snyder. Robert@CDPH; :m,. Alexander@CDPH; Abe, Kentaro@CDPH; DPH - Sarah.New; Hoover. Cora@CDPH; Royce. Sarah@CDPH; ~ Cynthia@CDPH; Glenn-Finer. Rosie@CDPH; Murray, Erin@CDPH; Bregman, Brooke@CDPH; Hacker. Jill@CDPH; Ruiz. Juan@CDPH; Kim, Janice@CDPH; Siegel. Jane@CDPH; Epson. Erin@CDPH; "[email protected]"; DPH -Rachel.Mclean; Stockman, Lauren@CDPH; arellano. [email protected]; "[email protected]"; Garrison. Jared@Glenn; Weinstein. Eva (NAPA); Gustafson. Erin@SBCounty; Johnston, Samantha@CDPH; Romero. Mike (PLACER); Sinel. Kim (Placer# 3); Schechter. Robert@CDPH; Volkman, Hannah@CDPH; "[email protected]"; "[email protected]"; "[email protected]"; "[email protected]"; Herrick, Robert@sutter; Baldwin. Kismet@SJCPHS; "[email protected]"; "[email protected]"; Whittaker, Holly (Nevada County); "[email protected]"; !:iQn,, George@Santa Clara County; Martin, Brittany@CDPH; "[email protected]"; Chai. Shua@CDPH; Brodie, Georoia@CalaverasCounty; Balter. Michelle M@San Luis Obispo County: "rverma@fresnocountyca,qov"; "[email protected]" CDC Press Release: Public Health Screening to Begin Today at 3 U.S. Airports

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Date: Friday, January 17, 2020 11:08:40 AM


Press Release

Embargoed until 2:00 pm Friday, January 17, 2020


Public Health Screening to Begin at 3 U.S. Airports for 2019 Novel Coronavirus ("2019-nCo V")

The Centers for Disease Control and Prevention (CDC) and the Department of Homeland Security's Customs and Border Protection (CBP) will implement enhanced health screenings to detect ill travelers traveling to the United States on direct or connecting flights from Wuhan, China. This activity is in response to an outbreak in China caused by a novel (new) coronavirus (2019 nCo V), with exported cases to Thailand and Japan.

Starting January 17, 2020, travelers from Wuhan to the United States will undergo entry screening for symptoms associated with 2019-nCoV at three U.S. airports that receive most of the travelers from Wuhan, China: San Francisco (SFO), New York (JFK), and Los Angeles (LAX) airports.

"To further protect the health of the American public during the emergence of this novel coronavirus, CDC is beginning entry screening at three po1is of entry. Investigations into this novel coronavirus are ongoing and we are monitoring and responding to this evolving situation,'' said Martin Cetron, M.D., Director of CDC's Division of Global Migration and Quarantine.

Based on current infmmation, the risk from 2019-nCoV to the American public is currently deemed to be low. Nevertheless, CDC is taking proactive preparedness precautions.

Entry screening is part of a layered approach used with other public health measures already in place to detect arriving travelers who are sick (such as detection and reporting of ill travelers by airlines during travel and referral of ill travelers arriving at a US port of entry by CBP) to slow and reduce the spread of any disease into the United States.

CDC is deploying about 100 additional staff to the three airports (SFO, JFK, and LAX) to supplement existing staff at CDC quarantine stations located at those airports.

CDC is actively monitoring this situation for pertinent information about the source of outbreak, and risk for further spread through person-to-person or animal-to-person transmission. CDC may adjust screening procedures and other response activities as this outbreak investigation continues and more is learned about the newly emerging virus. Entry

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screening alone is not a guarantee against the possible importation of this new virus but is an important public health tool during periods of uncertainty and part of a multilayered government response strategy. As new information emerges, CDC will reassess entry screening measures and could scale activities up or down accordingly.

On Jan. 11, 2020, CDC updated a Leve11 Travel Health Notice ("practice usual precautions") for travelers to Wuhan City and an updated Health A1ert to health care professionals and public health partners with new and updated guidance is forthcoming.

China health officials report that most of the patients infected with 2019-nCoV have had exposure to a large market where live animals were present, suggesting this is a novel virus that has jumped the species barrier to infect people. Chinese authorities additionally report that several hundred health care workers caring for outbreak patients are being monitored and no spread of this virus from patients to health care workers has been seen. They report no sustained spread of this virus in the community, however there are indications that some limited person-to-person spread may have occurred. CDC is responding to this outbreak out of an abundance of caution, ready to detect people infected with 2019-CoV.

For the latest information on the outbreak, visit CDC's Novel Coronavirus 2019 website.

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From: To:

Hanson, Jake@CDPH CDPH CCLHO DL

Subject: Date:

CDC 2019 Novel Coronavirus (2019-nCoV) call today at 1:00 pm Friday, January 17, 2020 10: 54:38 AM


FYI


Invited participants include state, local, and territorial preparedness directors, state epidemiologists, state health officials, public health laboratory directors, and nongovernmental partners. Participant information can be found below.



CDC State Coordination Task Force (SCTF) - Operations [email protected]

https://www.cdc.gov/coronavi rus/novel-coronavirus-2019. html

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From: To: Cc:

Subject: Date:

Harriman, Kathleen@CDPH Feaster, Matt (Pasadena): McNitt, Louise DPH-sandra.huang; [email protected]; Pan. Erica (Alameda); Oschsner, Allyson@AlamedaCo; [email protected]; [email protected]; [email protected]; [email protected]; Johnson, Richard (ALPINE); Streeoer, Tim (ALPINE); Dupuis. Tamara@AlpineCount; Huspen Kerr. Rita; Desvoignes, Liz@Amadorgov; [email protected]; Hernandez. Lisa (City of Berkeley); Lewis, Linda@Butte County; Thao, Mary (Butte County); Miller. Andrew; Kelaita, Dean; Rodriguez, Colleen; ~ Burt; [email protected]; Rios, Connie; [email protected]; [email protected]; Leung. Paul (CCHealth); [email protected]; Rehwaldt. Warren; Machado, Colleen; Bodenstab, [email protected]; Ungeheuer, Michael (El Dorado County); Orchard. Heather@EDCGOV; Mackey, Teresa@EIDoradoCo; [email protected]; [email protected]; Williams. Nancy; Robinson, Nathan (El Dorado County); [email protected]; [email protected]; skochkumar@fresnocountyca gov; [email protected]; [email protected]; Norton. Grinnell@Glenn County; Nelson, Mary Lou@Glenn County: [email protected]; Baird. Donald; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Kriner, Paula; Lopez, Karla (Imperial County); Whitney, Timothy@inyo; Scott, Anna (INYO); Hernandez. Kimberly@Kern County; Walker. Ann@Kern County; [email protected]; Teske, Milton; Soong. Sharon (Kings County); Hill. Edward@Kings; [email protected]; King, Christine@kingscounty: [email protected]; Tarpley, Mary (Lake County); May. Helen@Lassen; Davis. Anissa; Holman. Emily@Long Beach; Barin, Nora@Long Beach; Torres, Cindy@LongBeach; Prado, Belinda@Long Beach; Balter, Sharon@Los Angeles County; Terashita. Dawn@LA County; [email protected]; [email protected]; [email protected]; [email protected]; rreporter@ph,lacounty.gov; [email protected]; BHwang@ph,lacounty.gov; Thomas, Cole; [email protected]; [email protected]; [email protected]; [email protected]; Emerson. Cicily@MarinCounty; [email protected]; Santora, [email protected]; Sergienko, Eric; King, Margarita; [email protected]; Converv. Sharon; Pace. Gary@Mendocino County; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Schulz, Tanya; Sphar, Stacy (Modoc County); Richert, Edward; cheyenneo"[email protected]; Wheeler. Bryan; Pearce. Sandra@Mono County; Boo. Thomas (MONO); Moreno. Edward; Michie, Kristy; [email protected]; Jenny.Vargas@countyofnapa ora; [email protected]; Cutler. Kenneth; Key, Cindy (Nevada County); Wilson, Cynthja@Nevada County; Zahn, Matt@Orange County; Cheung. Michele (Orange# 2); Jacobs. Josh@Orange County: Meulman, Marc (Orange County); Goh. Ying-Ying; Feaster, Matt (Pasadena); ~ Christine; Evangelista. Sharon; Hashimoto-Raju. Lani@Pasadena City; Oldham, Robert; Holland. April (PLACER); [email protected]; Venable, Tina (PLUMAS); Cole. Barbara (Riverside County); Kasirye. Olivia; Taylor. Melody@Sacramento County: Mello, Lynn@San Benito County; Ahern, Kevin@San Benito; [email protected]; Ibrahim, Diana; Strong. Susan; [email protected]; McDonald, Eric (San Diego County): Wooten. Wilma; Kao. Annie (San Diego County); Johnson. Jeff (San Diego County); Stoltey, Juliet CDPH); Aragon, Tomas (DPH); Portnoy. Diane (DPH); Kim. Brian CDPH); DuBois. Amie (DPH); Philip, Susan CDPH); Enanoria. Wayne (DPH); [email protected]; Pehl. Veronica@San Joaquin; Borenstein. Penny; Gaiger. Christine (SAN LUIS OBISPO); Rosen, Frederick; Sallenave, Catherine (San Mateo #1); Bock. Carly@San Mateo County; Geltmaker. Matt@San Mateo County; Linquist. Jeanne (San Mateo County); Batson. Paige@Santa Barbara; Leff. Arnold; [email protected]; Meza, Amy@Santa Cruz County; [email protected]; Ramstrom, Karen; [email protected]; Goshong, Mega@Shasta County; Sutton-Pado, Celia; Anseth, Shanna (SIERRA); emorgan@sierracounty ca gov; Kolpacoff. Stephen; Harris, [email protected]; Davis, Shelly; Varga. Kristin@siskiyou; Salvatierra. Belle@Solano County: Acosta, Meileen@Solano County; [email protected]; [email protected]; Hernandez, Emely@Sonoma County; [email protected]; Vaishampayan, Julie 2; Vassell, Barbara@Stanislaus County; [email protected]; Sanford. Denise@Stanislaus Co; Heredia. Maria; [email protected]; [email protected]; f'!gg@,_ Daljinder (Sutter County): [email protected]; Wickenheiser, Richard; Schmidt. Michelle; Martin, Kotty@Tehama County; Hopper. Dolly; Sagar, Minnie@Tehama Co; Loomis. Sharayne; [email protected]; Haught. Karen; Kempf, Jeremy (Tulare County); Bernstein, Robert; Denney. Patty@Tuolumne; Levin. Robert; Edmondson, Hannah@Ventura County; Reeder. Eva@Ventura; Gipson. Sandra@Ventura County; [email protected]; [email protected]; [email protected] us; [email protected]; Chapman, Ron; Anna Sutton; [email protected]; Weivoda. Kristin@Yolo County Health Department; Kelsch. Katie; [email protected]; Moua. Xee; ~ [email protected]; [email protected]; Vugia. Duc@CDPH; Jain, Seema@CDPH; Kimura. Akiko@CDPH; Kamali. Amanda@CDPH; Snyder, Robert@CDPH; Yu. Alexander@CDPH; Abe, Kentaro@CDPH; DPH - Sarah New; Hoover, Cora@CDPH; Royce, Sarah@CDPH; Yen. Cynthia@CDPH; Glenn-Finer, Rosie@CDPH; Murray. Erin@CDPH; Bregman. Brooke@CDPH; Hacker. Jill@CDPH; Ruiz, Juan@CDPH; Kim, Janice@CDPH; Siegel. Jane@CDPH; Epson, Erin@CDPH; [email protected]; DPH - Rachel.Mclean; Stockman. Lauren@CDPH; arellano. [email protected]; [email protected]; Garrison. Jared@Glenn; Weinstein. Eva (NAPA); Gustafson, Erin@SBCounty; Johnston. Samantha@CDPH; Romero, Mike (PLACER); Sine!. Kim (Placer# 3): Schechter. Robert@CDPH; Volkman. Hannah@CDPH; [email protected]; [email protected]; [email protected]; [email protected]; Herrick, Robert@sutter; Baldwin, Kismet@SJCPHS; [email protected]; [email protected]; Whittaker, Holly (Nevada CounM; [email protected]; Han. George@Santa Clara County; Martin, Brittany@CDPH; Gib.Morrow@sonomacounty.org; Chai. Shua@CDPH; Brodie. Georgia@CalaverasCounty; Balter. Michelle M@San Luis Obispo County: [email protected]; [email protected] CDC 2019 Novel Coronavirus (2019-nCoV) call today at 1:00 pm Friday, January 17, 2020 10:32:30 AM

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Invited participants include state, local, and territorial preparedness directors, state' epidemiologists, state health officials, public health laboratory directors, and nongovernmental partners. Participant information can be found below.




P283

From: Sto!tey. Juliet (DPH) To: Aragon. Tomas (DPH); Philip. Susan (DPHl Subject: Date:

FW: Entry screen and information card given to passengers at SFO Thursday, January 16, 2020 11:23:29 AM

FYI










**CONFIDENTIALITY NOTICE** This email is intended for the recipient only. If you receive this email in error, notify

the sender and destroy the email immediately. Disclosure of the protected health information (PHI) contained

herein may subject the discloser to civil or criminal penalties under state and federal privacy laws.

From: Catherine Sallenave <CSal\[email protected]>


To: Sto\tey, Juliet (DPH) <[email protected]>; DPH-sandra.huang <[email protected]>;

[email protected]; [email protected]

Cc: Carly Bock <[email protected]>; Matthew Geltmaker <[email protected]>;

[email protected]

Subject: FW: Entry screen and information card given to passengers at SFO


All-

i just sent an email to Marty Cetron and Clive Brown to echo Kathy's concerns regarding referring

well passengers from Wuhan City to "their doctor."

Please see below.

Thanks.

Ca th

From: Catherine Sa\lenave <[email protected]>


To: Cetron, Marty (CDC/DDID/NCEZID/DGMQ) <[email protected]>; [email protected]

Cc: Harriman, Kath\een@CDPH <[email protected]>; Dwyer, Susan A.

(CDC/DDID/NCEZID/DGMQ) <[email protected]>; Scott Morrow <[email protected]>; Cassius

P284

Lockett <[email protected]>

Subject: Entry screen and information card given to passengers at SFO

Dear Ors Brown and Martin,

I am writing to echo the concerns that were brought forth by Dr. Harriman.

As you may remember, SFO airport is located in San Mateo County (not in San Francisco County) and

we have health jurisdiction once passengers pass the border into the US. Since they pass directly

into our county, we and our healthcare partners are on the front lines once the entry screening

process begins.

The passengers who will be identified as being PUis during entry screening processes at SFO will be

directed to Mills Peninsula, the closest hospital. While Mills Peninsula does not have the capacity to

receive potential Ebola patients, it is able and willing to isolate, evaluate and test passengers from

Wuhan City who may be infected with the novel Coronavirus.

However, many health care facilities in our county are not in a position to do so and we share Dr

Harri man's concerns in terms of the information provided on the card that will be given to well

travelers from Wuhan.

From our perspective, asking tourists who will not have a primary care physician to call their doctor

will lead to problems, including but not limited to passengers showing up at facilities (i.e. private

offices and small urgent care centers) that will not be prepared to safely evaluate and test the ill

passenger(s) due to a lack of All Rs and testing capability, which will potentially lead to many

avoidable patient and staff exposures as well as unnecessary transport between facilities.

Additionally, as Dr Harriman said in her email, while we have the capacity to contact many facilities

in our county to relay guidance from CDC, we do not have a good way to communicate information

with many of our urgent care clinics, which will be unprepared to receive the passengers that may

show up at their doors based on the information contained on the card that will be given to them

upon entry.

We think it is preferable to ask well passengers to contact Public Health. While the passengers'

destination may be somewhere else in the Bay Area or California, since the passengers will be flying

into SFO, we suggest that the card refer passengers to the San Mateo County Communicable Disease

Control Program. We will then advise the passenger(s) as to where it would be appropriate to seek

care or contact the appropriate jurisdiction, should they no longer be in San Mateo County.

We certainly understand that this is a complicated matter and that other jurisdictions may disagree

but we hope that you will consider our rationale and allow Public Health to be the point of contact

for Wuhan City passengers visiting the San Francisco Bay Area. All it would take to tailor the card to

our local needs and preferences would be to tell well passengers to contact Public Health instead of

referring them to their doctor. We are happy to provide you with the appropriate contact

information, should you decide to follow our suggestion.

P285

Sincerely,

Catherine Sallenave, MD

Infectious Diseases Staff Physician

Communicable Diseases Controller

San Mateo County Health

Scott Morrow, MD

San Mateo County Health Officer

Cassius Lockett, Ph.D

San Mateo County Public Health Director

Hi Marty and Clive,

We're having an all-county call today at 3:00 PT, and I asked Susan Dwyer at the SFO

quarantine station if she had any information about what would be contained on the

information card that will be given to well travelers from Wuhan after they're screened at the

airport. She said she hadn't seen the card but believed that passengers would be told to call

their doctor if symptoms develop.

It this is what is planned, it is very problematic for several reasons:

1. Most passengers from Wuhan will be Chinese nationals who do not have a physician in the US, or even know how to find one.

2. If ill passengers aren't instructed otherwise, it's likely they'd show up in an urgent care

clinic or hospital ED, which is problematic because:

a. We want ill passengers to be referred to a hospital ED with an airborne

infection isolation room and the capacity for multiplex viral PCR, and if the

facility does not have an ED AllR or appropriate lab capacity, we would want

them transferred to a facility that did.

b. We do not have a good way to communicate with urgent care clinics in

California unless they are part of a healthcare system (and most aren't) so in

addition to the fact that they typically don't have All Rs and PCR capacity, we

would not be able to easily provide them with information about appropriate

evaluation of PUis.

In California, we want public health to be able to refer ill passengers to an appropriate

P286

healthcare facility for evaluation and testing. Thank you for your consideration in this matter.

Kathy

P287

From: To:

Subject: Date:

CDPH CCLHO Mailbox CDPH CCLHO DL; Arakawa. G; Bobba. Naveena CDPH); Cheung, Michele (Orange# 2); Dean Sidelinger; DeBurgh, [email protected]; Ennis. Josh (Humboldt); Furst. Karen@San Joaquin Countv; Goldstein. David (Contra Costa); Gunzenhauser. Jeffrey; Han. George@Santa Clara Countv; Hernandez. Liz@County of San Diego; Hoover. Cora (DPH); Kagoda, Mercy; Kinnison. Michael@SutterCounty: DPH - sarah.lewis; Limbos. Marv Ann (Yolo); McMillan. Craig (Mendocino); McNitt. Louise@Countra Costa County; Michele Violich ([email protected]); Morrow. Gib ; Newel. Gail; Pan. Erica (Alameda); Papasozomenos, Thea; DPH-daniel.peddycord; Perti. Tara (Santa Clara); Nichole Ouick; Radhakrishna. Rohan (Contra Costa); Rosen, Frederick; Sallenave. Catherine (San Mateo); Santora. [email protected]; Smith. Denise@Kern County; Stacey, Michael (Solano County); Stoltey, Juliet CDPH); Taylor. Melody@Sacramento County; Torno. Mauro (Long Beach); Tzvieli. Ori (Contra Costa); Warne. Thomas (Contra Costa); Zahn. Matt@Orange County 3:oopm conference call Wednesday, January 15, 2020 7:06:07 AM


FYI


Sent: Tuesday, January 14, 2020 12:21 PM

To: CDPH CCLHO Mailbox <[email protected]>

Subject: Can you please forward this as an appointment to the HOs? Thanks!

Hi all,

As you know, a novel coronavirus has been identified as the cause of a cluster of pneumonia

cases among residents of Wuhan, China. Yesterday CDC's Division of Global Migration and

Quarantine (DGMQ) announced that screening of passengers whose travel originated in

Wuhan will be screened upon arrival at JFK, LAX and SFO airports. CDC intends to issue a HAN

on this today or tomorrow.

We have a call set up for 3:00 tomorrow afternoon, January 15, to discuss the implication of

this airport screening. If for some reason, the CDC HAN has not been issued by the time of

the call, we'll reschedule the call for Thursday. This will be a statewide call since passengers

from Wuhan who are well at the time of airport screening could develop symptoms later while

in other locations in California (or other states).

Phone#:

Participant Code:

Current situation:

888-411-5128

3312382#

As of Monday, January 13, 2020, the numbers of patients in Wuhan with pneumonia remained

at 59, but 41 had been confirmed with the novel coronavirus and one patient had died. This

patient had a number of underlying conditions. There have been no cases in China with

symptom onset dates after December 29, 2019. No information has been provided to CDC

about animal testing at the originally affected wet market It does not appear that animals at

P288

that market were depopulated so they could have been transferred to other wet markets in

Wuhan.

Over the weekend, information was released that a 61 yo female resident of Wuhan, China

who had traveled to Thailand on vacation was confirmed in Thailand as being infected with

the novel coronavirus. Thailand has been screening passengers arriving on direct flights from

Wuhan since January 3, 2020 and as of January 13, had identified 12 ill passengers; 8 of whom

have been cleared. Of note, is that the symptom onset date of the new confirmed case was

January 5, 2020, and she had not visited the Wuhan wet market implicated in the other cases.

She had, however, visited other wet markets during her presumed exposure period. This new

case has resulted in the CDC elevating their level of concern about travelers from Wuhan.

Because of this increased concern, CDC, including DGMQ, held a call yesterday morning with

public health representatives from state, county, and city health departments in the vicinity of

JFK, LAX, and SFO airports. A second call was held yesterday afternoon for all state health

departments. Seventy-five percent of passengers who initiate travel in Wuhan, China, arrive in

the US at JFK, LAX and SFO via direct or indirect flights. We are trying to obtain estimates of

the number of passengers from Wuhan who arrive on direct and indirect flights to LAX and

SFO each week.

Actions that will be taken:

1. Pilots on flights with passengers from Wuhan will be asked to complete documents stating

that passengers appeared well. This is expected to enhance identification of ill passengers

both before and during flights.

2. All passengers with travel originating in Wuhan on direct or indirect flights who are arriving

at JFK, LAX or SFO will identified at arrival and screened for fever and respiratory

symptoms by DGMQ staff. This screening is expected to begin on Thursday, January 16,

2020 and continue for at least two weeks through the Chinese New Year travel period.

Chinese New Year is January 25, 2020.

3. Any passenger from Wuhan with fever or respiratory symptoms will be evaluated by

DGMQ medical staff and potentially referred to a hospital.

4. Passengers referred to the hospital will be tested for standard respiratory viruses and

potentially for the new coronavirus, which CDC now has the ability to do. Test kits are

being developed for state health departments, but they are not yet available.

5. Recommended infection control precautions for passengers referred to a healthcare

setting are standard+ contact+ airborne precautions+ eye protection.

6. Passengers without symptoms at US entry will be given information on symptoms to watch

for over the next 14 days as well as how to self-isolate, contact public health and obtain

healthcare if symptoms occur. There will be no active monitoring of these passengers at

this time. Passenger information will be provided in Mandarin and English.

7. It would be optimal for ill passengers to be referred to a hospital with negative pressure

P289

rooms in its ED, and the capacity to perform rapid multiplex PCR testing for viral

pathogens, eg, Biofire or similar testing.

8. The CDC HAN will contain additional information that will hopefully clarify testing

protocols, etc.

Kathleen Harriman, PhD, MPH, RN

Chief, Vaccine Preventable Diseases Epidemiology Section

Immunization Branch


850 Marina Bay Parkway

Building P, Second Floor

Richmond, CA 94804

Office) 510-620-3767

Cell) 651-699-2970

[email protected]

P290

From: To:

Cc:

Subject:

Harriman, Kathleen@CDPH Feaster. Matt (Pasadena): McNitt, Louise; Dwyer, Susan A. (CDC/DDID/NCEZID/DGMO): Fong, Vanessa C. (CDC/DDID/NCEZID/DGMO) DPH-sandra.huang; [email protected]; Pan. Erica (Alameda); Oschsner, Allyson@AlamedaCo; [email protected]; Brendan. [email protected]; [email protected]; Robert. [email protected]; Johnson, Richard (ALPINE); Streeper. lim (ALPINE); Dupuis, Tamara@AlpineCount; Huspen Kerr. Rita; Desvoignes. Liz@Amadorgov; [email protected]; Hernandez. Lisa (City of Berkeley); Lewis, Linda@Butte County; Thao, Marv (Butte Countvl; Miller, Andrew; Kelaita, Dean; Rodriguez. Colleen; ~ Burt; [email protected]; Rios, Connie; [email protected]; [email protected]; Leung, Paul (CCHealth); [email protected]; Rehwaldt. Warren; Machado. Colleen; Bodenstab, [email protected]; Ungeheuer. Michael (El Dorado County); Orchard. Heather@EDCGOV; Mackey, Teresa@EIDoradoCo; [email protected]; [email protected]; Williams. Nancy; Robinson. Nathan (El Dorado County); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Norton. Grinnell@Glenn County; Nelson, Mary Lou@Glenn County; [email protected]; Baird. Donald; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Kriner. Paula; Lopez. Karla (Imperial County); Whitney. Tjmothy@inyo; Scott. Anna (INYO); Hernandez. Kimberly@Kern County; Walker. Ann@Kern County; [email protected]; Teske, Milton; Soong, Sharon (Kings County); Hill, Edward@Kinqs; [email protected]; King, Christine@kingscounty; [email protected]; Tarpley, Marv (Lake Countvl; May, Helen@Lassen; Davis, Anissa; Holman. Emily@Long Beach; Barin, Nora@Long Beach; Torres, Cindy@LonqBeach; Prado. Belinda@Long Beach; Balter. Sharon@Los Angeles County; Terashita, Dawn@LA County: [email protected]; [email protected]; [email protected]; rciven@ph, la county.gov; rreporter@ph .lacounty.qov; [email protected]; BHwang@ph. lacounty. gov; Thomas, Cole; [email protected]; [email protected]; [email protected]; [email protected]; Emerson. Cicily@MarinCounty; [email protected]; Santora. [email protected]; Seroienko, Eric; King, Maraarita; [email protected]; Converv. Sharon; Pace, Gary@Mendocino County; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Schulz, Tanya; Sphar. Stacy (Modoc County); Richert. Edward; cheyenneo"[email protected]; Wheeler Bryan; Pearce, Sandra@Mono County; Boo, Thomas (MONO); Moreno, Edward; Michie, Kristv; [email protected]; [email protected]; [email protected]; Cutler. Kenneth; Key, Cindy (Nevada Countvl; Wilson, Cynthia@Nevada County; Zahn, Matt@Orange County; Cheung, Michele (Orange # 2); Jacobs, Josh@Orange County; Meulman, Marc (Orange County); Goh. Ying-Ying; Diggs. Christine; Evangelista, Sharon; Hashimoto-Raju, Lani@Pasadena City; Oldham, Robert; Holland, April (PLACER); [email protected]; Venable, Tina (PLUMAS); Cole, Barbara (Riverside County); Kasirye. Olivia; Taylor. Melody@Sacramento County; Mello, Lynn@San Benito County; Ahern, Kevin@San Benito; [email protected]; Ibrahim, Diana; Strong, Susan; ruchi,[email protected]; McDonald, Eric (San Diego County); Wooten, Wilma; Kao, Annie (San Diego County); Johnson, Jeff (San Diego County); Stoltey, Juliet (DPH); Aragon. Tomas CDPH); Portnoy, Diane (DPH); Kim, Brian (DPHl; DuBois, Amie (DPH); Philip, Susan (DPH); Enanoria, Wayne (DPH); [email protected]; Pehl, Veronica@San Joaquin; Borenstein. Penny: Gaiger. Christine (SAN LUIS OBISPO): Rosen. Frederick; Sallenave. Catherine (San Mateo #1); Bock, Carly@San Mateo County: Geltmaker, Matt@San Mateo County; Linguist, Jeanne (San Mateo County); Batson. Paige@Santa Barbara; Leff. Arnold; [email protected]; Meza, Amy@Santa Cruz Countv; [email protected]; Ramstrom, Karen; [email protected]; Goshong, Mega@Shasta County: Sutton-Pado. Celia; Anseth. Shanna (SIERRA); [email protected]; Kolpacoff. Stephen; Harris, [email protected]; Davis, Shelly; Varga, Kristin@siskiyou; Salvatierra. Belle@Solano County; Acosta, Meileen@Solano County; [email protected]; [email protected]; Hernandez. Emely@Sonoma County; [email protected]; Vaishampayan, Julie 2; Vassell. Barbara@Stanislaus County; [email protected]; Sanford, Denise@Stanislaus Co; Heredia, Maria; [email protected]; [email protected]; Nagra, Daljioder (Sutter County); [email protected]; Wickenheiser. Richard; Schmidt. Michelle; Martin, Kottv@Tehama County; Hopper. Dolly; Sagar, Minnie@Tehama Co; Loomis, Sharayne; [email protected]: Haught. Karen; Kempf, Jeremy (Tulare County); Bernstein. Robert; Denney, Patty@Tuolumne; Levin, Robert; Edmondson, Hannah@Ventura County: Reeder. Eva@Ventura; Gipson. Sandra@Ventura County; [email protected]; [email protected]; [email protected]; [email protected]; Chapman. Ron; Anna Sutton; [email protected]; Weivoda, Kristin@Yolo County Health Department; Kelsch, Katie; [email protected]; Moua, Xee; ~ [email protected]; [email protected]; Vuqia, Duc@CDPH; Jain, Seema@CDPH; Kimura, Akiko@CDPH; Kamali, Amanda@CDPH; Snyder, Robert@CDPH; Yu. Alexander@CDPH; Abe, Kentaro@CDPH; DPH - Sarah.New; Hoover. Cora@CDPH; Royce. Sarah@CDPH; Yen. Cynthia@CDPH; Glenn-Finer. Rosie@CDPH; Mi!rri!y, Erin@CDPH; Bregman. Brooke@CDPH; Hacker. Jill@CDPH; Ruiz. Juan@CDPH; Kim, Janice@CDPH; ~ Jane@CDPH; Epson. Erin@CDPH; [email protected]; DPH - Rachel.Mclean; Stockman. Lauren@CDPH; arellano. [email protected]; [email protected]; Garrison. Jared@Glenn; Weinstein, Eva (NAPA); Gustafson. Erin@SBCounty; Johnston, Samantha@CDPH; Romero, Mike (PLACER); Sine!. Kim (Placer# 3); Schechter. Robert@CDPH; Volkman. Hannah@CDPH; [email protected]; [email protected]; [email protected]; [email protected]; Herrick, Robert@sutter; Baldwin. Kismet@SJCPHS; [email protected]; [email protected]: Whittaker. Holly (Nevada County); [email protected]; Han, Georae@Santa Clara County; Martin, Brittany@CDPH; Gib.Morrow@sonomacounty.org; Chai. Shua@CDPH; Brodie, Georgia@CalaverasCountv; Balter. Michelle M@San Luis Obispo County; [email protected]; [email protected]; Mitsunaga, lisha@CDPH Phone: 888-411-5128, passcode: 3312382


P291

Hi all,

As you know, a novel corona virus has been identified as the cause of a cluster of pneumonia cases among residents of Wuhan, China. Yesterday CDC's Division of Global Migration and Quarantine (DGMQ) announced that screening of passengers whose travel originated in Wuhan will be screened upon arrival at JFK, LAX and SFO airports. CDC intends to issue a HAN on this today or tomorrow.

We have a call set up for 3:00 tomorrow afternoon, January 15, to discuss the implication of this airport screening. If for some reason, the CDC HAN has not been issued by the time of the call, we'll reschedule the call for Thursday. This will be a statewide call since passengers from Wuhan who are well at the time of airport screening could develop symptoms later while in other locations in California (or other states).

Phone#: 888-411-5128

Participant Code: 3312382#

Current situation:

As of Monday, January 13, 2020, the numbers of patients in Wuhan with pneumonia remained at 59, but 41 had been confirmed with the novel coronavirus and one patient had died. This patient had a number of underlying conditions. There have been no cases in China with symptom onset dates after December 29, 2019. No information has been provided to CDC about animal testing at the originally affected wet market. It does not appear that animals at that market were depopulated so they could have been transferred to other wet markets in Wuhan.

Over the weekend, information was released that a 61 yo female resident of Wuhan, China who had traveled to Thailand on vacation was confirmed in Thailand as being infected with the novel coronavirus. Thailand has been screening passengers arriving on direct flights from Wuhan since January 3, 2020 and as of January 13, had identified 12 ill passengers; 8 of whom have been cleared. Of note, is that the symptom onset date of the new confirmed case was January 5, 2020, and she had not visited the Wuhan wet market implicated in the other cases. She had, however, visited other wet markets during her presumed exposure period. This new case has resulted in the CDC elevating their level of concern about travelers from Wuhan.

Because of this increased concern, CDC, including DGMQ, held a call yesterday morning with public health representatives from state, county, and city health departments in the vicinity of JFK, LAX, and SFO airports. A second call was held yesterday afternoon for all state health departments. Seventy-five percent of passengers who initiate travel in Wuhan, China, arrive in the US at JFK, LAX and SFO via direct or indirect flights. We are trying to obtain estimates of the number of passengers from Wuhan who arrive 011 direct and indirect flights to LAX and SFO each week.

Actions that will be taken:

1. Pilots on flights with passengers from Wuhan will be asked to complete documents stating that passengers appeared well. This is expected to enhance identification of ill passengers both before and during flights.

2. All passengers with travel originating in Wuhan on direct or indirect flights who are arriving at JFK, LAX or SFO will identified at arrival and screened for fever and respiratory symptoms by DGMQ staff. This screening is expected to begin on Thursday, January 16, 2020 and continue for at least two weeks through the Chinese New Year travel period. Chinese New Year is January 25, 2020.

3. Any passenger from Wuhan with fever or respiratory symptoms will be evaluated by DGMQ medical staff and potentially referred to a hospital.

4. Passengers referred to the hospital will be tested for standard respiratory viruses and potentially for the new coronavirus, which CDC now has the ability to do. Test kits are being developed for state health departments, but they are not yet available.

5. Recommended infection control precautions for passengers referred to a healthcare setting are standard+ contact+ airborne precautions+ eye protection.

6. Passengers without symptoms at US entry will be given information on symptoms to watch for over the next 14 days as well as how to self-isolate, contact public health and obtain healthcare if symptoms occur. There will be no active monitoring of these passengers at this time. Passenger information will be provided in Mandarin and English.

7. It would be optimal for ill passengers to be referred to a hospital with negative pressure rooms in its ED, and the capacity to perform rapid multiplex PCR testing for viral pathogens, eg, Biofire or similar testing.

8. The CDC HAN will contain additional information that will hopefully clarify testing protocols, etc.

P292

From: Dwyer, Susan A. CCDC/DDIDINCEZID/DGMO) To: Subject:

Stoltev, Juliet CDPH); Gurley, Jan (DPH); Aragon, Tomas (DPH); Philio, Susan CDPHl RE: Wuhan China pneumonia cluster and Port of Entry Activities

Date: Sunday, January 12, 2020 11:34:06 PM

Late on Sunday-SFO Emergency Response is onboard with the information as it is now.

Thanks,

Susan

From: Stoltey, Juliet (DPH) <[email protected]>

Sent: Friday, January 10, 2020 4:11 PM

To: Gurley, Jan (DPH) <[email protected]>; Aragon, Tomas MD, DrPH (CDC sfdph.org)

<[email protected]>; Philip, Susan (CDC sfdph.org) <[email protected]>

Cc: Dwyer, Susan A. (CDC/DDID/NCEZID/DGMQ) <[email protected]>

Subject: RE: Wuhan China pneumonia cluster and Port of Entry Activities

Hi Jan,

San Mateo was on the call so I would expect they would communicate with their emergency

response colleagues.

Re communications with SFO emergency response I'm not sure. Copying Susan Dwyer, Officer in

Charge of the Quarantine Station at SFO, who will have a better sense of the communications at

SFO.

Thanks,

Julie













From: Gurley, Jan (DPH) <[email protected]>


To: Stoltey, Juliet (DPH) <[email protected]>; Aragon, Tomas (DPH)


Subject: Re: Wuhan China pneumonia cluster and Port of Entry Activities

P293

This is very helpful, Julie - thank you so much. I will be sharing this information as FOUO with

the PHEPR team for their situational awareness. Who will take the lead in sharing this with

SFO and/or San Mateo Emergency Response? I am happy to do so if that makes sense. Or not?

Thanks and please let me know of any questions or concerns and happy to discuss, Jan

R. Jan Gurley, M.D.

Director of Public Health Emergency Preparedness and Response





Phone(415)558-5939

Fax (415) 558-5991

This message and any attachments are solely for the intended recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use or distribution included in this message and any attachments is prohibited. If you have received this communication in error, please notify the sender by reply e-mail and immediately and permanently delete this message and any attachment. Thank you.



To: Aragon, Tomas (DPH) <[email protected]>; Philip, Susan (DPH)

<[email protected]>; Gurley, Jan (DPH) <[email protected]>


Hi all,

The call took place earlier today. It was conducted by CDC DGMQ director Dr. Marty Cetron, along

with Dr. Clive Brown (chief of quarantine branch). Other participants included CDPH, San Mateo

county, Alameda county, LA county, NYC, and quarantine station officers at JFK, LAX, and SFO. The

purpose of the call was to provide a high-level situation report and describe their thinking in terms of

managing potential importation based on the current risk assessment.

P294

There are reports of an outbreak of pneumonia in Wuhan, China, potentially due to a novel

coronavirus thought to be related to an exposure at a seafood and live animal market in Wuhan.

The market has been closed and undergone disinfection. The first case was reported as occurring

around Dec 12, and the last case was reported occurring around 12/29. Total case count is 59 cases,

7 of which were reported as severe. Most cases were described as bilateral pneumonias consistent

with a viral etiology. Last report of any cases was on 1/5/2020; no updated reports since then. The

information is primarily coming from Wuhan city health officials reporting to the China CDC (not the

U.S. CDC office in China); there is relatively limited epi information available- no detailed clinical

description of patients has been provided, no epi curve with onset dates other than the first and

latest occurrences.

Recent news has described a novel coronavirus in the SARS-like family but distinct from SARS and

MERS. The new coronavirus has been identified by per in 15 of the patients, and the whole genome

was sequenced from one of the patients. CDC has not received any sequences or specimens yet.

Chinese authorities have reportedly created a diagnostic PCR. Coronaviruses often have animal

reservoirs, and investigations are underway to identify an animal reservoir in this case, but at this

time it is unknown. Other testing that was reported negative by Wuhan health authorities include:

seasonal flu, avian flu, adenovirus, SARS CoV 2003, MERS CoV.

There have been no reports of sustained person-to-person transmission. No reports of HCW illness

or nosocomially acquired infection. No confirmed reports of person to person spread among the

150 or so contacts that have been followed. No known cases identified outside of Wuhan.

There are about 4 million travelers every year from China to the U.S. Main US destination ports on

an annual basis are SFO, LAX, and JFK. From Wuhan specifically, there are about 58,000 travelers to

the U.S. over the course of the year. LAX, SFO, and JFK receive almost 75% of the incoming

passengers from Wuhan (Wuhan city itself has over 10 million residents). January tends to be one of

the busier months for travel because of the Chinese new year. In January 2019, there were 1,447

passengers who traveled directly from Wuhan into SFO (this represented about a quarter of all

travelers from Wuhan into the U.S. that month)- they anticipate that there will be a similar number

of travelers this month. There is a nonstop China Southern Airlines flight from Wuhan to SFO three

times a week, that arrives on Tu/Th/Sat around llam (there are other airlines that provide service

from Wuhan with connecting flights). There is no active exit screening occurring in Wuhan,

although CDC has offered assistance with this and is awaiting a response. Some countries have

implemented entry screening for persons coming from Wuhan (Taiwan, Singapore, Hong Kong, some

of the Russian border provinces, among others). CDC at this time is not planning on implementing

formal entry screening from Wuhan, however they are planning to educate CBP officers and reach

out to the main airlines to watch out for individuals who are visibly ill and are traveling from Wuhan.

CDC has stood up their incident management structure to provide a central coordinated response

but have not activated EOC at this time. They are in the process of developing additional infection

control guidance, management information, case definition, and a PUI hotline; they are also

planning more clinician and health dept calls.

Current CDC threat assessment is that in the absence of confirmed sustained human-to-human

transmission and without newly reported incident cases since the closure of the market, the risk for

P295

international spread to the US is thought to be low. CDC is still waiting on additional epi information

to further inform their assessment, but the thought is that if there were sustained multigenerational

spread that occurred readily, they would have expected to hear about other cases outside of Wuhan

by now. Potential triggers for moving into active entry screening would include evidence of

sustained multigenerational human-to-human transmission, rapid increases in case counts,

internationally exported cases. Given that we are in the midst of flu season, there is concern that

there would be a large number of false positives if screening were to be implemented now.

Generally the situation is dynamic, and CDC has some ongoing communication with China CDC, but

not necessarily on a daily basis, and they are currently awaiting additional information.

Please let me know if you have questions.

Thanks,

Julie

















Subject: Fwd: Wuhan China pneumonia cluster and Port of Entry Activities

Hi Tomas, Susan, and Jan,

CDC DGMQ is arranging a conference call for CD controllers at key ports of entry (SFO, LAX, and JFK)

from Wuhan. Please see below. I will plan to be on this call once it is scheduled and will report back.

Thanks,

Julie

Get Outlook for iOS

From: Brown, Clive (CDC/DDID/NCEZID/DGMQ) <[email protected]>


P296

To: Ann Winters; [email protected]; Layton, Marci (CDC health.nyc.gov); Balter,

Sharon (CDC ph.lacounty.gov); Jain, Seema (CDC cdph.ca.gov); Sall en ave, Catherine (San Mateo #1);

Stoltey, Juliet (DPH); DPH-sandra.huang; Harriman, Kathleen@CDPH

Cc: Lee, Laquanda (CDC/DDID/NCEZID/DGMQ) (CTR); Brown, Clive (CDC/DDID/NCEZID/DGMQ)

Subject: Wuhan China pneumonia cluster and Port of Entry Activities


untrusted sources.

Good-day,

I know everyone has been following with interest the reports out of Wuhan, China regarding a

cluster of Cluster of Pneumonia Cases, possibly related to a novel coronavirus. The WHO issued the

following statement:

https://www.who.int/china/news/detail/09-01-2020-who-statement-regarding-cluster-of-

pneu mon ia-cases-i n-wu han-ch in a

DGMQ has a report confirming that Russia has strengthened Quarantine control on its border with

China due to the outbreak; this was partly done in anticipation of increased travel volume for the

upcoming celebration of the Chinese New Year on January 25. The report did not specify the

nature of border control activities. We have also heard through a variety of channels that other nearby countries have implemented border control actions for persons arriving from China.

As is usual in these situations, the US CDC, specifically DGMQ, aims to implement border control

measures commensurate with the estimated risk, while continually evaluating the situation to

determine the need to adjust our actions. In addition to publishing a Travel Health Notice:

https://wwwnc.cdc.gov/travel/notices/watch/pneumonia-china, (please continually check for

updates), we're working to provide enhanced communications to our partners and the public at our

ports of entry.

While travelers from Wuhan, China arrive at a number of US Ports of Entry, a large proportion of

those travelers arrive via San Francisco (SFO), Los Angeles (LAX) and NYC (JFK), including direct flights

3-days per week to (1) SFO via China Southern (with apparent codeshares with American Airlines and

Delta) and (2) JFK via China Southern.

As part of our preparedness discussions, Marty Cetron and I would like to host a teleconference to

update you on potential plans and activities at our Ports of Entry. If possible we would like to have

this meeting either Friday January 10 or Monday January 13, let's say 10:30am or later to ensure

participation by our West Coast partners.

Could you please provide Laquanda Lee cc'd here, with possible times on those days, and she will

coordinate with Marty's schedule.

Once the meeting is scheduled, I will invite my staff from SFO, LAX and JFK so that they will also be

on the call.

P297

Thank you and please let me know if there are any questions.

~e

Dr. Clive M. Brown, MBBS, MPH, MSc, DTM&H (London). FRSPH Chief, Quarantine and Border Health Services Branch Division of Global Migration and Quarantine

National Center for Emerging and Zoonotic Infectious Diseases Centers for Disease Control and Prevention

P298


Stoltey, Juliet (DPH) Aragon. Tomas (DPH); Philip, Susan (DPH); Stier, David (DPH) Fwd: Updated synopsis from Clive Brown Saturday, January 11, 2020 12:45:58 PM

Please see updates below. Thanks, Julie

Get Outlook for iOS


Sent: Saturday, January 11, 2020 11:16 AM

To: Catherine Sallenave ([email protected]); Carly Bock ([email protected]);

[email protected]; Morrow, Scott (CDC smcgov.org); Cassius Lockett; Shruti Dhapodkar;

Stoltey, Juliet (DPH); Shemsu, Munira, Public Health, DCDCP; Pan M.D., Erica, Public Health,

DCDCP; DPH-sandra.huang; [email protected]; Han, George; Gurley, Jan (DPH)

Cc: Jeff Littlefield (AIR); Doug Yakel (AIR); Audrey Lawrence (AIR)

Subject: Updated synopsis from Clive Brown


untrusted sources.

Hi All,

You may already have this by now, but I thought I'd send Clive's update ...

Sorry for the late evening update, but will likely be in the news tomorrow, if not already. (6:29pm

Friday)

The case count has been updated by authorities in China and a death has now been reported. Also

note what seems to be a later date of onset; OD says late today the SM Es reported they were told a

new last date of onset of Dec 31, this report seems to suggest, but is somewhat unclear, that it's Jan .2.. If that's the case and we assume the incubation period is 14 days (which is still unknown since it's

a new virus), that would mean observation for new cases should continue until at least Jan 17 next

Friday. They still report no HCW illnesses and no suggestion of efficient person to person

transmission. However it's most likely we would still watch for another IP until Jan 31, to make

absolutely sure there were unbroken chains of transmission.

The SM Es note that they will need to work to confirm the accuracy of this new

information.

The report from Wuhan states in summary:

" ... initial diagnosis of a new coronavirus infection of pneumonia cases 41 cases, of

P299

which 2 cases have been discharged from the hospital, 7 cases of severe illness, 1 case of death, the remaining patients stable condition. No new cases have been detected since 3 January 2020. At present1 no medical personnel infection has been found, no clear human-to-human evidence has been found. Translated summary (translation appears when you open the link on your device.: htto://wjw. wuhan.gov.cn/front!web/showDetail/2020011109035):

Sorry for the late evening update, but will likely be in the news tomorrow, if not already.

• The new name for the response is: Novel Coronavirus (nCoV) 2019 Response. Please use this

moving forward especially for any documents we develop.

" There is a new CDC Website for the response which can be found at:

https://www.cdc.gov/coronavirus/novel-coronavirus-2019.html

• For any lab guru's among you; Sequence notice: http://virological.org/t/initial-genome

re lease-of-n ove I-co ro n avi ru s/319

This morning from Clive: (1/11/20)

Updated info from Wuhan:

" Illness onset dates adjusted to 12/8/2019 to 1/2/2020.

" Since 1/3 they have not found any additional infected cases.

• So Jan 2 seems to be the last date of onset. Assuming 14 day incubation period (IP)

watching for one IP would end on Jan 16, 2-IP would end Jan 30. If no more cases,

assuming there is no other source, all clear on Jan 31.

" Clinical presentation ... Fever, fatigue accompanied by dry cough, hospitalized patients often

had respiratory distress. The majority came into the hospital with stable vital signs.

" The one Wuhan reported death had co-morbidities (s~e more details below).

" Still no confirmed person to person transmission.

" Based on the investigation, most cases have exposure history to the Hua NaN Market.

• No confirmed person to person transmission.

• Additionally, no cases have been found among close contacts or healthcare workers

• Continuing epidemiological and laboratory investigation.

Particularly for the QM Os:

• Description of the death:

o 61 year old man with stomach cancer and chronic liver disease who came into the hospital with respiratory failure and severe pneumonia. He was a purchaser at the Hua Nan Market for many years. In the hospital he was given treatment and antimicrobials and respiratory support, and ECMO but his symptoms did not improve. On the evening of 1/9 he had a cardiac arrest, was unable to be resuscitated and died. He was PCR positive for the novel coronavirus. At death he was diagnosed with severe pneumonia, acute respiratory failure, septic shock, multiorgan failure, acid base disturbance, and cirrhosis. Primary cause of death was respiratory and circulatory co/lapse

" Late last night, WHO posted its guidance package and other information at

https://www.who.int/health-topics/coronavirus

o Their technical documents for novel coronavirus includes:

P300

Case definitions

o Laboratory guidance

o Infection prevention and control

o Risk communications

o Readiness checklist

o Disease commodity package for novel coronavirus

Particularly of note for Z-Team:

" The sequencing suggests a bat CoV related to SARS. The novel CoV GSD appears to been

released publicly on virological.org

~e


National Center for Emerging and Zoonotic Infectious Diseases


Thanks,

Susan Susan A. Dwyer Officer in Charge San Francisco Quarantine Station San Francisco International Airport CDC I JiQilll2 I JlliMQ. I QBHSB T: 650-876-2872 IF: 650-876-2796 IM: 650-333-9322

P301

From: Stoltey. Juliet CDPH) To: Cc:

Gurley, Jan CDPH); Aragon. Tomas CDPH); Philio, Susan (DPH) Dwver, Susan A. (CDC/DDID/NCEZID/DGMO)

Subject: Date:

RE: Wuhan China pneumonia cluster and Port of Entry Activities Friday, January 10, 2020 4:12:51 PM

Hi Jan,

San Mateo was on the call so I would expect they would communicate with their emergency

response colleagues.

Re communications with SFO emergency response - I'm not sure. Copying Susan Dwyer, Officer in

Charge of the Quarantine Station at SFO, who will have a better sense of the communications at

SFO.

Thanks,

Julie









http://www.sfd ph .org/cdcp




From: Gurley, Jan (DPH) <[email protected]>


To: Stoltey, Juliet (DPH) <[email protected]>; Aragon, Tomas (DPH)


Subject: Re: Wuhan China pneumonia cluster and Port of Entry Activities

This is very helpful, Julie - thank you so much. I will be sharing this information as FOUO with

the PHEPR team for their situational awareness. Who will take the lead in sharing this with

SFO and/or San Mateo Emergency Response? I am happy to do so if that makes sense. Or not?

Thanks and please let me know of any questions or concerns and happy to discuss, Jan

R. Jan Gurley, M.D.

Director of Public Health Emergency Preparedness and Response




P302


Phone{415)558-5939

Fax ( 415) 558-5991





<[email protected]>; Gurley, Jan (DPH) <jan.gur\[email protected]>


Hi all,

The call took place earlier today. It was conducted by CDC DGMQ director Dr. Marty Cetron, along



purpose of the call was to provide a high-level situation report and describe theirthinking in terms of











latest occurrences.









P303









travelers from Wuhan into the U.S. that month) - they anticipate that there will be a similar number


times a week, that arrives on Tu/Th/Sat around 11am (there are other airlines that provide service














to further inform their assessment, but the thought is that if there were sustained multigenerational









Thanks,

Julie






P304
















Thanks,

Julie

Get Outlook for iOS




Sharon (CDC ph.lacounty.gov); Jain, Seema (CDC cdph.ca.gov); Sallenave, Catherine (San Mateo #1);





untrusted sources.

Good-day,





pn eu mon ia-cases-i n-wu han-ch ina




P305







ports of entry.












on the call.


~



P306

From: Subject: Date: Attachments:

CDBRIEF CCDPH-DCDC) CD BRIEF 20-02 - Outbreak of Pneumonia of Unknown Etiology and Flu Update Friday, January 10, 2020 4:08:49 PM CD BRIEF 20-02 - Outbreak of Pneumonia of Unknown Etiology and Flu Update.odf


P307


Hi all,

Stoltey. Juliet CDPH) Araoon. Tomas (DPH); Philip, Susan (DPH); Gurley, Jan (DPH) RE: Wuhan China pneumonia cluster and Port of Entry Activities Friday, January 10, 2020 3:33:50 PM

The call took place earlier today. It was conducted by CDC DGMQ director Dr. Marty Cetron1 along



purpose of the call was to provide a high-level situation report and describe their thinking in terms of











latest occurrences.

















travelers from Wuhan into the U.S. that month) - they anticipate that there will be a similar number


times a week, that arrives on Tu/Th/Sat around 11am (there are other airlines that provide service


P308













to further inform their assessment, but the thought is that if there were sustained multigenerationa\









Thanks,

Julie










** CONFIDENTIALITY NOTICE** This email is intended for the recipient only. If you receive this email in error, notify



From: Stoltey, Juliet (DPH) <ju\[email protected]>




P309





Thanks,

Julie

Get Outlook for iOS




Sharon (CDC ph.lacounty.gov); Jain, Seema (CDC cdph.ca.gov); Sallenave, Catherine (San Mateo #1);





untrusted sources.

Good-day,





pn eu mon i a-cases-i n-wu han-ch in a










ports of entry.




P310




this meeting either Friday January 10 or Monday January 13, let1s say 10:30am or later to ensure





on the call.


~



P311

From: Gurley, Jan CDPH) To: Subject: Date:

Stoltey, Juliet CDPHl; Aragon. Tomas (DPH); Philip, Susan CDPH) Re: Wuhan China pneumonia cluster and Port of Entry Activities Thursday, January 9, 2020 7:40:08 PM

Thank you for your work on this, Julie, and especially for the updates, Jan

R. Jan Gurley, M.D. Director of Public Health Emergency Preparedness and Response Deputy Health Officer San Francisco Department of Public Health 30 Van Ness Avenue, Suite 2300 San Francisco, CA 94102 Phone (415) 558-5939 Fax (415) 558-5991







Hi Tomas, Susan, and Jan, CDC DGMQ is arranging a conference call for CD controllers at key ports of entry (SFO, LAX, and JFK) from Wuhan. Please see below. I will plan to be on this call once it is scheduled and will report back. Thanks, Julie

Get Outlook for iOS



To: Ann Winters; [email protected]; Layton, Marci (CDC health.nyc.gov);

Balter, Sharon (CDC ph.lacounty.gov); Jain, Seema (CDC cdph.ca.gov); Sallenave, Catherine

(San Mateo #1); Stoltey, Juliet (DPH); DPH-sandra.huang; Harriman, Kathleen@CDPH




P312

untrusted sources.

Good-day,




https ://www.who.int/chin a/news/deta ii /09-01-2020-wh o-statement-regard i ng-cl uster-of

pneu mon ia-cases-i n-wu ha n-ch in a










ports of entry.












on the call.


~


P313


P314


Stoltey, Juliet CDPH) Aragon. Tomas (DPH); Philip, Susan CDPH); Gurley. Jan CDPH) Fwd: Wuhan China pneumonia cluster and Port of Entry Activities Thursday, January 9, 2020 6:02:36 PM

Hi Tomas, Susan, and Jan, CDC DGMQ is arranging a conference call for CD controllers at key ports of entry (SFO, LAX, and JFK) from Wuhan. Please see below. I will plan to be on this call once it is scheduled and will report back. Thanks, Julie

Get Outlook for iOS



To: Ann Winters; [email protected]; Layton, Marci (CDC health.nyc.gov);

Balter, Sharon (CDC ph.lacounty.gov); Jain, Seema (CDC cdph.ca.gov); Sallenave, Catherine

(San Mateo #1); Stoltey, Juliet (DPH); DPH-sandra.huang; Harriman, Kathleen@CDPH




Good-day, I know everyone has been following with interest the reports out of Wuhan, China regarding a cluster of Cluster of Pneumonia Cases, possibly related to a novel coronavirus. The WHO issued the following statement: https://www.who.int/china/news/detail/09-01-2020-who-statement-regarding-cluster-of-pneu mon i a-cases-i n-wu ha n-ch i na

DGMQ has a report confirming that Russia has strengthened Quarantine control on its border with China due to the outbreak; this was partly done in anticipation of increased travel volume for the upcoming celebration of the Chinese New Year on January 25. The report did not specify the nature of border control activities. We have also heard through a variety of channels that other nearby countries have implemented border control actions for persons arriving from China.

As is usual in these situations, the US CDC, specifically DGMQ, aims to implement border control measures commensurate with the estimated risk, while continually evaluating the situation to determine the need to adjust our actions. In addition to publishing a Travel Health Notice: https://wwwnc.cdc.gov/travel/notices/watch/pneumonia-china, (please continually check for updates), we're working to provide enhanced communications to our partners and the public at our ports of entry.

P315












on the call.


6'/hc Dr. Clive M. Brown, MBBS, MPH, MSc, DTM&H (London). FRSPH Chief, Quarantine and Border Health Services Branch Division of Global Migration and Quarantine


P316

From: To: Subject:

Date: Attachments:

California Health Alert Network Aragon, Tomas (DPH) CAHAN Disease Notification CDC HAN 424: Outbreak of Pneumonia of Unknown Etiology (PUE) in Wuhan, China Wednesday, January 8, 2020 3:03: 15 PM CDC+HAN+424 Pneumonia+Outbreak+in+Wuhan+China 01.08.2020.odf

The Centers for Disease Control and Prevention (CDC) is closely monitoring a

reported cluster of pneumonia of unknown etiology (PUE) with possible epidemiologic

links to a large wholesale fish and live animal market in Wuhan City, Hubei Province,

China. An outbreak investigation by local officials is ongoing in China; the World

Health Organization (WHO) is the lead international public health agency. Currently,

there are no known U.S. cases nor have cases been reported in countries other than

China. CDC has established an Incident Management Structure to optimize domestic

and international coordination if additional public health actions are required.

This Health Alert Network (HAN) Advisory informs state and local health departments

and health care providers about this outbreak and requests that health care providers

ask patients with severe respiratory disease about travel history to Wuhan City.

Wuhan City is a major transportation hub about 700 miles south of Beijing with a

population of more than 11 million people.

The full health alert is attached and available at the following link:

https://emergency.cdc.gov/han/HAN00424.asp

P317

From: To: Cc:


Harriman. Kathleen@CDPH Feaster. Matt (Pasadena); McNitt. Louise DPH-sandra.huang; [email protected]; Pan. Erica (Alameda); Oschsner. Allyson@AlamedaCo; [email protected]; [email protected]; [email protected]: [email protected]; Johnson. Richard (ALPINE); Streeper. Tim CALPINE); Dupuis. Tamara@AlpineCount; Huspen Kerr. Rita; Desvoignes. Liz@Amadorgov; [email protected]; Hernandez. Lisa (City of Berkeley); Lewis. Linda@Butte County; Thao. Marv (Butte County); Miller. Andrew; Kelaita. Dean; Rodriguez. Colleen; ~ Burt; [email protected]; Rios. Connie; [email protected]; Susan .Farley@cchealth ,orq; Leung. Paul (CCHealth): [email protected]; Rehwaldt Warren; Machado. Colleen; Bodenstab. [email protected]; Ungeheuer. Michael (El Dorado County); Orchard. Heather@EDCGOV; Mackey. Teresa@EIDoradoCo; [email protected]; [email protected]; Williams. Nancy; Robinson. Nathan (El Dorado County); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Norton. Grinnell@Glenn County; Nelson. Mary Lou@Glenn County: [email protected]; Baird. Donald; [email protected]; [email protected]; [email protected]; [email protected] us; [email protected]; Kriner. Paula; Lopez. Karla (Imperial County); Whitney. Timothy@inyo; Scott. Anna (INYO); Hernandez. Kimberly@Kern County; Walker. Ann@Kern County; [email protected]; Teske. Milton; Soong, Sharon (Kings County); Hill. Edward@Kings; [email protected]; King. Christine@kingscounty; [email protected]; Tarpley, Mary (Lake County); May. Helen@Lassen; Davis. Anissa; Holman. Eroily@Long Beach; Barin. Nora@Long Beach; Torres. Cindy@LongBeach; Prado. Belinda@Long Beach; Balter. Sharon@Los Angeles County; Terashita. Dawn@LA County; [email protected]; [email protected]; [email protected]; rciven@ph. lacou nty.gov; [email protected]; UHalai@ph .lacounty.ggy; [email protected]; Thomas. Cole; [email protected]; [email protected]; [email protected]; [email protected]; Emerson. Cicily@MarinCounty: [email protected]; Santora. [email protected]; Sergienko. Eric; King. Margarita; [email protected]; Converv. Sharon; Pace. Gary@Mendocino County; Sydney. Loewen@cou ntyofmerced. com; Yer. Ch a ng@cou ntyofmerced. com; Jessica .Ju arez@cou ntyofmerced. com; [email protected]; Raul.Medina@countyofmerced com; Schulz. Tanya; Sohar. Stacy (Modoc County); Richert. Edward; cheyenneo"[email protected]; Wheeler. Bryan; Pearce. Sandra@Mono County; Boo. Thomas (MONO); Moreno. Edward; Michie. Kristy; [email protected]; Jenny.Vargas@countyofnapa org; [email protected]; Cutler. Kenneth; Key. Cindy (Nevada County); Wilson. Cynthia@Nevada County; Zahn. Matt@Orange County; Cheung. Michele (Orange# 2); Jacobs. Josh@Orange County; Meulman. Marc (Orange County); Goh. Ying-Ying; Feaster. Matt (Pasadena); ~ Christine; Evangelista. Sharon; Hashimoto-Raju. Lani@Pasadena City; Oldham. Robert; Holland. April (PLACER); [email protected]; Venable. Tina (PLUMAS); Cole. Barbara (Riverside County); Kasirye. Olivia; Taylor. Melody@Sacramento County; Mello. Lynn@San Benito County; Ahern. Kevin@San Benito; [email protected]; Ibrahim. Diana; Strong. Susan; [email protected]; McDonald. Eric (San Diego County); Wooten. Wilma; Kao. Annie (San Diego CounM; Johnson. Jeff (San Diego County); Stoltey. Juliet CDPH); Aragon. Tomas CDPH); Portnoy. Diane (DPH); Kim. Brian CDPH): DuBois. Amie (DPH); Philip. Susan (DPH); Enanoria. Wayne (DPH); [email protected]; Pehl. Veronica@San Joaquin; Borenstein. Penny: Gaiger. Christine (SAN LUIS OBISPO); Rosen. Frederick; Sallenave. Catherine (San Mateo #1): Bock. Carly@San Mateo County; Geltmaker. Matt@San Mateo County; Linguist. Jeanne (San Mateo County); Batson. Paige@Santa Barbara; Leff. Arnold; [email protected]; Meza. Amy@Santa Cruz County; [email protected]; Ramstrom. Karen; [email protected]; Goshong. Mega@Shasta County: Sutton-Pado. Celia; Anseth. Shanna (SIERRA); [email protected] gov; Kolpacoff. Stephen; Harris. [email protected]; Davis. Shelly; Varga. Kristin@siskiyou; Salvatierra. Belle@Solano County: Acosta. Meileen@Solano County: [email protected]; [email protected]; Hernandez. Emely@Sonoma County; [email protected]; Vaishamoayan. Julie 2; Vassell. Barbara@Stanislaus County: [email protected]; Sanford. Denise@Stanislaus Co; Heredia. Maria; [email protected]; [email protected]; Nagra. Daliinder (Sutter County); [email protected]; Wickenheiser. Richard; Schmidt. Michelle; Martin. Kottv@Tehama County: Hopper. Dolly; Sagar. Minnie@Tehama Co; Loomis. Sharayne; [email protected]; Haught Karen; Kempf, Jeremy (Tulare County); Bernstein. Robert; Denney, Pattv@Tuolumne; Levin. Robert; Edmondson. Hannah@Ventura County; Reeder. Eva@Ventura; Gipson. Sandra@Ventura County; [email protected]; [email protected]; [email protected]; [email protected]; Chapman. Ron; Anna Sutton; [email protected]; Weivoda. Kristin@Yolo County Health Department; Kelsch. Katie; [email protected]; Moua. Xee; !ill;g,_ [email protected]; [email protected]; Vugia. Duc@CDPH; Jain. Seema@CDPH; Kimura. Akiko@CDPH; Kamali. Amanda@CDPH; Snyder. Robert@CDPH; Yu. Alexander@CDPH; Abe. Kentaro@CDPH; DPH - Sarah.New; Hoover. Cora@CDPH; Royce. Sarah@CDPH; Yen. Cynthia@CDPH; Glenn-Finer. Rosie@CDPH; Murray. Erin@CDPH; Bregman. Brooke@CDPH; Hacker. Jill@CDPH; Ruiz. Juan@CDPH; Kim. Janice@CDPH; Siegel. Jane@CDPH; Epson. Erin@CDPH; [email protected]; DPH - Rachel.Mclean; Stockman. Lauren@CDPH; arellano. [email protected]; [email protected]; Garrison. Jared@Glenn; Weinstein. Eva (NAPA); [email protected]; Johnston. Samantha@CDPH; Romero. Mike (PLACER); Sine!. Kim (Placer# ;n; Schechter. Robert@CDPH; Volkman. Hannah@CDPH; [email protected]; [email protected]; gordon [email protected]; [email protected]; Herrick. Robert@sutter; Baldwin. Kismet@SJCPHS; [email protected]; [email protected]; Whittaker. Holly (Nevada County); [email protected]; Han. George@Santa Clara County; Martin. Brittany@CDPH; [email protected]; Chai. Shua@CDPH; Brodie. Georgia@CalaverasCounty: Balter. Michelle M@San Luis Obispo County: [email protected]; [email protected] CDC HAN: Outbreak of Pneumonia of Unknown Etiology (PUE) in Wuhan, China Wednesday, January 8, 2020 2:05:53 PM CDC HAN PUE in Wuhan China Jan 8 2020.pdf

P318


P319

Leger, Cheryl (BOS)


Requester,

DPH Sunshine Friday, March 11, 2022 4:44 PM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 /File No 20059 TomasAragon_CDPHemails_Batch3.pdf


Thank you.


Hello,







appreciate any narrowing down of the request. Could you please provide specific names of indi.viduals that






All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" 11COV/D 11 "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" 11novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCCfor items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS'' 11COVID" "COV/019" "COV/D-19" "SARS-CoV-2"

pg20

112019-nCOV11 "nCOV" "severe acute respiratory syndrome 11 "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20).

Thank you,

DPH Sunshine Team

P3i1

Leger, Cheryl (BOS)


Requester,

DPH Sunshine Wednesday, March 16, 2022 9:49 AM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 I File No 20059 TomasAragon_CDCemails_Batch6.pdf; TomasAragon_CDCemails_Batch7.pdf; TomasAragon_CDCemails_BatchS.pdf


Thank you.


Hello,













All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: 11coronavirus 11 11wuhan 11 11SARS 11 11COV/D 11 11COVID19" 11COV/D-19 11 11SARS-CoV-2 11 112019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" 11pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient.

PS22

2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COVID19" "COVID-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.

Thank you,

DPH Sunshine Team

From: Dellamaria. Katie CDPH) To: Cc:

Aragon. Tomas CDPH); Chan. Curtis IDPH); Philip. Susan CDPH); Liu. Xin IDPH); Silva. Elenita (DPH) Armstrong. Aline (DPH); Beetham. Diane (DPH); Clayton. Anna (DPH)

Subject: Re: Guidance for Child Care Centers re Coronavirus? Date: Wednesday, February 12, 2020 8:59:08 AM

Hello all, Sorry for the brief email. On BART heading to Child Care Planning and Advisory Council (CPAC) meeting.

Curtis, thank you so much for the summary of Child Care Health Program activities thus far.

Tomas, thank you for sharing the guidance document for Child Care/ECE. This is extremely helpful!

I am looping in Elenita Silva, CCHP PHN as she has been activated in a clinical consultation role. and will be pausing many of her regular CCHP duties to assist with the response.

I am looping in Xin (Katie) Liu, CCHP PHN as she serves many ECE sites supporting the Chinese/Chinese American community and has insight to the education needs and requests at her sites.

Curtis, let's meet this afternoon. What time works for you? I will be there as well as possibly Anna, Ellen, and Katie Liu.

See you this afternoon, Katie

Katie DellaMaria, MSN, PHN, RN Nurse Manager Child Care Health Program San Francisco Department of Public Health Maternal, Child, and Adolescent Health Section 30 Van Ness Avenue, Suite 210, SF, CA 94102 Direct: (415) 581-2375



To: Chan, Curtis (DPH); Philip, Susan (DPH)

Cc: Armstrong, Aline (DPH); Dellamaria, Katie (DPH); Beetham, Diane (DPH); Clayton, Anna

(DPH)

Subject: Re: Guidance for Child Care Centers re Coronavirus?

Curtis,

Did they review attached CDPH guidance for Childcare?

We need to develop an community outreach and education plan. This will be important for

community mitigation.

P324

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

"Radical transformational leadership is leading change from the universal values of dignity,

equity, compassion and humility to transform self people, systems and cultures towards equity

and sustainable results." (learn morehttp://bit.ly/phd-lead)

NOTICE: This message and attachments may contain confidential or privileged information. If

you are not the intended recipient, disclosure, copying, use, or distribution of the information

is prohibited. Notify the sender immediately and delete all information.



To: Aragon, Tomas (DPH) <[email protected]>; Philip, Susan (DPH) <[email protected]>

Cc: Armstrong, Aline (DPH) <[email protected]>; Dellamaria, Katie (DPH)

<[email protected]>; Beetham, Diane (DPH) <[email protected]>; Clayton, Anna

(DPH) <[email protected]>

Subject: Guidance for Child Care Centers re Coronavirus?

Hi Tomas and Susan:

What have you heard from CDPH regarding guidance for "childcare"

or "early childhood education"?

Katie Della maria, Nurse Manager of the Childcare Health Program (of PHNs, Health Workers,

&PH specialist) have been gathering concerns from the child care community, summarizing

key information from CDC CDPH, and SFDPH, and will provide a brief update to ECE leaders

this morning at the Child Care Planning and Advisory Council are perfect. Katie will emphasize

hearing the concerns and suggestions of the child care community and their families. With

community information gathered by Child Care Health Program, SFDPH can consider these

concerns and suggestions in context with our local epidemiology and other disease prevention

measures to provide the best guidance possible as the situation evolves.

P325

Sample of questions that childcare community has asked just one of several PHN (Katie

Liu, RN) until 2/5:

1/15/20 - Anna (Director) from Little Footprint

.. Question about families and teachers coming from China/quarantine?

.. Route of contact for Coronavirus

.. Incubation time and if the virus can be transmitted during incubation time.

1/27 /20- Gloria Tang (executive director)from Gum Moon (AWRC)

.. Question about families and teachers coming from China/quarantine needed?

1/27 /20 - Nakita Chow (Operational Manager) from CCFC

.. Question about if children and teachers coming back from China can come back to

the center right away.

1/28/20 - Helen (Site manager) from Little Footprint




1/31/20- Sandra Davis (Director)from J,_fil Place 2 Start

• Concern about second confirmed case in Santa Clara and if there is special

preventative measures that the school needed to take.

2/3/20 - Marianne Reyneker (Director) from Story Book Preschool

• Concerns about families and children returning from China, if they can return to

school.

2/5/20 -April Bacsafra (FCCHN Manager, used to be FACCESF Hayes Valley manager)

from FACESSF


school.

I'm very grateful and inspired to read/hear how well CCHP staff have kept updated on public

health guidelines, and answered complex questions for the child care community. As people

return from China with 14-day home quarantine, there will surely be many more questions for

young children. I plan to find a time when Diane, Katie, and her team are available today to

meet. We can update each other about the situation at childcare centers, SFUSD, the method

of collecting key questions, process to coordinate an approach between SFDPH SFUSD -

OECE in answering questions, and some short-term outcomes to support the childcare

community (e.g., contextualizing/distributing CDPH FAQ for childcare or schools).

Thanks,

curtis

P326







www.sfdph.org/mch [email protected]

Pronouns: he/him/his

From: Dellamaria, Katie (DPH) <[email protected]>

Sent: Tuesday, February 11, 2020 4:50 PM

To: Aragon, Tomas (DPH) <[email protected]>; Chan, Curtis (DPH) <[email protected]>;

Beetham, Diane (DPH) <[email protected]>

Cc: Armstrong, Aline (DPH) <[email protected]>

Subject: Re: SFUSD School Health meeting regarding Coronavirus: 1515 Quintara St, San Francisco,

CA 94116

Curtis, I'm sorry I could not join you today for the meeting with SFUSD. I look forward to hearing the outcome and seeing the updated protocols.

Child Care Health Program continues to compile questions PHNs are fielding from ECE community members, and I hope to provide a very brief update to ECE leaders at the Child Care Planning and Advisory Council (CP AC) Meeting tomorrow morning.

Please feel free to let me know ifthere are any pressing items you would like me to share/ask at the CPAC meeting tomorrow.



Sent: Tuesday, February 11, 2020 8:45 AM

To: Chan, Curtis (DPH); Beetham, Diane (DPH); Dellamaria, Katie (DPH)

Cc: Armstrong, Aline (DPH)

Subject: Re: SFUSD School Health meeting regarding Coronavirus: 1515 Quintara St, San

Francisco, CA 94116

Curtis, I will come at 2:30pm; I have mtg with DEM EOC. Thanks for your great work!

P327

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

"Radical transformational leadership is leading change from the universal values of dignity

equity, compassion and humility to transform self, people, systems and cultures towards equity







To: Beetham, Diane (DPH) <[email protected]>; Aragon, Tomas {OPH)

<[email protected]>; Dellamaria, Katie {DPH) <[email protected]>


Subject: SFUSD School Health meeting regarding Coronavirus: 1515 Quintara St, San Francisco, CA

94116

Tomas,

The meeting with SFUSD from 1 :30-3:30pm today will be at: 1515 Quintara St, (cross with 24th Avenue).

Director of Public Health Nursing will be joining us, and I'll invite Katie Dellamaria, Nurse Manager of the Child Care Health Program to attend too.

Mary Jue and I had set-aside this 2-hour block to review/update/sign the Medical/Nursing protocols for SFUSD, so I may stay a little bit longer to review those documents. Everyone else is welcome to stay (until 4:30?) to review those too.

Thanks, curtis




P328








To: Chan, Curtis (DPH) <[email protected]>; Jue, Mary <[email protected]>

Cc: Kimberly S. Coates ([email protected]) <[email protected]>; Sop, Anna (DEM)

<[email protected]>; Mele Lau-Smith <[email protected]>

Subject: Re: Fw: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus Guidance for

Schools and School Districts

Curtis, Thanks for clarification.

Tomas




To: Aragon, Tomas (DPH) <[email protected]>; Jue, Mary <[email protected]>





Hi,

I'm sorry for the confusion. Tomas, I gave SFUSD a copy of the CDPH Draft Guidance we had,

along with the LHD/school district from other Bay Area jurisdictions.

I would consider NOT including that language because:

41 It's from DRAFT guidance that has has been replaced with official guidance on February

7th. I presume they struck out that language for good reasons.

41 I'm not sure about the extent in which both parts of the statement are totally true. 11 Persons who have arrived from China prior to February 3, 2020 are at lower

risk and do not need to be excluded." That does seem to be simplified logic

implied by the CDC guidance on February

3rd https ://www.cdc.gov/co ro n avi rus/2019-ncov /p hp/risk-assessment. htm I,

P329

but the science of that date being as a cut-off is not very clear to me.

Although I respect and agree with Feb 3rd as a cut-off date, I don't think that

we should repeatedly emphasize that date.

• The SFDPH/SFUSD approach, instead, acknowledges the variability of the

February 3rd cut-off, and provide additional measures for those who returned

before February 3rd:

o Travelers who returned from China in the two-weeksbefore February

3rd have been added to the Low-Risk category.

o The San Francisco Department of Public Health recommends that travelers who returned from China BEFORE February 3 monitor themselves for 14 days after their last day in China. If symptoms (fever, cough, or shortness of breath) occur during that time, please contact your health provider, inform them of your travel history and selfisolate at home pending their advice. Do not go to work, school or social events if you have these symptoms. https: //www .sfcd cp. org/i nfectious-d iseases-a-to-z/coron avi rus-

2019-novel-coron avi rus/ https://www.sfcdcp.org/wp-

conte nt/u ploa ds/2020/02/1 nte rim-Gu id an ce-on-M on itori n g-a n d-M ovem ent-for

Sa n-Fra ncisca ns-a n d-T ravel-Before-Feb-3 rd-SFDPH-FI NAL-02.07 .2020.pdf (is very

excellent)

o ??? SFUSD is enhancing its school and nursing protocols for students with

respiratory illness, such as fever and cough. Enhancements include additional

training, equipment, and procedures. The additional procedures include

assessing if students had been away for prolonged travel (e.g., >3 days by school

attendance); and if so, asking if they've traveled out of the U.S. and in endemic

areas.

o ??? I don't know if SFUSD has made plans for returning travelers to participate in

school education away from school.

Thank you.

Yours,

curtis



To: Jue, Mary <[email protected]>; Chan, Curtis (DPH) <[email protected]>



P330



This is correct:

"Persons who have arrived from China prior to February 3, 2020 are at lower risk

and do not need to be excluded. 11

Other Bay Area health departments are using this guidance.

Curtis, anything to add.

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102







From: Jue, Mary <[email protected]>


To: Chan, Curtis (DPH) <[email protected]>


<[email protected]>; Mele Lau-Smith <[email protected]>; Aragon, Tomas (DPH)

<[email protected]>




P331

Thanks for the phone call today, Curtis. I appreciate going deeper into these discussions and peeling apart the layers.

I wanted to confinn that you believe the CDPH guidance for schools and school districts is OK for sharing. That said, the language in the DRAFT guidance that you shared (in the packet of info) has language that might also be helpful: "Persons who have arrived from China prior to February 3, 2020 are at lower risk and do not need to be excluded. "Would it be OK to use that language, in addition to distributing the CDPH guidelines?

Based on our conversation, we will continue to follow SF DPH and CDPH guidance. I hope DPH will be able to come up with a speak for the Lau/Parker/Newcomer community meeting. Please keep me posted.

See you tomorrow!

Mary Jue, MSN, RN, Credentialed School Nurse Director

School Health Programs Student, Family & Community Support Department, SFUSD 1515 Quintara Street, SF, CA 94116 415-242-2615 fax 415-242-2618

[email protected] www.healthiersf.org

Please "Reply All" only if everyone on the email needs to know. Otherwise, please only reply to me! Thank you!

On Fri, Feb 7, 2020 at 8:35 PM Chan, Curtis (DPH) <[email protected]> wrote: · Dear SFUSD Health Team:

Thank you very much for your great work in communicating with your school district's

students and families; and your ongoing communications with the San Francisco

Department of Public Health. We appreciate all of your excellent questions and thoughtful

approaches to some complex cases.

Today, Dr. Aragon and I discussed the excellent response of SFUSD, the letter that SFUSD

sent to families (last updated February 5th). As you can compare with other letters sent

from school districts/ health departments, the SFUSD letter was comprehensive and very

clear.

P332

As I was relating the draft CDPH guidance with you earlier, local health departments have

been planning with each other and with CDPH to respond to this emerging threat of an

epidemic. The Chinese and U.S. governments https://www.cdc.gov/coronavirus/2019-

ncov have issued an unprecedented scale of quarantine orders, so public health experts are

still determining how such orders and guidelines should be recommended. The California

Department of Public Health guideline that planned for release on Wednesday-Thursday

was finally released this evening. I am forwarding it to you now.

As you can read, the new CDPH guidance is very much aligned with the SFUSD (2/5/2020)

and SFDPHwww.sfcdcp.org guidance. The new CDPH guidance emphasizes some

actionable steps that schools may need to prepare for or consider include:

111 Separate sick students and staff from others until they can go home. When feasible,

identify a "sick room" through which others do not regularly pass.

111 A note about face masks: face masks are most useful for preventing disease spread

when they are worn by people who have symptoms. This is why people are asked to

wear a mask at doctors' offices and hospitals if they are coughing or sneezing.

• Update emergency plans to ensure they are in place before an outbreak occurs.

• Please note that there have been reports of students and others being stigmatized.

We urge schools to ensure students' and staffs' privacy to help prevent

discrimination.

Whereas you 1ve helped lead an excellent response for our many public school students and

their families in San Francisco in this first-week of responding to the federal quarantine

guidelines, I think that school 11 emergency plans 11 (e.g., for infectious diseases and

pandemics) will be very useful to consider soon. With people continuing to return from

China and more capacity for laboratories to test 2019 Novel Coronavirus, there is an

increasing possibility of cases in San Francisco and even the virus circulating. Plans for

student/staff safety and the continuity of education would need to be implemented. These

are issues that all schools will need to grapple with in California, so I look forward to

discussing with you and supporting best-practices with you.

l1m hopeful that issues are stable at the school district over the weekend, but feel free to

call me anytime on my personal cell 650-580-2335.

Thank you so much for protecting the health and safety of students in San Francisco.

In health,

curtis



P333

• Medical Director of Maternal, Child & Adolescent Health

• San Francisco Department of Public Health






Sent: Friday, February 7, 2020 7:36 PM


Subject: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus Guidance for Schools

and School Districts

The California Department of Public Health is releasing guidance for K-12 schools and school districts regarding the 2019 Novel Coronavirus.

Please see attached PDF for guidance.

P334

From: Chan, Curtis (DPH) To: Aragon. Tomas CDPH); Philip. Susan (DPHl Cc: Subject:

Armstrona. Aline (DPH); Dellamaria. Katie CDPH); Beetham. Diane (DPH); Clayton. Anna (DPH) Guidance for Child Care Centers re Coronavirus?

Date: Wednesday, February 12, 2020 8:08:05 AM

Hi Tomas and Susan:

What have you heard from CDPH regarding guidance for "childcare"

or "early childhood education"?

Katie Della maria, Nurse Manager of the Childcare Health Program (of PHNs, Health Workers,

&PH specialist) have been gathering concerns from the child care community, summarizing

key information from CDC, CDPH, and SFDPH, and will provide a brief update to ECE leaders

this morning at the Child Care Planning and Advisory Council are perfect. Katie will emphasize

hearing the concerns and suggestions of the child care community and their families. With

community information gathered by Child Care Health Program, SFDPH can consider these

concerns and suggestions in context with our local epidemiology and other disease prevention

measures to provide the best guidance possible as the situation evolves.

Sample of questions that childcare community has asked just one of several PHN (Katie

Liu, RN) until 2/5:





1/27 /20 Gloria Tang (executive director)from Gum Moon (AWRC)

.. Question about families and teachers coming from China/quarantine needed?

1/27 /20 Nakita Chow (Operational Manager) from CCFC

e Question about if children and teachers coming back from China can come back to

the center right away.

1/28/20- Helen (Site manager) from Little Footprint




1/31/20- Sandra Davis (Director)from 1fil Place 2 Start

., Concern about second confirmed case in Santa Clara and ifthere is special

preventative measures that the school needed to take.

P335



school.

2/5/20 April Bacsafra (FCCHN Manager, used to be FACCESF Hayes Valley manager)

from FACESSF

" Concerns about families and children returning from China, if they can return to

school.

I'm very grateful and inspired to read/hear how well CCHP staff have kept updated on public

health guidelines, and answered complex questions for the child care community. As people

return from China with 14-day home quarantine, there will surely be many more questions for

young children. I plan to find a time when Diane, Katie, and her team are available today to

meet. We can update each other about the situation at childcare centers, SFUSD, the method

of collecting key questions, process to coordinate an approach between SFDPH - SFUSD -

OECE in answering questions, and some short-term outcomes to support the childcare

community (e.g., contextualizing/distributing CDPH FAQ for childcare or schools).

Thanks,

curtis











To: Aragon, Tomas (DPH) <[email protected]>; Chan, Curtis (DPH) <[email protected]>;

Beetham, Diane (DPH) <[email protected]>


Subject: Re: SFUSD School Health meeting regarding Coronavirus: 1515 Quintara St, San Francisco,

CA 94116

Curtis, I'm sony I could not join you today for the meeting with SFUSD. I look forward to hearing the outcome and seeing the updated protocols.

Child Care Health Program continues to compile questions PHNs are fielding from ECE

P336

community members, and I hope to provide a very brief update to ECE leaders at the Child Care Planning and Advisory Council (CP AC) Meeting tomorrow morning.

Please feel free to let me know if there are any pressing items you would like me to share/ask at the CP AC meeting tomorrow.




To: Chan, Curtis (DPH); Beetham, Diane (DPH); Dellamaria, Katie (DPH)

Cc: Armstrong, Aline (DPH)

Subject: Re: SFUSD School Health meeting regarding Coronavirus: 1515 Quintara St, San

Francisco, CA 94116

Curtis, I will come at 2:30pm; I have mtg with DEM EOC. Thanks for your great work!

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102


equity, compassion and humility to transform self people, systems and cultures towards equity

and sustainable results. 11 (learn morehttp://bit.ly/phd-lead)






P337

To: Beetham, Diane (DPH) <[email protected]>; Aragon, Tomas (DPH)

<[email protected]>; Dellamaria, Katie (DPH) <[email protected]>


Subject: SFUSD School Health meeting regarding Coronavirus: 1515 Quintara St, San Francisco, CA

94116

Tomas,

The meeting with SFUSD from 1 :30-3:30pm today will be at: 1515 Quintara St, (cross with 24th Avenue).

Director of Public Health Nursing will be joining us, and I'll invite Katie Dellamaria, Nurse Manager of the Child Care Health Program to attend too.

Mary Jue and I had set-aside this 2-hour block to review/update/sign the Medical/Nursing protocols for SFUSD, so I may stay a little bit longer to review those documents. Everyone else is welcome to stay (until 4:30?) to review those too.

Thanks, curtis











To: Chan, Curtis (DPH) <[email protected]>; Jue, Mary <[email protected]>





Curtis, Thanks for clarification.

Tomas



P338


To: Aragon, Tomas (DPH) <[email protected]>; Jue, Mary <[email protected]>





Hi,

I'm sorry for the confusion. Tomas, I gave SFUSD a copy of the CDPH Draft Guidance we had,

along with the LHD/school district from other Bay Area jurisdictions.

I would consider NOT including that language because:

• It's from DRAFT guidance that has has been replaced with official guidance on February

7th. I presume they struck out that language for good reasons.

• I'm not sure about the extent in which both parts of the statement are totally true.

"Persons who have arrived from China prior to February 3, 2020 are at lower

risk and do not need to be excluded." That does seem to be simplified logic

implied by the CDC guidance on February

3 rdhttps ://www.cdc.gov/coronavi rus/2019-ncov /php/risk-assess me nt. htm I,

but the science of that date being as a cut-off is not very clear to me.

Although I respect and agree with Feb 3rd as a cut-off date, I don't think that

we should repeatedly emphasize that date.

• The SFDPH/SFUSD approach, instead, acknowledges the variability of the

February 3rd cut-off, and provide additional measures for those who returned

before February 3rd:

o Travelers who returned from China in the two-weeksbefore February

3rd have been added to the Low-Risk category.

o The San Francisco Department of Public Health recommends that travelers who returned from China BEFORE February 3 monitor

themselves for 14 days after their last day in China. If symptoms (fever, cough, or shortness of breath) occur during that time, please contact your health provider, inform them of your travel history and selfisolate at home pending their advice. Do not go to work, school or

social events if you have these symptoms. https: //www.sfcdcp.org/i nfectious-d iseases-a-to-z/coronavi rus-

2019-novel-co ron avi rus/ https://www.sfcdcp.org/wp-

conte nt/u p loads/2020/02/1 nterim-G u id an ce-on-M on itori ng-a n d-M ovem ent-fo r-

P339

San-Fra nciscans-and-Travel-Before-Feb-3 rd-SFDPH-FI NAL-02.07 .2020.pdf (is very

excellent)

o ??? SFUSD is enhancing its school and nursing protocols for students with

respiratory illness, such as fever and cough. Enhancements include additional

training, equipment, and procedures. The additional procedures include

assessing if students had been away for prolonged travel (e.g., >3 days by school

attendance); and if so, asking if they've traveled out of the U.S. and in endemic

areas.

o ??? I don't know if SFUSD has made plans for returning travelers to participate in

school education away from school.

Thank you.

Yours,

curtis








This is correct:

"Persons who have arrived from China prior to February 3, 2020 are at lower risk

and do not need to be excluded."

Other Bay Area health departments are using this guidance.

Curtis, anything to add.

Tomas



415-515-5734 (cell); 415-554-2898 (office)




P340

101 Grove St., Rm 308, SF CA 94102


equity, compassion and humility to transform self, people, systems and cultures towards equity and sustainable results. 11 (learn morehttp://bit.ly/phd-\ead)









<[email protected]>




Thanks for the phone call today, Curtis. I appreciate going deeper into these discussions and peeling apart the layers.

I wanted to confirm that you believe the CDPH guidance for schools and school districts is OK for sharing. That said, the language in the DRAFT guidance that you shared (in the packet of info) has language that might also be helpful: "Persons who have arrived from China prior to February 3, 2020 are at lower risk and do not need to be excluded."Would it be OK to use that language, in addition to distributing the CDPH guidelines?

Based on our conversation, we will continue to follow SF DPH and CDPH guidance. I hope DPH will be able to come up with a speak for the Lau/Parker/Newcomer community meeting. Please keep me posted.

See you tomorrow!


School Health Programs Student, Family & Community Support Department, SFUSD 1515 Quintara Street, SF, CA 94116

P341

415-242-2615 fax 415-242-2618



On Fri, Feb 7, 2020 at 8:35 PM Chan, Curtis (DPH) <[email protected]> wrote: Dear SFUSD Health Team:

Thank you very much for your great work in communicating with your school district's

students and families; and your ongoing communications with the San Francisco

Department of Public Health. We appreciate all of your excellent questions and thoughtful

approaches to some complex cases.

Today, Dr. Aragon and I discussed the excellent response of SFUSD, the letter that SFUSD

sent to families (last updated February 5th). As you can compare with other letters sent

from school districts/ health departments, the SFUSD letter was comprehensive and very

clear.

As I was relating the draft CDPH guidance with you earlier, local health departments have

been planning with each other and with CDPH to respond to this emerging threat of an

epidemic. The Chinese and U.S. governments https://www.cdc.gov/coronavirus/2019-

ncov have issued an unprecedented scale of quarantine orders, so public health experts are

still determining how such orders and guidelines should be recommended. The California

Department of Public Health guideline that planned for release on Wednesday-Thursday

was finally released this evening. I am forwarding it to you now.

As you can read, the new CDPH guidance is very much aligned with the SFUSD (2/5/2020)

and SFDPHwww.sfcdcp.org guidance. The new CDPH guidance emphasizes some

actionable steps that schools may need to prepare for or consider include:

• Separate sick students and staff from others until they can go home. When feasible,

identify a "sick room" through which others do not regularly pass.

e A note about face masks: face masks are most useful for preventing disease spread

when they are worn by people who have symptoms. This is why people are asked to

wear a mask at doctors' offices and hospitals if they are coughing or sneezing.

• Update emergency plans to ensure they are in place before an outbreak occurs.

• Please note that there have been reports of students and others being stigmatized.

We urge schools to ensure students' and staffs' privacy to help prevent

P342

discrimination.

Whereas you've helped lead an excellent response for our many public school students and

their families in San Francisco in this first-week of responding to the federal quarantine

guidelines, I think that school "emergency plans" (e.g., for infectious diseases and

pandemics) will be very useful to consider soon. With people continuing to return from

China and more capacity for laboratories to test 2019 Novel Coronavirus, there is an

increasing possibility of cases in San Francisco and even the virus circulating. Plans for

student/staff safety and the continuity of education would need to be implemented. These

are issues that all schools will need to grapple with in California, so I look forward to

discussing with you and supporting best-practices with you.

I'm hopeful that issues are stable at the school district over the weekend, but feel free to

call me anytime on my personal cell 650-580-2335.

Thank you so much for protecting the health and safety of students in San Francisco.

In health,

curtis












Subject: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus Guidance for Schools


III'



P343


[email protected] Aragon. Tomas (DPH) Important: CDC Media Telebriefing: Update on COVID-19 on Wednesday, February 12, 2020 at 11:30 a.m. ET Wednesday, February 12, 2020 7:56:54 AM


Check Epi-X for an Important Report

CDC Media Telebriefing: Update on COVID-19 on Wednesday, February 12, 2020 at 11 :30 a.m. ET

The Centers for Disease Control and Prevention (CDC) will provide an update to media on the COVID-19 response today at 11 :30 a.m. ET. Call in for Non-Media: 888-795-0855/lnternational: 1-630-395-0498/PASSCODE: 2684824. Audio and transcript will be available following the briefing at www.cdc.gov/media.

https://epix2.cdc.gov/v2/Reports/Display.aspx?id=76448

HOW TO CONT ACT Epi-X For technical issues, contact the Help Desk:

[email protected] (877) 438-37 49

For help with preparing or posting a report, contact the Editor on Call: [email protected] (877) 862-2392 (toll free within the United States) +1-770-488-7100 (If you cannot use the toll free number above, please call the CDC Emergency Operations Center and ask to speak to the Epi-X editor on call,)

ABOUT THIS E-MAIL You have received this message because you are an authorized Epi-X user. Information in this message must be used only in accordance with the Epi-X User Agreement.

P344


State and Local Readiness (CDC) State and Local Readiness (CDC) CDC Request Copies of Fll Airport Communication Resources Wednesday, February 12, 2020 4:56:28 AM


Dear Colleagues,

Attached you will find the latest travel cards or T-HANs that CDC quarantine stations around the

nation are providing returning travelers. If the airports in your jurisdictions have developed or are

providing additional communication resources, please send copies to CDC for our situational

awareness. CDC would like to be aware of the airport communication resources that F11

jurisdictions are providing.

At your earliest convenience, please send copies of these airport communication resources to

[email protected].

Thank you.

State Coordination rtask, Poree (SCrTP) Center for Preparedness and Response (CPR)

Centers for Disease Control and Prevention (CDC) 1600 Clifton Road, NE, MS H21-5, Atlanta, GA 30349-4027

PROTECTING AMERICA"S SAFETY, HEALTH. AND SECURITY

(Sent by BCC to F'l 1 jurisdictions, including PHEP directors, state epidemiologists, and state health officials)

P345


[email protected] Aragon. Tomas CDPH) Epi-X Today: Wednesday, February 12, 2020 Wednesday, February 12, 2020 2:16:12 AM


Epi-X reports posted in your areas of interest in the past 24 hours. To view a specific report, click on its URL.

Call for Cases: Food Handler at Homosassa Restaurant Tests Positive for Hepatitis A -- Florida, February 2020 The FL Department of Health has identified a confirmed case of hepatitis A in a food worker. Please report cases of hepatitis A with recent travel and an exposure history that indicates they may have dined at this location to Kimberly Stockdale at [email protected] or 941-861-2556. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=76309

Call for Cases: Food Handler at Clermont Restaurant Tests Positive for Hepatitis A -- Florida, January 2020 The FL Department of Health has identified a confirmed case of hepatitis A in a food worker. Please report cases of hepatitis A with recent travel and an exposure history that indicates they may have dined at this location to Kimberly Stockdale at [email protected] or 941-861-2556. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=76222

Submitting Interstate Movement Notifications for Persons Under Monitoring for Potential 2019 Novel Coronavirus (2019-nCoV) Exposure Using Epi-X -- February, 2020 This document provides instructions for a health department in the state of origin to create a targeted EpiX notification to the appropriate health department contacts in a receiving state for the interstate movement of persons under self-monitoring with public health supervision. https://epix2. cdc.gov/v2/Reports/Display. aspx?id=76120

CDC EPIC Exchange Newsletter - 2019 Novel Coronavirus and NPHIC and CERC Learning Opportunities -- February 11, 2020 CDC's EPIC Exchange newsletter provides updates, resources, and useful tips to users interested in emergency preparedness and CDC's emergency responses. https ://epix2. cdc. gov/v2/Reports/Display. aspx?id=76180

-*-Global Immunization News Report, February 11, 2020 -*-Today's Global Immunization News report includes polio, measles, Ebola, mumps, Yellow fever, cholera, policy and funding, vaccine demand and safety, nCoV, and other news for Tuesday, February 11, 2020. https://epix2. cdc.gov/v2/Reports/Display.aspx?id=7 5718

CDC Media Statement: CDC Confirms 13th Case of 2019 Novel Coronavirus CDC confirmed another infection with 2019-nCoV in the United States that was detected in California. The patient who was under a federal quarantine order recently returned from Wuhan, China. This brings

P346

the total of number of 2019-nCoV cases in the United States to 13. https://tinyurl.com/taz4p4k https ://epix2. cdc.gov/v2/Reports/Display. aspx?id=7 5716

-*- Special Epi-X Media Tracking Report - Novel Coronavirus, February 11, 2020 -*-This report provides special media coverage of the 2019 novel coronavirus outbreak (COVI D-19). For the latest CDC updates and guidance, please go to https://tinyurl.com/wz7ojes. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=76322

-*- Media Tracking Report, February 11, 2020 -*-Media stories include influenza in multiple states and countries; mumps in Colorado; tuberculosis in North Carolina; pertussis in Wisconsin; novel coronavirus in California and multiple countries; dengue in multiple countries, Ebola in DRC; MERS-CoV in Saudi Arabia; and other media coverage. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=75879




For help with preparing or posting a report, contact the Editor on Call: (877) 862-2392 (toll free within the United States) +1-770-488-7100 (If you cannot use the toll free number above, please call the CDC Emergency Operations Center and ask to speak to the Epi-X editor on call.)

IMPORT ANT REMINDERS Update your contact information: https://epix2.cdc.gov/v2/Profile.aspx Learn about Epi-X training opportunities: https://epix2.cdc.gov/v2/help/Training_ Opportunities.htm Receive this message in Text format: https://epix2.cdc.gov/v2/Preferences.aspx#Email

P347

From: ~ To: Aragon, Tomas (DPH) Cc: Mele Lau-Smith; [email protected]; Chan. Curtis (DPH); Beetham. Diane (DPH); Stier. David CDPH); ~

Rita (DPH); Stoltey. Juliet CDPH); Louie. Janice (DPH); Philip, Susan (DPH) Subject: Re: Fw: [Event COVID-19] Question re school guidance Date: Tuesday, February 11, 2020 10:35:31 PM

Good to know! This should go in our FAQ!

Thank you again for meeting today! It's always better to discuss such topics incy person and have a dialogue. After you left, Curtis and I discussed in more detail a school health forum with School Nurses and identified "subject matter experts" in DPH. I think we might be able to pull it off this year!





On Tue, Feb 11, 2020 at 5:00 PM Aragon, Tomas (DPH) <[email protected]> wrote: · Mary, Your interpretation is correct. Fever OR cough. See below from CDPH.

Tomas



415-515-5734 (cell); 415-554-2898 (office)


Director, Population Health Division (PHO}


101 Grove St., Rm 308, SF CA 94102


equity, compassion and humility to transform self people, systems and cultures towards

P348

equity and sustainable results. 11 (learn more http://bit.ly/phd-lead)

NOTICE: This message and attachments may contain confidential or privileged information.

If you are not the intended recipient, disclosure, copying, use, or distribution of the

information is prohibited. Notify the sender immediately and delete all information.

From: Heinzerling, Amy@CDPH <[email protected]>



Cc: Coronavirus Clinical <[email protected]>

Subject: RE: [Event COVID-19] Question re school guidance


untrusted sources.

Hi Dr. Aragon,

Thanks for your question about the coronavirus schools guidance. Our advice would be for schools

to have a low threshold for contacting their local health department if any symptomatic individuals

with recent travel to China are identified. So in this case, fever OR cough would be the most

appropriate way to operationalize. This is also in line with the CDC movement and monitoring

criteria, which defines "symptomatic" (with associated recommended actions) as fever, cough, or

difficulty breathing.

Please let me know if you have any additional questions.

Thanks,

Amy

CDPH COVID-19 Clinical Lead

Amy Heinzerling, MD, MPH

Epidemic Intelligence Service Officer I Centers for Disease Control and Prevention

California Department of Public Health I Center for Healthy Communities

Occupational Health Branch & Environmental Health Investigations Branch

510-620-3711 I [email protected] I [email protected]



To: Fanelli, Susan@CDPH <[email protected]>; Angell, Sonia Y@CDPH

<[email protected]>

Subject: [Event COVID-19] Question re school guidance

P349




I am meeting with our school district.

· The guidance has this section

"In the unusual event that a student or staff member is identified who:

•has symptoms of respiratory illness, such as fever and cough, AND

• traveled from mainland China in the prior 14 days,"

Is this operationalized as "fever and cough" or "fever or cough".

Please advise,

Tomas


· Tomas J. Aragon, MD, DrPH

415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102


equity, compassion and humility to transform self people, systems and cultures towards equity and sustainable results." (learn more http://bit.ly/phd-lead)




P350


Zarate, Sheilah CDPH) Vien, Veronica (DPH); Kagan, Rachael CDPH); Andrew, Brent CDPH); Padilla, Cristina (DPHl: Acosta, Linda CDPH) Aragon, Tomas CDPH) FW: Important: N*N Special Epi-X Media Tracking Report - Novel Coronavirus, February 11, 2020 N*N

Tuesday, February 11, 2020 6:18:58 PM Attachments: EpiX-Special Media Tracking Report 2.1L20.pdf

FYI - See latest EpiX Media Tracking Report Santa Clara County has declared a Public Health

Emergency,

Thanks,

Sheilah

From: [email protected] <[email protected]>


To: Zarate, Sheilah (DPH) <[email protected]>

Subject: Important:~*~ Special Epi-X Media Tracking Report - Novel Coronavirus, February 11, 2020 ~*~



-*- Special Epi-X Media Tracking Report - Novel Coronavirus, February 11, 2020 -*-

This report provides special media coverage of the 2019 novel coronavirus outbreak (COVID-19). For the latest CDC updates and guidance, please go to https://tinyurLcom/wz7ojes.




For help with preparing or posting a report, contact the Editor on Call: [email protected] (877) 862-2392 (toll free within the United States) +1-770-488-7100 (If you cannot use the toll free number above, please call the CDC Emergency Operations Center and ask to speak to the Epi-X editor on call.)

ABOUT THIS E-MAIL You have received this message because you are an authorized Epi-X user. Information in this message must be used only in accordance with the Epi-X User Agreement

P351


[email protected] Aragon, Tomas (DPH) Important: N*N Special Epi-X Media Tracking Report - Novel Coronavirus, February 11, 2020 N*"' Tuesday, February 11, 2020 6: 13:43 PM



~*~Special Epi-X Media Tracking Report - Novel Coronavirus, February 11, 2020 ~*~

This report provides special media coverage of the 2019 novel coronavirus outbreak (COVID-19). For the latest CDC updates and guidance, please go to https://tinyurl.com/wz7ojes.



[email protected] (877) 438-3749



P352

From: To:

DPH' Pheor IDPH) DPH-PHD-Public Health Emergency Preparedness and Response; Ochi. Ed IDPHl; Vien Veronica IDPHl; Stoltey, Juliet IDPHl; Stier David (DPHl; Duren. James IDPHl; Majeski. Nick IADMl; Sanchez Melissa CDPH); Masinde, Godfred CDPH); Siador Christine CDPH); Aragon Tomas CDPHl; Kwong, Amanda IDPH): DPH-lntegration Steering Committee; [email protected]; [email protected]; DutvOfficer. DEM IDEMl: mhccsitreps&[email protected]: [email protected]; Padilla Cristina (DPH); Acosta Linda IDPHl: Naser Rawan illPJ::!l; Nquyen Rita IUCSFl; Van Etten, Susan CDPH); Zarate. Sheilah (DPHl; Robert. Anna IDPHl; OVADIA. AMY IDPHl: Saelee. Kenpou IDPH); McDonald Thomas IADMl: Barbrich. Krzysztof IADM): Enanoria Wayne CDPH); Sanchez Melissa IUCSF); Onqpin, Melissa IDPH): QQ. Jennifer-Xuan IDPH); Paule, Gretchen (DPHl; Sefat Cimma CDPH); Bunting, Buffv CDPH); Pierce. Karen CDPH); Rodriguez Marise (DPHl; Tu. Melissa IDPH); Lee Elajne (DPH): Buckley. Ken IDPH); Aguallo, Daisy IDPH): Obien. Elaine IDPH); Palma. Dayid IDPH): Gee. Katherine (DPHl: Murrell. Drew (DPHl; Schmidt. Jeffrey CDPH); Grimes. John (DPH); Louie. Janice IDPH); Bacon Oliver (UCSF): Lam. WaiMing IDPHl; Maxson Latonya IDPH); Chan. Curtis (DPH); Matvias. Mark IDPH); Holcomb. Andrew CDPH); puty Officer. EMSA@EMSA; Kirjan. Michelle; Strona. Frank CDPH): Wall. Megan IDPHl: Xu. Jason CDPHl: Johnson. Kelly (UCSFl: Burke. Kenneth (DB!l: DuBois. Amie CDPHl; Lindsay, Claire IPPHl; Kagan. Rachael IDPHl; Brown. Michael CDPHl; Nguyen. Rita (DPHl: Lee, Elaine (LIB); Cuttler. Sasha (DPH); Kashfioour. Farrah illPJ::!l; Johnson Kelly (DPHl; Hudson, Mollie (PPHl; Li. Julia CDPH); Silva Elenita CDPH); Dysart Julia CDPH)

Subject: SFDPH DOC nCoV-2019 Situation Status Report (02/11/20) Date: Tuesday, February 11, 2020 1:16:22 PM


# of Cases/Deaths

SFDPH DOC nCo V Situation Status Report (02/11/20)

Worldwide: 43,143 cases/ 1,018 Deaths (John Hopkins CSSE, link below) US: 13 Cases/ 0 Deaths CA: 6 Cases / 0 Deaths SF: 0 Cases



" DPH is tracking and following up with return travelers from China by phone and/or community outreach if

needed. Children under 19 years of age (and their respective family members) and other populations who

frequent congregate spaces are being prioritized for follow up.

• DPH and Department of Emergency Management (DEM) are working to address growing staffing needs for

clinical consultation and non-clinical inquiries from the public.

• DPH is creating a DOC "Community Branch" to expand community presence, messaging, and outreach to SF

residents and the Chinese community.

" DPH DOC Supply Unit is working with community agencies to access a cache of isolation (mask) respirators

for use in hospitals.

https://www.sfcdcp.org/infectjous-diseases-a-to-z/coronavjrus-2019-novel- %20%20%20coronavirus/

• CDC report on testing in the U.S. • 398 persons tested • 13 confirmed cases

results • 68 pending results

• CDC announced the new name for nCoV-2019: "Covid-19"

• CDC released four guidance documents regarding Covid-19:

1. Interim Guidance for Emergency Medical Services (EMS) Systems

2. 9-1-1 Public Safety Answering Points (PSAPs) for Covid-19 in the U.S.

• 318 negative

3. Interim Cleaning Recommendations Related to People with Exposures to Covid-19, Under

Observation While Quarantined in Non-Home Residential Settings

4. Interim Guidance Related to the Airport Ground Transport of People Subject to Mandatory

Quarantine for 2019 Novel Coronavirus (2019-nCoV) Exposure

https://www.cdc.gov/coronavirus/2019-ncov /hep/index. htm I

P353


" WHO and International Air Transport Association (IATA) have developed guidance for cabin crew and

airport workers, based on country queries. The guidance can be found on the \ATA webpage.


Q£l:l (California Department of Public Health)-

" CDPH reports 1 new Covid-19 case under Federal Quarantine in San Diego County has been confirmed. This

increases the U.S. total to 13 confirmed cases, however the CA confirmed case count remains at 6.

" CDPH report on testing in CA • 134 persons tested • 7 confirmed cases (includes 1 person under Federal Quarantine) • 102 negative results • 25 pending results

• CDPH placed an order for 300,000 N95 respirators, ETA April 2020.

• CDPH is in discussion with the National Institute for Occupational Safety and Health (NIOSH) to address N95

supply shortages. You can find information on respirator supply issues, ways to conserve, and alternatives

to N95 respirators here: https://www.cdc.gov/coronavirus/2019-ncov/hcp/healthcare-supply-ppe.html

• CDPH site- https://www.cdph.ca.gov/Programs/Cl D/DCDC/Pages/I mmunizatjon/nCOV2019.aspx



" 42,670 confirmed cases in China (99% of all confirmed cases globally)

" 1,016 deaths in China+ 2 additional deaths (Philippines and Hong Kong)

• 2.4 % of confirmed cases in China have resulted in death (the majority are older adults and persons with

underlying health conditions or compromised immune systems)

• 474 confirmed cases outside of China across 27 countries (total includes 135 cases on a Japanese cruise

ship)


• 13 total confirmed cases in the U.S. 1 new case reported in CA, U.S.

• 318 negative PUis

" 67 Pending PUis

" 3.9% of PUis have come back positive

• PUis in 37 states and territories

https: //gisa nddata .maps.a rcgis.com/a pps/opsdashboa rd/ind ex. htm 1#/bda 7594740fd40299423467b48e9ecf6




P354


Centers for Disease Control and Prevention Aragon. Tomas CDPH) CDC EPIC exchange: REMS TA Webinar & CNCS Partner Exclusive Tuesday, February 11, 2020 12:31:20 PM


February 11, 2020

EPIC Exchange I

P355

Don't keep this great resource to yourself! Please share it with your colleagues and networks. If you would like more information on Emergency Preparedness and Response, visit CDC's Emergency

Preparedness & Response website.

The Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak of respiratory illness caused by a novel (new) coronavirus first identified in Wuhan, Hubei Province, China. CDC features a FAQ webpage that can answer many questions you may have and a microsite that contains updated information and guidance as they become available.

CDC EPIC Webinar February 19 at 1 p.m. ET: Fundamentals of Emergency Planning for Schools with REMS TA Center

P356

;c;rrr weailn9.P'lnk · sparki~,-hack packwafkin'9 ·11a:ria~rn-ha11a· with her· father'"···· I

Emergency planning is critical for all, but especially for at-risk populations, as they depend on others planning for them and helping to keep them safe. Schools are a primary example; our youth spend most of their time during the year within the custody of schools and school personnel. Developing a high-quality school emergency operations plan is critical to keep youth safe. These plans should account for all settings and all times and include all possible threats and hazards. They also need to account for access and functional needs for the whole school community. Such plans should be supported by leadership, built through a collaborative process, and customized to the building level.

The U.S. Department of Education's Office of Safe and Supportive Schools administers the Readiness and Emergency Management for Schools Technical Assistance (REMS TA) Center-the national TA center serving public and nonpublic education agencies with their comprehensive school preparedness efforts (including school safety, security, and emergency management). Please join us on February 19 at 1 p.m. ET for a webinar with the REMS TA Center's Project Director and Deputy Project Director, and the U.S. Department of Education's project administrator. They will share information on the fundamentals of emergency planning for schools and resources available to support comprehensive planning efforts.

P357

NPHIC Outbreak Communications Guide

When a disease outbreak occurs, public health communicators need to be prepared. The National Public Health Information Coalition (NPHIC) developed this Outbreak Communications Guide as part of its cooperative agreement with CDC's National Center for Immunization and Respiratory Diseases. This guide may not cover every aspect of an outbreak; however, it is a good place to start. The steps outlined will help guide your actions before, during, and after an outbreak.

Crisis & Emergency Risk Communication Webinars

Crisis and Emergency Risk Communication (CERC) training can help responders and public health professionals prepare to communicate in an emergency. CERC trainings are based on lessons learned during public health emergencies and evidence-based practices from the fields of risk and crisis communication, and psychology. CE accreditation for CERC webinarofferings will expire May 1, 2020, and will not be renewed. CERC web-based training will continue to offer CEUs and CHES Category I continuing education contact hours.

P358

What is the mission of your organization?

The Corporation for National and Community Service (CNCS) is a federal agency that engages millions of Americans in service through its AmeriCorps and Senior Corps programs and leads the nation's volunteering and service efforts. CNCS's mission is to improve lives, strengthen communities, and foster civic engagement through service and volunteering.

What is the role of your organization in a public health emergency?

Our Disaster Services Unit leads and coordinates National Service support between our programs, FEMA, state service commissions, and other partners and stakeholders during disasters and emergencies. While CNCS is not officially tasked with public health emergencies, through our National Service programs, our members and volunteers may assist with public health information distribution and support services at the local, state, and national level. During the Flint, Michigan Water Crisis, National Service members and volunteers distributed water, assisted with water filtration supply access and installation, and supported information distribution to all parts of the community.

P359

How do you plan for emergencies?

We have a broad approach to planning for emergencies:

" We have an internal Disaster Services Framework for our agency that outlines the roles and responsibilities for our programs and departments during times of disaster.

" After every disaster response operation, we hold after-action meetings to identify lessons learned, inform our future planning, and identify and develop "improvement projects" to enhance our future operations.

,. We participate in national level exercises and simulations with our federal and state partners.

,. We develop and deliver training to our network and partners on disaster response, recovery, and preparedness. We also participate in National VOAD and other conferences to share information about National Service support in times of disaster.

What is one experience or lesson-learned that you have from an emergency response?

As an agency, we have had several responses that taught us a great deal, but perhaps the biggest watershed moment of learning for us was Hurricane Sandy. Responding to this storm was unique in many ways; it challenged our AmeriCorps Disaster Response Teams (A-DRTs), who were used to rural response, with heightened planning and logistics necessary for an urban response. We learned that in order to be successful and efficient, our A-DRTs needed to work more cohesively and share common operating standards. This response pushed us to adapt the Incident Command System for our operations, create common training for all our A-DRTs, and reinvigorate our staff to provide onthe-ground support to our teams through our CNCS Disaster Cadre program. As a result, the unprecedented 2017 hurricane season found our Disaster Services Unit, a team of three people at the time, capably managing over 500 A-ORT personnel a day for many months in four locations (TX, FL, PR, USVI) at the highest level of operations complexity and magnitude.

What is one piece of advice that you would give to other EPIC partners?

Commit to the planning cycle: make the plan, exercise the plan, learn from real-world implementation, and revise the plan. The time and energy we devoted to planning after Hurricane Sandy was vital to our overwhelmingly successful 2017 hurricane responses.

P360


Centers for Disease Control and Prevention 1600 Clifton Rd Atlanta, GA 30329

Questions? Contact CDC-INFO 800-CDC-INFO (800-232-4636) TTY: 888-232-6348

P361

From: To:

CCSF Department of Emergency Management

Aragon. Tomas (DPH)

Subject: Date:

DEM 24-Hour Daily Situational Awareness Report - 02-11-2020

Tuesday, February 11, 2020 9:43:32 AM




- The Centers for Disease Control and Prevention (CDC) has confirmed 7 cases of

the 2019 Novel Coronavirus in California:




1 - Orange County

1 - San Diego County (new)












P362







- Primary (415) 260-2591

- Desk ( 415) 558-2738




- Current Duty Officer: Elizabeth Bessman I 415-260-2591

Manager On Call (MOC): Lisa Starliper - 415-517-5092 - [email protected]





I Level II EOG Status II Description II Time I I DO I MOC II EOC Standby II Duty Officer I Manager On-Call JI After-hours & Weekends j

c=JI EOC Open 11

Watch Center

II 0600-2230; daily


CJ\ EOC Open 11


II As Needed

I Elements & Support

~I EOC Open II

Full Activation

II As Needed I (All Sections and Positions)


Today - Sunny, high of 67. Winds 5 to 7 mph.

P363

Tonight- Clear, low of 46.

Tomorrow - Sunny, high of 62. Winds 5 to 7 mph.


Current: 32



Tuesday (2/11/2020)




-Film shoot on Fulton Street between Hyde and Larkin


-Film shoot on Fulton Street between Hyde and Larkin and on Ellis Street between

Leavenworth and Jones

-Jo Koy @ Chase Center, 8:00pm to 11 :OOpm.

Friday (2/14/2020)


-Crush SF@ Bill Graham, 7:00pm to 12:00am



-Jo Koy@ Chase Center, 8:00pm to 11 :OOpm

-Crush SF@ Bill Graham, 7:00pm to 12:00am

Sunday (2/16/2020)


P364

Monday (2/17/2020)


Tuesday (2/18/2020)




- SFMTA MUNI Alert messages: https://www.sfmta.com










Coronavirus disease named Covid-19

The World Health Organization says the official name for the disease caused by the new coronavirus is

Covid-2019. "We now have a name for the disease and it's Covid-19," WHO chief Tedros Adhanom

Ghebreyesus told reporters in Geneva. It comes after the death toll from the virus passed 1,000. Tens of

thousands of people have been infected. The word coronavirus refers to the group of viruses it belongs

to, rather than the latest strain. Researchers have been calling for an official name to avoid confusion and

stigmatisation of any group or country. "We had to find a name that did not refer to a geographical

location, an animal, an individual or group of people, and which is also pronounceable and related to the

disease," the WHO chief said. "Having a name matters to prevent the use of other names that can be

inaccurate or stigmatising. It also gives us a standard format to use for any future coronavirus outbreaks."

The new name is taken from the words "corona", "virus" and "disease", with 2019 representing the year

that it emerged (the outbreak was reported to the WHO on 31 December).

P365

https://www.bbc.com/news/world-asia-china-51466362

First Coronavirus Case Confirmed in San Diego County

A woman is being treated for coronavirus at UC San Diego Medical Center in Hillcrest, a spokesperson

for the Centers for Disease Control and Prevention (CDC) confirmed. It is the first confirmed case in the

county since the deadly outbreak began. The patient was among the 232 Americans evacuated from

Wuhan, China, last week and flown to Marine Corps Air Station Miramar where they were placed in a 14-

day federal quarantine. A plane carrying 167 U.S. citizens landed at the base Wednesday, and a second

plane carrying 65 more landed Friday. By Sunday, seven people -- all passengers of the first plane -- had

at one point been removed from quarantine at the base and placed in isolation at area hospitals for

further coronavirus testing. Four were removed Wednesday when the flight landed, two to UC San Diego

Medical Center and a father and daughter to Rady Children's Hospital; a fifth was sent to UC San Diego

Medical Center Thursday afternoon; and two were isolated on Friday, one at UC San Diego Medical

Center and one at Rady Children's Hospital. Those passengers had fevers or coughs that warranted

further examination, the CDC said. On Sunday, the CDC said the four patients brought to UC San Diego

Medical Center tested negative for the virus and discharged them back to the base, hospital

spokesperson Michelle Brubaker said. Soon after the woman was discharged the CDC notified her that

her test results were mislabeled and she, in fact, tested positive for the virus, according to a local health

official with knowledge of the case.

https://www. n bcsandiego. com/news/local/first-coronavi rus-case-confirm ed-in-san-d iego-county /2261207 /

Suicide bombing shatters relative calm in Kabul, killing six

KABUL -After months of relative calm in the Afghan capital, a suicide bombing on Tuesday morning

outside a military academy left at least six dead and 12 wounded, according to the Interior Ministry.

Bombings in Kabul have dropped off in recent months as peace talks between the United States and

Taliban insurgents have reached a critical stage. In addition, large-scale military operations in the

country's east have disrupted the extremist Islamic State group's ability to plan and carry out attacks. The

military academy in Kabul that was attacked Tuesday has been the target of attacks in the past claimed

by the Islamic State. No group immediately claimed responsibility for the latest attack. Two civilians and

four military personnel were among the dead, the ministry said in a statement. Afghan security forces

cordoned off the area, and ambulances rushed in and out to evacuate casualties. The demand for a

reduction in violence in Afghanistan has become central to now-stalled peace talks between the United

States and the Taliban.

https://www. wash i ngton post. com/world/suicid e-bom bing-sh alters-relative-ca lm-i n-ka bu 1-kil Ii ng-six/2020/02/11/75 Oa22ae-4c8 b-11 ea-

967b-e074d 302c 7 d4 _story. html



safety partners.

P366



P367

From: Zarate. Sheilah (DPH) To: Cc:

Vien. Veronica (DPH); Kagan. Rachael (DPH); Andrew. Brent CDPH); Padilla. Cristina (DPH); Acosta. Linda (DPH) Aragon. Tomas CDPH)


RE: EpiX Info - forward to PIO"s? Tuesday, February 11, 2020 9:11:37 AM EpjX-CD Key Points 2.10.20.pdf EpiX-Soecial Media Tracking Report 2.10.20.pdf

No problem. I'm following this outbreak closely through these EpiX reports. Updates may be daily

but will only send the keynotes and the special media tracking report.

Thanks for staying in the loop with the information provided by CDC.

Best,

Sheilah

Sheilah Zarate, RN, PHN, MSN


Emergency Medical Services Agency

90 Van Ness Ave.


(415) 487-5019 desk

[email protected]




From: Vien, Veronica (DPH) <[email protected]>


To: Zarate, Sheilah (DPH) <[email protected]>; Kagan, Rachael (DPH)

<[email protected]>; Andrew, Brent (DPH) <[email protected]>; Padilla, Cristina

(DPH) <[email protected]>; Acosta, Linda (DPH) <[email protected]>

Subject: RE: EpiX Info - forward to PIO's?

Hi Sheilah, this looks awesome. I'm including my team of Pl Os activated for coronavirus. Will you

kindly include them as well?

Many thanks!

Veronica

From: Zarate, Sheilah (DPH) <[email protected]>


To: Vien, Veronica (DPH) <[email protected]>; Kagan, Rachael (DPH)

<rachael. [email protected]>

Subject: FW: EpiX Info - forward to PIO's?

P368

Hi Veronica,

Would you like for me to forward CDC EpiX info as it comes in? I have access to this from working in

Disease Control for the past 13 years. Let me know and I can send to you both as they come in.

Thanks,

Sheilah

Sheilah Zarate, RN, PHN, MSN


Emergency Medical Services Agency

90 Van Ness Ave.


(415) 487-5019 desk

(925) 212-9902 cell

sheil ah .zarate@sfd ph .org




P369


[email protected] Aragon. Tomas CDPH) Important: CDC Media Statement: CDC Confirms 13th Case of 2019 Novel Coronavirus Tuesday, February 11, 2020 6: 52:46 AM



CDC Media Statement: CDC Confirms 13th Case of 2019 Novel Coronavirus

CDC confirmed another infection with 2019-nCoV in the United States that was detected in California. The patient who was under a federal quarantine order recently returned from Wuhan, China. This brings the total of number of 2019-nCoV cases in the United States to 13. https://tinyurl.com/taz4p4k

https ://epix2. cdc.gov /v2/Reports/Display. aspx?id=7 5716





P370

From: To:

[email protected] Aragon. Tomas CDPH)

Subject: Date:

Epi-X Today: Tuesday, February 11, 2020 Tuesday, February 11, 2020 2:13:34 AM



CDC Daily Key Points: 2019 Novel Coronavirus (2019-nCoV) -·February 10, 2020 This report includes CDC Daily Key Points for 2019 Novel Coronavirus. This document is cleared to share with your staff and partners. https ://epix2. cdc.gov/v2/Reports/Disp lay.aspx?id=7 5714

-*-Global Immunization News Report, February 10, 2020 -*-Today's Global Immunization News report includes polio, measles, Ebola, mumps, Yellow fever, cholera, policy and funding, vaccine demand and safety, nCoV, and other news for Monday, February 10, 2020. https: //epix2. cdc.gov/v2/Reports/Display. aspx?id=7 5266

-*--Special Epi-X Media Tracking Report - Novel Coronavirus, February 10, 2020 --*--This report provides special media coverage of the 2019 novel coronavirus outbreak (2019-nCoV). For the latest CDC updates and guidance, please go to https://tinyurl.com/wz7ojes. https://epix2. cdc. gov/v2/Reports/Display .aspx?id=7 5715

-*--Media Tracking Report, February 10, 2020 --*--Media stories include hepatitis A in California; pertussis and measles in multiple states and Canada; norovirus in Louisiana and United Kingdom; novel coronavirus in multiple countries; Lassa fever in Nigeria; H9N2 in China; polio in Pakistan; dengue in multiple countries; and other media coverage. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=75538





IMPORTANT REMINDERS Update your contact information: https://epix2.cdc.gov/v2/Profile.aspx

P371

Learn about Epi-X training opportunities: https://epix2.cdc.gov/v2/helpffraining_Opportunities.htm Receive this message in Text format: https://epix2.cdc.gov/v2/Preferences.aspx#Email

P372


Randy Beroeo

Randy Beroen· Flu Alert-KPNC

Flu Alert Week 6- please distribute to your departments Monday, February 10, 2020 11:14:12 PM jmaqe003 ooq jmaqe002.pnq Pedjatfic Flu Vacc Algorithm 2019-20 optx IPMG lnfluenza Guidelines post P&I odf


Flu A is still slowly dropping and Flu B season is ending in Northern California. There were 6264 total respiratory viral tests done in week 6. 1474 tests were positive for Flu A or 24% positive, down slightly again for the second week. Flu B fell to 521 positive tests or 8%

positive. This makes the total Flu positiv'1ty 32%. Call Center volume (second graph) and overall number of respiratory viral tests were lower in week 6 than week 5. That is good news and all indicate we may be past the Flu peak for the 2019-2020 season. Age distribution of the viruses remains similar to past weeks and all medical centers are still seeing similar viral activity. Nationally flu% positive is still rising up from week four's 28.4% positive to week five's 29.8%. 48 states are reporting the highest level of Flu activity, widespread. The good news nationally is that in week five 95.7% of all Flu A isolates tested were HlNl. Last year we had 2 Flu A waves, so far there is no evidence that a second Flu A strain is coming. Sorry for the day delay but the news is good (at least for Flu).

f.0%

50%

4C<%

(l) ;;:.

:~ Vl 30% 0 0..

* 2ff%

1D%

0%

week 44 46

% Positive FLU A, Flu B, and RSV

With last 2 years comparison

ALL Flu-A and B 2017-18

48 50 52 1 2

AllFluAandB 2019-20

4 5

P373

8 10 12 14

Weekly URI/Flu Script Volume From All TSR Calls

2017-2018 Weekly Flu -'.12-2018-2019 Weekly Flu _._ 2019-2020 \Neekly Flu

56,000 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

51,0CXJ

46,0CXJ

41,000

36,000

31,0CXJ

26,0CXJ

21,000

16,0CXJ

11,0CXJ

Testing and treatment

The rates of influenza are high enough to consider empiric use of the antivirals at this time on patients. Do not wait for test results

but testing should still be considered.

Patients who are frail, elderly or pregnant with symptoms of fever, cough and myalgia needs to especially be considered for having

Influenza treatment.

All patients being admitted to the hospital with fever and respiratory symptoms should be tested. Place patients with suspected flu

in respiratory isolation, until the test is negative. Treatment of hospitalized patients with an antiviral should be given .

Our antiviral medication for this season is expected to once again be the neuraminidase inhibitors. Oseltamivir or Tamiflu is the

primary medication. We have a good overall supply at this point and we should be able to provide all the needed medication to our

members. The new flu medication, baloxavir (Xofluza) was approved by the FDA and is being marketed heavily as "faster acting,"

which it is not. Our Pharmacy and Therapeutics Committee and ID Chiefs continue to review the data but it is unlikely we will be

offering Xofluza at this time, and it remains non-formulary. Xofluza at this point would only provide a benefit if there are shortages of

Tamiflu or if the flu virus this year becomes resistant to oseltamivir, which is unlikely.

TPMG Influenza treatment guideline is attached.

Specimen Collection

Only swab specimens are acceptable

Nasal or nasopharyngeal swab specimens can be collected.

Specimens from other sources such as the throat are sub -optimal

A nasopharyngeal or nares swab are the optimal specimens and the only FDA approved sources for testing.

BAL fluid for RVP should be placed in a sterile container and NOT a UVTtube.

Please see attached link below for proper collection for Flu RSV PCR

bttps://lablink ca.kp.org/Client-

Services/techBulletins/pdf/MICRO TB 2019 7 lnfluenza%20A Influenza B and Respiratory Syncvtial Virus by PCR Eff 10 16 2019.pdf

• Vaccines: Our flu vaccine supply is now sufficient for all products except the intranasal flu vaccine Flu Mist. Our

preparation of high potency vaccine for members over 65 years - Fluzone High Dose did experience production delays but

we have now received our entire request and all facilities should have an adequate supply. No member over 65 who

requests a dose of high dose vaccine should be turned away. If your facility does not presently have high dose Fluzone

please contact Joya Guha to help you get additional supply. _

Pediatric Influenza Vaccine. The pediatric algorithm is the same as last year. Basically any child 6 months through 8 years of age

who has received 2 or more doses of any kind of flu vaccine before July 1, 2019 only needs 1 dose of a flu vaccine this year.

P374


Requester,

DPH Sunshine

Wednesday, March 16, 2022 9:49 AM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 /File No 20059

T omasAragon_ CDCemails_Batch6.pdf; T omasAragon_ CDCemails_Batch 7 .pdf; T omasAragon_ CDCemails_Batch5.pdf


are available to you here and have also been uploaded to NextRequest case #20-1076/ SOTF File 20059. Due to the need to continue reviewing, we will produce any additional responsive records on a rolling basis.

Thank you.




Cc: SOTF, (BOS) <[email protected]>





We have included the original request below for reference. Alf communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS'' "COVID" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient.

P3i75

2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.

Thank you,

DPH Sunshine Team

P3276

From: Liu. Xin (DPH) To: Cc:

Chan Curtis (DPH); Dellamaria. Katie CDPHl; Clavton. Anna CDPH); Silva. Elenita (DPH) Louie. Janice CDPH): Aragon. Tomas CDPH)

Subject: RE: Coronavirus Questions in ECE community Date: Monday, February 10, 2020 12:55:54 PM Attachments: image001.png

image002.png

Hi Curtis,

Thanks for shar·ing the information. Yes, the situation is changing quickly and questions arise daily

from ECE providers. I appreciate that you send us official guideline and recommendations so that we

could share with all of my sites. Thank you again!

Regards,

Xin (Katie) Liu, RN I Public Health Nurse Consultant I Child Care Health Program I San

Francisco Department of Public Health I 30 Van Ness Avenue, Suite 210, San Francisco, CA 94102

I Phone: 415-575-5733 I [email protected]

Confidentiality Notice: This email message and any attachments are solely for the intended recipient and may

contain confidential information. If you are not the intended recipient, any disclosure, copying, use or distribution of

this message and any attachments is prohibited. If you have received this communication in error, please notify the

sender by reply e-mail and immediately and permanently delete this message and any attachments.

Sc;n Franci~co Health Metvl"ork Maternal,. Child & AdoleS(;<omt Health

From: Chan, Curtis (DPH)


To: Dellamaria, Katie (DPH) <[email protected]>; Liu, Xin (DPH) <[email protected]>;

Clayton, Anna (DPH) <[email protected]>; Silva, Elenita (DPH) <[email protected]>

Cc: Louie, Janice (DPH) <[email protected]>; Aragon, Tomas (DPH) <[email protected]>

Subject: Re: Coronavirus Questions in ECE community

Hi l<atie and leaders from CCHP team:

The 3 email blasts from the SFDPH Child Care Health Program and questions from 7 childcare

agencies (to one PHN) illustrate the important role of public health staff in gathering key

information and providing valuable guidance.

As attached to this email, the K-12 Guidance from CDPH was just released Friday night.

imagine that the child care community will be starting to read it soon, and have lots of

excellent questions about how it should be applied to child care.

P377

I'm available this afternoon after 2:30pm to meet/ hear more of your comments.

Yours,

curt is



To: Chan, Curtis (DPH) <curtis.chan@sfdph org>; Liu, Xin (DPH) <[email protected]>

Cc: Clayton, Anna (DPH) <[email protected]>

Subject: Fw: Coronavirus Questions in ECE community

Dear Curtis,

Last week I asked CCHP PHNs to begin tracking coronavirus-related questions coming from

CCHP-ECE sites. I want to share Katie Liu's initial response below. I will keep Katie Liu on this

email chain in the event you have any feedback. Katie L. has done a wonderful job serving

many sites, including those serving the Chinese/Chinese-American community. (Thank you,

Katie L. ! )

I am looping in Anna Clayton here, as moving forward she is available to assist in coordinating

the CCHP response to the ECE community. (Thank you, Anna!)

I am also looping Elenita Silva here, as she is volunteering at the call center and is part of the

MCAH PHN team response. (Thank you, Ellen!) My hope is to keep all lines of communication

open across the CCHP team!

Sincerely, Katie


San Francisco HBalth Network

From: Liu, Xin (DPH) <[email protected]>


P378

To: Dellamaria, Katie (DPH) <[email protected]>

Subject: RE: Coronavirus Questions in ECE community

Hello Katie,

I had a couple sites I served in the past contacted me. I've been sharing advice from the SFDPH and

CDC. There has been some changes to their recommendation for quarantine (e.g 14 day quarantine

was only recommended for people coming from Wuhan, people who had contact with people from

Wuhan, or people coming back from China with s/sx of illness in Jan, but now it is everyone coming

from China). I have been sending email blasts to all my sites about the changes and sharing flyers.

Please see the following time line. If you would like more details, I can share during our meeting

tomorrow©

1/15/20 Anna (Director) from Little Footprint

• Question about families and teachers coming from China/quarantine?

• Route of contact for Coronavirus

11 Incubation time and if the virus can be transmitted during incubation time.

1/27 /20- Gloria Tang (executive director)from Gum Moon (AWRC}

11 Question about families and teachers coming from China/quarantine needed?

1/27 /20 - Nakita Chow (Operational Manager) from CCFC

11 Question about if children and teachers coming back from China can come back to the

center right away.

1/28/20- Helen (Site manager) from Little Footprint

11 Question about families and teachers coming from China/quarantine?


• Incubation time and ifthe virus can be transmitted during incubation time.

1/31/20- Sandra Davis (Director)from 1fil Place 2 Start

• Concern about second confirmed case in Santa Clara and if there is special preventative

measures that the school needed to take.

2/3/20- Marianne Reyneker (Director) from Story Book Preschool

• Concerns about families and children returning from China, if they can return to school.

2/5/20 April Bacsafra (FCCHN Manager, used to be FACCESF Hayes Valley manager) from FACESSF

• Concerns about families and children returning from China, if they can return to school.

The following email blast was sent on 1/28/20:

Hello all,

Some of you had inquired about the Novel Coronavirus outbreak and steps for prevention. Here are

P379

two useful websites to get the most up-to-date information about the situation:

https: //www.sfcdcp.org/i nfectious-d i se ases-a-to-z/co ro n a virus-2019-nove 1-coro n avi ru s/

https://www.cdc.gov/coronavirus/2019-ncov/index.html

Currently, there is no recommendation from DPH to restrict clients coming from China to visit public

places unless the person has recently traveled to Wuhan and having symptoms of illness (e.g cough,

malaise, shortness of breath etc). San Francisco currently has no confirmed cases yet, but DPH is

monitoring the outbreak closely. I will share information as soon as we receive any updates on the

situation.

At this time, It's important to practice preventative measures such as sharing basic information to

the public, encouraging the staff and families to practice frequent handwashing, staying home when

sick, covering coughs, and frequent disinfecting of surfaces. The attached flyers have great info

about FAQs. Please post out the attached flyers at your centers.

For suspected clients, it's important to instruct them to contact their primary physician and not to

come to the public.

Please let me know if you have further questions.


Hello all,

Please see the following update of the Coronavirus. There has been one confirmed case in Santa

Clara County.

If you know anyone who is travelling from China within the last 2 weeks AND is having symptom

(fever, cough, fatigue, diarrhea, etc), please advise them to stay home (do not go out public before

consulting with medical provider) and contact the Communicable Disease Unit. Please see the

phone number below for reporting.

Report suspected cases of novel or variant influenza immediately to Communicable Disease Control

at (415) 554-2830. After hours, weekends and holidays, please follow the instructions to page the

on-call physician.

Please continue to practice preventative measures and disinfect surfaces as appropriate. I will be

happy to answer any question you may have.


Hello all,

There are 2 confirmed cases of coronavirus in Santa Clara County, but none at San Francisco at this

time. The risk of outbreak in S.F remains to be low and using face mask is not recommended at this

time. Please review the attached flyers and post out at your center. I will provide more info if there is

more updates. Thank you.

P380

Regards,








San Francisco Health Nehvork Maternal, Chitd & Adolescent Health

From: Dellamaria, Katie (DPH)


To: King, Jaleila (DPH) <[email protected]>; Linzer, Karyna (DPH) <[email protected]>; Liu,

Xin (DPH) <[email protected]>; Quant, lvania (DPH) <[email protected]>; Silva, Elenita (DPH)

<[email protected]>

Subject: Coronavirus Questions in ECE community

Hello Public Health Nurses,

As you know, we are currently experiencing a very large public health response related to the novel

Coronavirus. Since families and children at ECE sites could potentially be affected or at minimum

could have many questions, it is prudent that we organize the questions being asked and begin to

clarify answers.

Starting today and until further notice, I will begin compiling the types of questions you are being

asked by the ECE community, FR Cs, families, etc. When you are asked a question, or requests are

made related to the coronavirus, please email me with the following information:

1. Who made the request or asked the question

2. Date of question

3. Gist of the question asked

4. Your current response (it's okay if the answer is "I don't know" as information is rapidly

changing)

I will be happy to compile this information in a spreadsheet. If I learn that we need to collect

additional information, I will let you know as soon as possible! Thanks for your efforts, and feel free

P381

to let me know if you have questions!

Best, Katie

Katie DellaMaria, MSN, PHN, RN Nurse Manager Child Care Health Program San Francisco Department of Public Health Maternal, Child, and Adolescent Health Section 30 Van Ness Avenue, Suite 210, SF, CA 94102 Desk: (415) 581-2375

P382


Chan, Curtis (DPH)

Dellamaria, Katie (DPH); Liu, Xin (DPH); Clayton, Anna (DPH); Silva, Elenita (DPH)

Louie, Janice (DPH); Aragon, Tomas (DPH)

Re: Coronavirus Questions in ECE community

Monday, February 10, 2020 12:47:2S PM

image001.png Outlook-1502128738.png Coronavirus+K-12+Schools+Guidance+2 7 20+FINAL.cleaned.pdf

Hi Katie and leaders from CCHP team:

The 3 email blasts from the SFDPH Child Care Health Program and questions from 7 childcare

agencies (to one PHN) illustrate the important role of public health staff in gathering key

information and providing valuable guidance.

As attached to this email, the K-12 Guidance from CDPH was just released Friday night.

imagine that the child care community will be starting to read it soon, and have lots of

excellent questions about how it should be applied to child care.

I'm available this afternoon after 2:30pm to meet/ hear more of your comments.

Yours,

curtis



To: Chan, Curtis (DPH) <[email protected]>; Liu, Xin (DPH) <[email protected]>

Cc: Clayton, Anna (DPH) <[email protected]>

Subject: Fw: Coronavirus Questions in ECE community

Dear Curtis,

Last week I asked CCHP PHNs to begin tracking coronavirus-related questions coming from

CCHP-ECE sites. I want to share l<atie Liu's initial response below. I will keep Katie Liu on this

email chain in the event you have any feedback. Katie L. has done a wonderful job serving

many sites, including those serving the Chinese/Chinese-American community. (Thank you,

l<atie L. ! )

I am looping in Anna Clayton here, as moving forward she is available to assist in coordinating

the CCHP response to the ECE community. (Thank you, Anna!)

I am also looping Elenita Silva here, as she is volunteering at the call center and is part of the

MCAH PHN team response. (Thank you, Ellen!) My hope is to keep all lines of communication

open across the CCHP team!

P383

Sincerely, l<atie


San Fn;inci~co Hai"'.lltf'l Network

From: Liu, Xin (DPH) <xin.\[email protected]>


To: Dellamaria, Katie (DPH) <katie.de\[email protected]>

Subject: RE: Coronavirus Questions in ECE community

Hello Katie,

I had a couple sites I served in the past contacted me. I've been sharing advice from the SFDPH and

CDC. There has been some changes to their recommendation for quarantine (e.g 14 day quarantine

was only recommended for people coming from Wuhan, people who had contact with people from

Wuhan, or people coming back from China with s/sx of illness in Jan, but now it is everyone coming

from China). I have been sending email blasts to all my sites about the changes and sharing flyers.

Please see the following time line. If you would like more details, I can share during our meeting

tomorrow©




• Incubation time and if the virus can be transmitted during incubation time.

1/27 /20 - Gloria Tang (executive director)from Gum Moon (AWRC)

• Question about families and teachers coming from China/quarantine needed?

1/27 /20- Nakita Chow (Operational Manager) from CCFC

• Question about if children and teachers coming back from China can come back to the

center right away.

1/28/20 - Helen (Site manager) from Little Footprint



P384

111 Incubation time and if the virus can be transmitted during incubation time.

1/31/20-Sandra Davis (Director)from lil Place 2 Start

111 Concern about second confirmed case in Santa Clara and if there is special preventative

measures that the school needed to take.


111 Concerns about families and children returning from China, if they can return to school.

2/5/20-April Bacsafra (FCCHN Manager, used to be FACCESF Hayes Valley manager) from FACESSF

111 Concerns about families and children returning from China, if they can return to school.


Hello all,

Some of you had inquired about the Novel Coronavirus outbreak and steps for prevention. Here are

two useful websites to get the most up-to-date information about the situation:

https ://www.sfcdcp.org/i nfectio us-di seases-a-to-z/co ro navi ru s-2019-nove 1-coron avi rus/


Currently, there is no recommendation from DPH to restrict clients coming from China to visit public

places unless the person has recently traveled to Wuhan and having symptoms of illness (e.g cough,

malaise, shortness of breath etc). San Francisco currently has no confirmed cases yet, but DPH is

monitoring the outbreak closely. I will share information as soon as we receive any updates on the

situation.

At this time, It's important to practice preventative measures such as sharing basic information to

the public, encouraging the staff and families to practice frequent handwashing, staying home when

sick, covering coughs, and frequent disinfecting of surfaces. The attached flyers have great info

about FAQs. Please post out the attached flyers at your centers.

For suspected clients, it's important to instruct them to contact their primary physician and not to

come to the public.

Please let me know if you have further questions.


Hello all,

Please see the following update of the Coronavirus. There has been one confirmed case in Santa

Clara County.

If you know anyone who is travelling from China within the last 2 weeks AND is having symptom

(fever, cough, fatigue, diarrhea, etc), please advise them to stay home (do not go out public before

P385

consulting with medical provider) and contact the Communicable Disease Unit. Please see the

phone number below for reporting.

Report suspected cases of novel or variant influenza immediately to Communicable Disease Control

at (415) 554-2830. After hours, weekends and holidays, please follow the instructions to page the

on-call physician.

Please continue to practice preventative measures and disinfect surfaces as appropriate. I will be

happy to answer any question you may have.


Hello all,

There are 2 confirmed cases of coronavirus in Santa Clara County, but none at San Francisco at this

time. The risk of outbreak in S.F remains to be low and using face mask is not recommended at this

time. Please review the attached flyers and post out at your center. I will provide more info if there is

more updates. Thank you.

Regards,








l4.-~ San Frnnd:;co Health Network t, · .l M.awma!, Child & Adole:>cent Health -,~.,;¥1

From: Dellamaria, Katie (DPH)


To: King, Jaleila (DPH) <[email protected]>; Linzer, Karyna (DPH) <[email protected]>; Liu,

Xin (DPH) <[email protected]>; Quant, lvania (DPH) <[email protected]>; Silva, Elenita (DPH)

<[email protected]>

Subject: Coronavirus Questions in ECE community

Hello Public Health Nurses,

P386

As you know, we are currently experiencing a very large public health response related to the novel

Coronavirus. Since families and children at ECE sites could potentially be affected or at minimum

could have many questions, it is prudent that we organize the questions being asked and begin to

clarify answers.

Starting today and until further notice, I will begin compiling the types of questions you are being

asked by the ECE community, FRCs, families, etc. When you are asked a question, or requests are

made related to the coronavirus, please email me with the following information:

1. Who made the request or asked the question

2. Date of question

3. Gist of the question asked

4. Your current response (it's okay if the answer is "I don't know" as information is rapidly

changing)

I will be happy to compile this information in a spreadsheet. If I learn that we need to collect

additional information, I will let you know as soon as possible! Thanks for your efforts, and feel free

to let me know if you have questions!

Best, Katie

Katie DellaMaria, MSN, PHN, RN Nurse Manager Child Care Health Program San Francisco Department of Public Health Maternal, Child, and Adolescent Health Section 30 Van Ness Avenue, Suite 210, SF, CA 94102 Desk: (415) 581-2375

P387

From: To:

Cc:

Subject: Date:

CDC IMS State Coordination Task Force (SCTFl Operations Avchen, Rachel CCDC/DDPHSIS/CPR/DSLRl; Hamilton, Janet (CDC cste.orgl; Peart, Jordan (CDC cste.org); Shah, Ohara CCDC cste.org); Butler, Jay C, CCDC/DDIDIOD); Dreyzehner, John CCDC/DDPHSIS/CPR/OD); Williams, Ian (CDC/DDID/NCEZID/DFWED); Berner, Sherri CCDC/OCOO/OD); Bowman, Thomas (OS/ASPR/EMMO); Weir, Charles (OS/ASPR/IO); Maples, David L. (CDC/DDPHSIS/CPR/DEO); CDC IMS State Coordination Task Force (SCTF) Policy & Comm; CDC IMS State Coordination Task Force (SCTF) Lead; EOC Report (CDC); Angell. Sonia Y@CDPH; Morrow, Scott (CDC smcgov.org); Ferrer, Barbara@LACounty: Aragon, Tomas (DPH); Hellerstedt. John (CDC dshs,texas.gov); [email protected]; [email protected]; [email protected]; Wiesman, John (CDC doh.wa.gov); [email protected]; [email protected]; Zucker, Howard (CDC health.ny.gov): Layton, Marci (CDC health.nyc.gov); Judith,[email protected]; [email protected]; Arwady. Allison AA (CDC cityofchicago.org); bruce,s,[email protected]; [email protected]; [email protected]; Watt, James CCDC cdph.ca.gov); [email protected]; Balter, Sharon (CDC ph.lacounty.gov); Stoltey, Juliet CDPH); Gaul. Linda (CDC dshs.state.tx.us); [email protected]; Jones, Russ (CDC tarrantcounty.com); Safranek, Thomas <NE> (CDC nebraska.gov); Lindquist, Scott SL (CDC doh.wa.gov); Duchin, Jeff (CDC kingcounty.gov); Drenzek, Cherie (CDC dph,ga,gov); Blog, Debra (CDC health.ny.gov); Tan, Christina CT (CDC doh.nj.gov); Layden, Jennifer (CDC illinois.gov); [email protected]; [email protected]; lilian.peake@vdh,viroinia.gov; [email protected]; Hawkins, Eric (CDC isdh,in.gov); McCormick, Dave (CDC isdh.in.gov); Susan Fanelli; [email protected]; Stella Fogleman; [email protected]; [email protected]; [email protected]; Halvorson, Clark (CDC doh.wa.govl; Mioarcine, Scott; Primeau, Michael J (HEALTH): [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Christopher Shields; [email protected]; [email protected]; bob,[email protected]; [email protected]; Scott, Linda CDHHSl; [email protected]; [email protected]; [email protected]; brian, [email protected]; [email protected]; kirsten.st.george@health,ny.gov; Rakeman, Jennifer JR (CDC health.nyc.gov): thomas.kirn@doh,nj,gov; matt,[email protected]; Pacilli. Massimo (CDC cityofchicago.org); remedios.gose@doh, hawaii ,gov; latoya ,griffin-thomas@dgs. virginia ,gov; [email protected]; [email protected],gov; Hutton, Brad J (HEALTH); [email protected],gov; Cohen, Nicole (Nicky) CCDCIDDID/NCEZID/DGMQ); Weber, Angela (CDC/NIOSH/ODl; CDC IMS State Coordination Task Force (SCTF) Prog Services Unit; CDC IMS State Coordination Task Force (SCTF) TF Coordinations TM; CDC IMS State Coordination Task Force (SCTF) MCCM LNO Pillai. Satish K, (CDC/DDID/NCEZID/DPEI); Patel. Anita (CDC/DDID/NCIRD/OD); CDC IMS Worker Safety Health NIOSH; CDC IMS 2019 NCOV Response PPE Requirements; Montero, Jose (CDC/DDPHSISICSTLTS/ODl; Reynolds, Steven L. (CDC/DDPHSIS/CSTLTS/OD); Lansang Tran, Rhea Lanee CCDC/DDPHSIS/CSTLTS/OD) Re: CDC Returning Traveler Discussion for F11 Jurisdictions Monday, February 10, 2020 12:02:31 PM


CDC Internal staff ONLY, please come to the plans team room (3302). Thank you!

Division of State and Local Readiness (DSLR CDC State Coordination Task Force (SCTF) - Operations [email protected]

From: CDC IMS State Coordination Task Force (SCTF) Operations


To: Avchen, Rachel (CDC/DDPHSIS/CPR/DSLR) <[email protected]>; Hamilton, Janet (CDC cste.org)

<[email protected]>; Peart, Jordan (CDC cste.org) <[email protected]>; Shah, Dhara (CDC cste.org)

<[email protected]>; Butler, Jay C.(CDC/DDID/OD)<[email protected]>; Dreyzehner, John

(CDC/DDPHSIS/CPR/OD) <[email protected]>; Williams, Ian (CDC/DDID/NCEZID/DFWED)

<[email protected]>; Berger, Sherri (CDC/OCOO/OD) <[email protected]>; Bowman, Thomas

(OS/ASPR/EMMO) <[email protected]>; Weir, Charles (OS/ASPR/10)

<[email protected]>; Maples, David L. (CDC/DDPHSIS/CPR/DEO) <[email protected]>; CDC IMS

P388

State Coordination Task Force (SCTF) Policy & Comm <[email protected]>; CDC IMS State

Coordination Task Force (SCTF) Lead <[email protected]>; EOC Report (CDC)

<[email protected]>; Angell, Sonia Y@CDPH <[email protected]>; Morrow, Scott (CDC

smcgov.org) <[email protected]>; Ferrer, Barbara@LACounty <[email protected]>;

Aragon, Tomas MD, DrPH (CDC sfdph.org) <[email protected]>; Hellerstedt, John (CDC

dshs.texas.gov) <[email protected]>; [email protected]

<[email protected]>; [email protected] <[email protected]>;

[email protected] <[email protected]>; Wiesman, John (CDC doh.wa.gov)


[email protected] <[email protected]>; Zucker, Howard (CDC health.ny.gov)

<[email protected]>; Layton, Marci (CDC health.nyc.gov) <[email protected]>;

[email protected] <[email protected]>; [email protected]

<[email protected]>; Arwady, Allison AA (CDC cityofchicago.org)

<al Ii son [email protected]>; bruce .s. anderson@do h .hawaii .gov

<bruce.s. an derso n@doh .hawaii .gov>; [email protected] rgi n.i a .gov

<[email protected]>; [email protected] <[email protected]>; Watt, James

(CDC cdph.ca.gov) <[email protected]>; [email protected]

<[email protected]>; Balter, Sharon (CDC ph.lacounty.gov) <[email protected]>;

[email protected] <[email protected]>; Gaul, Linda (CDC dshs.state.tx.us)

<Ii nda .ga u [email protected]>; Wendy. Chu ng@dal I ascou nty.org <Wendy.Chu ng@da I lascou nty.org>;

Jones, Russ (CDC tarrantcounty.com) <[email protected]>; Safranek, Thomas <NE> (CDC

nebraska.gov) <[email protected]>; Lindquist, Scott SL (CDC doh.wa.gov)

<[email protected]>; Duchin, Jeff (CDC kingcounty.gov) <[email protected]>;

Drenzek, Cherie (CDC dph.ga.gov) <[email protected]>; Blog, Debra (CDC health.ny.gov)

<[email protected]>; Tan, Christina CT (CDC doh.nj.gov) <[email protected]>;

Layden, Jennifer (CDC illinois.gov) <[email protected]>; [email protected]



<[email protected]>; Hawkins, Eric (CDC isdh.in.gov) <[email protected]>; McCormick,

Dave (CDC isdh.in.gov) <[email protected]>; Susan Fanelli <[email protected]>;

[email protected] <[email protected]>; Stella Fogleman

<sfoglema [email protected]>; jeff. hoogh [email protected] <jeff. [email protected]>;

[email protected] <[email protected]>;

[email protected] <[email protected]>; Halvorson, Clark (CDC doh.wa.gov)

<[email protected]>; Minarcine, Scott <[email protected]>; Primeau,

Michael J (HEALTH) <[email protected]>; [email protected]



<[email protected]>; [email protected] <[email protected]>; Christopher

Shields <[email protected]>; [email protected]



<[email protected]>; Scott, Linda (DHHS) <[email protected]>; [email protected]



P389

H arji nder. G h [email protected]. gov <Harjinder. Gh u ma [email protected]>; ki rsten .st.george@hea Ith. ny.gov

<[email protected]>; Rakeman, Jennifer JR (CDC hea\th.nyc.gov)


[email protected] <[email protected]>; Paci Iii, Massimo (CDC cityofchicago.org)

<[email protected]>; [email protected]

<[email protected]>; [email protected] <\atoya.griffin

[email protected]>; [email protected] <[email protected]>; mg\[email protected]

<[email protected]>; Hutton, Brad J (HEALTH) <[email protected]>; [email protected]

<[email protected]>; Cohen, Nicole (Nicky) (CDC/DDID/NCEZID/DGMQ) <[email protected]>; Weber,

Angela (CDC/NIOSH/OD) <[email protected]>; CDC IMS State Coordination Task Force (SCTF) Prog

Services Unit <[email protected]>; CDC IMS State Coordination Task Force (SCTF) TF

Coordinations TM <[email protected]>; CDC IMS State Coordination Task Force (SCTF) MCCM

LNO <[email protected]>

Cc: Pillai, Satish K. (CDC/DDID/NCEZID/DPEI) <[email protected]>; Patel, Anita (CDC/DDID/NCIRD/OD)

<[email protected]>; CDC IMS Worker Safety Health NIOSH <[email protected]>; CDC IMS 2019 NCOV

Response PPE Requirements <[email protected]>; Montero, Jose (CDC/DDPHSIS/CSTLTS/OD)

<[email protected]>; Reynolds, Steven L. (CDC/DDPHSIS/CSTLTS/OD) <[email protected]>; Lansang Tran,

Rhea Lanee (CDC/DDPHSIS/CSTLTS/OD) <[email protected]>

Subject: CDC Returning Traveler Discussion for F11 Jurisdictions

When: Monday, February 10, 2020 3:00 PM-4:00 PM.

Where: Bridgeline: 1(888)455-7719 Passcode: 5108469 or Bldg. 213rd Floor 30258

CDC Returning Traveler Discussion for F11 Jurisdictions CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host a call from 3 p.m. to 4 p.m. EST for the duration of this week, to discuss plans for returning travelers within the eleven funneling jurisdictions, status report? and concerns. Feel free to include your state epidemiologist, preparedness director, state/city emergency management official, and other core team members.

Bridgeline: 1 (888)455-7719 Passcode:5108469

Attached, please see attached CDC guidance which was developed for the public health

departments serving the FU locations. We request you keep this guidance CLOSE HOLD, as

the following documents are not posted on CDC's nCoV response webpage. At this time,

we are only sharing these documents with Fil, Lastly, please be mindful this is interim

guidance and as the response continues and we learn more guidance will be adjusted

accordingly.

1. "Interim Cleaning Recommendations Related to People with Exposures to 2019 Novel

Coronavirus Under Observation while Quarantined in Non-Home Residential Settings

- This guidance is intended to address recommended cleaning and disinfection practices

for non-home residential quarantine locations, as well as associated worker protection

practices according to expected job tasks.

P390

2. "Interim Guidance Related to the Airport Ground Transport of People Subject to

Mandatory Quarantine for 2019 Novel Coronavirus Exposure" - is intended to address

recommended worker protection practices for drivers of ground transport passenger

vehicles and those workers who perform routine cleaning of the vehicles.

State Coordination eras ft Poree (SCr[P) Center for Preparedness and Response (CPR) Centers for Disease Control and Prevention (CDC) 1600 Clifton Road, NE, MS H21-5, Atlanta, GA 30349-4027

P391

From: To: Cc:

Leonoudakis, Kristina CDPHl Aragon, Tomas CDPHl: Paule, Gretchen CDPHl Leono1Jdakjs Krjstina (QPH); DPH phenr (OpH)

Subject: DRAFT SFDPH DOC nCoV Situation Status report (02/10/20)-for review! Monday, February 10, 2020 11:56:11 AM Date:


Status: Yellow

Outlook: Worsening

Need: None

# of Cases/Deaths

Worldwide: 40,645 cases/ 910 Deaths (John Hopkins CSSE, link below)

US: lZ Cases IO Deaths

CA: 6 Cases I O Deaths

SF: 0 Cases



• DPH collaborated with other Bay Area counties to finalize a policy in regards to SF residents who

returned from travel to China before 02/03/20 (before Federal Quarantine Orders were issued).

bttps://www.sfcdcp.org/wp-content/uploads/2020/02/lnterim-Guidance-on-Monitoring-and-Movement

for -San-Era ncjsca os-a n d-Travel-Before-Fe b-3 rd-S FD PH-FI NA L-02. 07. 2 020. pdf

• A comprehensive and extensive plan has been developed with multiple DPH and CCSF inter-agency

partners to provide guidance, consultation, and instruction to healthcare

providers, hospitals, outpatient healthcare facilities, and field teams to prepare them for potential

nCoV patients, as DPH starts follow up with returned travelers from mainland China.

• DPH OSH developed guidance for clinics regarding environmental and infection control requirements

and requirements to wear N95 respirators. Available soon.

• DPH working to expand staffing of the DOC, requiring collaboration and coordination across CCSF

agencies.

• DPH Public Health Labs received the 2019-nCoV test reagents from the CDC on Friday 02/07 /20 and

have been working throughout the weekend to make testing possible within SF.

• Approximately 15 SF clinic staff members have been trained to perform respirator fit tests, resulting

in approximately 50 staff members being fitted.

• DPH Supply Unit/OSH developing plans to bring alternate N95 respirators into our supply chain.

https: //www. sf cd cp. o rg/i nf ecti o us-diseases-a-to-z/ corona virus-2019-n ove \-corona virus/

• CDC data on nCoV-2019 testing-12 positive test results, 318 negative test results, and 68 pending

test results. 3.6 % of PUis have come back positive. PUis in 37 U.S. States and Territories.

• On 02/08/20 the CDC reported the first U.S. citizen death in Wuhan, China.

https://www cdc gov/coronavirus/2019-ncov/index html

Wl:IQ. (World Health Organization)-

P392

" WHO reported- On 02/09/20 a Japanese cruise ship was harboured in Yokohama, Japan for a 14-day

quarantine period following confirmation of a case of 2019-nCoV. 64 individuals on board were

found to have been infected with 2019-nCoV. All individuals testing positive were disembarked and

admitted for medical care in infectious disease hospitals in the Yokohama area. Close contacts of the

infected passengers are asked to remain in quarantine for 14 days from last contact with a confirmed

case. Thus, the quarantine period will be extended beyond the 19 February as appropriate only for

close contacts of newly confirmed cases. Epidemiological and environmental investigations are

ongoing.

• WHO developed and delivered 2 online trainings to support the response to the 2019-nCoV outbreak

that are available on the open learning

platform, OpenWHO.org. bttps://www who intlemergencies/diseases/novel-coronavirus-2019


• CDPH released their guidance for

CA Schools: http://www.publichealth.lacounty.gov/media/Coronavirus/StateGuidanceForSchools.pdf

• CD PH site- https ://www.cdph.ca. gov /Programs/Cl D/DCDC/Pages/I m mu nization/nCOV2019.aspx


International data:

• 40,645 confirmed cases globally; 40,196 cases in mainland China; 908 deaths in mainland China

" 449 confirmed cases outside of China across 27 countries/regions (total includes 135 cases on

a Japanese cruise ship).

National (lJ S.) data:

" 12 total confirmed cases in the U.S. No new confirmed cases reported.

https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6




P393

From: To:

Subject:

Date: Attachments:

Hanson. Jake@CDPH CDPH CCLHO PL; CDPH CHEAC PL; Arakawa, G; Sobba, Naveena (DPHl; Cheung. Michele (Orange # 2); Cole, Thomas; Dean Sidelinger; DeBurgh, [email protected]; Ennis, Josh (Humboldt); Furst. Karen@San Joaquin Countv; Goldstein, David (Contra Costa); Gunzenhauser, Jeffrey; Han, George@Santa Clara County; Hernandez. Liz@County of San Diego; Kagoda. Mercy; Kinnison, Michael@SutterCounty; DPH - sarah.lewis; Limbos Mary Ann (Yolo); McMillan, Craig (Mendocino); McNitt, Louise@Countra Costa County; Michele Violich ([email protected]); Morrow. Gib; Newel. Gail; Northrop, Leah@SutterCo; Pan, Erica (Alameda); Papasozomenos. Thea; DPH-daniel.peddycord; Perti. Tara (Santa Claral; Nichole Ouick; Radhakrishna, Rohan (Contra Costa); Rice. [email protected]; Rosen, Frederick; Sallenave. Catherine (San Mateo); Santora. [email protected]; Smith, Denise@Kern County; Stoltey. Juliet CDPH); Taylor, Melody@Sacramento County; Tzvieli Ori (Contra Costa); Warne, Thomas (Contra Costa); Wu, Christine; Zahn. Matt@Oranqe County FW: CAHAN Disease Notification - CDC Interim Guidance for 2019-nCoV: EMS Systems, 911 PSAPs, Cleaning Recommendations Related to People While Quarantined in Non-Home Residential Settings, and Airport Ground Transport of People Subject to Mandatory Quarant Monday, February 10, 2020 11:51:16 AM 20200208InterimGuidanceforAiroort+GroundTransport Final.docx 20200208EnviroC!eaninqRecs Final.docx 2-09-20+2019-nCoV-identify-assess-flowchart-508.pdf


FYI

From: California Health Alert Network <norep\[email protected]>



Subject: CAHAN Disease Notification - CDC Interim Guidance for 2019-nCoV: EMS Systems, 911

PSAPs, Cleaning Recommendations Related to People While Quarantined in Non-Home Residential

Settings, and Airport Ground Transport of People Subject to Mandatory Quarantine

The Centers for Disease Control has released four guidance documents regarding the 2019 Novel Coronavirus (2019-nCoV):

Interim Guidance for Emergency Medical Services (EMS) Systems: Care and transport by EMS presents unique challenges because of the nature of the setting, enclosed space during transport, frequent need for rapid medical decision-making, interventions with limited information, and a varying range of patient acuity and jurisdictional healthcare resources. Please see the attached assessment flowchart.

911 Public Safety Answering Points (PSAPs) for 2019-nCoV in the United States: Municipalities and local EMS authorities should coordinate with state and local public health, PSAPs, and other emergency call centers to determine need for modified caller queries about 2019-nCoV. The full interim guidance can be found here: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html

Interim Cleaning Recommendations Related to People with Exposures to 2019 Novel Coronavirus Under Observation While Quarantined in Non-Home

P394

Residential Settings: This guidance is intended to address recommended cleaning and disinfection practices for non-home residential quarantine locations, as well as associated worker protection practices according to expected job tasks. Please see attached interim recommendations.

Interim Guidance Related to the Airport Ground Transport of People Subject to Mandatory Quarantine for 2019 Novel Coronavirus Exposure: is intended to address recommended worker protection practices for drivers of ground transport passenger vehicles and those workers who perform routine cleaning of the vehicles. Please see attached interim guidance attached.

P395

From: To: Subject:

Date: Attachments:

Ill

California Health Alert Network Aragon. Tomas CDPH) CAHAN Disease Notification - CDC Interim Guidance for 2019-nCoV: EMS Systems, 911 PSAPs, Cleaning Recommendations Related to People While Quarantined in Non-Home Residential Settings, and Airport Ground Transport of People Subject to Mandatory Quarantine Monday, February 10, 2020 11:31:10 AM 20200208InterimGuidanceforAirnort+GroundTransport Final.docx 20200208EnviroCleaningRecs Final.docx 2-09-20+2019-nCoV-identifv-assess-f\owchart-508.pdf

The Centers for Disease Control has released four guidance documents regarding

the 2019 Novel Coronavirus (2019-nCoV):

Interim Guidance for Emergency Medical Services (EMS) Systems: Care and

transport by EMS presents unique challenges because of the nature of the setting,

enclosed space during transport, frequent need for rapid medical decision-making,

interventions with limited information, and a varying range of patient acuity and

jurisdictional healthcare resources. Please see the attached assessment flowchart.

911 Public Safety Answering Points (PSAPs) for 2019-nCoV in the United

States: Municipalities and local EMS authorities should coordinate with state and

local public health, PSAPs, and other emergency call centers to determine need for

modified caller queries about 2019-nCoV. The full interim guidance can be found

here: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html

Interim Cleaning Recommendations Related to People with Exposures to 2019

Novel Coronavirus Under Observation While Quarantined in Non-Home

Residential Settings: This guidance is intended to address recommended cleaning

and disinfection practices for non-home residential quarantine locations, as well as

associated worker protection practices according to expected job tasks. Please see

attached interim recommendations.

Interim Guidance Related to the Airport Ground Transport of People Subject to

Mandatory Quarantine for 2019 Novel Coronavirus Exposure: is intended to

address recommended worker protection practices for drivers of ground transport

passenger vehicles and those workers who perform routine cleaning of the vehicles.

Please see attached interim guidance attached.

P396


C($f Department of Emeroeocy Manaoemeot A@OOO Tomas CDPH)

DEM 24·Hour Dally Situational Awareness Report· 02· 10-2020 Monday, Februaty 10, 2020 10:47:04 AM




-NOAA tide predictions indicate tides exceeding 7 feet through Monday, February 10. The Port of San Francisco is prepared for any potential impacts.

Tide information can be found here: https://tidesandcurrents.noaa.gov/noaatidepredictions.html?

id=9414317 &units=standard&bdate=20200201 &edate=20200229&timezone= LST /LDT &clock=12hou r&datu m=M LL W&i nterval=hi\o&action= monthlychart

- The Centers for Disease Control and Prevention (CDC) has confirmed 6 cases of the 2019 Novel Coronavirus in California:



1 Los Angeles County

1 - Orange County

The Department of Homeland Security issued supplemental instructions for inbound fiights with individuals who have been in China. For more

information, see: https:llwww.dhs.gov/news/2020/02/02/dhs-issues-supplemental-instructions-inbound-flights-individuals-who-have-been-china

-US Health and Human Services has declared a public health emergency. For more information, see:

https:llwww.hhs.gov/abouUnews/2020/01/31/secretary-azar-declares-public-health-emergency-us-2019-novel-coronavirus.html

•Additional coronavirus information: https:l/.cdc.gov/coronavirus/2019-ncovlindex.html or by calling 800-CDC- INFO I (800-232-4636) I TTY: (888) 232-

6348

• CDC information for healthcare providers: https://www.cdc.gov/coronavirus/2019-nCoV/guidance-hcp.html



https://www.sfdph.org/dphl




- Primary (415) 260-2591

- Desk (415) 558-2738

- Email: demdutyofficer@sfgov org



- Current Duty Officer: Tom Chin I 415-260-2591

Manager On Call (MOC): Francis Zamora - 415-558-3830 [email protected]

Public Information Officer: Victor Lim- 415-748-0028 - [email protected] 1415-558-2712



I EOG 0 ! Full Activation pen (All Sections and Positions)

As Needed

As Needed

P397


Today-Sunny, with a high near 66. North wind 6 to 10 mph.

Tonight - Clear, with a low around 48. Light and variable wind becoming north around 6 mph.

Tomorrow - Sunny, with a high near 66. North northeast wind 5 to B mph becoming northwest in the afternoon.


Current: 26

Forecast: 46


Monday (2/10/2020)

- Warriors vs Heat, from 7:30pm to 11 :OOpm @ Chase Center


Tuesday (2/11/2020)


Wednesday (2112/2020)



-Film shoot on Fulton Street between Hyde and Larkin and on Ellis Street between Leavenworth and Jones

Friday (2114/2020)




Sunday (2116/2020)


Monday (2117/2020)










- The San Francisco Department of Public Health continues to coordinate with partner agencies to monitor the Novel Coronavirus (2019-nCoV)

situation.




P398

Despite coronavirus concerns, thousands turn out for SF Chinese New Year parade

Despite some concern this week that the coronavirus scare would keep people away, thousands still showed up to the Chinese Lunar New Year

Parade. It's an event bursting with sound, color, and energy. San Francisco's parade is the largest of its kind outside of Asia, attracting a diverse crowd

of more than a hundred thousand each year. "I love all the excitement and the energy and I Jove celebrating our culture," said Gloria Lee. There were

concerns some people wouldn't show up this year, due to fear of the coronavirus. But with nearly 2,400 bleacher seat tickets sold -- similar to last year -

- organizers say they've seen no negative effect on attendance. "If there is, you could have fooled me because everyone out here it looks like they're

enjoying themselves, ready for a good time, and yeah, there doesn't seem to be any kind of impact at all," said William Gee, parade organizer.

Something new this year, nearly one hundred young dancers wearing gowns representing the different provinces in China. They were part of the 1.3

mile procession, meant to be a form of visual and auditory education. "It's the atmosphere that we want to try to invite everyone to learn more about

Chinese culture and we're happy to share it with everyone," said Gee. That goal seemed to be fulfilled with a woman who drove from Sacramento to be

part of the celebration. "I love embracing, learning, experiencing like new cultures and experiences, so it's absolutely amazing, and I'm learning so

much," said Chevelle. Whether watching from the sidelines or the vantage point of one of the 4,200 participants, it's an energy filled night of excitement.

"It feels great, amazing, all the adrenaline, amazing," said parade participant Jeslyn Chun. This year Organizers had to work extra hard leading up to

the parade to dispel fears about the coronavirus. It appears that work paid off. Miss the 2020 Southwest Airlines Chinese New Year Parade? Watch

the entire event here.

h!tm;·llwww kty1r cnmlnewsfdesnj!!1::5'ioronayja1gnncems.tbou5aods.t11rn-o\IJ·for.sl-<;hjnese.oew.yeac-parade

65 More Coronavirus Cases On Diamond Princess Cruise Ship Stuck In Japan

There are 65 new coronavirus cases aboard the Diamond Princess cruise ship that's been under a quarantine since last week, Japan's health ministry

announced Monday. With the latest cases, a total of 135 people from the ship have been confirmed to have the respiratory virus. Those newly

diagnosed include 45 Japanese and 11 Americans, as well as smaller numbers of people from Australia, Canada, England, the Philippines and

Ukraine, according to Princess Cruises. Even before the latest cases were confirmed, the cruise ship already represented the largest cluster of Wuhan

coronavirus cases outside mainland China. The virus, identified as 2019-nCoV, has killed more than 900 people in China, where more than 40,000

people have been infected since it emerged in the city of Wuhan, in Hubei province. There are 65 new coronavirus cases aboard the Diamond Princess

cruise ship that's been under a quarantine since last week, Japan's health ministry announced Monday. With the latest cases, a total of 135 people

from the ship have been confirmed to have the respiratory virus. Those newly diagnosed include 45 Japanese and 11 Americans, as well as smaller

numbers of people from Australia, Canada, England, the Philippines and Ukraine, according to Princess Cruises. Even before the latest cases were

confirmed, the cruise ship already represented the largest cluster of Wuhan coronavirus cases outside mainland China. The virus, identified as 2019-

nCoV, has killed more than 900 people in China, where more than 40,000 people have been infected since it emerged in the city of Wuhan, in Hubei

province.

b!!ps·lfwww ope orn!:;ectjoo51Qoal"aodspdal?Q?Q!02/10/804440928/djamood.p0ocess.cn1jse.sbjp.bas-6S.more.torooayjn1s-case:;-jo-jamm

Sydney's heaviest rain in 30 years put out bush fires that have been burning for months

Heavy rainfall in Australia's New South Wales has forced the evacuation of several towns and the closure of more than 50 schools, but also

extinguished some of the persistent bush fires that have devastated the state. The country's Bureau of Meteorology said the region has seen more than

200 millimeters (7.9 inches) of rainfall in the past 24 hours. In Sydney, preliminary information from the bureau showed that 391.6 millimeters (15.4

inches) of rain fell over the past four days -- the city's heaviest rainfall since 1990. According to New South Wales Rural Fire Service media officer

James Morris, the torrential rain helped put out the Currowan fire on Saturday. That particular fire burned 499,621 hectares of land over 74 days. Morris

said the ongoing rain was expected to put out the five remaining uncontrolled fires in the state.

b!!ns·/Q.WM con comR020!02flO/asia/sydoey-rajo-lires-ai1$fra!ja-jn!!liodex html

The City & County of San Francisco (CCSF) Department of Emergency Management's Duty Officer Program compiles and disseminates this product in order to maintain situational

awareness among public safely partners.

CCSF Alert is owned and operated by the City and County of San Francisco. To change the way you receive CCSF Alerts, contact your Department's Disaster Preparedness Coordinator.

P399

From: To:

Cc:


CDC IMS State Coordination Task Force CSCTF) Operations Avchen. Rachel CCDC/DDPHSIS/CPR/DSLR); Hamilton. Janet (CDC cste.org); Peart. Jordan CCDC cste.org); Shah. Dhara (CDC cste.org); Butler. Jay C. (CDCIDDID/OD); Dreyzehner. John (CDCIDDPHSIS/CPRIOD); Williams. Ian (CDC/DDID/NCEZID/DFWED); Berger, Sherri CCDC/OCOO/OD); Bowman, Thomas (OSIASPRIEMMO); Wejr, Charles COSIASPRIIO); Maples. David L. CCDC/DDPHSISICPR/DEO); CDC IMS State Coordination Task Force (SCTF) Policy & Comm; CDC IMS State Coordination Task Force CSCTF) Lead; EOC Report CCDC); Angell. Sonia Y@CDPH; Morrow, Scott CCDC smcgov.org); Ferrer, Barbara@LACouoty; Aragon. Tomas CDPH); Hellerstedt. John (CDC dshs.texas.gov); [email protected]; [email protected]; [email protected]; Wiesman, John (CDC doh.wa.gov): [email protected]; [email protected]; Zucker, Howard (CDC health.ny.qov); Lavtoo, Marci (CDC health.aye.gov); [email protected]; [email protected]; Arwady. Allison AA CCDC cityofchicaqo.orq): [email protected]; [email protected]; [email protected]; Watt. James CCDC cdph.ca.gov): [email protected]; Balter. Sharon (CDC ph.lacouoty.gov); Stoltey, Juliet (DPH): Gaul. Linda (CDC dshs.state.tx.us); [email protected]; Jones, Russ CCDC tarraotcounty.com); Safranek. Thomas <NE> (CDC oebraska.gov): Lindquist. Scott SL (CDC doh.wa.gov): Duchin. Jeff (CDC kiogcounty.gov); Drenzek, Cherie (CDC dph.ga.gov); Blog, Debra (CDC health.oy.gov); Tao, Christina CT (CDC doh.oj.gov); Layden, Jennifer (CDC illinois.gov); [email protected]; [email protected]; [email protected]; [email protected]; Hawkins. Eric (CDC isdh.in.gov); McCormick. Dave CCDC isdh.in.qov); Susan Fanelli; [email protected]; Stella Fogleman; [email protected]; [email protected]; [email protected]; Halvorson, Clark (CDC doh.wa.gov): Minarcioe, Scott; Primeau. Michael J CHEALTH); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Christopher Shields; [email protected]; [email protected]; [email protected]; [email protected]; Scott. Linda (DHHSl; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Rakemao, Jennifer JR (CDC health.nyc.gov); [email protected]; [email protected]; pacilli. Massimo CCDC citvofchlcago.org); [email protected]; [email protected]; [email protected]; [email protected]; Hutton, Brad J (HEALTH); [email protected]; Cohen. Nicole (Nicky) (CDCIDDID/NCEZIDIDGMO); Weber. Angela CCDCINIOSHIOD); CDC IMS State Coordination Task Force (SCTF) prog Services Unit; CDC IMS State Coordination Task Force CSCTF) TF Coordinations TM; CDC IMS State Coordination Task Force (SCTF) MCCM LNO Pillai. Satish K. CCDCIDDIDINCEZIDIDPEI); Patel. Anita CCDCIDDIDINCIRDIOD); CDC IMS Worker Safety Health NIOSH; CDC IMS 2019 NCOV Response PPE Requirements CDC Returning Traveler Discussion for F11 Jurisdictions 20200208 Enviro Cleaning Recs Final.docx 20200208 Interim Guidance for Airport Ground Transport Final.docx


CDC Returning Traveler Discussion for F 11 Jurisdictions

CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host a call from 3 p.m. to 4 p.m. EST forthe duration of this week, to discuss plans for returning travelers within the eleven funneling jurisdictions, status reports and concerns. Feel free to include your state epidemiologist, preparedness director, state/city emergency management official, and other core team members.

Bridgeline: 1(888)455-7719

Passcode: 5108469

Attached, please see attached CDC guidance which was developed for the public health departments serving the Fl 1 locations. We request you keep this guidance CLOSE HOLD, as the following documents are not posted on CDC's nCo V response webpage. At this time, we are only sharing these documents with Fl 1. Lastly, please be mindful this is interim guidance and as the response continues and we learn more guidance will be adjusted accordingly.

1. "Interim Cleaning Recommendations Related to People with Exposures to 2019 Novel Coronavirus Under Observation while Quarantined in NonHome Residential Settings - This guidance is intended to address recommended cleaning and disinfection practices for non-home residential quarantine locations, as well as associated worker protection practices according to expected job tasks.

2. "Interim Guidance Related to the Airport Ground Transport of People Subject to Mandatory Quarantine for 2019 Novel Coronavirus Exposure" - is intended to address recommended worker protection practices for drivers of ground transport passenger vehicles and those workers who perform

P400

routine cleaning of the vehicles.

State Coordination Task Force (SCTF)

Center for Preparedness and Response (CPR)

Centers for Disease Control and Prevention (CDC <http://v.'V>'W.cdc.gov/>) 1600 Clifton Road, NE, MS H21-5, Atlanta, GA 30349-4027

P401

From: To:

Subject:

CDC IMS State Coordination Task Force (SCTF) Operations

CDC IMS State Coordination Task Force (SCTF) Lead; EOC Report CCDC); Angell. Sonia Y@CDPH; Morrow, Scott (CDC smcgov.oral; Ferrer, Barbara@LACounty; Aragon, Tomas (DPH); Hellerstedt. John (CDC dshs.texas,gov); Phillip,[email protected]; [email protected]; [email protected]; Wiesman, John (CDC doh,wa.qov); [email protected]; kathleen.toomey@dph,qa.gov; Zucker. Howard (CDC health,ny,qov); Layton, Marci (CDC health,nyc.goy); Judith,[email protected]; [email protected]; Arwady, Allison AA CCDC citvofchicago.orq); [email protected]; norm.oliver@vdh,virqinia.gov; [email protected]; Watt, James (CPC cdph,ca.qov); [email protected]; Balter, Sharon (CDC ph.lacounty,qov); Stoltey. Juliet (DPH); Gaul. Linda (CDC dshs.state.tx.us); Wendy.Chung@dallascounty,orq; Jones, Russ (CDC tarrantcounty.com); Safranek, Thomas <NE> (CDC nebraska.qov); Lindquist. Scott SL CCDC dob,wa.qov): Duchin, Jeff (CDC kingcounty.qov); Drenzek, Cherie (CDC dph,qa.qov); Blog, Debra (CDC health.ny.gov); Tan, Christina CT (CDC doh.nj.qov); Layden, Jennifer (CDC illinois,gov); sarah [email protected]; sarah. [email protected]; lilian .peake@vdh .virainia.qov; [email protected]; Hawkins. Eric (CDC isdh.in.gov); McCormick. Dave (CDC isdh.in.gov); Susan Fanelli; tricia. [email protected] .gov; Stella Fogleman; jeff. [email protected]. tx. us; [email protected]; [email protected]; Halvorson. Clark (CDC doh. wa.qov); Minarcine, Scott; Primeau. Michael J (HEALTH); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Christopher Shields; [email protected]; [email protected]; [email protected]; [email protected]; Scott. Linda (DHHS); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Rakeman, Jennifer JR (CDC health.nyc,qov); [email protected]; [email protected]; Pacilli. Massimo (CDC cityofchicago.orq); [email protected]; [email protected]; [email protected]; [email protected]; Hutton, Brad J (HEALTH): [email protected]; Cohen, Nicole (Nicky) (CDCIDDIDINCEZIDIDGMQ); Weber, Angela (CDC/NIOSH/OD); Avchen, Rachel (CDC/DDPHSIS/CPRIDSLR); Hamilton. Janet (CDC cste.orq); Peart, Jordan (CDC cste.orq); Shah, Ohara (CDC cste.orq); Butler. Jay C. (CDCIDDID/OD); Dreyzehner. John (CDC/DDPHSIS/CPR/OD); Williams, Ian CCDC/DDID/NCEZID/DFWED); Berner, Sherri CCDC/OCOO/OD); Bowman, Thomas (OSIASPR/EMMO): Weir, Charles (OS/ASPRIIO); Maples, David L. (CDC/DDPHSIS/CPR/DEO); CDC IMS State Coordination Task Force (SCTF) Policy & Comm

CDC Returning Traveler Discussion for F11 Jurisdictions


CDC Returning Traveler Discussion for Fl 1 Jurisdictions

CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host a call from 3 p.m. to 4 p.m. EST for the duration of this week, to discuss plans for returning travelers within the eleven funneling jurisdictions, status reports and concerns. Feel free to include your state epidemiologist, preparedness director, state/city emergency management official, and other core team members.

Bridgeline: 1(888)455-7719

Passcode: 5108469

P402

From: To: Subject:

Chan, Curtis (DPH)

Aragon. Tomas (DPH)

Date: Re: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus Guidance for Schools and School Districts

Monday, February 10, 2020 8:45:35 AM

Attachments: imaqe.png SFUSD Announcement Coronavirus 20200205.docx SFUSD Announcement Coronavirus 20200205.pdf Coronavirus+K-12+Schools+Guidance+2 7 20+FINAL.cleaned.pdf

Great. I can be available now and at these times today:

111 Now until 9am

• 10:30-11a

• Noon-lpm

• After 2pm

My biggest questions are:

• Meeting with SFUSD: Your availability to meet with SFUSD Monday-Wed? Where would

you like to meet at SFDPH, SFUSD on Quinatara (School Health), SFUSD on Franklin

(walking distance in Civic Center)? Who else should we include (Janice, David Stier,)

/activate?

• Adjustments to SFUSD Announcement https://www.sfusd.edu/announcements/2020-

01-27-update-cold-flu-and-coronavirus.

111 Any further clarifications for SFUSD regarding students who returned before February

3rd?

o The San Francisco Department of Public Health recommends that travelers who returned from China BEFORE February 3,monitor themselves for 14 days after their last day in China. If symptoms (fever, cough, or shortness of breath) occur during that time, please contact your health provider, inform them of your travel history and selfisolate at home pending their advice. Do not go to work, school or social events if you have these symptoms. https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-

novel-coronavirus/ (As 1 /27 was 14 days ago, this would mean for travelers who returned the week of 1 /27 - 212)

o If symptoms occur at school, follow CDPH guidance: 111 Separate the individual from others as much as possible and 111 Make arrangements for the individual to go home, and Iii Contact your local health department immediately

111 (The issues to consider include:) 111 How to include language on face mask? It makes sense to

add that language to me. However, considerations for

P403

Thanks Tomas!



written recommendations include: availability, type of facemask, severity of symptoms, stigma)

1111 Notify doctor (CDC and SFDPH) and/or notify health department

11 I think that both should be done

111 School principals notify SFUSD Health, SFUSD notifies SFDPH.

111 SFDPH should be prepared to:

1111 Interview patient/school about exposures

11 Definitions of contacts to inform

1111 Communications to contacts/school








Sent: Sunday, February 9, 2020 9:59 PM


Subject: Re: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus Guidance for Schools


We need to connect Mon, esp since you will be out soon.

Tomas





P404






We need to meet with them to discuss how to proceed.

It's challenging to this by email.

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102



and sustainable results." (learn more http://bit.ly/phd-\ead)









Tomas:

Thanks for replying to Mary and your thoughtful leadership. Are those steps written

anywhere?

Are those 5 points you listed referenced elsewhere in documents?

P405

111 put face mask on them,

• separate them from others,

• call parents to take them home,

• they should notify their doctor, and

• contact the health depa1,tment (415-554-2830)

There seem to be the steps for travelers who returned before February 3rd:

https: //www .sfcd cp. org/wp-content/u pl oads/2020/02/I nteri m-G u ida nce-on-M on itori ng-a n d

Movem ent-for-Sa n-Fra n cisca ns-a n d-T ravel-Before-Feb-3rd-SF DP H-FI NAL-02 .07. 2020. pdfTh ere

are several additional steps I have or I had fever1, Call your medical provider Stay at home and do not go to Do not fly on commercial cough, or shortness of and let them know your school or work. Avoid contact flights or take local public breath within 14 days of travel history and that you with others and public activities transportation (e.g., bus, leaving China have been self- by practicing social distancing:!= subway, taxi, ride share

monitoring. (SEE BELOW) until you no longer like Lyft and Uber) until have these symQtoms for 24 you no longer have hoursl!. s'{mQtoms for 24 hoursl!.

I think the "placing face mask" and "isolating symptomatic students" is reasonable, but how

would you like this in writing to schools (e.g., to school nurses or to families)? Is this for

cough and fever, or "any symptoms". Are we asking anyone who returned before and after

February 3rd to call 554-2830 if they have any symptoms? Or, are they supposed to contact

their medical provider. PUis would be then be reported to health department.

This is a complex situation that requires discussion with the school district. How soon do you

want your listed 5 points to be implemented?

Thank you Tomas.

Yours,

curtis








P406






<[email protected]>; Mele Lau-Smith <[email protected]>; Louie, Janice (DPH)

<[email protected]>; Stoltey, Juliet (DPH) <[email protected]>; Philip, Susan (DPH)

<[email protected]>



Hi Mary, see my responses in green.

1. The statement "The risk of exposure to this new coronavirus in China is increasing over time" is alarming and may need to be qualified. In my mind, it seems to conflict with the statement about the risk in the US being low. Is this statement actually true in the US, given the new containment measures?

The first sentence applies to China, not US.

2. The position on facemasks is confusing because thought it's stated "face masks are most useful for preventing disease spread when they are worn by people who have symptoms," face masks is not mentioned in the recommendations for schools when a student who recently traveled from China comes down with symptoms.

Let's discuss to clarify. Here is summary: If a students develops symptoms *and* was in mainland China within the past 14 days (these would be those that arrived before 2/3), then

" put face mask on them, .. separate them from others, " call parents to take them home, .. they should notify their doctor, and .. contactthe health department ( 415-554-2830)

3. It's mentioned to contact "your health department" but probably best if a specific department or phone number is provided.

See above.

4. Could there be more specific guidance for how emergency plans should be updated for this situation?

There will be many more questions, so we need to set up regular meeting. l will have our Plans staff 1vork on this.

Tomas


P407


415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

11Radical transformational leadership is leading change from the universal values of dignity, equity, compassion and humility to transform self, people, systems and cultures towards equity and sustainable results. 11 (learn more http://bit.ly/phd-lead)









<[email protected]>




Curtis and Tomas - A couple of comments/ questions on the new guidance documents.

1. The statement "The risk of exposure to this new coronavirus in China is increasing over time" is alarming and may need to be qualified. In my mind, it seems to conflict with the statement about the risk in the US being low. Is this statement actually true in the US, given the new containment measures? 2. The position on facemasks is confusing because thought it's stated "face masks are most useful for preventing disease spread when they are worn by people who have symptoms," face masks is not mentioned in the recommendations for schools when a student who recently traveled from China comes down with symptoms. 3. It's mentioned to contact "your health department" but probably best if a specific department or phone number is provided.

P408


Thank you!




Please "Reply All" only if everyone on the email needs to know. Otherwise, please only reply to me I Thank you!

On Sun, Feb 9, 2020 at 6:47 PM Mary Jue <[email protected]> wrote: . Thank you, Curtis! I will review the new guidelines and discuss any needed updates or

actions with the SFUSD team!

Mary

Sent from my iPhonc

On Feb 7, 2020, at 8:35 PM, Chan, Curtis (DPH) <[email protected]> wrote:

Dear SFUSD Health Team:

Thank you very much for your great work in communicating with your school

district's students and families; and your ongoing communications with the San

Francisco Department of Public Health. We appreciate all of your excellent

questions and thoughtful approaches to some complex cases.

Today, Dr. Aragon and I discussed the excellent response of SFUSD, the letter

that SFUSD sent to families (last updated February 5th). As you can compare

with other letters sent from school districts/ health departments, the SFUSD

letter was comprehensive and very clear.

P409

As I was relating the draft CDPH guidance with you earlier, local health

departments have been planning with each other and with CDPH to respond to

this emerging threat of an epidemic. The Chinese and U.S. governments

https://www.cdc.gov/coronavi rus/2019-ncov have issued an unprecedented

scale of quarantine orders, so public health experts are still determining how

such orders and guidelines should be recommended. The California

Department of Public Health guideline that planned for release on Wednesday

Thursday was finally released this evening. I am forwarding it to you now.

As you can read, the new CDPH guidance is very much aligned with the SFUSD

(2/5/2020) and SFDPH www.sfcdcp.org guidance. The new CDPH guidance

emphasizes some actionable steps that schools may need to prepare for or

consider include:

• Separate sick students and staff from others until they can go home.

When feasible, identify a "sick room" through which others do not

regularly pass.

• A note about face masks: face masks are most useful for preventing

disease spread when they are worn by people who have symptoms. This

is why people are asked to wear a mask at doctors' offices and hospitals if

they are coughing or sneezing.

11 Update emergency plans to ensure they are in place before an outbreak

occurs.

11 Please note that there have been reports of students and others being

stigmatized. We urge schools to ensure students' and staffs' privacy to

help prevent discrimination.

Whereas you've helped lead an excellent response for our many public school

students and their families in San Francisco in this first-week of responding to

the federal quarantine guidelines, I think that school "emergency plans" (e.g.,

for infectious diseases and pandemics) will be very useful to consider soon.

With people continuing to return from China and more capacity for laboratories

to test 2019 Novel Coronavirus, there is an increasing possibility of cases in San

Francisco and even the virus circulating. Plans for student/staff safety and the

continuity of education would need to be implemented. These are issues that

all schools will need to grapple with in California, so I look forward to discussing

with you and supporting best-practices with you.

I'm hopeful that issues are stable at the school district over the weekend, but

feel free to call me anytime on my personal cell 650-580-2335.

Thank you so much for protecting the health and safety of students in San

P410

Francisco.

In health,

curt is












Subject: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus Guidance

for Schools and School Districts

The California Depaiiment of Public Health is releasing guidance for K-12 schools and school districts regarding the 2019 Novel Coronavirus.


<Coronavirus+K-12+Schools+Guidance+2 _ 7 _20+FINAL.pdf> <School_nCoV_CDPHdraft_SFUSD_Ala_SCC_Marin_ContraCosta.pdf>

P411

From: ~ To: Aragon. Tomas (DPH) Cc: Chan. Curtis (DPH); Kimberly S. Coates ([email protected]); Sop. Anna (DEM): Mele Lau-Smith; Louie. Janice

(DPH); Stoltey. Juliet (DPH); Philip. Susan (DPH) Subject: Date:

Re: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus Guidance for Schools and School Districts Monday, February 10, 2020 8:29:11 AM

Definitely! Curtis and I have a meeting scheduled tomorrow for our annual discussion of our clinical protocols, and plan to touch on coronavirus guidelines, but I can also make myself available to meet another time for a fuller conversation. Just let me know what dates and times are best for you all.





On Sun, Feb 9, 2020 at 9:54 PM Aragon, Tomas (DPH) <[email protected]> wrote: Mary, Let's meet to discuss what works for SFUSD. My response was based on applying core

. principles. What you implement might be different but achieve the same goal.

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

"Radical transformational leadership is leading change from the universal values of dignity, equity, compassion and humility to transform seft people, systems and cultures towards equity and sustainable results." (learn more http://bit.ly/phd-lead)

P412







. Cc: Chan, Curtis (DPH) <[email protected]>; Kimberly S. Coates ([email protected])

<[email protected]>; Sop, Anna (DEM) <[email protected]>; Mele Lau-Smith

<[email protected]>; Louie, Janice (DPH) <[email protected]>; Stoltey, Juliet (DPH)




Thanks for your reply, Tomas! 1. My mistake. My first read was that the risk of exposure was increasing all over, not just in China. 2. I agree with the recommendations and we have been putting them into practice. But the document does not list among the actions to take with recent arrivals (before 2/3/20) the use of facemasks or calling their health care provider so maybe those steps should be added. 3. Thanks for the specific DPH # to call. 4. I look forward to speaking further with Curtis about this. I have a scheduled meeting with him on Tuesday!



[email protected] www .healthiersf.org


On Sun, Feb 9, 2020 at 8:29 PM Aragon, Tomas (DPH) <[email protected]> wrote: i Hi Mary, see my responses in green.

P413

1. The statement "The risk of exposure to this new coronavirus in China is increasing over · time" is alarming and may need to be qualified. In my mind, it seems to conflict with the

statement about the risk in the US being low. Is this statement actually true in the US, . given the new contaimnent measures?

The first sentence applies to China, not US .

. 2. The position on facemasks is confusing because thought it's stated "face masks are most useful for preventing disease spread when they are worn by people who have symptoms," face masks is not mentioned in the recommendations for schools when a student who recently traveled from China comes down with symptoms.


" put face mask on them, " separate them from others, " call parents to take them home, " they should notify their doctor, and • contact the health depaiiment (415-554-2830)


See above.


There will be many more questions, so we need to set up regular meeting. I vvill have our Plans staff work on this.

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102


equity, compassion and humility to transform selt people, systems and cultures towards

equity and sustainable results." (learn more http://bit.ly/phd-lead)

P414

NOTICE: This message and attachments may contain confidential or privileged

information. If you are not the intended recipient, disclosure, copying, use, or distribution

of the information is prohibited. Notify the sender immediately and delete all information.






<[email protected]>

Subject: Re: CAHAN Disease Guidance Notification 2019 Novel Coronavirus Guidance for



Curtis and Tomas - A couple of comments/questions on the new guidance documents.

1. The statement 11The risk of exposure to this new coronavirus in China is increasing over time11 is alarming and may need to be qualified. In my mind, it seems to conflict with the statement about the risk in the US being low. Is this statement actually true in the US, given the new containment measures? 2. The position on facemasks is confusing because thought it's stated "face masks are most useful for preventing disease spread when they are worn by people who have symptoms," face masks is not mentioned in the recommendations for schools when a student who recently traveled from China comes down with symptoms. 3. It's mentioned to contact "your health department11 but probably best if a specific department or phone number is provided. 4. Could there be more specific guidance for how emergency plans should be updated for this situation?

Thank you!

• Mary Jue, MSN, RN, Credentialed School Nurse ' Director

School Health Programs ; Student, Family & Community Support Department, SFUSD

P415

1515 Quintara Street, SF, CA 94116 415-242-2615 fax 415-242-2618

' j [email protected] www.healthiersf.org

· Please "Reply All" only if everyone on the email needs to know. Otherwise, please only reply to me! Thank you!

On Sun, Feb 9, 2020 at 6:47 PM Mary Jue <:[email protected]> wrote: · Thank you, Curtis! I will review the new guidelines and discuss any needed updates or

actions with the SFUSD team!

Mary

Sent from my iPhone

On Feb 7, 2020, at 8:35 PM, Chan, Curtis (DPH) <[email protected]> wrote:

Dear SFUSD Health Team:

Thank you very much for your great work in communicating with your

school district's students and families; and your ongoing communications

with the San Francisco Department of Public Health. We appreciate all of

your excellent questions and thoughtful approaches to some complex

cases.

Today, Dr. Aragon and I discussed the excellent response of SFUSD, the

letter that SFUSD sent to families (last updated February 5th). As you can

compare with other letters sent from school districts/ health departments,

the SFUSD letter was comprehensive and very clear.

As I was relating the draft CDPH guidance with you earlier, local health

departments have been planning with each other and with CDPH to

respond to this emerging threat of an epidemic. The Chinese and U.S.

governments https://www.cdc.gov/coronavirus/2019-ncov have issued an

unprecedented scale of quarantine orders, so public health experts are still

determining how such orders and guidelines should be recommended. The

California Department of Public Health guideline that planned for release

on Wednesday-Thursday was finally released this evening. I am forwarding

P416

it to you now.

As you can read, the new CDPH guidance is very much aligned with the

SFUSD (2/5/2020) and SFDPH www.sfcdcp.org guidance. The new CDPH

guidance emphasizes some actionable steps that schools may need to

prepare for or consider include:

111 Separate sick students and staff from others until they can go home.

When feasible, identify a "sick room" through which others do not

regularly pass.

111 A note about face masks: face masks are most useful for preventing

disease spread when they are worn by people who have symptoms.

This is why people are asked to wear a mask at doctors' offices and

hospitals if they are coughing or sneezing.

111 Update emergency plans to ensure they are in place before an

outbreak occurs.

111 Please note that there have been reports of students and others

being stigmatized. We urge schools to ensure students' and staffs'

privacy to help prevent discrimination.

Whereas you've helped lead an excellent response for our many public

school students and their families in San Francisco in this first-week of

responding to the federal quarantine guidelines, I think that school

"emergency plans" (e.g., for infectious diseases and pandemics) will be very

useful to consider soon. With people continuing to return from China and

more capacity for laboratories to test 2019 Novel Coronavirus, there is an

increasing possibility of cases in San Francisco and even the virus

circulating. Plans for student/staff safety and the continuity of education

would need to be implemented. These are issues that all schools will need

to grapple with in California, so I look forward to discussing with you and

supporting best-practices with you.

I'm hopeful that issues are stable at the school district over the weekend,

but feel free to call me anytime on my personal cell 650-580-2335.

Thank you so much for protecting the health and safety of students in San

Francisco.

In health,

curtis


P417











Subject: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus

Guidance for Schools and School Districts



<Coronavirus+K-12+Schools+Guidance+2 _ 7 _20+FINAL.pdf> <School_nCo V _ CDPHdra:ft _ SFUSD _Ala_ SCC _Marin_ ContraCosta.pdf>

P418

From: To:

Brown, John (DPH) Aragon, Tomas (DPH)

Subject: Date:

RE: [Event 2019-nCoV] Guidance for EMS Systems and 911 Dispatch for 2019-nCoV in the US Monday, February 10, 2020 8:21:48 AM

Thanks, Tomas. I will check in with the EMS working group on nCoV at 0830 on this. I will be going to

a trauma meeting in Alameda County at 1030 so can't make today's 0930 huddle but will be a the

1300 DPH DOC Ops branch meeting. Nice to be back. Regards, John

John F Brown MD

Preferred pronouns: He, His, Him

Medical Health Operations Area Coordinator

City and County of San Francisco, Department of Public Health

[email protected]

415 487 5034



To: Duren, James (DPH) <[email protected]>; Brown, John (DPH) <[email protected]>;

Tong, Sandra (FIR) <[email protected]>; Tangherlini, Niels (FIR)

<[email protected]>; Holcomb, Andrew (DPH)

<[email protected]>

Subject: [Event 2019-nCoV] Guidance for EMS Systems and 911 Dispatch for 2019-nCoV in the US

I believe you all have already reviewed these. I am just catching up

https: //www.cdc.gov/coron avi rus/2019-ncov /h cp/gu id an ce-for-ems. htm I

Interim Guidance for Emergency Medical Services (EMS) Systems and 911 Public Safety Answering Points (PSAPs) fo1r 2019-nCoV in the United States - cdc.gov

Emergency medical se1·vices (EMS) play a vital role in 1·esponding to 1·equests for assistance, triaging patients, and providing emergency medical t1·eatrnent and transport for ill persons. Howeve1·, unlike patient care in the controlled environment of a healthca1·e facility, care and transports by EMS ...

www.cdc.gov

Thanks,

Tomas


P419


415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

"Radical transformational leadership is leading change from the universal values of dignity, equity, compassion and humility to transform self, people, systems and cultures towards equity and sustainable results." (learn more http://bit.ly/phd-lead)




P420


Hanson. Jake@CDPH CDPH CCLHO DL FW: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus Guidance for Schools and School Districts Monday, February 10, 2020 6:45:49 AM Coronavirus+K-12+Schools+Guidance+2 7 20+FINAL.pdf


FYI




Subject: CAHAN Disease Guidance Notification - 2019 Novel Coronavirus Guidance for Schools and

School Districts



P421

From: To:

Hanson, Jake@CDPH CDPH CCLHO DL; CDPH CHEAC DL; Arakawa, G; Sobba, Naveena (DPHl; Cheung. Michele (Oranae # 2); Cole. Thomas; Dean Sidelinger; DeBuroh, [email protected]; Ennis, Josh (Humboldt); Furst. Karen@San Joaquin County; Goldstein, David (Contra Costa); Gunzenhauser, Jeffrey; Han, George@Santa Clara County; Hernandez. Liz@County of San Diego; Kaqoda. Mercy; Kinnison. Michael@SutterCounty; DPH - sarah.lewis; Limbos, Mary Ann (Yolo); McMillan, Craig (Mendocino); McNitt, Louise@Countra Costa County; Michele Violich ([email protected],us); Morrow, Gib ; Newel. Gail; Northrop, Leah@SutterCo; Pan, Erica (Alameda); Papasozomenos, Thea; DPH-daniel.peddycord; Perti. Tara (Santa Clara); Nichole Quick; Radhakrishna, Rohan (Contra Costa); Rice, [email protected]; Rosen, Frederick; Sallenave, Catherine (San Mateo); Santora, [email protected]; Smith, Denise@Kern County; Stoltey, Juliet CDPH); Taylor. Melody@Sacramento County; Tzvieli. Ori (Contra Costa); Warne, Thomas (Contra Costa); Wu, Christine; Zahn, Matt@Orange County

Subject: FW: CAHAN Disease Notification - CDC Releases New 2019-nCoV Interim Guidance for Healthcare Professionals Monday, February 10, 2020 6:45:08 AM Date:

FYI





Subject: CAHAN Disease Notification - CDC Releases New 2019-nCoV Interim Guidance for

Healthcare Professionals




The Centers for Disease Control and Prevention (CDC) has released Interim U.S. Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with 2019 Novel Coronavirus (2019-nCoV). The entire guidance can be accessed at the following link: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html

P422

From: To:

Chan, Curtis CDPHl Aragon, Tomas (DPH)

Subject: Date:

Re: CAHAN Disease Guidance Notification 2019 Novel Coronavirus Guidance for Schools and School Districts Sunday, February 9, 2020 9:37:08 PM

Attachments: image.png

Tomas:

Thanks for replying to Mary and your thoughtful leadership. Are those steps written

anywhere?

Are those 5 points you listed referenced elsewhere in documents?

111 put face mask on them, • separate them from othe1·s, • call parents to take them home, • they should notify their doctor, and • contact the health department (415-554-2830)

There seem to be the steps for travelers who returned before February 3rd:

https: //www .sfcd cp .org/wp-content/u p loads/2020/0 2/1 nte rim-Guidance-on-Monitoring-and

Movement-for-Sa n-Fra ncjsca ns-a n d-T ravel-Before-Feb-3 rd-SFDP H-FI NAL-02 .07. 202 0. pdfThe re

are several additional steps

I have or I had fever\ Call your medical provider Stay at home and do not go to Do not fly on commercial cough, or shortness of ·and let them know your school or work. Avoid contact flights or take local public breath within 14 days of travel history and that you with others and public activities transportation (e.g., bus, leaving China have been self- by practicing social distancing:j: subway, taxi, ride share

monitoring. (SEE BELOW) until you no longer like Lyft and Uber) until have these symQtoms for 24 you no longer have hours!!. S\:'.mgtoms for 24 hours!!.

I think the "placing face mask" and "isolating symptomatic students" is reasonable, but how

would you like this in writing to schools (e.g., to school nurses or to families)? Is this for

cough and fever, or "any symptoms". Are we asking anyone who returned before and after

February 3rd to call 554-2830 if they have any symptoms? Or, are they supposed to contact

their medical provider. PUis would be then be reported to health department.

This is a complex situation that requires discussion with the school district. How soon do you

want your listed 5 points to be implemented?

Thank you Tomas.

Yours,

curtis

P423













<[email protected]>; Mele Lau-Smith <[email protected]>; Louie, Janice (DPH)

<[email protected]>; Stoltey, Juliet (DPH) <[email protected]>; Philip, Susan (DPH)

<[email protected]>



Hi Mary, see my responses in green.

1. The statement "The risk of exposure to this new coronavirus in China is increasing over time" is alarming and may need to be qualified. In my mind, it seems to conflict with the statement about the risk in the US being low. Is this statement actually true in the US, given the new containment measures?

The first sentence applies to China, not US.

2. The position on facemasks is confusing because thought it's stated "face masks are most useful for preventing disease spread when they are worn by people who have symptoms," face masks is not mentioned in the recommendations for schools when a student who recently traveled from China comes down with symptoms.


• put face mask on them, " separate them from others, .. call parents to take them home, .. they should notify their doctor, and " contact the health depatiment (415-554-2830)


P424

See above.


There will be many more questions, so we need to set up regular meeting. I \vill have our P Jans staff Vlork on this.

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102



and sustainable results." (learn more http://bit.ly/phd-lead)









<[email protected]>




Curtis and Tomas -A couple of comments/questions on the new guidance documents.

P425

I (BOS)


Requester,

DPH Sunshine Thursday, March 17, 2022 4:55 PM DPH Sunshine; SOTF, (BOS) [email protected]

RE: Public Records Request #20-1076 /File No 20059 TomasAragon_CDCemails_Batch8.pdf


are available to you here and have also been uploaded to NextRequest case #20-1076/ SOTF File 20059. Due to the need

to continue reviewing, we will produce any additional responsive records on a rolling basis.

Thank you.



Cc: SOTF, (BOS) <[email protected]> Subject: Public Records Request #20-1076




We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COV/0 11 "COV/019" "COV/D-19" "SARS-CoV-2"

112019-nCOV" 11nCOV" 11severe acute respiratory syndrome 11 "viral pneumonia" "pneumonia of unknown origin" '1novel pneumonia 11 from Nov 14, 2019 to present (request submitted: 2/28/20}.


P427

From: To: Subject:

Date: Attachments:

California Health Alert Network Aragon. Tornas CDPH) CAHAN LHD Conference Call Notes - Local Health Officer Coronavirus Update Conference Call Notes Yesterday, 2/5/2020 at 6:00 PM PST Thursday, February 6, 20204:11:35 PM 02.05.2020+Local+Health+Officer+Conference+Call+and+Speakers+Notes+Final.docx DRAFT +Returning+ Traveler+Monitoring+PH+supervision+2-5-20.docx ReturninqTravelerMonitorinqlinelist DRAFT.xlsx

Please find attached notes from the Local Health Officer 2019-nCoV Conference Call

held yesterday, 2/5/2020, at 6:00 PM PST for review. Additionally, please find a one

page draft guidance document and draft excel form. CDC traveler monitoring cards

that are currently being given to returning travelers at airports are linked below.

Questions or comments regarding returning travelers may be sent to

[email protected].

You can see the traveler cards here:

https://www.cdc.gov/coronavirus/2019-ncov/travelers/communication-resources.html

P428

From: To: Subject:

Date:

Medical Board of California Licensee Communication on behalf of Medical Board of California [email protected] CDPH Provides Health Update and Interim Guidance for Health Care Providers Regarding 2019 Novel Coronavirus (nCoV) Thursday, February 6, 2020 2:53:25 PM


The Medical Board of California is contacting you on behalf of the California Department of Public Health (CDPH), please see the message below:

CDPH Provides Health Update and Interim Guidance for Health Care Providers Regarding 2019 Novel Coronavirus (nCoV)

The California Department of Public Health (CDPH) has issued a health update on the coronavirus situation in California and has provided infection control guidance, criteria for evaluation of Patients Under Investigation (PUis), and recommendations for reporting, specimen collection, and testing. It is likely that the Centers for Disease Control and Prevention (CDC) will update its guidance in the coming weeks, so please check for updates on CDC's 2019-nCoV webpage.

To date, CDPH has identified two cases of coronavirus in Orange and Los Angeles counties. Testing was requested on 23 potential cases in California and 10 have been ruled out, with the 13 remaining cases pending results. CDPH asserts that the coronavirus situation is rapidly changing, and efforts to screen travelers who arrive in California from Wuhan, China, which is said to be the source of the coronavirus outbreak, are underway. CDPH requests California health facilities to voluntarily complete a state-wide infection control resource assessment for coordinated emergency response planning. CDPH has also provided materials for facilities to prepare for the 2019 Novel Coronavirus (2010-nCoV)

Healthcare providers are encouraged to sign up for California Health Alert Network (CAHAN) alerts to receive updates by emailing [email protected]

For additional information view the All Facilities Letter issued by CDPH dated January 23, 2020.

P429

From: To:

Cc:


Gordon, Merle "Chrissie Juliano"; Allison Arwady; Barbara Ferrer; Bob McDonald; Colfax, Grant (DPH); Dawn Emerick (SAMHD): Denise Fair ([email protected]); Dzirasa, Letitia; Fermin Leguen; Gibbie Harris; Gretchen Musicant ([email protected]); Jeff Duchin - Public Health - Seattle & King County [email protected]); Jennifer Herriott (SAMHDl; Kelly Colopy (kelly,[email protected]; Kimi Watkins-Tartt; LaOuandra Nesbitt; Marcy Flanagan ([email protected]; Muntu Davis; Mysheika Roberts ; Oxiris Barbot; Pattv Hayes; Phil Huang; Rachael Banks ([email protected]); Rex Archer ; Rita Nieves; Sara Cody - Santa Clara County Public Health Department [email protected]; Stephanie Hayden ([email protected]); Stephen Williams; Thomas Farley ; Aragon, Tomas (DPH); Villalta, Yesenia D; Vinny Taneja - Tarrant County Health Department [email protected]); Virginia Caine ; Wilma Wooten Gabrielle Nichols RE: Coronavirus - resources Thursday, February 6, 2020 1:41:49 PM image001.png


Hi all, thank you for the call today.

Just curious if anyone has any guidance for public safety, mostly police. We have the guidance and updates

from first responders and EMS, but the Police Department is asking for some guidance and any

precautionary methods.

Thank you.

Merle Gordon, Director

Cleveland Department of Public Health

[email protected]

216. 664. 6790

From: Chrissie Juliano [mailto:ju\[email protected]]


To: Allison Arwady <a\[email protected]>; Barbara Ferrer <[email protected]>; Bob

McDonald <[email protected]>; Colfax, Grant (DPH) <grant.co\[email protected]>; Dawn Emerick

(SAM HD) <[email protected]>; Denise Fair ([email protected]) <[email protected]>;

Dzirasa, Letitia <[email protected]>; Fermin Leguen <\[email protected]>; Gibbie Harris

<[email protected]>; Gretchen Musicant ([email protected])

<[email protected]>; Jeff Duch in - Public Health - Seattle & King County

([email protected]) <[email protected]>; Jennifer Herriott (SAMHD)

<Jennifer. [email protected]>; Kelly Colopy (kel ly.co\[email protected])

<[email protected]>; Kimi Watkins-Tartt <[email protected]>; LaQuandra Nesbitt

<[email protected]>; Marcy Flanagan ([email protected])

<[email protected]>; Gordon, Merle <[email protected]>; Muntu Davis

<[email protected]>; Mysheika Roberts <[email protected]>; Oxiris Barbot

<[email protected]>; Patty Hayes <[email protected]>; Phil Huang

<[email protected]>; Rachael Banks ([email protected])

<[email protected]>; Rex Archer <[email protected]>; Rita Nieves <[email protected]>; Sara

Cody Santa Clara County Public Health Department ([email protected])

<[email protected]>; Stephanie Hayden {[email protected])

<[email protected]>; Stephen Williams <[email protected]>; Thomas

Farley <[email protected]>; Tomas Aragon <[email protected]>; Villalta, Yesenia D

<[email protected]>; Vinny Taneja -Tarrant County Health Department

P431

([email protected]) <[email protected]>; Virginia Caine <[email protected]>;

Wilma Wooten <[email protected]>

Cc: Gabrielle Nichols <[email protected]>

Subject: FW: Guidance forThe Temporary Reassignment of State, Tribal, and Local Personnel During a

Declared Federal Public Health Emergency

CAUTION: This email originated from outside of the City of Cleveland. Do not click on links or open attachments unless you recognize the sender and know that the content is safe. If you believe that this email is suspicious, please forward to [email protected].


Executive Director

Big Cities Health Coalition I @BigCitiesHealth

Desk Phone: 301-664-2989


Bethesda, MD 20814

From: CSTLTS Director (CDC) <[email protected]>


Subject: Guidance for The Temporary Reassignment of State, Tribal, and Local Personnel During a Declared

Federal Public Health Emergency

Dear Colleague,

As a follow-up to the communication sent on January 31, 2020 regarding the public health emergency for

the novel Coronavirus (2019-nCoV), CDC understands that it may require that you mobilize public health

capabilities, including the reassignment of personnel from their normal duties including those funded by

CDC grants.

The purpose of this correspondence is to clarify the process for requesting temporary reassignment of

state, tribal, and local personnel during an HHS Secretary declared public health emergency. This authority

terminates September 30, 2023.

Section 701 of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 (PAHPAI),

42 USC 201, Public Law 116-22 amends section 319 of the Public Health Service (PHS) Act to provide the

Secretary of the Department of Health and Human Services (HHS) with discretion to authorize the

temporary reassignment of state, tribal, and local personnel during a declared federal public health

emergency upon request by a state or tribal organization. The temporary reassignment provision is

applicable to state, tribal, and local public health department or agency personnel whose positions are

funded, in full or part, under PHS programs and allows such personnel to immediately respond to the public

health emergency in the affected jurisdiction. Funds provided under the award may be used to support

personnel who are temporarily reassigned in accordance with section 319(e).

P432

A Governor of a state, local or tribal organization or their designee may request to temporarily reassign

state and local public health department, tribal, or agency personnel funded in whole or in part through

programs authorized under the PHS Act to immediately address a public health emergency in the state or

Indian tribe during the period of the emergency. The following reassignment conditions apply:

Reassignment must be voluntary;

Locations for reassignment must be covered under the public health emergency; and

Any reassignment over 30 days must be reauthorized.

In the case of submission by a designee, a copy of the designation must be included. Please note that

reassignments are not authorized until HHS approval is received.

Detailed information, including Guidance for Temporary Reassignment of State and Local Personnel during

a Public Health Emergency, is available on the Assistant Secretary for Preparedness and Response {ASPR)

website via http://www.phe.gov/Preparedness/legal/pahpa/section201/Pages/default.aspx. To request the

temporary reassignment of personnel, a state governor, tribal leader, or designee must complete the

Request for the Temporary Reassignment of State. Tribal and Local Personnel During a Public Health

Emergency Declared by the HHS Secretary and submit it to [email protected].

Once the request to temporarily reassign staff has been approved, state, local, or tribal staff should

continue to coordinate with their CDC Grants Management Officer {GMO) and Project Officer {PO) assigned

to the grant or cooperative agreements. This will ensure that all parties are clear regarding the potential

impact to their program, including the extent and the duration of the planned assignment(s). Other

requests for programmatic or financial modification of CDC grants and cooperative agreements will be

carried out with full consideration.

The following is an outline of the process from the receipt of a request.

ASPR will receive a written request for authorization to temporarily reassign personnel from the

1 state or tribal locality via email ([email protected]).

The Secretary's Operations Center {SOC,) acting as the ASPR Coordinator, will respond to the state

2 or tribal organization via email to confirm receipt of the request.

The SOC will relay the request to the appropriate authorizing HHS OPDIV or STAFFDIV within one

3 business day via email.

4 The HHS OPDIV or STAFFDIV POC will confirm receipt of the requestto the ASPR Coordinator.

Upon completion of the review, the OPDIV or STAFFDIV will provide the decision to the ASPR

5 Coordinator, who will inform the applicant of the OPDIV/STAFFDIV's decision within one business

day of receipt.

The ASPR Coordinator will record decisions to ensure senior Departmental leadership is aware of

6 the use of the authority to support public health emergencies.

If the state or tribal locality needs an extension to submit the report, the state or tribal locality

P433

7 must notify the ASPR Coordinator by email.

The ASPR Coordinator will alert the HHS OPDIV or ST AF FD IV POC of the report extension request

8 within 48 hours by email.

Respectfully,

Terrance W. Perry

Director

Office of Grants Services (OGS)

Office of Financial Resources (OFR)

Office of the Chief Operating Officer (OCOO)

Centers for Disease Control and Prevention (CDC)

[email protected] I 770-488-8424 office I 404-509-6572 cell

§ OFR g;:i~! ~~ ~~~~~~e~~fue~(6~s) Jose T. Montero, MD, MHCDS

Director, Center for State, Tribal, Local, and Territorial Support


P434

From: To:

DPH. Phepr CDPH) Tactay, Cherry CDPH); DPH-PHD-Public Health Emergency Preparedness and Response; Ochi. Ed CDPH); Vien. Veronica CDPH); Stoltey, Juliet CDPH); Stier. David (DPH); Duren. James (DPH): Majeski. Nick (ADM); Sanchez. Melissa (DPH); Masinde, Godfred (DPH); Siador. Christine CDPH); Aragon, Tomas CDPH); Kwong, Amanda CDPH); DPH-Integration Steering Committee; [email protected]; [email protected]; DutyOfficer. DEM CDEM); mhccsitreps&[email protected]; [email protected]; Padilla. Cristina (DPH); Acosta. Linda CDPH); Naser. Rawan (DPH); Nguyen, Rita CUCSF); Van Etten, Susan CDPH); [email protected]; Zarate. Sheilah CDPH); Robert. Anna (DPH); OVADIA. AMY CDPH): Saelee, Kenpou CDPH); McDonald. Thomas (ADMl; Barbrich, Krzysztof (ADM); Enanoria, Wayne CDPH); Sanchez. Melissa (UCSF); Onqpin, Melissa (DPH); Do, Jennifer-Xuan CDPHl; Paule, Gretchen CDPH); Sefat Cimma CDPH); Bunting, Buffy (DPH); Pierce. Karen (DPH); Rodriquez. Marise CDPH); Ta. Melissa CDPH); Lee. Elaine CDPH); Buckley, Ken (DPH); Aguallo. Daisy (DPH); Obien, Elaine CDPH); Palma. David (DPH); Gee. Katherine CDPH); Murrell, Drew (DPH); Schmidt. Jeffrey (DPHl; Grimes. John CDPH); Louie. Janice (DPH); Bacon. Oliver (UCSF); Lam, WaiMinq CDPH); Maxson. Latonya (DPH); Chan. Curtis CDPH); Matvias. Mark (DPH); Holcomb. Andrew (DPH); Dutv Officer, EMSA@EMSA; Kirian, Michelle; Strona, Frank CDPH); Wall. Megan (DPH); Xu, Jason (DPH)

Subject: SFDPH DOC nCoV Situation Status report 02/06/20 Date: Thursday, February 6, 2020 1:41:29 PM

SFDPH DOC nCoV Situation Status report #12 {02/06/20)

Status: Yellow

Outlook: Worsening

Need: None

# of Cases/Deaths

Worldwide: 28,353 cases/ 565 Deaths (John Hopkins CSSE, link below)

US: 12 Cases / 0 Deaths

CA: 6 Cases / 0 Deaths

SF: 0 Cases



" Ors. Grant Colfax, Tomas Aragon, and Sunny Pak will be attending

the Chinese New Year Parade Public Safety Press Conference .

.. DPH and multiple CCSF agencies are developing an advanced planning

strategy to meet the expanding need for resources and support in the

nCoV-2019 response.

" DPH is working to provide additional education to CCSF staff, hospital

visitors, and patients to address concerns of nCoV-2019 infection in health

care settings.

" DPH is working closely with SF Urgent Care and outpatient facilities to

mitigate potential medical surge to hospitals.

• DPH Epidemiologists are leading efforts to systematically track and monitor

PUis.

" DOC Supply Unit is working to address shortage of N95 and surgical

masks. An emergency cache of masks has been accessed to support normal

P435

operations. Supply Unit is reaching out to the Office of Contracts

Administration (OCA) for their support.

• DPH is not recommending that CCSF staff wear additional Personal

Protective Equipment (PPE) outside of their normal job

requirements. Guidance on proper method to request and receive PPE is

being developed and will be communicated to health care facilities.

" EMS actively working on transport procedures for inner city transfers of

confirmed or suspected cases, as designated Infection Control Ambulances

are in short supply in the region.

• CCSF Department of Human Resources (DHR) will send out guidance for

CCSF employees who are returning from travel to mainland China within

the last 14 days.

• DPH recommendation for travelers returning from mainland China 1-14

days before the Federal Quarantine Orders were announced on 02/03/20:

if you feel sick with fever, cough, or shortness of breath, seek medical care

right away. Before you go to a doctor's office, clinic, or emergency room,

call ahead and tell them about your recent travel and your symptoms so

that they can prepare for your visit (see link below)-

• https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel

coronavirus/

• CDC reports the nCoV-2019 virus is in process of being renamed

name. Multiple scientists and communications experts have noted the need

for a more descriptive, easy to use name that avoids the pitfalls of past

naming conventions for pathogens. The new name will be released within a

few days.

" CDC nCoV page:



.. WHO announced that they have developed a partnership with Google to

work to prevent misinformation. Earlier this week

Facebook announced that it would take actions to remove misinformation

regarding the outbreak from its social media platform.

• WHO nCoV-2019 page: https://www.who.int/emergencies/diseases/novel

coronavirus-2019

P436


• CDC provided CDPH with a list of 7 potential PUI cases in CA that require

local jurisdiction follow up and monitoring. CDPH anticipates receiving a

larger list of follow up cases from the CDC in the coming days.

• CDPH nCoV

page: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/

nCOV2019.aspx

Johns Hopkins Data Dashboard (real time updates, data sources- WHO, CDC,

NHC, and DXY.)

International data:

.. 28,353 confirmed cases; 28,088 cases in mainland China; 563 deaths in

China

.. 227 confirmed cases outside of China across 27 countries/regions.


.. 1 new confirmed U.S. case in Wisconsin; 12 total confirmed cases in the

U.S.

.. https: //gisa n dd ata. maps.a rcgis. com/a pps/opsdash boa rd/ind ex. htm I# /bda 7

594740fd40299423467b48e9ecf6




P437

From: Aldern. Gabrielle (DPH) To: Leonoudakis. Kristina CDPH); Walsh, Douglas (DPH); Aragon. Tomas CDPH) Subject: Re: Sit Stat for review!! SFDPH DOC nCoV Situation Status report #12 (02/06/20)

Thursday, February 6, 2020 1:31:30 PM Date:

I removed some stuff if I didn't want it in, so just copy and paste those bullets where I made changes. Thanks!

Get Outlook for iOS

From: Leonoudakis, Kristina (DPH) <[email protected]>

Sent: Thursday, February 6, 2020 1:23:49 PM

To: Walsh, Douglas (DPH) <[email protected]>; Aldern, Gabrielle (DPH)

<[email protected]>; Aragon, Tomas (DPH) <[email protected]>

Subject: Re: Sit Stat for review!! SFDPH DOC nCoV Situation Status report #12 (02/06/20)

Thank you Gabby! The edits in red: simply add these or use to replace the cmrent statements? Just want to be sure!

On Feb 6, 2020, at 12:56 PM, Leonoudakis, Kristina (DPH) <kristina.m. [email protected]> wrote:



# of Cases/Deaths Worldwide: 28,353 cases I 565 Deaths (John Hopkins CSSE, link below) US: 12 Cases/0 Deaths CA: 6 Cases/0 Deaths SF: 0 Cases


.. DPH and multiple CCSF agencies are developing an advanced planning strategy

to meet the expanding need for resources and support in the nCoV-2019

response.

.. DPH is working to provide additional education to CCSF staff, hospital visitors,

and patients to address concerns of nCoV-2019 infection in health care settings.

.. DPH is working closely with SF Urgent Care and outpatient facilities to mitigate

potential medical surge to hospitals.

.. DPH Epidemiologists are leading efforts to systematically track and monitor PUis.

.. DPH Supply Unit is on back order for N95 and other masks. An emergency cache

P438

of masks has been accessed to support normal operations. Supply Unit is reaching out to the Office of Contracts Administration (OCA) for their support.

" DPH is not recommending that CCSF staff wear additional Personal Protective Equipment (PPE) outside of their normal job requirements.

" EMS actively working on transport procedures for inner city transfers of confirmed or suspected cases, as designated Infection Control Ambulances are in short supply in the region.

" CCSF Department of Human Resources (OHR) will send out guidance for CCSF employees who are returning from travel to mainland China within the last 14 days .

.. DPH recommendation for travelers returning from mainland China 1-14 days before the Federal Quarantine Orders were announced on 02/03/20: if you feel sick with fever, cough, or shortness of breath, seek medical care right away. Before you go to a doctor's office, clinic, or emergency room, call ahead and tell them about your recent travel and your symptoms so that they can prepare for your visit (see link below)-

" bttps: //www .sfcd cp. org/i nf ectious-d iseases-a-to-z/coron avi rus-2019-n ovel

coronavi rus/

.. CDC reports the nCoV-2019 virus is in process of being renamed

name. Multiple scientists and communications experts have noted the need for a more descriptive, easy to use name that avoids the pitfalls of past naming conventions for pathogens. The new name will be released within a

few days.

• CDC nCoV page:

bttps: //www.cdc.gov/coronavi rus/2019-ncov /ind ex. htm I


• WHO announced that they have developed a partnership with Google to work to prevent misinformation. Earlier this week Facebook announced that it would take actions to remove misinformation regarding the outbreak from its social media platform.

" WHO nCoV-2019 page: https://www.who.int/emergencies/diseases/novel

coronavirus-2019


.. CDC provided CDPH with a list of 7 PU! cases in CA that require local

P439

jurisdiction follow up and close monitoring. CDPH anticipates receiving a


• CDPH nCoV

page: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/

nCOV2019.aspx

Johns Hopkins Data Dashboard (real time updates, data sources- WHO, CDC, NBC, and DXY.) International data:

.. 28,353 confirmed cases; 28,088 cases in mainland China; 563 deaths in China

.. 227 confirmed cases outside of China across 27 countries/regions. National (U.S.) data:

" 1 new confirmed U.S. case in Wisconsin; 12 total confirmed cases in the U.S.

.. https: //gisa n ddata. maps. a rcgis. com/a pps/opsdash board/ind ex. htm 1#/bd a 7

594740fd40299423467b48e9ecf6




P440

From: Leonoudakis. Kristina (DPH)

To: Walsh. Douglas (DPHl; Aldern, Gabrielle CDPH); Aragon. Tomas (DPH)

Subject: Re: Sit Stat for review!! SFDPH DOC nCoV Situation Status report # 12 (02/06/20)

Thursday, February 6, 2020 1:23:50 PM Date:

Thank you Gabby! The edits in red: simply add these or use to replace the cunent statements? Just want to be sure!

On Feb 6, 2020, at 12:56 PM, Leonoudakis, Kristina (DPH) <[email protected]> wrote:



# of Cases/Deaths Worldwide: 28,353 cases I 565 Deaths (John Hopkins CSSE, link below) US: 12 Cases/O Deaths CA: 6 Cases/O Deaths SF: 0 Cases


" DPH and multiple CCSF agencies are developing an advanced planning strategy

to meet the expanding need for resources and support in the nCoV-2019

response.

.. DPH is working to provide additional education to CCSF staff, hospital visitors,

and patients to address concerns of nCoV-2019 infection in health care settings.

" DPH is working closely with SF Urgent Care and outpatient facilities to mitigate

potential medical surge to hospitals.

• DPH Epidemiologists are leading efforts to systematically track and monitor PUis.

" DPH Supply Unit is on back order for N95 and other masks. An emergency cache

of masks has been accessed to support normal operations. Supply Unit is

reaching out to the Office of Contracts Administration (OCA) for their support.

" DPH is not recommending that CCSF staff wear additional Personal Protective

Equipment (PPE) outside of their normal job requirements.

.. EMS actively working on transport procedures for inner city transfers of

confirmed or suspected cases, as designated Infection Control Ambulances are

in short supply in the region.

" CCSF Department of Human Resources (DHR) will send out guidance for CCSF

employees who are returning from travel to mainland China within the last 14

days.

P441

DPH recommendation for travelers returning from mainland China 1-14 days before the Federal Quarantine Orders were announced on 02/03/20: if you feel sick with fever, cough, or shortness of breath, seek medical care right away. Before you go to a doctor's office, clinic, or emergency room, call ahead and tell them about your recent travel and your symptoms so that they can prepare for your visit (see link below)-

" https: //www.sfcdcp.org/i nfectious-d iseases-a-to-z/coron avi rus-2019-novel

coronavi rus/

• CDC reports the nCoV-2019 virus is in process of being renamed name. Multiple scientists and communications experts have noted the need for a more descriptive, easy to use name that avoids the pitfalls of past naming conventions for pathogens. The new name will be released within a few

days.

• CDC nCoV page:




• WHO nCoV-2019 page: https://www.who.int/emergencies/diseases/novel

coronavirus-2019


• CDC provided CDPH with a list of 7 PUI cases in CA that require local

jurisdiction follow up and close monitoring. CDPH anticipates receiving a


• CDPH nCoV page: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/nCOV

2019.aspx

P442


.. 28,353 confirmed cases; 28,088 cases in mainland China; 563 deaths in China

.. 227 confirmed cases outside of China across 27 countries/regions. National (U.S.} data:

.. 1 new confirmed U.S. case in Wisconsin; 12 total confirmed cases in the U.S.

" https://gisanddata. maps.a rcgis.com/a pps/opsdash board/i ndex.htm 1#/bda 7

594740fd40299423467b48e9ecf6




P443

From: To: Cc:

Aldern Gabrjpl!e <opH) I eonoudakls Kr!stlna fDPH)• Aragon Tomas fDPH) Walsh Douglas COpH)

Subject: Re: Sit Stat for review!! SFDPH DOC nCoV Situation Status report #12 (02/06/20) Thursday, February 6, 2020 1:17:53 PM Date:

Minimal edits below in red. Thanks Kris! -Gabby


# of Cases/Deaths Worldwide: 28,353 cases/ 565 Deaths (John Hopkins CSSE, link below) US: 12 Cases/O Deaths CA: 6 Cases/O Deaths SF: 0 Cases


• DPH and multiple CCSF agencies are developing an advanced planning strategy to meet the expanding need for resources and support in the nCoV-2019 response.

• DPH is working to provide additional education to CCSF staff, hospital visitors, and patients to address concerns of nCoV-2019 infection in health care settings.

• DPH is working closely with SF Urgent Care and outpatient facilities to mitigate potential medical surge to hospitals. • DPH Epidemiologists are leading efforts to systematically track and monitor PUis. • DOC Supply Unit is working to address shortage of N95 and surgical masks. An emergency cache of masks has been accessed to

support normal operations. Supply Unit is reaching out to the Office of Contracts Administration (OCA) for their support. • DPH is not recommending that CCSF staff wear additional Personal Protective Equipment (PPE) outside of their normal job

requirements. Guidance on proper method to request and receive PPE is being developed and will be communicated to health care facilities.

• EMS actively working on transport procedures for inner city transfers of confirmed or suspected cases, as designated Infection Control Ambulances are in short supply in the region.

• CCSF Department of Human Resources (OHR) will send out guidance for CCSF employees who are returning from travel to mainland China within the last 14 days.

• DPH recommendation for travelers returning from mainland China 1-14 days before the Federal Quarantine Orders were announced on 02/03/20: if you feel sick with fever, cough, or shortness of breath, seek medical care right away. Before you go to a doctor's office, clinic, or emergency room, call ahead and tell them about your recent travel and your symptoms so that they can prepare for your visit (see link below)-

• https-1/www sfcdcp org/infectious-diseases-a-to-z/coronavirus-2019-novel-coronavirus/

• CDC reports the nCoV-2019 virus is in process of being renamed name. Multiple scientists and communications experts

have noted the need for a more descriptive, easy to use name that avoids the pitfalls of past naming conventions for pathogens. The new name will be released within a few days.

• CDC nCoV page:

https· //www cdc gov/coronavirus/2019-ncov/index html

WHQ (World Health Organization)-


• WHO nCoV-2019 page: https://www who int/emergencies/diseases/novel-coronavirus-2019

.cD.£H (California Department of Public Health)-

• CDC provided CDPH with a list of7 PUI cases in CA that require local jurisdiction follow up and close monitoring. CDPH

anticipates receiving a larger list of follow up cases from the CDC in the coming days.

• CDPH nCoV page: https·//www cdph.ca gov/Programs/CID/DCDC/Pages/immunization/nCOV2019 aspx

P444

.Johns Hopkins Data Dashboard (real time updates, data sources- WHO, CDC, NHC, and DXY.) International data:

• 28,353 confirmed cases; 28,088 cases in mainland China; 563 deaths in China • 227 confirmed cases outside of China across 27 countries/regions.

National (lJ S) data:

• 1 new confirmed U.S. case in Wisconsin; 12 total confirmed cases in the U.S. • https://gisanddata maps.arcgjs com/apps/opsdasbboard/index html#/bda7594740fd40299423467b48e9ecf6





Cc: Walsh, Douglas (DPH) <[email protected]>; Aldern, Gabrielle (DPH) <[email protected]>

Subject: Re: Sit Stat for review!! SFDPH DOC nCoV Situation Status report #12 (02/06/20)

Thank you for the changes and updates Tomas!

On Feb 6, 2020, at 1 :02 PM, Aragon, Tomas (DPH) <tom as aragon@sfdpb org> wrote:

Kris,

Add "Drs. Grant Colfax, Tomas Aragon, and Sunny Pak will be attending the Chinese New Year Parade Public Safety Press

Conference."

Under CDPH: change "CDC provided CDPH with a list of? PUI cases in CA" to "CDC provided CDPH with a list of? potential PUI

cases in CA"

Thanks!

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

"Radical transformational leadership is leading change from the universal values of dignity, equity, compassion and humility to transform self, people, systems and cultures towards equity and sustainable results." (learn more http-I/bit ly/phd-lead)

NOTICE: This message and attachments may contain confidential or privileged information. If you are not the intended recipient,

disclosure, copying, use, or distribution of the information is prohibited. Notify the sender immediately and delete all information.

From: Leonoudakis, Kristina (DPH) <kristjna m [email protected]>


To: Walsh, Douglas (DPH) <douglas walsh@sfdpb org>; Aldern, Gabrielle (DPH) <gabrjelle aldero@sfdph org>; Aragon, Tomas (DPH)

<tomas aragon@sfdph org>

Cc: Leonoudakis, Kristina (DPH) <kristjna.m.leonoudokis@sfdob org>

Subject: Sit Stat for review!! SFDPH DOC nCoV Situation Status report #12 (02/06/20)



P445


Updates and Response: S£.D.W Summary of actions


• DPH is working to provide additional education to CCSF staff, hospital visitors, and patients to address concerns of nCoV-2019

infection in health care settings.

• DPH is working closely with SF Urgent Care and outpatient facilities to mitigate potential medical surge to hospitals.

• DPH Epidemiologists are leading efforts to systematically track and monitor PUis.

• DPH Supply Unit is on back order for N95 and other masks. An emergency cache of masks has been accessed to support normal operations. Supply Unit is reaching out to the Office of Contracts Administration (OCA) for their support.

• DPH is not recommending that CCSF staff wear additional Personal Protective Equipment (PPE) outside of their normal job requirements.

• EMS actively working on transport procedures for inner city transfers of confirmed or suspected cases, as designated Infection

Control Ambulances are in short supply in the region.

• CCSF Department of Human Resources (DHR) will send out guidance for CCSF employees who are returning from travel to mainland China within the last 14 days.

• DPH recommendation for travelers returning from mainland China 1-14 days before the Federal Quarantine Orders were announced

on 02/03/20: if you feel sick with fever, cough, or shortness of breath, seek medical care right away. Before you

go to a doctor's office, clinic, or emergency room, call ahead and tell them about your recent travel and your symptoms so that they can prepare for your visit (see link below)-

• https · !lwww sfcdcp org/infectious-disea ses-a-to-z/corooavirus-201 9-oovel-corooavjrus/

• CDC reports the nCoV-2019 virus is io process of being renamed name. Multiple scientists and communications experts


• CDC nCoV page:

https·//www cdc govkorooavjrus/2019-ocov/iodex html

,WHD_ (World Health Organization)-


• WHO oCoV-2019 page: https·(/www.who int/emergencjes/diseases/novel-coronavirus-2019

.cnIB (California Department of Public Health)-

• CDC provided CDPH with a list of7 PUI cases in CA that require local jurisdiction follow up and close monitoring. CDPH


• CDPH nCoV page: https'//www cdph ca gov/Programs/CID/DCDC/Pages/immunizatjon/nCOVZOJ 9 aspx

.Johns Hopkins Data Dashboard (real time updates, data sources- WHO, CDC, NHC, and DXY.) International data:


National (l! S) data:

• 1 new confirmed U.S. case in Wisconsin; 12 total confirmed cases in the U.S.

• https://gisanddata maps arcgjs com/apps/opsdashboard/index html#/bda7594740fd40299423467b48e9ecf6


P446



P447

From: To: Cc:

leonoudakjs Kristina COPH)

Aragon Tomas lDPH) Walsh Douglas CDpH); A!dem Gabr!elle mpH)

Subject: Re; Sit Stat for review!! SFDPH DOC nCoV Situatlon Status report #12 (02/06/20) Thursday, February 6, 2020 1:10:25 PM Date:

Thank you for the changes and updates Tomas!

On Feb 6, 2020, at 1 :02 PM, Aragon, Tomas (DPH) <tomas aragon@sfdph org> wrote:

Kris,

Add "Ors. Grant Colfax, Tomas Aragon, and Sunny Pak will be attending the Chinese New Year Parade Public Safety Press Conference."

Under CDPH: change "CDC provided CDPH with a list of7 PUI cases in CA" to "CDC provided CDPH with a list of7 potential PUI

cases in CA"

Thanks!

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

"Radical transformational leadership is leading change from the universal values of dignity, equity, compassion and humility to transform self, people, systems and cultures towards equity and sustainable results." (learn more bttp'//bit ly/phd-lead)

NOTICE: This message and attachments may contain confidential or privileged information. If you are not the intended recipient,

disclosure, copying, use, or distribution of the information is prohibited. Notify the sender immediately and delete all information.

From: Leonoudakis, Kristina (DPH) <krjstjoa m \eoooudakjs@sfdoh om> Sent: Thursday, February 6, 2020 12:56 PM To: Walsh, Douglas (DPH) <douglas walsb@sfdgh org>; Aldern, Gabrielle (DPH) <gabrielle aldern@sfdph org>; Aragon, Tomas (DPH) <tomas aragon@sfdph org> Cc: Leonoudakis, Kristina (DPH) <kristjna m leonoudakjs@sfdph org> Subject: Sit Stat for review!! SFDPH DOC nCoV Situation Status report #12 (02/06/20)


# of Cases/Deaths


Worldwide: 28,353 cases I 565 Deaths (John Hopkins CSSE, link below) US: 12 Cases/O Deaths CA: 6 Cnses/O Deaths SF: 0 Cases

Updates and Response: .s.EO.e.l:i Summary of actions


• DPH is working to provide additional education to CCSF staff, hospital visitors, and patients to address concerns of nCoV-2019 infection in health care settings.

• DPH is working closely with SF Urgent Care and outpatient facilities to mitigate potential medical surge to hospitals. • DPH Epidemiologists are leading efforts to systematically track and monitor PUis. • DPH Supply Unit is on back order for N95 and other masks. An emergency cache of masks has been accessed to support normal

operations. Supply Unit is reaching out to the Office of Contracts Administration (OCA) for their support.

P448

• DPH is not recommending that CCSF staff wear additional Personal Protective Equipment (PPE) outside of their normal job requirements.

• EMS actively working on transport procedures for inner city transfers of confirmed or suspected cases, as designated Infection Control Ambulances are in short supply in the region.

• CCSF Department of Human Resources (DHR) will send out guidance for CCSF employees who are returning from travel to mainland

China within the last 14 days.

• DPH recommendation for travelers returning from mainland China 1-14 days before the Federal Quarantine Orders were announced

on 02/03/20: if you feel sick with fever, cough, or shortness of breath, seek medical care right away. Before you

go to a doctor's office, clinic, or emergency room, call ahead and tell them about your recent travel and your symptoms so that they can prepare for your visit (see link below)-

• httos· //www sfcdcp org/infect'1ous-diseases-a-to-z /coco navi rus-2019-novel-coronavi rus/

• CDC reports the nCoV-2019 virus is in process of being renamed name. Multiple scientists and communications experts


• CDC nCoV page:

https://www cdc.gov/coronavjrus/2019-ncov/index html

:wB.Q (World Health Organization)-


• WHO nCoV-2019 page: https://www who int/emergencies/diseases/novel-coronavin1s-2019

Dl£ll (California Department of Public Health)-

• CDC provided CDPH with a list of 7 PUI cases in CA that require local jurisdiction follow up and close monitoring. CDPH


• CDPH nCoV page: httpS'//www cdph ca goy/programs/CIDIDCDC/Pages/lmmunization/nCOV2019 aspx


International data:


National (l! S ) data:

• 1 new confirmed U.S. case in Wisconsin; 12 total confirmed cases in the U.S. • https-/!gisanddata maps arcgis com/apps/opsdashboard/index html#/bda7594740fd40299423467b48e9ecf6




P449

From: Leonoudakis, Kristina CDPH) To: Cc:

Walsh, Douglas CDPH); Aldern. Gabrielle (DPH); Aragon, Tomas (DPH) Leonoudakis, Kristina (DPH)

Subject: Sit Stat for review!! SFDPH DOC nCoV Situation Status report #12 (02/06/20) Thursday, February 6, 2020 12:56:04 PM Date:





• DPH and multiple CCSF agencies are developing an advanced planning strategy to meet the

expanding need for resources and support in the nCoV-2019 response.

• DPH is working to provide additional education to CCSF staff, hospital visitors, and patients to

address concerns of nCoV-2019 infection in health care settings.

.. DPH is working closely with SF Urgent Care and outpatient facilities to mitigate potential

medical surge to hospitals.

" DPH Epidemiologists are leading efforts to systematically track and monitor PUis.

• DPH Supply Unit is on back order for N95 and other masks. An emergency cache of masks has

been accessed to support normal operations. Supply Unit is reaching out to the Office of

Contracts Administration (OCA) for their support

• DPH is not recommending that CCSF staff wear additional Personal Protective Equipment

(PPE) outside of their normal job requirements.

" EMS actively working on transport procedures for inner city transfers of confirmed or

suspected cases, as designated Infection Control Ambulances are in short supply in the region.

" CCSF Department of Human Resources {DHR) will send out guidance for CCSF employees who

are returning from travel to mainland China within the last 14 days.

• DPH recommendation for travelers returning from mainland China 1-14 days before the

Federal Quarantine Orders were announced on 02/03/20: if you feel sick with fever, cough, or shortness of breath, seek medical care right away. Before you go to a doctor's office, clinic, or emergency room, call ahead and tell them about your recent travel and your symptoms so that they can prepare for your visit (see link below)-

" https: //www .sfcdcp.org/infectious-diseases-a-to-z/coro n avi rus-2019-novel-coronavi rus/

P450

.. CDC reports the nCoV-2019 virus is in process of being renamed name. Multiple scientists and communications experts have noted the need for a more descriptive, easy to use name that avoids the pitfalls of past naming conventions for pathogens. The new

name will be released within a few days.

.. CDC nCoV page:



.. WHO announced that they have developed a partnership with Google to work to prevent misinformation. Earlier this week Face book announced that it would take actions to remove misinformation regarding the outbreak from its social media platform.

" WHO nCoV-2019 page: https://www.who.int/emergencies/diseases/novel-coronavjrus-

2019


" CDC provided CDPH with a list of 7 PUI cases in CA that require local jurisdiction follow

up and close monitoring. CDPH anticipates receiving a larger list of follow up cases from

the CDC in the coming days.

" CDPH nCoV page: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/nCOV2019.aspx


" 28,353 confirmed cases; 28,088 cases in mainland China; 563 deaths in China " 227 confirmed cases outside of China across 27 countries/regions.

National (U.S.) data: " 1 new confirmed U.S. case in Wisconsin; 12 total confirmed cases in the U.S. " https://gisa nddata.ma ps.a rcgis.com/a pps/opsdash board/index. htm 1#/bda 7594 7 40fd40

299423467b48e9ecf6



P451


P452

From: State and Local Readiness (CDC) To: Subject: Date:

CDC IMS State Coordination Task Force (SCTF) Lead CDC Returning Traveler Discussion for F11 Jurisdictions

Thursday, February 6, 2020 12:00:49 PM Importance: High


Today's call is still scheduled, plesise disregard any cancellation email notification received. Thanks!

CDC Returning Traveler Discussion for F11 Jurisdictions CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host a call from 3 p.m. to 4 p.m. EST for the duration of this week, to discuss plans for returning travelers within the eleven funneling jurisdictions, status reports and concerns. Feel free to include your state epidemiologist, preparedness director, state/city emergency management official, and other core team members.

Bridgeline: 1 (888)455-7719 Passcode: 7511812 · OR Bldg. 21 Plans Team Room (3302)

State Coordination <Tasft Poree (SC<TP) Division of State and Local Readiness (DSLR) Center for Preparedness and Response (CPR)

Centers for Disease Control and Prevention (CDC) 1600 Clifton Road, NE, MS H21-5, Atlanta, GA 30349-4027

PROTECTING .11,MERICA'S SAFETY, HEALTH, AND SECURiTY

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Morbidity and Mortality Weekly Reoort CMMWR) (CDC) Aragon Tomas !DPHl This Week in MMWR - Vol. 69, February 7, 2020 Thursday, February 6, 2020 10:03:36 AM


1MfVIWRtari11·er--·-----I

February 7, 2020

WEEKLY REPORT

Human Rabies Utah, 2018

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I I i I I I

I I i

I I

I --------·--·-----·-·· ------ .-.. -· ----___ __J

Educating the general public about the risk for rabies through bat exposure and advising health care providers to consider rabies in the differential diagnosis of unexplained neurologic symptoms could reduce exposures .

.. Carfentanil Outbreak Florida, 2016-2017

" Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and

Adolescents Aged 18 Years or Younger United States, 2020

" Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19

Years or Older United States, 2020

" Licensure of a Diphtheria and Tetanus Toxoids and Acellular Pertussis, Inactivated Poliovirus,

Haemophilus inf/uenzae Type b Conjugate, and Hepatitis B Vaccine, and Guidance for Use in Infants

" Initial Public Health Response and Interim Clinical Guidance for the 2019 Novel Coronavirus Outbreak -

United States, December 31, 2019-February 4, 2020

QUlCKSTATS

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Percentage of Adults Aged 18-64 Years with a Usual Place for Health Care, by Race/Ethnicity- National Health Interview Survey, United States, 2008 and 2018

COMT!MU~NG EDUCATION

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PDF of the Weekly Issue (link).

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From: To:

CCSF Department of Emergency Management Aragon, Tomas CDPH)

Subject: Date:

DEM 24-Hour Daily Situational Awareness Report - 02-06-2020 Thursday, February 6, 2020 9:53:58 AM




- The Centers for Disease Control and Prevention (CDC) has confirmed 6 cases of

the 2019 Novel Coronavirus in California:




1 - Orange County










·CDC information for healthcare providers: https://www.cdc.gov/coronavirus/2019-



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https ://www .sf72. o rg/







- Primary (415) 260-2591

- Desk ( 415) 558-2738




- Current Duty Officer: Tom Chin I 415-260-2591

Manager On Call (MOC): Francis Zamora - 415-558-3830 -

[email protected]

Public Information Officer: Victor Lim -415-748-0028 [email protected] I 415-

558-2712




~I EOC Open I Watch Center 0600-2230; daily (Monitoring) (excluding holidays)

LJI EOC Open I Partial w/ 1st Response


~I EOC Open I Full Activation I As Needed I (All Sections and Positions)


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Today - Sunny, high of 61.

Tonight- Patchy fog after 4:00am. Otherwise cloudy with a low of 46. Winds of 6

mph.

Tomorrow - Patchy fog before 9:00am, the becoming sunny. High of 61, winds 5 to 7

mph in the afternoon.


Current: 45



Thursday (2/6/2020)



Happening This Week - Special Events from 02-07-2020 at 00:00, 02-13-2020 at

00:00:

Friday (2/7/2020)


Saturday (2/8/2020)

- KTVU Broadcast of CNY Parade, from 3:00pm to 11 :OOpm, at Geary Between

Stockon and Powell Streets.

- Chinese New Year Parade, from 5:00pm to 9:00pm. Begins at 2nd St and Market,

continues around Union Square, ends at Kearny St and Columbus Ave

- Armin Van Buuren Concert, from 5:00pm to midnight@ Bill Graham

- Warriors vs Lakers, from 5:30pm to 9:00pm @ Chase Center

Sunday (2/9/2020)


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Monday (2/10/2020)

- Warriors vs Heat, from 7:30pm to 11 :OOpm@ Chase Center

Tuesday (2/11/2020)



-Film shoot from 7:00am until 2/17/2020, Fulton St. closed between Hyde and Larkin


-Film shoot on Fulton Street between Hyde and Larkin and on Ellis Street between

Leavenworth and Jones














SFO makes changes to coronavirus screenings

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SAN FRANCISCO, Calif. (KRON) - For the last several days there have been

changes for certain international travelers arriving at SFO due to the coronavirus.

"What is different is who is being screened," SFO spokesman Doug Yakel said. "Prior

to Sunday, just those who had been in the Wuhan area [were being tested.] Now,

anyone who has been in China in the last 14 days." While initially on Sunday that

seemed to cause some delays in the customs process, international travelers arriving

Tuesday said they were in and out of customs in 15 to 45 minutes. Part of that could

be due to the fact that many airlines have stopped or reduced the number of flights to

and from mainland China. "It's at a point now where it's a 50% reduction in flying

between SFO and mainland China and that could continue," Yakel said. The U.S.

government's decision to ban entry to all foreign nationals who have been in mainland

China in the last 14 days has reduced demand but among those stranded are full time

U.S. workers who are here on visas who are trying to get back.

https://www.kron4.com/health/coronavirus/sfo-makes-chanqes-to-coronavirus-screeninqs/

Buffing up San Francisco's historic piers to survive sea level rise

When the now-historic finger piers along San Francisco's Embarcadero were built,

you can bet the builders never expected that a century later, there would be

engineering studies on how to prepare the gaunt sheds for seas that could rise nearly

7 feet. But that's what the port has done - spending more than $100,000 on

conceptual scenarios, such as raising the floors inside the sheds above flood level. Or

adding solid railings around the edge of the piers. Or at the very least, waterproofing

the lower few feet of a pier's outer walls. The report being released Thursday

captures the dilemma facing San Francisco and other coastal cities. In a world where

aged waterfronts have become civic treasures, how do we strike a balance between

preparing for climate change and protecting the urban environment? "We are

committed to holding on to the current waterfront - the historic waterfront - for as

long as we can," said Elaine Forbes, executive director of the Port of San Francisco.

"Adaptive tools are important, because we face a dynamic force." The focus of the

study is the string of finger piers built in the early 20th century along the Embarcadero

to the north and south of the Ferry Building.

https://www .sf chronicle. com/environ men t/articl e/Buffinq-u p-Sa n-F rancisco-s-h istori c-piers-to-1503369 9. ph R

San Jose hospital workers sent home after coronavirus exposure

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Five employees at Good Samaritan Hospital in San Jose were sent home and told to

remain isolated after they were exposed to the coronavirus at the end of January, the

Santa Clara County Public Health Department said Tuesday. The employees must

remain isolated until Feb. 11. The workers helped treat a man who returned from

Wuhan, China on Jan. 24 and sought medical attention after falling ill. He was later

diagnosed with the coronavirus on Jan. 31. When the man was first diagnosed,

officials said the number of people exposed was low, since he only left his house to

seek medical attention. "We are quite fortunate in this case, as I think the list of

contacts is going to be very short," County Health Officer Dr. Sara Cody said at the

time. Santa Clara County is currently handling two cases of coronavirus. A woman

was diagnosed on Sunday, but officials do not believe the two cases are related. No

announcement has been made regarding individuals who may have come into

contact with the woman.

https: //www. sfg ate. co m/baya rea/ a rticle/coro navi rus-8 ay-Area-San-J ose-hos pita I-Sa nta-C la ra-1 50 321 88. ph p



safety partners.



P463

From: DPH Pheor CDPH) To: Wall. Megan CDPH): DPH-PHD-Public Health Emeraency Preparedness and Resronse; Ochi. Ed CDPHl; Vien. Veronica CDPH); Stoltey, Juliet

CDPHl; Stier. David CDPHl: Duren. James CDPH); Majeski. Nick CADM); Sanchez. Melissa CDPHl; Masinde. Godfred CDPHl; Siador, Christine CDPHl; Aragon, Tomas CDPH); Kwong, Amanda CDPH); DPH-Inteqration Steering Committee; [email protected]; [email protected]; DutvOfficer DEM CDEM); mhccsltreos&[email protected]; [email protected]; Padilla Cristina CDPH): Acosta Linda CDPH); Naser. Rawan IDPH); Nguyen, Rita IUCSFl; Van Etten, Susan IDPH); [email protected]; Zarate Sheilah (DPH); Robert Anna IDPH); OVADIA AMY (DPH); Saelee. Kenpou CDPH); McDonald Thomas CADMl; Barbrjch Krzysztof (ADM); Enanoria, Wayne CDPHl; Sanchez Melissa CUCSFl; Ongoin, Melissa CDPH); Do. Jennifer-Xuan CDPHl; Paule. Gretchen CDPH); Sefat, Cimma CDPH); Bunting, Buffy CDPH); Pierce. Karen CDPH); Rodriguez. Marise CDPHl; Ta, Melissa IDPH); Lee. Elaine (DPH); Buckley, Ken CDPH); [\QJ.JilljQ,, Daisy IDPH); Objen Elaine CDPH); Palma. David CDPHl; Gee. Katherine CDPH): Murrell. Drew (DPH); Schmidt. Jeffrey CDPH); Grimes John illPtfl; Louie. Janice CDPH): Bacon Oliver IUCSF); Lam. WaiMinq CDPH); Maxson, Latonya CDPHl; Chan Curtis (DPH): Matvias. Mark CDPHl; Holcomb Andrew (DPHl; Duty Officer EMSA@EMSA; Kirian Michelle; Strona, Frank CDPHl; Wall. Megan CDPH); Xu. Jason (DPH)

Subject: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat 02/05/20 Date: Thursday, February 6, 2020 9:32:44 AM



# of Cases/Deaths Worldwide: 24,631 cases/494 Deaths (John Hopkins CSSE, link below) US: 11 Cases/O Deaths CA: 6 Cases/O Deaths SF: 0 Cases


• Chinese community stakeholder "round table" on 02/04/20 (hosted by the Mayor's Office, DEM, and DPH)

was a great success! CCSF plans to continue robust outreach to the Chinese community to ensure up-to

date public information is accessible.

• CCSF is not recommending the need for Chinese community or cultural events to be cancelled as SF remains

at low risk for nCoV-2019 transmission in the community.

• DEM/DPH/HRC have developed anti-discrimination messaging and are working with the Mayor's Office to

plan for dissemination.

• DPH developing protocols for ope rationalizing traveler quarantine orders in SF, to promote safety and in

anticipation of growing needs for travelers returning from China and in need of evaluation, including

travelers returning from China pre-Federal Quarantine orders (before 02/03/20}.

• SF and regional partners identified the need for ongoing Federal support in execution of quarantine orders,

as collaboration and coordination across larger regions may be required.

• SF and regional acute care hospitals have identified a critical resource gap for accessing N95 and surgical

masks. DPH Supply Unit is actively working on this issue and will provide updates.

• CCSF Laboratories ordered nCoV-2019 testing supplies and instruction kits to enable 7-day a week testing

on site. Turn around time for test results will drastically reduce to same day or (maximum) 2 days wait time!

Lab is fully staffed, available off hours, and have equipment and supplies to run multiple tests, multiple

times a day.

• DPH revisiting protocols for field responders around Corona viruses vs. Novel Corona viruses and providing

education and support where needed.

• DEM and DPH are working together to streamline communications and notifications, by identifying a

"Health Liaison" to work with the EOC.

SFDPH Page: https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel-coronavirus/

• SFDPH DOC held call with Dr. Erica Pan, Health Officer, Alameda County, to discuss aligning local guidelines

to CDC guidance regarding returning travelers.

P464

• CDC reports of number of PUis in the U.S. -11 positive, 206 negative, and 76 pending tests. 36 states with

PUis.

• CDC public health response is focused on detection of nCoV-2019 and minimizing its' introduction into the

United States.

CDC nCoV page:

https://www.cdc.gov/co ro navi rus/2019-ncov /ind ex. htm I

WlIQ (World Health Organization)-

• WHO reported Belgium has 1st confirmed case of nCoV-2019.

• WHO released their "Global Strategic Preparation and Response Plan." Includes public health measures the

international community can provide to help mitigate impact in affected

countries.

04022020.cleaned.pdf

fi I e: !!IC: /Use rs/kri sti n a%2 01 eonou d a kis/Down loa ds/s rp-

• WHO in discussions with travel and tourism industries to address real and perceived risk and recommend

measures tom implement for their customers and employees.

• WHO's 3 areas of action:

1. Rapid international coordination to deliver operational, technical, or strategic support to affected

countries.

2. Help countries scale up their readiness and response.

3. Accelerate priority research and innovation.

• WHO reported U.S. data- 11 confirmed cases; 8 (new) confirmed cases with travel history to China; 2 (new)

confirmed case with possible transmission outside of China; 1 (new) confirmed case with site of

transmission under investigatiori.

WHO nCoV-2019 page: https://www.who.int/emergencies/diseases/novel-coronavirus-2019


• SFO continues the established screening process to identify PUI cases and placing them under a 14-day

quarantine order; off site, safe housing is provided for the duration when needed.

• 02/04/20 CA received its first repatriation flight of approximately 240 passengers. Repatriation response

and support efforts are being led by U.S. Health and Human Services (HHS), and passengers will be

quarantined across the state at secured military bases.

• No changes in CDPH CA nCoV-2019 testing data: 79 persons tested; 6 positive test results; 50 negative test

results; 23 pending results.

CDPH nCoV page:

https: //www. cd ph. ca.gov /Programs/Cl D/DCDC/Pages/I mm u n ization/nCOV2019.as0x


• 24,631 confirmed cases; 24,405 cases in mainland China (99% of all confirmed cases globally); 492 deaths

P465

in China (an increase of 66 cases since yesterday). 1 death in Hong Kong; 1 death in the Philippines. • 226 confirmed cases outside of China across 27 countries/regions.


• No new confirmed U.S. cases- number remains at 11 confirmed cases.

https://gisa nddata. maps.a rcgis. com/a pps/opsdas hboa rd/index. htm l#/bda7594 7 40fd40299423467b48e9ecf6




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[email protected] Aragon, Tomas CDPH) Important: Shipping of CDC 2019 Novel Coronavirus Diagnostic Test Kits Begins -- February, 2020 Thursday, February 6, 2020 8:35:04 AM



Shipping of CDC 2019 Novel Coronavirus Diagnostic Test Kits Begins -- February, 2020

A CDC-developed laboratory test kit to detect 2019 novel coronavirus (2019-nCoV) began shipping yesterday to select qualified U.S. and international laboratories. Distribution of the tests will help improve the global capacity to detect and respond to the 2019 novel coronavirus. Press release available at https://tinyurl.com/vexsrnj.






P467


Pan M.D .. Erica. Public Health. DCDCP Aragon. Tomas CDPH) RE: Revised SF draft: working draft Thursday, February 6, 2020 8:15:17 AM

Great, I think the policies/principles are the same, just minor language/wordsmithing that happened

on both sides.

Thx for the update!

esp




Subject: Re: Revised SF draft: working draft

Here is near final draft of p 1 of wJ:iat DHR plans to send to city staff:

Colleagues:

The SF Department of Public Health (SFDPH) is working closely with the U.S. Centers for Disease

Control and Prevention (CDC) and the California Department of Public Health to closely monitor the

global outbreak of the novel coronavirus and are taking action to protect the public. The situation is

quickly evolving, and we are working closely with SFDPH to keep you updated with the latest

developments.

Nationwide, there are 11 infections, including six in California (Los Angeles County, Orange County,

Santa Clara County, and San Benito County). At this time, there are no confirmed cases of

coronavirus infection in San Francisco residents but two patients with the virus were transferred

from another county and are now being treated at a San Francisco hospital. The San Francisco

Department of Public Health is prepared for the possibility of confirmed cases and is working closely

with the CDC and the California Department of Public Health.

The immediate health risk in San Francisco remains low, except for individuals who have recently

traveled to Hubei Province or have come in close contact with someone who has confirmed novel.

coronavirus.

The CDC has expanded the screening of travelers returning from China.

By federal order, as of February 3, 2020:

·Foreign nationals returning from China will not be allowed entry into the U.S. unless they are

immediate family of U.S. citizens or permanent residents.

P468

·All U.S. citizens returning from Hubei Province, China will be subject to a mandatory 14-day

quarantine by the federal government.

·U.S. citizens returning from other parts of mainland China who DO NOT have fever, cough, or

shortness of breath will undergo self-quarantine at home with monitoring by their local health

department. This does not include travel to Hong Kong.

·U.S. citizens returning from other parts of mainland China who have fever, cough, or shortness of

breath will undergo mandatory quarantine. This does not include travel to Hong Kong. · For more

information, visit https://www.cdc.gov/coronavirus/2019-nCoV/summary.html#risk-assessment

The San Francisco Department of Public Health recommends that travelers who returned from China

before February 3 monitor themselves for 14 days after their last day in China. If symptoms (fever,

cough, or shortness of breath) occur during that time, please contact your health provider, inform

them of your travel history and self-isolate at home pending their advice. Do not go to work, school

or social events if you have these symptoms.

Locally, we advise employees to take the following actions to protect themselves and their

coworkers from infection:

1. Take preventive measures such as frequent hand washing with soap and water for at least 20

seconds or an alcohol-based sanitizer, covering coughs and sneezes, and avoid touching your face.

2. Stay home if you are sick. Employees have standard sick leave available to them should they need

to stay home due to illness.

3. Employees who have a mild cough or cold symptoms and are able to work can exercise their

telecommuting agreement if they have one in place to avoid infecting others.

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102



P469








Subject: Fwd: Revised SF draft: working draft


untrusted sources.

FYI my thoughts on how we will modify, but be similar ...

Erica Pan, MD, MPH

Interim Health Officer

Alameda County Public Health Department

Get Outlook for iOS

From: Randrup, Jerri, HCSA <[email protected]>



Subject: Automatic reply: Revised SF draft: working draft

Hello,

I am supporting novel coronavirus preparation and response and not able to attend to most other

matters at the moment. Thank you for understanding.

Thank you,

Jerri Applegate Randrup

Public Information Director

Alameda County Health Care Services Agency

1000 San Leandro Blvd., Suite 300

San Leandro, CA 94577

510-667-7407 Office (xS-7407)

951-217-7087 Cell

P470

[email protected]

QIC 42501

Confidentiality Notice: If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or other otherwise

using or disclosing its contents. This e-mail and any attachments may contain information that is privileged, confidential or exempt from

disclosure under applicable law and only for use by the intended recipient(s). If you received this transmission in error, please notify the

sender by reply-email, permanently delete this message from your system and destroy all copies.


P471

From: To:

Cc: Subject: Attachments:

Aldern. Gabrielle CDPH) on behalf of DPH. Pheor CDPH) Brown, Michael CDPH); Murrell. Drew CDPH); Nguyen. Rita CDPH); Aldern. Gabrielle CDPH); DPH-DOC Plans Chief; Aragon. Tomas CDPH); Vien. Veronica CDPH); Kagan. Rachael (DPH); Padilla. Cristina CDPH); Acosta. Linda (DPH); Ochi. Ed (DPH); Heckman. Karen (DPH); Gurley, Jan (DPH); Stoltey. Juliet CDPH); Naser. Rawan (DPH); Stier. David CDPH); Van Etten. Susan (DPH); DuBois. Amie (DPH); Zarate. Sheilah CDPH); Rivera. Tiffany (DPH); Robert. Anna (DPH); OVADIA. AMY CDPH); Saelee. Kenpou CDPH); Duren. James CDPH); Enanoria. Wayne CDPH); Sanchez. Melissa (DPH); Ongpin. Melissa (DPH); Masinde. Godfred (DPH); Do, Jennifer-Xuan CDPH); Paule. Gretchen CDPH); Walsh. Douglas CDPH); Sefat. Cimma CDPH); Leonoudakis. Kristina (DPH); Pierce. Karen (DPH); Bunting, Buffy CDPH); Rodriguez. Marise CDPH); Ta. Melissa (DPH); Lee. Elaine CDPH); Buckley. Ken CDPHl; Aguallo. Daisy CDPH); Obien. Elaine (DPH); Kwong, Amanda (DPH); Siador, Christine CDPH); Holcomb. Andrew (DPH) Murrell. Drew (DPHJ; Gee, Katherine CDPHl; Brown. Michael (DPH); Bobba, Naveena CDPHl 2019-nCoV DOC All-Hands Meeting 2019-nCoV DOC All Hands Meeting Agenda 2020.02.06.docx OP4 nCoV-2019 IAP 2020.02.05.cleaned.docx

This meeting is for Command+ Section Updates, situational awareness, and strategic discussion.

Call-in available: 877-402-9753 Code: 968440

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[email protected] Aragon. Tomas CDPH) Epi-X Today: Thursday, February 6, 2020 Thursday, February 6, 20202:04:14 AM



CDC Daily Key Points: 2019 Novel Coronavirus (2019-nCoV) -- February 5, 2020 This report includes CDC Daily Key Points for 2019 Novel Coronavirus. This document is cleared to share with your staff and partners. https ://epix2. cdc. gov/v2/Reports/Display. aspx?id=72517

MMWR Early Release: Initial Public Health Response and Interim Clinical Guidance for the 2019 Novel Coronavirus Outbreak- United States, December 31, 2019-February 4, 2020 CDC, multiple federal agencies, state and local health departments, and other partners are implementing aggressive measures to substantially slow U.S. transmission of 2019-nCoV, including identification of U.S. cases, contacts and managing travelers arriving from mainland China to the United States. Access the report at https://tinyurl.com/rnvobz8 https ://epix2. cdc. gov/v2/Reports/Display. aspx?i d=72514

CDC Media Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV) -- Wednesday, February 5, 2020 at 12:15 p.m. ET The Centers for Disease Control and Prevention will provide an update on the 2019 Novel Coronavirus response today at 12: 15 p.m. ET. Call in for Non-Media: 888-795-0855/lnternational: 1-630-395-0498/PASSCODE: 2684824. Audio and transcript will be available following the briefing at www.cdc.gov/media. https://epix2. cdc. gov /v2/Reports/Disp lay.aspx?id=72513

-*- Global Immunization News Report, February 5, 2020 -*-Today's Global Immunization News report includes polio, measles, Ebola, mumps, Yellow fever, cholera, policy and funding, vaccine demand and safety, nCoV, and other news for Wednesday, February 5, 2020. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=72508

FDA Enforcement Report -- United States, February 5, 2020 This report contains Class I, II, and Ill recalls of food and food products, drugs, biologics, and devices. The link to the full report is accessible through this posting or https://tinyurl.com/uoo7pfp. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=72502

-*- Media Tracking Report, February 5, 2020 -*-Media stories include hepatitis A in Arkansas and Florida; influenza in multiple states; novel coronavirus in California and multiple countries; mumps in Louisiana; anthrax in Kenya; Lassa fever in Nigeria and Liberia; hepatitis E in Namibia; and other media coverage.

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P474

From: To:

Cc:


CDC IMS State Coordination Task Force (SCTF) Operations Angell. Sonia Y@CDPH; Morrow, Scott (CDC smcqov.orq); Ferrer, Barbara@LACountv: Aragon, Tomas (DPH); Hellerstedt. John (CDC dshs.texas.qov); [email protected]; [email protected]; [email protected]; Wiesman, John (CDC doh.wa.gov); [email protected]; [email protected],gov; Zucker, Howard (CDC health.ny.qov); Layton, Marci (CDC health.nyc.qov); [email protected]; [email protected]; Arwady, Allison AA (CDC cityofchicaqo.orq); [email protected]; [email protected]; [email protected]; Watt, James (CDC cdph.ca.qov); [email protected]; Balter. Sharon (CDC ph.lacounty.gov); Stoltey, Juliet (DPH); Gaul. Linda (CDC dshs.state.tx.us); [email protected]; Jones, Russ (CDC tarrantcounty.com); Safranek, Thomas <NE> (CDC nebraska.qov); Lindquist, Scott SL (CDC doh.wa.gov); Duchin, Jeff (CDC kinocountv.gov); Drenzek, Cherie (CDC dph.qa.qov); Blog, Debra (CDC health.ny.qov); Tan, Christina CT (CDC doh.nj.qov): Layden, Jennifer (CDC illinois.qov); [email protected]; [email protected]; [email protected]; [email protected]; Hawkins, Eric (CDC isdh.in.qov); McComnick, Dave (CDC isdh.in.qovl; Susan Fanelli; [email protected]; Stella Fogleman; [email protected]; [email protected]; [email protected]; Halvorson, Clark (CDC doh.wa.gov); Minarcine, Scott; Primeau, Michael J (HEALTH); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Christopher Shields; judy. [email protected]; [email protected]; bob.mauskapf@vdh. virginia .gov; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Rakeman, Jennifer JR (CDC health.nyc.gov); [email protected]; [email protected]; Pacilli. Massimo (CDC cityofchicaqo.orq); [email protected]; [email protected]; [email protected]; [email protected]; Butler, Jay C. (CDC/DDID/OD); Marcus Plescia; Peart, Jordan (CDC cste.org); Shah, Dhara (CDC cste.orq); Hamilton. Janet (CDC cste.org); Roush, Sandra (CDC/DDIDINCIRD/OD) Murray, [email protected] (CDC cdph.ca.gov); Lowenthal. Phil (CDC cdph.ca.qov); Martinez-Mejia, Andrea; Greene, Danielle (HEALTH); checcdeptcoor; Pavlick. Jessica; Allison Scaccia; JEOC Director; Harry, Cynthia S (DOH); Sanders. Bonnie@CDPH; Hoogheem.Jeff (DSHS); Mazeau, Adrienne V (HEALTH); Shuford.Jennifer (DSHSl; JEOCUser54; Girocco. Charlotte@CDPH; Matthew Geltmaker; Carly Bock; Kamali, Amanda@CDPH; £Q!.ls,. Shauna@CalOES; Warning Center; Montalbano, John@CDPH; Hendrickson. Alan@CDPH; Joy, Hana@CalOES; Patti Carter; IZB EPI Report (CDPH-DCDC); CDPH CID DCDC IMM NovelVirus; Clarke, Devin@CalOES; Myers, Jennifer@CDPH; Sperbeck, Erika CEXEC-PIRl@DHCS; Dean, Charity A@CDPH; Fong, Shirley (ADM)@DHCS; Teele, Selam@CDPH; Arizmendi, Olivia@CDPH; Goyeneche, Robert@CalOES; Efthemeou, Theodore C@CDPH; Nguyen, Tranq@CDPH; Wagoner, Monica@CDPH; Serrano, Ralph; Hopkins, Wendy@CDPH; Jones, Bridqet@CDPH; Moyer. Amanda@CalOES; Bowman, Thomas (OS/ASPR/EMMO); Arroyo, Armando@CDPH; Steinecker, Heidi@CDPH; [email protected]; Talmage Holmes; Leusner, Donna M; McHugh, Lisa A; DeMayo, Ronald@CalOES; Abigail L. Cheney; Semple, Shereen; Maziarz, Marcela; Kemble, Sarah, MD; Clark, Charles; Sellers, Stephanie E (HEALTH); Hoefer, Dina (HEALTH); Nick Lidgett; Ostrowski, Stephanie E (HEALTH); CDC IMS State Coordination Task Force (SCTF) EPI LNO; Gallo, Bill (CDC/DDPHSIS/CSTLTS/OD); Cassius Lockett; CDC IMS State Coordination Task Force (SCTF) TF Coordinations TM; Williams. Ian (CDC/DpID/NCEZID/DFWED); Anderson. Noelle (CDC(DDPHSISfCPRfDSLR); JEOCUser78; CDPHPHEOC; Ingersoll. Jean (DHHS); Johnson, Shannon CDHHS); ReturningTravelerMonitorinq; CDC IMS State Coordination Task Force (SCTF) Lead CDC Returning Traveler Discussion for F11 Jurisdictions TIM factsheet-FAO forPH 02.02.2020.pdf

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Bridgeline: 1(888)455-7719

Passcode: 7511812

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Bldg. 21 Plans Team Room (3302)

P475

From: To:

Cc:


CDC IMS State Coordination Task Force CSCTF) Operations [email protected]; [email protected]; Angell. Sonia Y@CDPH; Morrow. Scott (CDC smcgov.org); Ferrer, Barbara@LACountv; Aragon. Tomas (DPH); Hellerstedt. John (CDC dshs.texas.gov); [email protected]; [email protected]; [email protected]; Wiesman. John (CDC doh.wa.gov); [email protected]; [email protected]; Zucker. Howard (CDC health.ny.gov); Layton. Marci (CDC health.nyc.gov); [email protected]; Arwady. Allison AA (CDC cityofchicago.orn); [email protected]; [email protected]; [email protected]; Watt. James (CDC cdph.ca.gov); [email protected]; Balter. Sharon CCDC ph.lacounty.gov); Stoltey. Juliet (DPH); Gaul. Linda (CDC dshs.state.tx.us); [email protected]; Jones. Russ CCDC tarrantcountv.com); Safranek. Thomas <NE> (CDC nebraska.gov); Lindquist. Scott SL (CDC doh.wa.gov); Duchin. Jeff (CDC kingcounty.gov); Drenzek. Cherie (CDC dph.oa.gov); Blog. Debra (CDC health.ny.gov); LID,. Christina CT (CDC doh.nj.gov); Layden. Jennifer (CDC illinois.gov); [email protected]; [email protected]; [email protected]; [email protected]; Hawkins. Eric (CDC isdh.in.gov): McCormick, Dave (CDC isdh.in.gov); Susan Fanelli; [email protected]; Stella Fogleman; jeff. [email protected]. tx. us; Michelle. [email protected]; [email protected]; Halvorson. Clark (CDC doh.wa.gov): Minarcine, Scott; Primeau. Michael J (HEALTH); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Christopher Shields; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Rakeman. Jennifer JR (CDC health.nyc.gov); [email protected]; [email protected]; Pacilli. Massimo (CDC citvofchicago.orn); [email protected]; [email protected]; [email protected]; Butler. Jay C. (CDCfDDIDfOD); Marcus Plescia; Peart. Jordan (CDC cste.org); Shah. Dhara (CDC cste.org); Hamilton, Janet (CDC cste.org); Roush, Sandra (CDC{DDIDfNCIRPfOD) Murray, [email protected] (CDC cdph.ca.gov); Weir, Charles COSfASPRfIO); Lowenthal. Phil (CDC cdph.ca.gov); Mozgai. Stefanie; Kirgan, Nicole; Greene. Danielle (HEALTH); checcdeptcoor; Pavlick. Jessica; Allison Scaccia; JEOC Director; Harry. Cynthia S (DOH); Sanders. Bonnie@CDPH; Hoogheem.Jeff CDSHS); Mazeau. Adrienne V (HEALTH); Shuford.Jennifer (DSHS); JEOCUser54; Girocco. Charlotte@CDPH; Matthew Geltmaker; Carly Bock; Kamali. Amanda@CDPH; Polk, Shauna@CalOES; Warning Center; Montalbano, John@CDPH; Hendrickson, Alan@CDPH; Joy. Hana@CalOES; Patti Carter; IZB EPI Report (CPPH-DCDC); CDPH CID DCDC IMM NovelVirus; Clarke, Devin@CalOES; Myers. Jennifer@CDPH; Sperbeck, Erika (EXEC-DIR)@DHCS; Dean. Charity A@CDPH; Fong, Shirley (ADM)@DHCS; Teele, Selam@CDPH; Arizmendi. Olivia@CDPH; Goyeneche. Robert@CalOES; Efthemeou, Theodore C@CDPH; Nguyen. Trang@CDPH; Wagoner, Monica@CDPH; Serrano, Ralph; ~ Wendy@CDPH; Jones. Bridget@CDPH; Moyer. Amanda@CalOES; Bowman, Thomas (OSfASPRfEMMO); Arroyo, Armando@CDPH; Steinecker. Heidi@CDPH; [email protected]; Talmage Holmes; Leusner, Donna M; McHugh, Lisa A; DeMayo, Ronald@CalOES; Abigail L Cheney; Semple, Shereen; Maziarz. Marcela; Kemble. Sarah, MD; Clark, Charles; Sellers, Stephanie E (HEALTH); Hoefer. Dina (HEALTH); Nick Lidgett; Ostrowski. Stephanie E (HEALTH); CDC IMS State Coordination Task Force (SCTF) EPI LNO; Gallo. Bill (CDCfDDPHSISfCSTLTSfOD); Cassius Lockett; CDC IMS State Coordination Task Force (SCTF) TF Coordinations TM; Williams, Ian (CDC/DDID/NCEZID/DFWED); Vincent. Erik (OS/ASPR/EMMO); Lightner, Louis (OSfASPRfEMMO); Odom, Janet (OS{ASPR/EMMO); Forlano, Laurie (CDC vdh.virginia.gov); Anderson, Noelle (CDC/DDPHSIS/CPRfDSLR); JEOCUser78; CDPHPHEOC; ReturningTravelerMonitoring; CDC IMS State Coordination Task Force CSCTF) Lead CDC Returning Traveler Discussion for F11 Jurisdictions TIM factsheet-FAO forPH 02.02.2020.pdf

This message is from outside the Ciiy email system. Do not open links or attac!unents from untrusted sources.


CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host a call from 3 p.m. to 4 p.m. EST for the duration of this week, to discuss plans for returning travelers within the eleven funneling jurisdictions, status reports and concerns. Feel free to include your state epidemiologist, preparedness director, state/ciiy emergency management official, and other core team members.

Bridgeline: 1(888)455-7719

Passcode: 7511812

OR


P476

From: To:

Cc:


CDC IMS State Coordination Task Force CSCTF) Operations Angell. Sonia Y@CDPH; Morrow, Scott (CDC smcgov.org); Ferrer, Barbara@LACountv; Aragon, Tomas IDPH); Hellerstedt. John (CDC dshs.texas.qov); [email protected]; [email protected]; [email protected]; Wiesman, John (CDC doh.wa.gov): [email protected]; [email protected]; Zucker. Howard (CDC health.ny.gov); Lavton, Marci (CDC health.nyc.gov); [email protected]; [email protected]; Arwady, Allison AA (CDC cityofchicago.org); [email protected]; [email protected]; [email protected]; Watt. James (CDC cdph.ca.gov); [email protected]; Balter. Sharon (CDC ph.lacounty.gov); Stoltey, Juliet IDPH); Gaul. Linda (CDC dshs.state.tx.us); [email protected]; Jones. Russ (CDC tarrantcounty.com); Safranek, Thomas <NE> (CDC nebraska.gov); Lindquist. Scott SL (CDC doh.wa.gov); Duchin, Jeff (CDC kingcounty.gov); Drenzek, Cherie (CDC dph.qa.gov); Blog Debra (CDC health.ny.gov); Tan, Christina CT (CDC doh.nj.gov); Layden, Jennifer (CDC illinois.gov); [email protected]; [email protected]; [email protected]; [email protected]; Hawkins, Eric (CDC isdh.in.qov); McCormick. Dave (CDC isdh.in.gov); Susan Fanelli; [email protected]; Stella Fogleman; [email protected]; [email protected]; [email protected]; Halvorson. Clark (CDC doh.wa.gov): Minarcine, Scott; Primeau. Michael J (HEALTH); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Christopher Shields; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Rakeman. Jennifer JR (CDC health.nyc.qov); [email protected]; [email protected]; Pacilli. Massimo (CDC cityofchicago.org); [email protected]; [email protected]; [email protected]; [email protected]; Butler. Jay C. (CDC/DDID/OD); Marcus Plescia; Peart. Jordan (CDC cste.org); Shah, Dhara (CDC cste.orq); Hamilton, Janet (CDC cste.orq); Roush, Sandra (CDC/DDID/NCIRD/OD) Greene, Danielle (HEALTH); Edison, Laura (CDC dph.qa,qov); checcdeptcoor; Pavlick, Jessica; Kauerauf, Judy (CDC illinois.qov); Allison Scaccia; Lemmings, Jennifer (CDC cste.org); Engel, Jeff (CDC cste.orq); JEOC Director; Harrv, Cynthia S (DOH): Sanders, Bonnie@CDPH; Hoogheem.Jeff (DSHS); Mazeau. Adrienne V (HEALTH); Shuford.Jennifer (DSHS); JEOCUser54; Girocco, Charlotte@CDPH; Matthew Geltmaker; Carly Bock; Kamali, Amanda@CDPH; Vincent. Erik (OS/ASPR/EMMO); Polk, Shauna@CalOES; Warning Center; Montalbano, John@CDPH; Hendrickson, Alan@CDPH; Joy, Hana@CalOES; Patti Carter; IZB EPI Report ICDPH-DCDC); CDPH CID DCDC IMM NovelVirus; Clarke. Devin@CalOES; Myers, Jennifer@CDPH; Sperbeck, Erika (EXEC-DIR)@DHCS; Dean, Charity A@CDPH; Fong, Shirley (ADM)@DHCS; Teele, Selam@CDPH; Arizmendi. Olivia@CDPH; Goyeneche, Robert@CalOES; Efthemeou. Theodore C@CDPH; Nquyen, Tranq@CDPH; Wagoner. Monica@CDPH; Serrano. Ralph; Hopkins, Wendy@CDPH; Jones. Bridqet@CDPH; Moyer, Amanda@CalOES; Bowman, Thomas (OS/ASPR/EMMO); Arroyo, Armando@CDPH; Lightner, Louis (OS/ASPR/EMMO); Odom. Janet (OS/ASPR/EMMO); Steinecker, Heidi@CDPH; Jain, Seema (CDC cdph.ca.qov); Conover. Craig (CDC illinois.qov); [email protected]; Talmage Holmes; Leusner, Donna M; McHuqh, Lisa A; DeMayo, Ronald@CalOES; Abigail L Cheney; Semple, Shereen; Maziarz, Marcela; Kemble, Sarah, MD; Clark. Charles; Sellers, Stephanie E (HEALTH); Hoefer, Dina (HEALTH); Feaster, Christine (CDC isdh.in.qov); Nick Lidqett; Ostrowski. Stephanie E (HEALTH); CDC IMS State Coordination Task Force (SCTF) EPI LNO; Gallo. Bill CCDC/DDPHSIS/CSTLTS/OD); Cassius Lockett; CDC IMS State Coordination Task Force (SCTF) TF Coordinations TM; Williams, Ian (CDC/DDID/NCEZID/DFWED); Murray, [email protected] (CDC cdph.ca.qov); Anderson. Noelle (CDC/DDPHSIS/CPRIDSLR); ReturningTravelerMonitorinq; JEOCUser78; CDPHPHEOC; CDC IMS State Coordination Task Force (SCTF) Lead CDC Returning Traveler Discussion for F11 Jurisdictions TIM factsheet-FAO forPH 02.02.2020.pdf




Bridgeline: 1(888)455-7719

Passcode: 7511812

OR


P477

I (BOS)

From: Sent: To: Cc:


Requester,

Varisto, Michaela (DPH)

Thursday, March 17, 2022 4:56 PM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 /File No 20059 TomasAragon_CDCemails_Batch1 O.pdf; TomasAragon_ CDCemails_Batch 11.pdf


are available to you here and have also been uploaded to NextRequest case #20-1076/ SOTF File 20059. This concludes your public records request.

Thank you.









We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" 11COV/0 11 "COV/019" "COV/0-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome 11 11viral pneumonia" "pneumonia of unknown origin" 11novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: 11coronavirus" 11wuhan" "SARS" "COV/0 11 "COV/019" "COV/0-19" "SARS-CoV-2"


Thank you,

DPH Sunshine Team

From: To:

DPH. Pheor IDPH) DPH-PHD-Public Health Emeraency Preoaredness and Resoonse; Debi Ed IDPHl; Vien Veronica IDPHl; Stoltey Juliet IDPHl; Stier. David IDPHl; DuBois Amie IDPHl: Duren. James IDPHl; Majeski. Nick IADMl; Sanchez Melissa CDPHl; Masinde, Godfred CDPHl; Siador. Christine CDPHl; Araoon. Tomas CDPHl; Kwong Amanda IDPHl; DPH-lntegration Steering Committee; [email protected]; [email protected]; DutyOfficer DEM CDEMl; mhccsitreos&[email protected]; [email protected]; Padilla Cristina IDPHl; Acosta Linda IDPHl: Heckman, Karen CDPHl; Naser. Rawao IDPHl; Nguyen. Rita IUCSFl: Van Etten. Susan (DPHl; [email protected]; Zarate Sheilah (DPHl; Robert Anna CDPHl; OVADIA. AMY CDPHl; Saelee, Kenpou CDPHl; McDonald. Thomas CADMl; Barbrich. Krzysztof IADMl; Enanoria Wayne CDPHl; Sanchez. Melissa IUCSFl; Onqoln. Melissa IDPHl; Do. Jennifer-Xuan CDPHl; Paule. Gretchen CDPHl; Sefat Cimma IDPHl; Bunting, Buffv CDPHl; Pierce Karen (DPHl; Rodriguez Madse CDPHl; Ta Melissa (DPHl; ~ Elajne CDPHl: Buckley Ken CDPHl; Aguallo. Dajsy (DPHl; Obien Elaine IDPHl

Subject: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat #7 Date: Thursday, January 30, 2020 3:13:39 PM



# of Cases/Deaths

Worldwide: 8,235 Cases/171 Deaths US: 5 Cases/0 Deaths CA: 2 Cases/O Deaths


SFDPH

Summary of actions

" CCSF's Department of Emergency Management (DEM) and the DPH DOC met with Director of Health Dr.

Grant Colfax to strategize and support plans for an extended response period for emergency response staff.

" Public Information Office has increased staffing and is currently providing real time updates online, via

social media, and to Chinese language media sources in 4 threshold languages.

" Outreach has been enhanced to Health Care Providers, Elected Officials, CBOs, and Media in the Chinese

Community. Messaging re: use of masks as a protective measure are in development.

" DPH is developing a basic outline and framework for the care and shelter of varying levels of PUis. In this

process DPH is coordinating with SF hospitals and outpatient clinics to identify resources and capacity.

" A field team is being developed to support current and potential future Communicable Disease needs,

including testing and outreach to PUis.

" PU! surge housing has been identified at 1 site in SF and plans are to work with the Mayor's Office on

Housing and the Volunteer Organizations Active in a Disaster (SF VOAD) to identify additional housing sites.

• 911 dispatch implemented a new screening process that can be used any time a caller volunteers

information re: travel to Wuhan or contact with a confirmed nCoV-2019 case.

" DEM working with DPH to develop daily messaging for citywide situational awareness to outside CCSF

agencies.

SFD PH Page: https: //www.sfcdcp.org/i nfectious-d jseases-a-to-z/ coronavi rus-2019-n ovel-coron avi rus/

" CDC providing the number of PUis in the U.S. As of 01/30/20: 5 positive, 68 negative, and 92 pending tests.

This is unchanged from yesterday's report.

• CDC is hospitalizing and/or isolating PU! cases testing positive for nCoV-2019. Serial PCRs (testing at a

molecular level to confirm infection) are being conducted on PUis and PUI contacts.

• CDC has confirmed the first U.S. person to person transmission in Chicago, IL. CDC nCo V page:

P480



" First confirmed cases of 2019-nCoV in Finland, India and Philippines; all had travel history to Wuhan City.

'" International Health Regulations is meeting today to discuss whether the outbreak constitutes a "public

health emergency of international concern."

111 WHO recommends that the interim name of the disease should be "2019-nCoV acute respiratory disease."

This name complies with the WHO Best Practices for Naming of New Human Infectious Diseases. Naming is

still undecided at this point.

" WHO working on enhancing global diagnostic capacity for 2019-nCoV by enhancing availability of tests,

national capacity, and creating a network of key expert laboratories.

WHO nCoV page:

https://www.who.int/emergencjes/diseases/novel-coronavirus-2019


" CDPH nCoV page: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/nCOV2019.aspx

Johns Hopkins Data Dashboard

" Data sources used are the WHO, CDC, NHC, and DXY.

" Provides updated information in real time.

" 8,235 cases globally (up 2,170 from 01/29/20)

.. In China: 8,124 cases (about 99% of total cases globally); 12,167 PUis; 1,370 severely ill cases; 171 deaths

(19% of cases in China are severely ill or have resulted in death).

" 111 cases confirmed outside of China in 21 countries.

https://gisa nddata. maps.a rcgis.com/a pps/opsdashboa rd/ind ex. htm 1#/bda 7594 7 40fd40299423467b48e9ecf6




P481


Communication to UCSF Affiliates on behalf of UCSF Police [email protected] SAFETY BULLETIN: UCSF CORONAVIRUS UPDATE #1 Thursday, January 30, 2020 2:35:42 PM image.png SAFETY BULLETIN - n-CoV update 1.pdf


Safety Bulletin '·

UCSF Launches Coronavirus Website for Updates on Outbreak Update #1

January 30, 2020

UC San Francisco continues to monitor developments regarding the global novel coronavirus outbreak, and has launched a website (ucsf.edu/coronavirus) to serve as a source of news and information for the UCSF community.

"We will continue to monitor the emerging situation and are working closely with colleagues at the San Francisco and California Departments of Public Health to coordinate efforts across health facilities," UCSF Health Chief Clinical Officer Josh Adler, MD, said in a statement to the UCSF community.

The website has guidance about symptoms, prevention, patient screening, counseling resources, travel restrictions and recommendations that is specific to UCSF, as well as links to local, state and federal public health agencies, such as the U.S. Centers for Disease Control and Prevention (CDC).

Although the health risk for Bay Area residents remains low at this time, UCSF's Infection Prevention and Emergency Management teams are working together to ensure the campus and UCSF Health are prepared and that members of the UCSF community and patients are informed about the outbreak which the World Health Organization today declared a global health emergency.

Currently, UCSF is unaware of any faculty, staff and learners in China, where there are more than 8,000 confirmed cases. There also are no confirmed cases of patients diagnosed with coronavirus at UCSF or in the Bay Area. UCSF Health is prepared to safely care for patients with suspected or confirmed coronavirus infections using the infection prevention and control practices recommended by the CDC, the California Department of Public Health and the San Francisco Department of Public Health. Adler reminds individuals that they can take a few simple steps to prevent the spread of respiratory infections, including the flu, such as frequent hand washing.

P482

Importantly, if an individual is experiencing a fever or flu symptoms, they should not come to school or to work. Read more about infectious disease prevention and treatment on the CDC website. UCSF infectious disease expert Charles Chiu, MD, PhD, explained the origins of the Wuhan virus and public health risks in a story posted last week.

To date, five cases of the coronavirus have been confirmed in the United States in Arizona, California, Washington and Illinois. Globally, in addition to China, where the outbreak was first identified in Wuhan City, Hubei Province, about a dozen other countries have confirmed 8,235 cases of coronavirus. The death toll stands at 171. For the most recent numbers and a visual representation of all confirmed cases worldwide, use this interactive tool developed by Johns Hopkins University.

By comparison to the flu, this week the CDC reports that 8,200 people have died from influenza in the United States this season, with 15 million cases counted so far and 140,000 hospitalizations.

UCSF will continue to monitor the coronavirus outbreak and will keep the UCSF community informed as the situation unfolds. Please look to the website for updates.

Help fight crime by reporting suspicious persons and/or suspicious activity to UCSF PD immediately-race, gender, and religious affiliation are NOT considered suspicious. For emergency or in-progress events, dial 9-911 when using on-campus land lines and 415.476-6911 when using cell phones. For non-emergency calls, please dial 415.476-1414. 20-01-02 CP

Together.for a Sc~fe and Crime Free Campus

Mike Denson Chief of Police

This alert is a public service to the University community and in compliance with the Jeanne Clery Act of 1998

Subscription to this UCSF Listserv list is based on affiliation, appointment, employment or registration at UCSF. Membership is updated every 24-hours. Individuals cannot be manually removed.

P483


Leonoudakis, Kristina (DPH)

Walsh, Douglas (DPH); Aldern. Gabrielle (DPH); Aragon. Tomas (DPH)

Sit. Stat. for review!

Thursday, January 30, 2020 1:56:27 PM

nCoV PRAFT sit. stat.7 2020.01.30.docx

For your review and additions! We are trying to get these sit stats assembled and approved

earlier so that we can coordinate with DEM around citywide messaging. Thank you!




(415) 558-5934 office

(415) 377-8549 mobile

[email protected]



P484

From: To:

CCSF Department of Emergency Management Aragon. Tomas CDPH)

Subject: Date:

DEM 24-Hour Daily Situational Awareness Report- 01-30-2020 Thursday, January 30, 2020 9:53:50 AM




- The Centers for Disease Control and Prevention (CDC) confirmed two cases of a

2019 Novel Coronavirus in California, one in Orange County and one in Los Angeles

County. The CDC is continuing to screen passengers who arrive at San Francisco

International Airport on direct and connecting flights from Wuhan China.



e CDC information for healthcare providers: https://www.cdc.gov/coronavirus/2019-










- Primary (415) 260-2591

P485

- Desk (415) 558-2738










I Level II EOG Status II Description II Time I I DO I MOC II EOC Standby II Duty Officer I Manager On-Call II After-hours & Weekends j

~I EOC Open I Watch Center

II 0600-2230; daily


~I EOC Open I Partial w/ 1st Response

II As Needed I Elements & Support

~I EOC Open I

Full Activation



Today - Cloudy, with a high near 63. Light winds from 5 to 9 mph in the afternoon.

Tonight- Partly cloudy, with a low of 50. Winds of 5 mph.

Tomorrow - Mostly sunny, then clearing with a high of 64. Winds of 5 mph.


Current: 18



P486




Friday (1/31/2020)

- Society of Photographic Instrumentation Engineers (SPIE) Photonics West, from

4:00pm to 7:00pm@ Moscone North, South, and West

Saturday (2/01 /2020)


Convention, from 4:00pm to 7:15am to 9:00pm@ Moscone North, South, and West

- Night of Ideas Festival, from 7:00pm to 2:00am Sunday@ the Main Library.

CLOSURE: Fulton Street between Larkin and Hyde streets

- Jauz Concert from 7:00pm to midnight@ Bill Graham

Sunday (2/2/2020)



- Kaiser Permanente Half Marathon, from 8:00am to 12:00pm@ Golden Gate Park.





Monday (2/3/2020)



Tuesday (2/4/2020)






P487














New cases in China surpass SARS epidemic as infections grow abroad; WHO

calls for emergency committee meeting

The World Health Organization will reconvene its emergency committee Thursday to

determine whether the coronavirus outbreak amounts to a public health emergency of

international concern, as the total number of people infected in mainland China

surpassed those infected with SARS during the 2002-2003 epidemic. Experts say a

vaccine for the virus is still a long way off. Schools in Beijing have closed indefinitely,

and foreigners who have been evacuated from Wuhan, which is at the epicenter of

the outbreak, are starting to arrive in their home countries or at temporary screening

sites, including via charter flights for Japanese and U.S. citizens. Many countries are

curtailing flights to China, with American Airlines suspending several routes

scheduled for February and March. British Airways and German carrier Lufthansa

also suspended flights, as did airlines in India and Kazakhstan. Here's what we know:

The death tol.1 has risen to 170 in China, with more than 7,700 confirmed cases of

infection as of Thursday morning local time - a day-over-day increase of more than

P488

1,500. Other countries in the region also are reporting more people infected - nearly

all of them tourists from China.

https://www.washingtonpost.com/world/asia pacific/coronavirus-china-live-updates/2020/01 /29/d49b9194-423b-11 ea-b503-

2b077 c436617 storv.html

11 injured, including 3-month-old baby, in West Los Angeles 25-story

apartment fire

LOS ANGELES - An estimated 335 firefighters from multiple agencies knocked down

a blaze and rescued evacuees at a high-rise apartment building that did not contain

a sprinkler system in the Sawtelle neighborhood of West Los Angeles, fire officials

said. The fire ignited around 8:30 a.m. on the sixth floor and quickly spread to the

seventh floor of The Barrington Plaza Apartments, which is located near the

intersection of Wilshire Boulevard and Barrington Avenue. Firefighters who were

handling another incident nearby on San Vicente Boulevard were radioed to the

building. Eleven people were injured, two critically, including a 3-month-old child who

sustained minor injuries, the Los Angeles Fire Department said. Of the 11 people

injured, six were taken to the hospital. Firefighters hoisted 15 people to safety from

the roof.

https://www.ktvu.com/news/11-injured-including-3-month-old-baby-in-west-los-angeles-25-story-apartment-fire

Bay Area man among those living in quarantined Wuhan, epicenter of

coronavirus

GREENBRAE, Calif. - A 27-year old man from the Bay Area is among those living at

the epicenter of the corona-virus outbreak in Wuhan China. His parents told KTVU at

their home in Greenbrae in Marin County Wednesday that they are worried about

their son's safety in a city that's now under quarantine by the Chinese governments.

From his apartment in Wuhan, where he lives with his girlfriend, her brother, and pet

lab Cubby, Perez said he only has about three weeks of food and water available.

Fortunately said Perez, grocery stores are open for business, but the supply is

dwindling. He told his parents that the larger issue is the supply of masks, which is

running low.

httos://www.ktvu.com/news/bay-area-man-among-those-living-in-quarantined-wuhan-epicenter-of-coronavirus

P489



safety partners.



P490

From: To: Subject:

Date:

[email protected]

Aragon. Tomas (DPH)

Important: CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV) -- Thursday, January 30, 2020 at 12:30 p.m. ET

Thursday, January 30, 2020 8:14:33 AM



CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV) -- Thursday, January 30, 2020 at 12:30 p.m. ET

The Centers for Disease Control and Prevention will provide an update on the 2019 Novel Coronavirus response today at 12:30 p.m. ET. Call in for Non-Media: 888-795-0855/lnternational Non-Media: 1-630-395-0498/PASSCODE: 1792134






P491

From: To:


Aldern, Gabrielle CDPH) on behalf of DPH, Pheor (DPH) Aldern, Gabrielle (DPH): DPH-DOC Plans Chief; Aragon, Tomas (DPH); Vien, Veronica (DPH); Kagan, Rachael CDPH); Padilla, Cristina CDPH); Ochi. Ed (DPH); Heckman, Karen (DPH); Gurley, Jan CDPH): Stoltey, Juliet (DPH); Naser, Rawan (DPH); Stier, David CDPH); Van Etten, Susan (DPH); DuBois, Amie (DPH); Zarate, Sheilah (DPH); Rivera, Tiffany (DPH); Robert, Anna CDPH); OVADIA, AMY (DPH); Saelee, Kenpou (DPH); Duren, James (DPH); Enanoria, Wayne CDPH); Sanchez, Melissa (DPH); Ongoin, Melissa CDPH); Do, Jennifer-Xuan CDPH); Paule, Gretchen (DPH); Walsh, Douglas CDPH); Sefat Cimma CDPH); Leonoudakis, Kristina (DPH); Pierce, Karen CDPH); Bunting, Buffy CDPH); Rodriquez, Marise (DPH); Ta, Melissa CDPH); Lee, Elaine CDPH); Buckley, Ken (DPH); Aguallo, Daisy (DPH); Obien, Elaine CDPH); Kwong, Amanda CDPH); Siador, Christine (DPH); Acosta, Linda (DPH); Nquyen, Rita CDPH); Masinde, Godfred (DPH) Colfax, Grant (DPH); Varisto, Michaela CDPH) 2019-nCoV DOC All-Hands Meeting OP3 nCoV-2019 IAP 2020,01.29.docx ICS-214 Modified SFDPH 2018.09.14.docx res 213RR 201909,pdf 2019-nCoV DOC All Hands Meeting Agenda 2020,01.30,cleaned,docx

This meeting is for Command+ Section Updates, situational awareness, and strategic discussion.

Call-in available: 877-402-9753 Code: 986440

P492


Aldern, Gabrielle CDPH) Aragon, Tomas (DPH) IAP Draft Thursday, January 30, 2020 7:49:40 AM OP3 nCoV-2019 IAP 2020.01.29.docx

Good morning Tomas,

Gretchen put together this Draft IAP, which we will review at today's meeting. I will finalize

and distribute after. If you have the chance, I would recommend reading through it before

today's meeting and discussion of objectives.

Gabrielle Aldern

Public Health Emergency Preparedness Coordinator San Francisco Oeparlment of Public Health Public Health Emergency Preparedness & Response (415) 581-2453 J [email protected]

P493


Centers for Disease Control and prevention

Aragon Tomas IDPHl

Coping llps for Emergenc:Y Responders

Thursday, January 30, 2020 7:28:55 AM


.EPIC Insider

i _____ J

January 30, 2020

Don't keep this great resource to yourself! Please share it with your colleagues and networks. If you would like more information on Emergency Preparedness and Response, visit CDC's Emergencv Preoaredness &

Resoonse website.

2019 Novel Coronavirus (2019-nCoV) CDC is closely monitoring an outbreak of respiratory illness caused by a novel (new) coronavirus

P494

(termed "2019-nCoV"). We understand that some people are worried about this virus and how it will impact Americans. The latest situation summary updates are available on CDC's web page 2019 Novel Coronavirus.

Responding to disasters is both rewarding and challenging work. Sources of stress for emergency responders may include witnessing human suffering, risk of personal harm, intense workloads, lifeand-death decisions, and separation from family. Stress prevention and management is critical for responders to stay well and to continue to help in the situation. There are important steps responders should take before, during, and after an event.

Preparing for a Response:

" Try to learn as much as possible about what your role would be in a response. " If you will be traveling or working long hours during a response, explain this to loved ones who

may want to contact you. Come up with ways you may be able to communicate with them. Keep their expectations realistic and take the pressure off yourself.

P495

111 Talk to your supervisor and establish a plan for who will fill any urgent or ongoing work duties unrelated to the disaster while you are engaged in the response.

During a Response: Understand and Identify Burnout and Secondary Traumatic Stress

Responders experience stress during a crisis. When stress builds up it can cause-

• Burnout (feelings of extreme exhaustion and being overwhelmed) ., Secondary traumatic stress (stress reactions and symptoms resulting from exposure to another

individual's traumatic experiences rather than from direct exposure to a traumatic event)

Coping techniques like taking breaks, eating healthy foods, exercising, and using the buddy system can help prevent and reduce burnout and secondary traumatic stress. Recognize the signs of both conditions in yourself and other responders to be sure those who need a break or need help can address these needs.

Returning Home from a Response (adapted from SAMHSA's Tips for Families of Returning Disaster Responders)

Following disaster assignments away from home, reunions are eagerly anticipated by all. Reconnecting with family can sometimes be harder than we expect, but it can be effectively managed. Remember that homecoming is more than an event; it is a process of reconnection. Consider reading SAMHSA's (Substance Abuse and Mental Health Services Administration)~ families (also available in Spanish) on adjusting to life at home for more information on how you and your loved ones can make your return home easier.


Centers for Disease Control and Prevention 1600 Clifton Rd Atlanta, GA 30329

Questions? Contact CDC-INFO

P496

800-CDC-INFO (800-232-4636) TTY: 888-232-6348

P497


Hanson, Jake@CDPH CDPH CCLHO DL FW: CAHAN HCP Conference Call Notes- CDPH Update on 2019 Novel Conference Call 1/27/2020 at 11 AM Thursday, January 30, 2020 7:06:49 AM Coronavi rus+HCP+Conferen ce+Ca II+ So ea ker +Notes+ 1. 28, 20. pdf


FYI




Subject: CAHAN HCP Conference Call Notes- CDPH Update on 2019 Novel Conference Call

1/27 /2020 at 11 AM

**(EXTERNAL MESSAGE]** FROM: [email protected]



California Department of Public Health (CDPH) conducted a call to update healthcare providers on the latest information regarding the 2019 Novel Coronavirus on Monday, January 27th, 2020 at 11 AM.


P498

From: To:

Zarate. Sheilah CDPH) Aragon. Tomas CDPH)

Subject: Date:

Re: Epi-X Today: Wednesday, January 29, 2020 Wednesday, January 29, 2020 9:48:22 PM

https://youtu.be/w6koHkBCoNO

Update on the new Coronavirus outbreak first identified in Wuhan, China I Press Conference

What is the latest on the new #coronavirus outbreak that was first identified in #Wuhan, #China7 What is the U.S. Government, HHS, and the #CDC doing in resp ...

youtu.be

Here's the youtube link in case the link below didn't work. It's great to see the transparency in

CDC.

Thanks,

Sheilah



To: Zarate, Sheilah (DPH) <[email protected]>

Subject: Re: Epi-X Today: Wednesday, January 29, 2020

Thanks Sheilah!

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102

P499







From: Zarate, Sheilah (DPH) <[email protected]>



Subject: Fwd: Epi-X Today: Wednesday, January 29, 2020

Good evening Tomas,

If you didn't get the chance to hear the CDC Press Conference on 1/28, it was excellent. if you don't have access to epiX, here's the direct link: https://tinyurl.com/ww3wezb

They also have a COCA call on Fri for clinician guidance which was sent out earlier.

Best, Sheilah


From: [email protected] <[email protected]> Sent: Wednesday, January 29, 2020, 2:25 AM To: Zarate, Sheilah (DPH) Subject: Epi-X Today: Wednesday, January 29, 2020



-*- Global Immunization News Report, January 28, 2020 -*-Today's Global Immunization News report includes polio, measles, Ebola, mumps, Yellow fever, cholera, policy and funding, vaccine demand and safety, and other news for Tuesday, January 28, 2020. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=72356

HHS Press Conference on January 28, 2020at11:15 am -12:00 pm EST: Update on 2019 Novel Corona virus Secretary Alex Azar will hold a press conference alongside CDC Director Robert Redfield, NCIRD

P500

Director Nancy Messonnier, and NIAID Director Anthony Fauci to provide further details on the Department's coordinated public health response to the 2019 Novel Coronavirus today at 11:15 am -12:00 pm EST at https://tinyurl.com/ww3wezb. https :// epix2. cdc. gov /v2/Re ports/Display. aspx?i d= 723 55

-*-Media Tracking Report, January 28, 2020 -*-Media stories include novel coronavirus in multiple states and countries; measles in American Samoa; influenza in multiple states; suspected mumps in California; Legionnaire's in Illinois; Nipha virus in Bangladesh; Yellow fever in Uganda; dengue in Pakistan; MERS-CoV in Saudi Arabia; and other media coverage. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=72359





IMPORT ANT REMINDERS Update your contact information: https://epix2.cdc.gov/v2/Profile.aspx Learn about Epi-X training opportunities: https://epix2.cdc.gov/v2/help/Training_ Opportunities.htm Receive this message in Text format: https://epix2.cdc.gov/v2/Preferences.aspx#Email

P501

From: To:

Zarate, Sheilah CDPH) Aragon, Tomas (DPH)

Subject: Date:

Fwd: Epi-X Today: Wednesday, January 29, 2020 Wednesday, January 29, 2020 7:58:17 PM

Good evening Tomas,

If you didn't get the chance to hear the CDC Press Conference on 1/28, it was excellent. if you don't have access to epiX, here's the direct link: https://tinyurl.com/ww3wezb

They also have a COCA call on Fri for clinician guidance which was sent out earlier.

Best, Sheilah


From: [email protected] <[email protected]> Sent: Wednesday, January 29, 2020, 2:25 AM To: Zarate, Sheilah (DPH) Subject: Epi-X Today: Wednesday, January 29, 2020



-*- Global Immunization News Report, January 28, 2020 -*-Today's Global Immunization News report includes polio, measles, Ebola, mumps, Yellow fever, cholera, policy and funding, vaccine demand and safety, and other news for Tuesday, January 28, 2020. https: //epix2. cdc. gov /v2/Re ports/Di splay. aspx?i d= 72356

HHS Press Conference on January 28, 2020at11:15 am -12:00 pm EST: Update on 2019 Novel Coronavirus Secretary Alex Azar will hold a press conference alongside CDC Director Robert Redfield, NCIRD Director Nancy Messonnier, and NIAID Director Anthony Fauci to provide further details on the Department's coordinated public health response to the 2019 Novel Coronavirus today at 11 :15 am -12:00 pm EST at https://tinyurl.com/ww3wezb. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=72355

-*- Media Tracking Report, January 28, 2020 -*-Media stories include novel coronavirus in multiple states and countries; measles in American Samoa; influenza in multiple states; suspected mumps in California; Legionnaire's in Illinois; Nipha virus in Bangladesh; Yellow fever in Uganda; dengue in Pakistan; MERS-CoV in Saudi Arabia; and other media

P502

coverage. https://epix2.cdc.gov/v2/Reports/Display.aspx?id=72359





IMPORTANT REMINDERS Update your contact information: https://epix2.cdc.gov/v2/Profile.aspx Learn about Epi-X training opportunities: https://epix2.cdc.gov/v2/help/Training_ Opportunities.htm Receive this message in Text format: https://epix2.cdc.gov/v2/Preferences.aspx#Email

P503

From: To:

DPH, Pheor (DPH) DPH-PHD-Public Health Emergency Preparedness and Response; Ochi. Ed CDPH); Vien, Veronica (DPH); Stoltey, Juliet CDPH); Stier, David (DPH); DuBois, Amie (DPH); Duren, James (DPH); Majeski. Nick (ADM); Sanchez, Melissa (DPH); Masinde, Godfred CDPH); Siador, Christine (DPH); Aragon. Tomas CDPH); Kwong, Amanda (DPH); DPH-Inteqration Steering Committee; [email protected]; [email protected]; DutyOfficer. DEM (DEM); mhccsitreps&[email protected]; [email protected]; Padilla, Cristina CDPH); Acosta, Linda (DPH); Heckman, Karen CDPH); Naser, Rawan (DPH); Nquyen. Rita (UCSF); Van Etten, Susan (DPH); [email protected]; Zarate, Sheilah CDPH); Robert, Anna (DPH); OVADIA. AMY CDPHl: Saelee. Kenpou (DPH); McDonald, Thomas (ADM): Barbrich. Krzvsztof (ADM); Enanoria. Wayne (DPH); Sanchez, Melissa (UCSF); Onqpin. Melissa CDPH); Do, Jennifer-Xuan (DPH); Paule, Gretchen (DPH); Sefat. Cimma CDPH); Bunting, Buffv (DPH); Pierce, Karen (DPH); Rodriquez. Marise (DPH); Ta, Melissa CDPH): Lee, Elaine (DPH); Buckley. Ken (DPH); Aguallo, Daisy (DPH); Obien. Elaine (DPH)

Subject: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat #6 Wednesday, January 29, 2020 6:37:20 PM Date:



# of Cases/Deaths

Worldwide: 6,065 Cases/132 Deaths US: 5 Cases/O Deaths CA: 2 Cases/0 Deaths


SFDPH

Summary of actions

fl SFOPH Health Officer Dr. Tomas Aragon gave an interview in Spanish to KIQI,

• Public FAQ for https://www.sfcdcp.org/developed and out for review. The site is now


fl DPH Operations continues to expand significantly to support functions of information


being provided where needed.


• Refining messaging about masks for the community, in collaboration with the DOC,

CHEP, and SFHN.

• FAQs for the SF 311 call center have been revised and updated by PIOs.

• The SF City Attorney is currently reviewing (draft) Health Officer orders.

• Plans in development for PPE deployment (if needed) and preparing for respirator users


and training)

fl Staff worked on tailoring prevention messages to the Chinese community especially


• Efforts are expanding to a city-wide level around housing and resource support for PUis.

P504


• Continued monitoring of social media, to be able to respond in real time to unvalidated



5 FD PH Page: https ://www.sfcdcp.org/i nfecti o us-d iseases-a-to-z/co ro n avi ru s-2019-n ove 1-co ro n avi rus/

• CDC is posting and updating the number of PUis in the U.S. As of 01/29/20: 5 positive,


• Working with CDPH to make lab testing possible at the local level. Currently CDC


CDC nCoV page: https://www.cdc.gov/coronavirus/2019-ncov/index.html


• 4 newly confirmed cases reported in United Arab Emirates, in individuals traveling from

Wuhan City.


Network (PSCN)". It is a Market Network that seeks to provide a platform for data





111 Global confirmed cases 6065, China 5997 confirmed cases. 1239 severe cases, 132

deaths.


111 9239 PUis.

WHO nCoV page:

https: //www. who.int/em ergen cies/d iseases/n ovel-coron avirus-2019


• CDPH is using the California Health Alert Network (CAHAN) and hosting conference calls



P505

111 As of 0800 hours on January 27, 2020 there have been 33 persons in California tested





111 Preparing for the release of the 2019-nCoV laboratory assay within the next two weeks.






CDPH nCoV page:





P506

had taken supplies from the warehouse.By Monday, when the video had amassed

more than 800,000 views and 33,000 shares, demonstrators gathered in San Juan,

the capital, to protest leaders they said had again let them down in the wake of a

natural disaster, as occurred after Hurricane Maria in 2017.

https ://www. nyti mes. com/2020/01 /20/us/puerto-ri co-prate sts-emerg ency-supplies. htm I

Winter storm lashes Spanish coast, leaves 4 dead, power cuts

MADRID (AP) -A winter storm lashed much of Spain for a third day Tuesday,

leaving 200,000 people without electricity, schools closed and roads blocked by snow

as it killed four people. Massive waves and gale-force winds smashed into seafront

towns, damaging many shops and restaurants and flooding some streets. One video

showed a powerful wave crashing over a seafront wall and sending water cascading

toward the street and nearby buildings in Cala Ratjada on the Mediterranean island of

Mallorca. Ports on the nearby island of Menorca have been closed for two days, the

La Vanguardia newspaper said. The storm, which whipped up Sunday, has so far

claimed lives of three men and one woman.

https :/ lwww. sf ch ran icl e. com/news/world/ article/WI nter -storm-I ash i ng-S pain-leave s-4-dead-power -14 9 9118 8. ph p



safety partners.



P507

From: To: Cc: Subject:

Date:

Hi Diane,

Chan. Curtis CDPH)

Beetham, Diane CDPH)

Armstrong, Aline CDPHl: Aragon, Tomas (DPH)

Re: CAHAN LHD Conference Call Notification - CDC''s 2019 Novel Coronavirus (2019-nCoV) All State Update Conference Call [foday-1/17/2020 1 pm PST]

Tuesday, January 21, 2020 8:54:54 AM

Thank you and that's the perfect distillation of health officials' questions on Friday's CDC

conference call. Tomas's team knows much more than I, but I just thought to give you the

FYI on a Friday afternoon of a long-weekend, that it was rapidly becoming front-page news.

From interpretation of Friday's call, the early stage of this response is that CDC will send its

staff to assist DGMQ and Customs & Border Protection to conduct (mostly symptomatic)

screening at 3 airports (JFK, SFO, and LAX). One of the first questions from local public health

was from New York, who asked about public health home surveillance (I'm not sure if "public

health nursing" was specifically mentioned). Another health official referenced the "ebola"

response. Although the CDC's main emphasis is that this is very early in a rapidly evolving

situation, my guess is that public health nurses providing home visiting services would not be

activated in the short-term. Most of the initial response will be conducted within the

international terminal at the airport. Judging from past experiences and the discussion on

Friday's call, the response plan is still mostly at the stage of identifying a "Patient Under

Investigation" (PUI); and thinking planning how the institutions that would need to be notified

and coordinate a response: CDC, DGMQ, CBP, CDPH, Hospital evaluating patient, Lab testing

and specimens, Local Health Department (LHD) with Airport, LHD with hospital, LHD where

patient resides. Infinite number of complexities and uncertainties that ultimately the local

CD Control Team may need to navigate through.

Anyhow, just a situational update and here are some Key References:

CDC.gov: Corona Virus situation headlines front page: www.cdc.gov

Corona Virus Home: https://www.cdc.gov/coronavirus/2019-ncov/index.html

Health Alert: https://emergency.cdc.gov/han/han00426.asp

Thanks,

curtis







P508



From: Beetham, Diane (DPH) <[email protected]>

Sent: Monday, January 20, 2020 10:00 AM


Cc: Armstrong, Aline (DPH) <[email protected]>; Aragon, Tomas (DPH)

<[email protected]>

Subject: Re: CAHAN LHD Conference Call Notification - CDC's 2019 Novel Coronavirus (2019-nCoV)

All State Update Conference Call [Today-1/17/20201 pm PST]

Hi Curtis- Thanks for the notification. I am wondering if we will monitor folks coming from areas of concern, similar to Ebola monitoring or perhaps the airport will conduct screening.


Sent: Friday, January 17, 2020 1:24:39 PM

To: Beetham, Diane (DPH) <[email protected]>


<[email protected]>

Subject: Fwd: CAHAN LHD Conference Call Notification - CDC's 2019 Novel Coronavirus (2019-nCoV)

All State Update Conference Call [Today- 1/17 /2020 1 pm PST]

FYI to Director of Public Health Nursing. Sorry for duplicates.

https ://www .cnn.com/2020/01 /17 /health/wuhan-virus-us-airport-screenings-chinabn/index.html

This probably won't shouldn't directly affect you, home visiting programs this weekend, but some of the initial comments from NYC made me think about public health nursing.

Begin forwarded message:

From: California Health Alert Network <[email protected]> Date: January 17, 2020 at 11 :43 :07 AM PST To: "Chan, Curtis (DPH)" <[email protected]> Subject: CAHAN LHD Conference Call Notification - CDC's 2019 Novel Coronavirus (2019-nCo V) All State Update Conference Call [Today -1117 /2020 1 pm PST] Reply-To: California Health Alert Network <[email protected]>

The CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host an update call from 1 p.m. to 2 p.m. PST on Friday, January 17, 2020 to provide state and local partners with the latest information on the Novel Corona virus outbreak

P509

and U.S. preparedness efforts.






Sent: Friday, January 17, 2020 1:24:39 PM

To: Beetham, Diane (DPH) <[email protected]>


<[email protected]>

Subject: Fwd: CAHAN LHD Conference Call Notification - CDC's 2019 Novel Coronavirus (2019-nCoV)

All State Update Conference Call [Today-1/17 /2020 1 pm PST]

FYI to Director of Public Health Nursing. Sorry for duplicates.

https ://www .cnn.com/2020/01 /17 /health/wuhan-virus-us-airport-screenings-chinabn/index.html

This probably won't shouldn't directly affect you, home visiting programs this weekend, but some of the initial comments from NYC made me think about public health nursing.

Begin forwarded message:

From: California Health Alert Network <[email protected]> Date: January 17, 2020 at 11 :43 :07 AM PST To: "Chan, Curtis (DPH)" <[email protected]> Subject: CAHAN LHD Conference Call Notification - CDC's 2019 Novel Coronavirus (2019-nCoV) All State Update Conference Call [Today-1/17 /2020 1 pm PST] Reply-To: California Health Alert Network <[email protected]>

P510

The CDC's 2019 Novel Corona virus (2019-nCo V) response team will host an update call from 1 p.m. to 2 p.m. PST on Friday, January 17, 2020 to provide state and local partners with the latest information on the Novel Coronavirus outbreak and U.S. preparedness efforts.




P511

From: Balido. Jeannie (DPH)

To: Cc:

Aragon. Tomas (DPH); Stoltey. Juliet (DPH)

Philip. Susan (DPH)

Subject: Date:

Re: 2019 Novel Coronavirus - process/communications to refer Wuhan travelers for assessment

Monday, January 20, 2020 6:34:21 PM

Hi Tomas -Yes, I scheduled the room and send a calendar invite for this meeting:

Meeting to discuss Coronavirus Current Situation and Response Tuesday, January 21st from 9am - 1 Oam 25 Van Ness, 5th Floor Conference Room

Please note that I will not be participating in the meeting.

Hope you all had a nice weekend! Jeannie

Jeannie Balido Project Management Improvement Office (PMIO) Coordinator and Strategic Projects Manager Population Health Division 25 Van Ness Ave., Suite 200 San Francisco, CA 94102 Phone: (628) 206-7614 Email: [email protected]

REACH -for- Results, Equity, and Accountability for Community Health

Confidentiality Notice: This message and any attachments are solely for the intended recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use or distribution of the information included in this message and any attachments are prohibited. If you have received this communication in error, please notify me by reply e-mail and immediately and permanently delete this message and any attachments. Thank you.


Sent: Sunday, January 19, 2020 9:32:05 PM

To: Stoltey, Juliet (DPH) <[email protected]>; Balido, Jeannie (DPH)

<[email protected]>

Cc: Philip, Susan (DPH) <[email protected]>

Subject: Re: 2019 Novel Coronavirus - process/communications to refer Wuhan travelers for

assessment

Thanks.

We should assume it will develop into sustained human-to-human transmission.

We should also anticipate activating our IDER plan(s).

P512

Jeannie, Do we have a room for Tues at 9am?

Tomas

cc: Grant and Naveena


415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102


equity, compassion and humility to transform selt people, systems and cultures towards equity








Cc: Philip, Susan (DPH) <[email protected]>

Subject: Fw: 2019 Novel Coronavirus - process/communications to refer Wuhan travelers for

assessment

Hi Tomas,







- https://www.statnews.com/2020/01/19/china-reports-sharp-rise-in-case-of-novel-virus

amid-growing-concerns-of-person-to-person-transmission/

P513

CDPH has requested a call with CDC for 10am tomorrow (Monday) - I don't know if that is

happening yet or not - the last I heard the call was currently on hold. I will send you the call-in


Thanks,

Julie






















<[email protected]>; Carly Bock <[email protected]>; Sallenave, Catherine {San Mateo #1)

<[email protected]>; Luc, Mary (CDC/DDID/NCEZID/DGMQ) <[email protected]>; Shemsu,



FOUNTAIN, Maya {CDC/DDID/NCEZID/DGMQ) <[email protected]>; Smith, Lee

{CDC/DDID/NCEZID/DGMQ) <[email protected]>

Subject: RE: 2019 Novel Coronavirus process/communications to refer Wuhan travelers for

assessment


untrusted sources.

P514

Erica,

Thank you for this suggestion and idea. My current thought is that we 1 re having such challenges

organizing, training, and scheduling badging for the deployed staff that ifs too much for me/us to



QS level, we 1d want to support this suggestion. 11

11 talk more tomorrow with our Preparedness and

Policy Coordination Lead, who1s with us until Tuesday.

Thank you again,

Susan

PS. Vanessa just took a job with DTBE and begins Tuesday in Richmond. We1 re sad, but happy for her

and California!



To: Dwyer, Susan A. (CDC/DDID/NCEZID/DGMQ) <[email protected]>; Fong, Vanessa C.

(CDC/DOI D/NCEZI D/DGMQ) <[email protected]>




Jeanne Chevillet <[email protected]>; Kendra Benttinen <[email protected]>; Cassius

Lockett <[email protected]>; Carly Bock <[email protected]>; Sallenave, Catherine (San Mateo





assessment

Hi Susan & Vanessa,






to 11seek medical care right away and call ahead. 11 (and not call the San Mateo or other local PH CD

Control#).

I do have concerns after we had started to discuss in our county scenarios of travelers being '



P515








evaluation.









Thanks!

Erica

510-506-5895




Subject: CAHAN Disease Notification CDC HAN 426 Update and Interim Guidance on Outbreak of




P516

From: To: Cc:

Stoltey, Juliet (DPH)

Aragon, Tomas (DPH)

Philip, Susan (DPH)

Subject: Date:

Fw: 2019 Novel Coronavirus - process/communications to refer Wuhan travelers for assessment

Sunday, January 19, 2020 8:45:02 PM

Hi Tomas,







- https: //www.statnews.com/2020/01/19 /china-reports-sharp-rise-in-case-of-novel-virus

a m id-growi ng-concerns-of-person-to-pe rson-tra nsm ission I

CDPH has requested a call with CDC for 10am tomorrow (Monday) - I don't know if that is

happening yet or not the last I heard the call was currently on hold. I will send you the call-in


Thanks,

Julie















P517

From: Dwyer, Susan A. (CDC/DDID/NCEZID/DGMQ) <[email protected]>







<[email protected]>; Carly Bock <[email protected]>; Sa lien ave, Catherine (San Mateo #1)

<[email protected]>; Luc, Mary (CDC/DDID/NCEZID/DGMQ) <[email protected]>; Shemsu,



FOUNTAIN, Maya (CDC/DDID/NCEZID/DGMQ) <[email protected]>; Smith, Lee



assessment


untrusted sources.

Erica,

Thank you for this suggestion and idea. My current thought is that we're having such challenges

organizing, training, and scheduling badging for the deployed staff that it's too much for me/us to



QS level, we'd want to support this suggestion. I'll talk more tomorrow with our Preparedness and

Policy Coordination Lead, who's with us until Tuesday.

Thank you again,

Susan

PS. Vanessa just took a job with DTBE and begins Tuesday in Richmond. We're sad, but happy for her

and California!



To: Dwyer, Susan A. (CDC/DDID/NCEZID/DGMQ) <[email protected]>; Fong, Vanessa C.





Jeanne Chevillet <[email protected]>; Kendra Benttinen <[email protected]>; Cassius

Lockett <[email protected]>; Carly Bock <[email protected]>; Sallenave, Catherine (San Mateo


P518




assessment

Hi Susan & Vanessa,






to "seek medical care right away and call ahead." (and not call the San Mateo or other local PH CD

Control#).

I do have concerns after we had started to discuss in our county scenarios of travelers being










evaluation.









Thanks!

Erica

510-506-5895


P519



Subject: CAHAN Disease Notification - CDC HAN 426 Update and Interim Guidance on Outbreak of




P520


CCSF Department of Emergency Management Aragon, Tomas CDPH) DEM 24-Hour Daily Situational Awareness Report 01-19-2020 Sunday, January 19, 2020 10:02: 19 AM

i .... J










is learned about the newly emerging virus. Chinese authorities are reporting no

ongoing spread of this virus in the community, but they cannot rule out that some

limited person-to-person spread may be occurring.

Thailand and Japan have confirmed additional cases of 2019-nCoV in travelers from

Wuhan, China.

It is possible that more cases will be identified in the coming days. This is an ongoing

investigation and given previous experience with MERS-CoV and SARS-CoV, it is

possible that person-person spread may occur. There is much more to learn about

the transmissibility, severity, and other features associated with 2019-nCoV as the

investigations in China, Thailand, and Japan continue. Additional information about

this novel virus is needed to better inform population risk.

CDC information can be found at: https://www.cdc.gov/coronavirus/2019-

nCoV/summary.html

Additional information is available at:

https://.cdc.gov/coronavirus/2019-ncov/index.html or by calling 800-CDC- INFO I (800-232-4636) I TTY: (888) 232-6348

P521

Information for healthcare providers can be found at:

See CDC's Interim Healthcare Infection Prevention and Control Recommendations

for Patients Under

Investigation for 2019 Novel Coronavirus (https://www.cdc.gov/coronavirus/2019-

nCoV/infectioncontrol.html).

Information specific to SFO can be found here:

https://www.flysfo.com/passengers-arriving-wuhan-china-are-being-screened-novel

coronavirus



Watch Center - Desk ( 415) 558-2738



After Hours Duty Officer: Mon-Sun, 2230-0600 Hours. Current DO: Andrea Jorgensen

Manager On Call (MOC): Francis Zamora - [email protected] - 415-558-

3830





I Level II EOG Status II Description

~ EOC Duty Officer I Manager On-Standby Call c

DI EOC Open I Watch Center (Monitoring)

DI EOC Open I Partial w/ 1st Response Elements & Support

DI EOC Open I Full Activation (All Sections and Positions)

P522

II Time I After-hours & Weekends

0600-2230; daily (excluding holidays)

I As Needed I I As Needed I


Today: Cloudy, with a high near 56. Calm wind becoming north around 5 mph in the

afternoon.

Tonight: Cloudy, with a low around 47. Light north northwest wind ..

Monday: A 10 percent chance of rain after 4pm. Cloudy, then gradually becoming

mostly sunny, with a high near 58. Calm wind becoming southwest 5 to 9 mph in the

afternoon.


AQI Forecast: 42

www.airnow.gov


Sunday (1/19/2020)

- Winter Fancy Food Show, from 1 O:OOam to 5:00pm@ Moscone North & South

- Flower Market Fair, from 1 O:OOam to 4:00pm @ Grant Ave from Clay to Broadway

Streets

- 49ers NFC Championship Game, from 3:40pm to 5:30pm@ Levi's Stadium


Monday (1 /20/2020)


Tuesday (1/21/2020)



- Warriors vs Jazz, from 7:00pm to 10:30pm@ Chase Center

P523


- No significant events are scheduled

Friday (1 /24/2020)

- No significant events are scheduled

Saturday (1 /25/2020)

- Walk for Life March, from 11 :OOam to 2:30pm, at Civic Center Plaza; walking to

Justin Herman Plaza at approx. 1 :30pm















Bacteria water samples clear several San Francisco beaches for swimming and

surfing

Although the water will be cold this weekend, the San Francisco Public Utilities

Commission had some great news for beach goers within the city. The SFPUC

P524

announced that it was taking down 'no swimming' signs at China Beach, Fort

Funston, Crissy Field West, and Ocean Beach at Balboa to Fulton and Pacheco to

Taravel and Sloat. Officials announced that repeat water samples collected at these

locations Friday, had bacteria levels below health concerns. However, Ocean Beach

at Lincoln to Noriega and Vicente, Crissy Field East, Mission Creek and lslais Creek

remained posted. Officials will take more samples at these locations on Saturday, and

will be available on Sunday. Authorities are cautioning beachgoers, that during and

immediately after rainstorms, concentrations of bacteria could build up near the

shore, since there weren't a combined sewer discharge. San Francisco beach water

quality information is available at beaches.sfwater.org, or on the Recreational Water

Quality Hotline at (415) 242-2214 or toll free (877) 732-3224. The San Francisco

Public Utilities Commission routinely monitors shoreline bacteria at 16 stations in the

city, that are popular for swimming and surfing. The SFPUC conducts additional

monitoring whenever a treated discharge from the City's combined sewer system

occurs that affects a recreational beach.

https://www.ktvu.com/news/bacteria-water-samples-clear-several-san-francisco-beaches-for-swimming-and-surfing

New coronavirus 'preventable and controllable', China says

The new Chinese virus which has already spread abroad "is still preventable and

controllable", China says. Its National Health Commission warned, however, that

close monitoring was needed given the source, transmission and mutation methods

were unknown. Two people are known to have died from the respiratory illness which

appeared in Wuhan city in December. In its first statement since the outbreak, the

body promised to step up monitoring during the Lunar new year. Millions of Chinese

travel to their families for the holiday - also known as the Spring Festival - beginning

next week. There have been more than 60 confirmed cases of the new coronavirus,

but UK experts estimate a figure nearer 1,700. Singapore and Hong Kong have been

screening air passengers from Wuhan, and US authorities have announced similar

measures at three major airports in San Francisco, Los Angeles and New York. While

the outbreak is centered on the central Chinese city of Wuhan, there have been two

cases in Thailand and one in Japan. Chinese officials say there have been no cases

of the virus spreading from one person to another. Instead, they say, the virus has

crossed the species barrier and come from infected animals at a seafood and wildlife

market in Wuhan. The WHO's China office said the analysis was helpful and would

help officials plan the response to the outbreak. "Much remains to be understood

about the new coronavirus," it said. "Not enough is known to draw definitive

P525

conclusions about how it is transmitted, the clinical features of the disease, the extent

to which it has spread, or its source, which remains unknown."

https://www.bbc.com/news/health-51168333



safety partners.



P526

From:

To:

Subject:

Date: Attachments:


Aragon. Tomas (DPH)

CAHAN Disease Notification - CDC HAN 426 Update and Interim Guidance on Outbreak of 2019 Novel Coronavirus

Saturday, January 18, 2020 12:46:35 PM

CDC+HAN+426+Update.pdf 20 CS314423-D Shockev .pdf OS Wuhan T-HAN+Postcard Mandarin English FINAL.pdf


an outbreak of a 2019 novel coronavirus (2019-nCoV) in Wuhan City, Hubei Province,

China that began in December 2019. CDC has established an Incident Management

System to coordinate a domestic and international public health response.


P527

From: To:

Rivera, Tiffany IDPH) Starliper, Lisa IDEM)

Cc: Aragon, Tomas CDPH); Stoltey, Juliet IDPH); Gurley, Jan (DPH) Subject: Date:

Re: Input for DEM 24-Hour Daily Situational Awareness Report - 2019 Novel Coronavirus Tuesday, January 21, 2020 6:26:00 PM

Hi Lisa,

I have not heard anything about DPH deploying anything to SFO, I have looped in

DPH/lncident leadership in case they know otherwise.

Thanks for asking,

Tiffany Rivera, RN, BSN, CEN, TCRN Deputy Director Emergency Response & Preparedness San Francisco Department of Public Health 30 Van Ness, Suite 2300 San Francisco, CA 94102 Phone: 415-558-5937 E-mail: [email protected]

From: Starliper, Lisa (DEM) <[email protected]>

Sent: Tuesday, January 21, 2020 10:12 AM·

To: Rivera, Tiffany (DPH) <[email protected]>

Subject: RE: Input for DEM 24-Hour Daily Situational Awareness Report- 2019 Novel Coronavirus

Thanks Tiffany.

I understand DPH is deploying some detection equipment to SFO ... is that correct? Anything you

need us to brief our leadership (or the City) on?

Lisa

From: Rivera, Tiffany (DPH) <[email protected]>

Sent: Tuesday, January 21, 2020 9:08 AM

To: Starliper, Lisa (DEM) <[email protected]>

Cc: DutyOfficer, DEM (DEM) <[email protected]>; Gurley, Jan (DPH)

<[email protected]>

Subject: Re: Input for DEM 24-Hour Daily Situational Awareness Report - 2019 Novel Coronavirus

Lisa, I edited the prior messaging by taking out some info- some details that are not up to date anymore. Please use the same links as Below. Let us know if you have any questions.

Get Outlook for iOS

P528

From: Starliper, Lisa (DEM) <[email protected]>


To: Rivera, Tiffany (DPH)

Cc: DutyOfficer, DEM (DEM)

Subject: Input for DEM 24-Hour Daily Situational Awareness Report - 2019 Novel Coronavirus

Morning,

Is there specific language PHEPR would like us to include on our Daily Situational Awareness Report,

in regards to the Novel Coronavirus?

Below is what was sent out on Sunday and the Watch Center can do something similar (e.g. updated

with the latest info from the CDC) for today and moving forward.

Please let us know by 0900 today if you (1) have specific language you would like us to use or (2) if

something similar to the below is sufficient.

Thanks,

Lisa




The Centers for Disease Control and Prevention (CDC) continues to closely monitor an outbreak of a 2019 Novel Coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China that began in December 2019. Since yesterday, the CDC is screening passengers on direct and connecting flights from Wuhan China at San Francisco International Airport. The CDC continues to coordinate with their partners and may adjust response activities as the outbreak investigation continues and more is learned about the newly emerging virus.

It is possible that more cases will be identified in the coming days. This is an ongoing investigation and given previous experience with MERS-CoV and SARS-CoV, it is possible that person-person spread may occur. There is much more to learn about the transmissibility, severity, and other features associated with 2019-nCoV as the investigations in China, Thailand, and Japan continue. Additional information about this novel virus is needed to better inform population risk.

CDC information can be found at: https://www.cdc.gov/coronavirus/2019-nCoV /summary. htm I

P529

Additional information is available at: https://.cdc.gov/coronavirus/2019-ncov/index.html or by calling 800-CDC- INFO I (800-232-4636) I TTY: (888) 232-6348

Information for healthcare providers can be found at: See CDC's Interim Healthcare Infection Prevention and Control Recommendations for Patients Under Investigation for 2019 Novel Coronavirus (https://www.cdc.gov/coronavirus/2019-nCoV/infectioncontrol.html).

Information specific to SFO can be found here: https://www.flysfo.com/passengers-arriving-wuhan-china-are-being-screened-novelcoronavirus

ness Coordinator.

P530

From: To:

Subject:

Rivera, Tiffany CDPHl Saelee, Kenpou CDPHl: Brown, John CDPHl; DPH, Pheor CDPHl: Gurley, Jan CDPH); Stoltey, Juliet CDPHl; Aragon, Tomas CDPHl; Aldern. Gabrielle CDPH); Stanley, Kim (UCSFl; Platzer. Angela (DPHl; [email protected]; Dekker, Elaine CUCSFl; [email protected]; [email protected]; [email protected]; Nichols, Amy (UCSFl; Kakis, Anthony (UCSFl; [email protected]; Yu, Jennifer (DPHl; Ramirez, Lynn (UCSFl: [email protected]; Doernberg, Sarah CUCSFl; Hartz, Alison CUCSFl: [email protected]; de las Angeles, Aileen; Mathis, Gloria ([email protected]); Mariano, Geraldine (DPHl; Icban. Rosallie CDPHl: Yokoe, Deborah (UCSF); [email protected]; Gomez. Regina CDPH); [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Gizaw. Gelila CUCSFl; Lee. Steffanie (UCSF); [email protected]; FredrickS@CHASF. orq; [email protected]; DPH-glorial; laura .deneckere@diqnityhealth .orq; [email protected]; stinsod [email protected]; VaterK@sutterh ea Ith .org; [email protected]; [email protected]; michael [email protected]; [email protected]; Ruth. Perrv@Dig nityHealth .org; [email protected]; Maggie Murillo ([email protected]); Karl Frank; [email protected]; Smallwood, Madorie IUCSF); Tooman, Matthias IUCSF); Sneddon, Francine (UCSF); [email protected]; [email protected]; Schmidt. Jeffrey CDPH); Smith, Adrian CDPH); Talai. Nawzaneen (DPH) Hospital Coordination Call - 2019 nCoV Wuhan

Please join SF Department of Public Health tomorrow afternoon, on a citywide hospital coordination call regarding the 2019 Novel Corona virus (nCoV) out of Wuhan China. We are sending this invite to the following hospital representatives:

* Infection Control & Prevention Leadership * Emergency Department Leadership * Disaster Preparedness Leadership

During the hospital report out, we will ask the following information from your facility: (please coordinate report out with your other facility representatives)

1. Any current responses from your facility 2. Confirm airborne isolation rooms (AIIR) in:

1.ED 2. Inpatient

3. Identification of potential Person Under Investigation (PUI) 4. Ability to conduct respiratory viral PCR test and turnaround time 5. Threshold for activation of Hospital Incident Command 6. What do you need from us?

Below is some further information regarding DPH activation and resources for you:

Dear Colleagues:

The San Francisco Department of Public Health (DPH) has activated the Department Operations Center (DOC) and Communicable Disease Response Plan, in response to the recent outbreak of the 2019 Novel Coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China that began in December 2019. SFDPH is currently monitoring the situation closely and coordinating efforts with the Centers for Disease Control and Prevention (CDC), the State, San Francisco International Airport (SFO), regional public health jurisdictions, and local CCSF Departments. Multiple countries, including the United States, are actively screening incoming travelers from Wuhan City, which includes SFO Airport.

The CDC is monitoring the outbreak and may adjust response activities as the outbreak investigation progresses. As we continue to gather more information, ifthe SFDPH DOC needs to activate at a higher level, you will receive another alert, which will include additional concrete steps to take.

The situation remains fluid and additional 2019-nCoV infonnation is constantly being updated regarding any risks to the population.

For the latest resources regarding this evolving incident please check the following sources:

* CDC information: https://www.cdc.gov/coronavirus/2019-nCo V /summary.html

*Additional Coronavirus information is available at: https://www.cdc.gov/coronavirus/2019-ncov/index.html or by calling 800-CDC- lNFO [ (800-232-4636) I TTY: (888) 232-6348

* California Department of Public Health: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages!Immunization/nCOV2019 .aspx#

P531

<https://www.cdph.ca.govfPrograms/CID/DCDCfPages/Irnrnunization!nCOV2019.aspx> *Information specific to SFO: https://www.flysfo.com/passengers-arriving-wuhan-china-are-being-screened-novel-coronavirus

P532

From: Stoltey, Juliet (DPH)

To: Kagan, Rachael (DPH); Vien, Veronica (DPH); Aragon, Tomas (DPH); Philip. Susan (DPH); Gurley. Jan (DPH); Rivera. Tiffany (DPH); Stier. David (DPHl

Subject: Date:

FW: CDC Press Release: First Travel-related Case of 2019 Novel Coronavirus Detected in United States Tuesday, January 21, 2020 3:59:03 PM

FYI













From: Monica Schroeder <[email protected]>


To: Monica Schroeder <[email protected]>

Cc: CSTE Novel Coronavirus 2019 <[email protected]>

Subject: Fw: CDC Press Release: First Travel-related Case of 2019 Novel Coronavirus Detected in

United States


Forwarded to State Epidemiologists, Deputy State Epidemiologists, CLUE, CSTE Infectious Disease

Points of Contact and the CSTE Executive Board

Good afternoon,

Please see below for a CDC press release on the first travel-related case of 2019-nCoV in the United

States.

Kind regards,

Monica

Press Release

P533

For Immediate Release Tuesday, January 21, 2020

Contact: CDC Media Relations ( 404) 639-3286

First Travel-related Case of 2019 Novel Coronavirus Detected in United States

The Centers for Disease Control and Prevention (CDC) today confirmed the first case of 2019 Novel Coronavirus (2019-nCoV) in the United States in the state of Washington. The patient recently returned from Wuhan, China, where an outbreak of pneumonia caused by this novel coronavirus has been ongoing since December 2019. While originally thought to be spreading from animal-to-person, there are growing indications that limited person-to-person spread is happening. It's unclear how easily this virus is spreading between people.

The patient from Washington with confirmed 2019-nCo V infection returned to the United States from Wuhan on January 15, 2020. The patient sought care at a medical facility in the state of Washington, where the patient was treated for the illness. Based on the patient's travel history and symptoms, healthcare professionals suspected this new coronavirus. A clinical specimen was collected and sent to CDC overnight, where laboratory testing yesterday confirmed the diagnosis via CDC's Real time Reverse Transcription-Polymerase Chain Reaction (rRT-PCR) test.

CDC has been proactively preparing for the introduction of2019-nCoV in the United States for weeks, including:

" First alerting clinicians on January 8, 2020, to be on the look-out for patients with respiratory symptoms and a history of travel to Wuhan, China. Developing guidance for clinicians for testing and management of 2019-nCo V, as well as guidance for home care of patients with 2019-nCoV.

• Developing a diagnostic test to detect this virus in clinical specimens, accelerating the time it takes to detect infection. Currently, testing for this virus must take place at CDC, but in the coming days and weeks, CDC will share these tests with domestic and international partners

• On January 17, 2020, CDC began implementing public health entry screening at San Francisco (SFO), New York (JFK), and Los Angeles (LAX) airports. This week CDC will add entry health screening at two more airports Atlanta (ATL) and Chicago (ORD).

• CDC has activated its Emergency Operations Center to better provide ongoing support to the 2019-nCoV response.

CDC is working closely with the state of Washington and local partners. A CDC team has been deployed to support the ongoing investigation in the state of Washington, including potentially tracing close contacts to determine if anyone else has become ill.

Coronaviruses are a large family of viruses, some causing respiratory illness in people and others circulating among animals including camels, cats and bats. Rarely, animal

P534

coronaviruses can evolve and infect people and then spread between people, such as has been seen with Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). When person-to-person spread has occurred with SARS and MERS, it is thought to happen via respiratory droplets with close contacts, similar to how influenza and other respiratory pathogens spread. The situation with regard to 2019-nCo V is still unclear. While severe illness, including illness resulting in several deaths, has been reported in China, other patients have had milder illness and been discharged. Symptoms associated with this virus have included fever, cough and trouble breathing. The confirmation that some limited person-to-person spread with this virus is occurring in Asia raises the level of concern about this virus, but CDC continues to believe the risk of 2019-nCo V to the American public at large remains low at this time.

This is a rapidly evolving situation. CDC will continue to update the public as circumstances warrant.

For more infmmation about the current outbreak in China, visit: https ://v.rww .cdc. gov /coronavirus/novel-coronavirus-2019 .html

• For more information about Coronaviruses: https ://www.cdc.gov I coronavirus/index.html

" For travel health information: https://wwwnc.cdc.gov/travel/notices/watch/pneumoniachina

###

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

CDC works 2417 protecting America's health, safety, and security. Whether diseases start at home or abroad, are curable or preventable, chronic or acute, or from human activity or


To unsubscribe from this CDC media listserv, please reply to [email protected] with the email address you would like removed.

P535

From: To: Cc:

DPH. Phepr CDPH) DPH. Phepr CDPH) DPH-PHD-Public Health Emergency Preparedness and Response; DutyOfficer. DEM (DEM); [email protected]; aram.bronston@acgov .orq

Subject: SFDPH DOC Activation for Novel Coronavirus 2019 (nCoV-2019) Date: Tuesday, January 21, 2020 3:54:31 PM

Dear SFDPH Colleagues and Partners:

The San Francisco Department of Public Health (DPH) has activated the Department Operations

Center (DOC) and Communicable Disease Response Plan, in response to the recent outbreak ofthe

2019 Novel Coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China that began in December

2019. SFDPH is currently monitoring the situation closely and coordinating efforts with the Centers

for Disease Control and Prevention (CDC), the State, San Francisco International Airport (SFO),

regional public health jurisdictions, and local CCSF Departments. Multiple countries, including the

United States, are actively screening incoming travelers from Wuhan City, which includes SFO

Airport.

The CDC is monitoring the outbreak and may adjust response activities as the outbreak investigation

progresses. As we continue to gather more information, if the SFDPH DOC needs to activate at a

higher level, you will receive another alert, which will include additional concrete steps to take.

The situation remains fluid and additional 2019-nCoV information is constantly being updated

regarding any risks to the population. For the latest information regarding this evolving

incident please check the following sources:

• CDC information: https://www.cdc.gov/coronavirus/2019-nCoV /summary.html

.. Additional Coronavirus information is available at:

https://www.cdc.gov/coronavirus/2019-ncov/index.html or by calling 800-CDC- INFO I (800-232-4636) I TIY: (888) 232-6348

• California Department of Public Health:

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/nCOV2019.aspx#

.. Information specific to SFO: https://www.flysfo.com/passengers-arriving-wuhan-china


" An event has been created in WebEOC - 112020-01-21 2019 nCoV." Please log in for

SFDPH DOC information and updates: https://sfvem.org/eoc7 /

Sincerely,


P536


P537

From: To:


Shruti Dhapodkar

Travis Kusman; Jackie Peterson; [email protected]; Celeste Philip; Chris Farnitano, M.D.; DPHcolleen.chawla; [email protected]; Dana Gervais; Daniel W. Peddycord; Debbie Reynolds; [email protected]; [email protected]; [email protected]; DeGuzman, Faye CDPHl; Gail Newel; Gib Morrow; Colfax, Grant CDPHl; Hy Hinojosa; Ford, Isela (DPHl; Jennifer Yasumoto; Julie Bloxham; Karen Relucio; [email protected]; Krystal Barker; Laurin Burton; [email protected]; [email protected]; DPH-LRoqers; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Bobba, Naveena (DPH); [email protected]; [email protected]; Gurley, Jan CDPHl; [email protected]; Scott Morrow; [email protected]; [email protected]; Aragon, Tomas CDPH); Tracey Belton; Wanda Showaker; Yesska Calderon; Philip, Susan (DPH); Stoltey, Juliet (DPH)

Bairam, Neetu, Public Health. OOD; Shemsu, Munira, Public Health, DCDCP

ABAHO MAC Novel Coronavirus 2019

JIC Proposal.docx ABAHO 02-17-20 aqenda.docx Clinician Checklist SF - DRAFT 21Jan2020.doc Clinician Checklist SF - DRAFT 21Jan2020.pdf


P538

From: Kagan. Rachael (DPH) To: Stoltey, Juliet (DPHl; Vien, Veronica (DPH) Cc: Subject: Date:

Gurley, Jan (DPH); Rivera, Tiffany (DPH); Aragon, Tomas (DPH); Philip, Susan (DPH) RE: Media Advisory: CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV) Tuesday, January 21, 2020 2:56:14 PM

Sorry, just seeing this now. Veronica didn't see it in time, either. It would be great to have more

notice, as these calls are quite valuable.

Veronica will see if she can get us added directly to the CDC list.

Thanks,

Rachael



To: Kagan, Rachael (DPH) <[email protected]>; Vien, Veronica (DPH)

<[email protected]>

Cc: Gurley, Jan (DPH) <[email protected]>; Rivera, Tiffany (DPH) <[email protected]>;

Aragon, Tomas (DPH) <[email protected]>; Philip, Susan (DPH) <[email protected]>

Subject: FW: Media Advisory: CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV)

















Subject: Fw: Media Advisory: CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV)


P539

Forwarded to State Epidemiologists and CLUE

Good afternoon,

Please see below for information on a CDC telebriefing scheduled for 2pm EST TODAY (1/21). CDC

will provide an update on 2019 Novel Coronavirus (2019-nCoV).

Thank you,

Monica

From: MMWR Media List <[email protected]> on behalf of [email protected]

(CDC) <[email protected]>



Subject: Media Advisory: CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV)

Media Advisory

Content Embargoed until 3 p.m. ET Tuesday, January 21,

2020


CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV)

What The Centers for Disease Control and Prevention (CDC) will provide an update on the 2019 Novel Coronavirus response.


When 2 p.m. ET Tuesday, January 21, 2020

Dial-In Media: 877-601-4 718 Non-Media: 888-603-9752 INTERNATIONAL: 1-773-756-4803 PASS CODE: CDC Media

Important Instructions If you would like to ask a question during the call, press * 1 on your touchtone phone. Press *2 to withdraw your question. You may queue up at any time. You will hear a tone to indicate

P540

your question is pending.

TRANSCRIPT A transcript will be available following the briefing at CDC's web site: \vww.cdc.gov/media.

###




P541

From: Stier, David CDPH) To:

Subject:

Stoltey, Juliet CDPHl; DuBois. Amie CDPHl; Philio. Susan CDPH); Aragon, Tomas CDPHl; Masinde, Godfred (DPH); Gurley, Jan CDPH); Rivera, Tiffany (DPH): Brown, John (DPH); Aldern, Gabrielle (DPH); Enanoria, Wayne (DPHl CDC nCoV Telecon Call Notes

Date: Tuesday, January 21, 2020 12:S1:38 PM

Update on CDC response; 1/21/2020.

Additional questions can be sent to [email protected]

• 1st case nCoVfrom Wash State reported and confirmed. Snohomish County. 35 M healthy,

traveled to Wuhan, returned 1/15, symptom onset 1/16. Overall illness mild, neg CXR. No

exposure to livestock or seafood or animal markets, ill persons. Sought healthcare on 1/19,

tested, results reported out 1/20.

• #reported cases in multiple countries to >300.

" CDC has activated DOC

" Plan for scale-up of screening passengers from Wuhan -will add Atlanta and Chicago airports

and consider changing travel advisories

" 6 locations Wuhan, Beijing, Guandong, Thailand, So Korea, USA

.. Limited person-to-person spread is occurring

• Hearing about HCW illnesses in Wuhan

• 11 countries conducting entry screening, Wuhan is doing exit screening

" Updated traveler health notices for Wuhan city

" Increased screening on direct and connecting flights

" HAN advisory has been released - I didn't hear that there's a plan for another one.

" RT-PCR test has been developed, it's at CDC only for now. Next Gen sequencing is also in

place.

" Poss. use of investigation al drug Randecivir (?) - can get via EOC at CDC

.. 75k passengers annually into US from Wuhan. (out of 360M total entries)

., Other countries doing entry screening-18 countries/territories. But screening will not

identify everyone (some will not be symptomatic)

., SFO, JFK, LAX get the most# passengers. ATL and CHICAGO being added. Working with OHS

to route all Wuhan travelers thru these 5 airports, which requires some rebooking .

., Travel health notice raised to level 2. Older adults w/underlying conditions may be at

increased risk.

.. At entry screening, escorted to screening area, fill out traveler health deck. Staff observes for

signs of illness and take temp. If fever, get a more in-depth assessment. If PU! definition is

met, coordination with state/local authorities.

" Screening for 4 days so far, screened >1200. 12 have gotten in depth screening, none ID'ed as

PU!.

Questions

" PU! epi criteria - extend epi risk factors to travel outside of Wuhan? CDC engaging CSTE for

input, working on this.

" Getting serum and LR specimens, any more guidance esp. infection control guidance? No

change yet.

.. Planning updated HAN?

P542

.. If a PUI states they were exposed to someone who's sick in Wuhan, how can we confirm?

Call 770-488-7100 =CDC EOC number

.. Any demographic info on cases to date? Range 15-80 yo. Other demographic features still

pending.

" Incubation period? In general coronaviruses 2d 14d. Not enough info to zero in further.

" What info is being given to travelers leaving Wuhan? Not sure exactly what's being done with

the exit screening which in Wuhan includes buses, trains, ferries. In the US there's a monitor

to provide alerting info upon arrival. After screening they get a card with sx to watch for

fever and any symptoms; call ahead before going into clinic.

" When will test kits be avail to state PH labs? Trying to get Emergency Use Authorization,

working with FDA.

" Is there a prioritization for specimen types? UR, LR, sera. If possible store urine, stool, whole

blood until more info available.

" Intent to expand airpcirt screening beyond 5 already? No. Will redirect all Wuhan flights to

these 5 airports.

" If there's an ill person on a flight, DGMQ will notify State HD/LHD re other passengers who

might have been exposed.

" What should be done with those exposed on flights? Asymptomatic air contacts - passive

self-monitoring, present for care if symptoms develop. Have other options for scaling up to

active, but haven't made that decision yet.

" Those who may have had close contact with ill lab-confirmed pt, if they get fever or other sx

within 14 days of contact.

" Shipping specimens as category B. EOC will help coordinate transfer of materials to CDC.

.. Unclear whether nCoV is communicable prior to symptom onset, CDC has not taken position

yet.

" This is a new beta coronavirus, expected to be similar to SARS and MERS but can't give hard

details yet about incubation period.

David Stier, MD

" Medical Director, AITC Immunization & Travel Clinic

• Director, Communicable Disease Prevention Unit

" Medical Epidemiologist, Communicable Disease Control & Prevention Section

Population Health Division, San Francisco Dept. Public Health

david [email protected]

Direct line (415) 554-2648

AITC main line (415) 554-2625

Communicable Disease Control line (415) 554-2830

Immunization Program line (415) 554-2955

P543

From: Chrissie Juliano Subject: Date:

FW: CDC Hosting National c.all Series on Novel Coronavirus Monitoring & Preparedness Tuesday, January 21, 2020 11:30:41 AM


FYI


Executive Director

Big Cities Health Coalition I @BigCjtiesHealth

Desk Phone: 301-664-2989


Bethesda, MD 20814

From: Preparedness Team <[email protected]>


To: Chrissie Juliano <[email protected]>

Subject: CDC Hosting National Call Series on Novel Coronavirus Monitoring & Preparedness

If you are having trouble reading this message, dkLIJ.ere for the web version.

You are receiving this email because you are signed up for NACCHO's Preparedness Brief Digest e-newsletter or Transmission Digest e-newsletter. Please share this information with colleagues and networks as appropriate.

Dear Colleagues,

Last week, we reached out to let you know that the Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak caused by a novel (new) coronavirus in Wuhan City, Hubel Province, China. A number of countries, including the lJ.S .. are actively screening incoming travelers from Wuhan.

Starting TODAY, CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host a series of national calls to continue providing state and local partners with the latest information on the novel coronavirus outbreak and U.S. preparedness efforts.

Call Schedule (all calls scheduled for 3:00-4:00pm EST)

• Tuesday, January 21 • Monday, January 27 • Monday, February 3 • Monday, February 10 • Monday, February 24 • Monday, March 2


• Bridge\ine: 1(800)-857-6697 • Participant Passcode: 1324420

If you have any questions about the call series, please contact the CDC State Coordination Task Force (SCIF) - Ooerations. NACCHO will continue monitoring the situation and providing updates as they become available.

Best,

NACCHO's Preparedness and lnfectirn1s Diseases Teams

·--, . [g l~ !

P544

Click here to unsubscribe.

1201 Eye Stree~ NW, Suite 400, Washington, DC 20005

P545

From: Stoltey, Juliet CDPH) To: Kagan, Rachael CDPH); Vien, Veronica CDPH) Cc: Subject: Date:

Gurley, Jan (DPH); Rivera, Tiffany (DPH): Aragon, Tomas (DPH); Philip, Susan (DPH) FW: Media Advisory: CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV) Tuesday, January 21, 2020 11:00:03 AM

















Subject: Fw: Media Advisory: CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV)


Forwarded to State Epidemiologists and CLUE

Good afternoon,

Please see below for information on a CDC telebriefing scheduled for 2pm EST TODAY (1/21). CDC

will provide an update on 2019 Novel Coronavirus (2019-nCoV).

Thank you,

Monica

From: MMWR Media List <[email protected]> on behalf of [email protected]

(CDC) <[email protected]>



P546


Media Advisory

Content Embargoed until 3 p.m. ET Tuesday, January 21,

2020





When 2 p.m. ET Tuesday, January 21, 2020

Dial-In Media: 877-601-4 718 Non-Media: 888-603-9752 INTERNATIONAL: 1-773-756-4803 P ASSCODE: CDC Media

Important Instructions If you would like to ask a question during the call, press * 1 on your touchtone phone. Press *2 to withdraw your question. You may queue up at any time. You will hear a tone to indicate your question is pending.

TRANSCRIPT A transcript will be available following the briefing at CDC's web site: www.cdc.gov/rnedia.

###




P547

From: To: Cc:

Subject: Date:

Harriman. Kathleen@CDPH Feaster. Matt (Pasadena); McNitt. Louise DPH-sandra.huang; [email protected]; Pan. Erica (Alameda); Oschsner. Allyson@AlamedaCo; Dustin. [email protected]; Brendan. Kober@acgov .ora; Rita [email protected]; Robert. Brown [email protected]; Johnson. Richard CALPINE); Streeper. Tim CALPINE); Dupuis. Tamara@AlpineCount; Huspen Kerr. Rita; Desvoiqnes. Liz@Amadorgov; [email protected]; Hernandez. Lisa (Citv of Berkeley); Lewis. Linda@Butte County; Thao, Marv (Butte County); Miller. Andrew; Kelaita. Dean; Rodriguez. Colleen; ~ Burt; [email protected]; Rios, Connie; [email protected]; [email protected]; Leung, Paul (CCHealth); [email protected]; Rehwaldt. Warren; Machado. Colleen; Bodenstab. [email protected]; Ungeheuer. Michael (El Dorado County); Orchard. Heather@EDCGOV; Mackey. Teresa@EIDoradoCo; [email protected]; [email protected]; Williams. Nancy; Robinson. Nathan (El Dorado County); [email protected]; [email protected]; [email protected]; [email protected]; j [email protected]; Norton. Grinnell@Glenn County; Nelson. Marv Lou@Glenn County; [email protected]; Baird. Donald; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Kriner. Paula; Lopez. Karla (Imperial County); Whitney. Timothy@inyo; Scott. Anna (INYO); Hernandez. Kimberly@Kern County; Walker. Ann@Kern County; [email protected]; Teske. Milton; Soong. Sharon (Kings County); Hill. Edward@Kjngs; [email protected]; King. Christine@kingscounty; [email protected]; Taroley, Mary (Lake County); May. Helen@Lassen; Davis. Anissa; Holman. Emily@Long Beach; Barin, Nora@Long Beach; Torres, Cindy@LongBeach; Prado. Belinda@Long Beach; Balter. Sharon@Los Angeles County; Terashita. Dawn@LA County; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Thomas. Cole; [email protected]; [email protected]; [email protected]; [email protected]; Emerson, Cicily@MarinCounty; [email protected]; Santora. [email protected]; Sergienko. Eric; King. Margarita; [email protected]; Convery. Sharon; Pace. Gary@Mendocino Countv; Sydney, Loewen@cou ntyofmerced. com; Yer. Ch an g@cou ntyofrn erced. com; Jessi ca.Ju a rez@cou ntvofmerced. com; [email protected]; [email protected]; Schulz, Tanya; Sphar. Stacy (Modoc Countv); Richert. Edward; cheyenneo"[email protected]; Wheeler. Bryan; Pearce. Sandra@Mono County; Boo, Thomas (MONO); Moreno. Edward; Michie, Kristy; [email protected]; [email protected]; [email protected]; Cutler. Kenneth; Key, Cindy (Nevada County); Wilson. Cynthia@Nevada County; Zahn. Matt@Orange County; Cheung. Michele (Orange# 2); Jacobs. Josh@Orange County; Meulman, Marc (Orange County); Goh. Ying-Ying; Feaster. Matt (Pasadena); Qiggs,_ Christine; Evangelista. Sharon; Hashimoto-Raju, Lani@Pasadena City; Oldham. Robert; Holland. April (PLACER); [email protected]; Venable. Tina (PLUMAS); Cole, Barbara (Riverside County); Kasirye, Olivia; I.Qyllli:.. Melody@Sacramento County; Mello. Lynn@San Benito County; Ahern. Kevin@San Benito; [email protected]; Ibrahim. Diana; Strong. Susan; [email protected]; McDonald. Eric (San Diego County); Wooten, Wilma; Kao. Annie (San Diego County); Johnson. Jeff (San Diego County); Stoltey, Juliet CDPH); Aragon. Tomas (DPH); Portnoy. Diane (DPH); Kim, Brian (DPH); DuBois, Amie (DPH); Philip. Susan (DPH); Enanoria, Wayne CDPH); [email protected]; Pehl. Veronica@San Joaquin; Borenstein. Penny; Gaiger. Christine (SAN LUIS OBISPO); Rosen. Frederick; Sallenave. Catherine (San Mateo #1); Bock. Carly@San Mateo County; Geltmaker. Matt@San Mateo County; Linquist. Jeanne (San Mateo County); Batson. Paige@Santa Barbara; Leff. Arnold; [email protected]; Meza. Amy@Santa Cruz County; [email protected]; Ramstrom. Karen; [email protected]; Goshong, Mega@Shasta County; Sutton-Pado. Celia; Anseth. Shanna (SIERRA); [email protected]; Kolpacoff. Stephen; Harris. [email protected]; Davis. Shelly; Varaa. Kristin@siskiyou; Salvatierra. Belle@Solano County: Acosta. Meileen@Solano County; [email protected]; [email protected]; Hernandez. Emely@Sonoma County; [email protected]; Vaishampayan. Julie 2; Vassell. Barbara@Stanislaus County; [email protected]; Sanford. Denise@Stanislaus Co; Heredia. Maria; [email protected]; [email protected]; Nagra. Daljinder (Sutter County); [email protected]; Wickenheiser. Richard; Schmidt. Michelle; Martin, Kotty@Tehama County; Hopper. Dolly; Sagar, Minnie@Tehama Co; Loomis. Sharayne; [email protected]; Haught. Karen; Kempf. Jeremy (Tulare County); Bernstein. Robert; Denney. Pattv@Tuolumne; Levin. Robert; Edmondson. Hannah@Ventura County; Reeder. Eva@Ventura; Gipson, Sandra@Ventura County; [email protected]; [email protected]; [email protected]; [email protected]; Chapman. Ron; Anna Sutton; [email protected]; Weivoda. Kristin@Yolo County Health Department; Kelsch. Katie; [email protected]; Moua. Xee; ~ [email protected]; [email protected]; Vuoia. Duc@CDPH; Jain. Seema@CDPH; Kimura. Akiko@CDPH; Kamali. Amanda@CDPH; Snyder. Robert@CDPH; Yu. Alexander@CDPH; Abe, Kentaro@CDPH; DPH - Sarah.New; Hoover. Cora@CDPH; Royce, Sarah@CDPH; Yen. Cynthia@CDPH; Glenn-Finer. Rosie@CDPH; Murray. Erin@CDPH; Bregman. Brooke@CDPH; Hacker. Jill@CDPH; Ruiz. Juan@CDPH; Kim. Janice@CDPH; Siegel. Jane@CDPH; Epson. Erin@CDPH; [email protected]; DPH - Rachel.Mclean; Stockman. Lauren@CDPH; arellano. [email protected]; [email protected]; Garrison, Jared@Glenn; Weinstein. Eva (NAPA); Gustafson. Erin@SBCounty; Johnston, Samantha@CDPH; Romero. Mike (PLACER); Sinel. Kim (Placer# 3); Schechter. Robert@CDPH; Volkman. Hannah@CDPH; [email protected]; [email protected]; [email protected]; [email protected]; Herrick. Robert@sutter; Baldwin, Kismet@SJCPHS; [email protected]; [email protected]; Whittaker. Holly (Nevada County); [email protected]; Han. George@Santa Clara County; Martin. Brittany@CDPH; Gib.Morrow@sonomacounty.org; Chai. Shua@CDPH; Brodie. Georgja@CalaverasCounty; Balter. Michelle M@San Luis Obispo County; [email protected]; [email protected]; Mitsunaga. Tisha@CDPH; Nagra. Daliinder (Sutter County) CDC call with nCoV update today at 12:00 (changed from 11:00) Tuesday, January 21, 2020 10:08:05 AM

P548


CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host a series of national calls beginning next week, from 3 p.m. to 4 p.m. EST on Tuesday, January 21, to provide state and local partners with the latest information on the novel coronavirus outbreak and U.S. preparedness efforts.




Please note, this update call is being held on a Tuesday, in lieu of the Martin Luther King Jr. federal holiday. Future calls will be held on Mondays.

For your convenience, call series dates are provided below .

.. Monday, January 27

" Monday, February 3 " Monday, February 10 " Monday, February 24 " Monday, March 2


P549


Preoatedness Team Aragon Tomas CDpH) CDC Hosting National Call Serles on Novel Coronavlrus Monitoring & Preparedness Tuesday, January 21, 2020 10:07:37 AM


If you are having trouble reading this message, ctkkJJ.ere for the web version.

You are receiving this email because you are signed up for NACCHO's Preparedness Brief Digest e-newsletter or Transmission Digest e-newsletter. Please share this information with co/leagues and networks as appropriate.

Dear Colleagues,

Last week, we reached out to let you know that the Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak caused by a novel (new) coronavirus in Wuhan City, Hubei Province, China. A number of countries, incl11ding the l I S, are actively screening incoming travelers from Wuhan.

Starting TODAY, CDC's 2019 Novel Coronavirus (2019-nCoV) response team will host a series of national calls to continue providing state and local partners with the latest information on the novel corona virus outbreak and U.S. preparedness efforts.

Call Schedule (all calls scheduled for 3:00-4:00pm EST)

• Tuesday, January 21 • Monday, January 27 • Monday, February 3

Monday, February 10 Monday, February 24

• Monday, March 2


• Bridgeline: 1(800)-857-6697 • Participant Passcode: 1324420

If you have any questions about the call series, please contact the CDC State Coordination Task Force (SCTF) - Operations. NACCHO will continue monitoring the situation and providing updates as they become available.

Best,

NACCHO's Preparedness and Infectio11s Diseases Teams

~i

Click~ to unsubscribe.

1201 Eye Street, NW, Suite 400, Washington, DC 20005

P550


CCSF Department of Emeroency Management Aragon, Tomas CDPH) DEM 24-Hour Daily Situational Awareness Report- 01-21-2020 Tuesday, January 21, 2020 10:00:06 AM










is learned about the newly emerging virus.

- It is possible that more cases will be identified in the coming days. This is an

ongoing investigation and given previous experience with MERS-CoV and SARS

CoV, it is possible that person-person spread may occur. There is much more to learn

about the transmissibility, severity, and other features associated with 2019-nCoV as

the investigations in China, Thailand, and Japan continue. Additional information

about this novel virus is needed to better inform population risk.

- CDC information: https://www.cdc.gov/coronavirus/2019-nCoV/summary.html.

- Additional Coronavirus information is available at: https://.cdc.gov/coronavirus/2019-


- Information for healthcare providers: See CDC's Interim Healthcare Infection

Prevention and Control Recommendations for Patients Under Investigation for 2019

Novel Coronavirus (https://www.cdc.gov/coronavirus/2019-nCoV/infectioncontrol.html).

- Information specific to SFO: https://www.flysfo.com/passengers-arriving-wuhan-china-are-being-

P551

screened-novel-coronavirus



Watch Center - Desk (415) 558-2738



After Hours Duty Officer: Mon-Sun, 2230-0600 Hours. Current DO: Ed Trinh

Manager On Call (MOC): Lisa Starliper - [email protected] - 415-517-5092

Public Information Officer: Victor Lim - 415-7 48-0028 - [email protected] I 415-

558-2712



I Level II EOG Status II Description II Time

~ EOC Duty Officer I Manager On- After-hours & Standby Call Weekends c

DI EOC Open I

Watch Center 0600-2230; daily (Monitoring) (excluding holidays)

DI EOC Open I

Partial w/ 1st Response I As Needed Elements & Support

c=JI EOC Open I Full Activation I As Needed (All Sections and Positions)


Today: Chance of precipitation is 80%. Rain, mainly before 4:00pm. High near 57.

South wind 7 to 11 mph, with gusts as high as 18 mph. New precipitation amounts

between a tenth and quarter of an inch possible.

I

I I

Tonight: A 40% chance of rain before 1 O:OOpm. Mostly cloudy, with a low around 49.

South southwest wind around 5 mph becoming calm in the evening. New precipitation

P552

amounts of less than a tenth of an inch possible.

Tomorrow: Patchy fog before 9:00am. Otherwise, mostly sunny, with a high near 58.

North wind 3 to 5 mph.


AQI Forecast: 42 www.airnow.gov


Tuesday (1/21/2020)

- Winter Fancy Food Show, from 1 O:OOam to 5:00pm @Moscone North & South

Happening This Week - Special Events for 01-22-2020 to 01-27-2020:


- Warriors vs Jazz, from 7:00pm to 10:30pm @ Chase Center



Friday (1/24/2020)

- Warriors vs Pacers, from 7:30pm to 11 :OOpm@ Chase Center


- Walk for Life March, from 11 :OOam to 2:30pm@ Civic Center Plaza, Market Street,

Justin Herman Plaza. Info Faire at Civic Ctr Plaza: 11 :00 am to 1 :30 pm. Rally at

Civic Ctr Plaza: 12:30 pm to 1 :30 pm. Walk starts at Civic Ctr Plaza: 1 :30 pm - will be

walking on Market Street to Justin Herman Plaza. For detailed street closure

information: sfmta

Sunday (1/26/2020)


Monday (1/27/2020)

P553
















Computers closed at Volusia libraries after attempted cyber hack

VOLUSIA COUNTY, Fla. - Hundreds of library computers were taken offline in

response to an attempted cyber intrusion targeting Volusia County Library Services.

The attempted security breach was reported Thursday morning and it's believed to

have affected 600 computers, including those used by the public and staff. By the

next day, about 50 computers were put back online to allow library staff to conduct

patron business such as checking books in and out and making reservations. It's

expected that all regional libraries will have their computers back online by Friday and

community libraries will be restored after that. County officials are investigating the

incident.

https://www.clickorlando.com/news/local/2020/01/20/computers-closed-at-volusia-libraries-after-attempted-cyber-hack/

P554

Chinese officials urge people not to travel in and out of city at center of virus

outbreak

BEIJING - Chinese health authorities sought to impose a quasi-quarantine Tuesday

around Wuhan, advising people in the city of 11 million people not to leave, as they

stepped up efforts to stop the spread of a mystery virus that has claimed six lives.

With confirmation that the pneumonialike coronavirus can be transmitted from person

to person, and with hundreds of millions of Chinese packing onto public transport to

make their annual pilgrimages home for the Lunar New Year, a new sense of panic

has erupted here. Long lines formed at pharmacies and convenience stores around

the country as people rushed to buy surgical masks, with unlucky customers posting

photos on social media of bare shelves. People around the country canceled their

trips home for the Spring Festival, as new year celebrations are known, the most

important holiday on the Chinese calendar. The Geneva-based World Health

Organization said it would call an emergency meeting Wednesday to decide whether

to designate the outbreak as an international public health emergency. Australia and

the Philippines are the latest countries with suspected cases of the infection, and

Taiwan also confirmed one person there had caught it.

https://www.washinqtonpost.com/world/asia pacific/chinese-officials-urqe-people-not-to-travel-in-and-out-of-city-at-center-of-virus

outbreak/2020/01/21/60680d3e-3c2d-11 ea-afe2-090eb37b60b1 storv. html

Video Reveals Unused Earthquake Aid in Puerto Rico: 'We Are Outraged'

Unused emergency aid sat gathering dust in a government property in the city of

Ponce, in southern Puerto Rico, as thousands of people prepared to spend their third

week sleeping outside to stay safe as a swarm of earthquakes continued to assail the

island. The water appeared to be expired, the man on the video said. But there were

no signs of emergency workers or any effort to distribute the disaster supplies. The

video, streamed on Saturday by Lorenzo Delgado Torres, who calls himself "El Le6n

Fiscalizador," or the lion of accountability, immediately exploded on social

media.Within hours, Gov. Wanda Vazquez, faced with the biggest crisis of her tenure,

had fired Puerto Rico's chief of emergency management, temporarily handed the

reins of the agency over to the National Guard and ordered an investigation into why

the supplies had not been given to people in need. By Sunday, two more cabinet

officials had been dismissed. The governor pledged not to charge any people who

P555

I (BOS)


Requester,

Varisto, Michaela (DPH) Thursday, March 17, 2022 4:56 PM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 / File No 20059 TomasAragon_CDCemails_Batch 1 O.pdf; TomasAragon_CDCemails_Batch 11.pdf

We have conducted a diligent search for records responsive to your request. We have located responsive records, which are available to you here and have also been uploaded to NextRequest case #20-1076/ SOTF File 20059. This concludes your public records request.

Thank you.


Hello,













All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: 11coronavirus" "wuhan 11 "SARS" YOVID" "COV/019" "COVJD-19 11 11SARS-CoV-2"

P5:56

"2019-nCOV" "nCOV" "severe acute respiratory syndrome" ''viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.

Thank you,

DPH Sunshine Team

Pfrs7

From: To: Subject:

Date:

Attachments:

\(II]


Aragon. Tomas CDPHl

CAHAN HCP Conference Call Notes- CDPH Update on 2019 Novel Conference Call 1/27/2020 at 11 AM


Coronavirus+HCP+Conference+Call+Speaker+Notes+ 1.28.20.pdf

California Department of Public Health (CDPH) conducted a call to update healthcare

providers on the latest information regarding the 2019 Novel Coronavirus on Monday,

January 27th, 2020 at 11 AM.


P558


Here you are!

Leonoudakis, Kristina (DPH)

Aragon, Tomas (DPH)

Sit, Stat. for review ....


nCoV DRAFT sjt. stat.6 2020.01.29.docx




(415) 558-5934 office

(415) 377-8549 mobile

kristina. [email protected]



P559

From: To: Subject:

Date:

[email protected]

Aragon. Tomas (DPH)

Important: CDC COCA Call: Outbreak of 2019 Novel Coronavirus (2019-nCoV) -Interim Guidance for Clinicians -January 31, 2020 at 2:00 pm-3:00 pm (Eastern Time)



_IIL Check Epi-X for an Important Report

CDC COCA Call: Outbreak of 2019 Novel Coronavirus (2019-nCoV) -Interim Guidance for Clinicians -January 31, 2020 at 2:00 pm-3:00 pm (Eastern Time)

Clinicians will learn about the current epidemiology, infection control and prevention recommendations, specimen collection and testing, and clinical management for patients with 2019-nCoV infection. More information available at https://tinyurl.com/wwd2mnz.


HOW TO CONTACT Epi-X For technical issues, contact the Help Desk:




P560

From: Philip. Susan (DPH) To: Cc:

DPH-DOC Plans Chief; Aragon. Tomas (DPHl; Stoltey. Juliet CDPHl Vien. Veronica IDPH); Kagan. Rachael IDPH)

Subject: Date:

FW: Media Advisory: CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV) Wednesday, January 29, 2020 12:58:19 PM

Attachments: image002. png

From: Jeremy Arieh <[email protected]>


To: Jeremy Arieh <[email protected]>


Subject: FW: Media Advisory: CDC Telebriefing: Update on 2019 Novel Coronavirus (2019-nCoV)


Forwarded to State Epidemiologists, Deputy State Epidemiologists, CLUE, Infectious Disease Points of Contact, and the CSTE Executive Board

Good afternoon,

Please see the information below regarding a CDC media telebriefing scheduled for 4:30 pm ET TODAY.

Nancy Messonnier, MD, Director, CDC NCIRD, will provide an update on 2019 Novel Coronavirus (2019-

nCoV).

Thanks, Jeremy Arieh

Jeremy Arieh

Director of Communications

Council of State and Territorial Epidemiologists "Using the power of epidemiology to improve the public's health"

CSTE.org " Membership ° Facebook ' Twitter ' ~

2635 Century Parkway NE, Suite 700, Atlanta, GA 30345

Tel: 770.458.3811 I Fax: 770.458.8516

Documents 'Nith personal data and/or confidential info1·mat'1on

must be se11t lo CSTE's nat'1onal office only through a secure

ShareF'ile request and not thrnugh regulM ernail.

P561

From: MMWR Media List <[email protected]> On Behalf Of [email protected] (CDC)




Media Advisory

For Immediate Release Wednesday, January 29,

2020





When 4:30 p.m. ET Wednesday, January 29, 2020

Dial-In

Media: 800-857-9756 International Media: 1-212-287-1647 PASSCODE: CDC Media

Non-Media: 888-795-0855 International Non-Media: 1-630-395-0498 PASSCODE: 1792134


If you would like to ask a question during the call, press * 1 on your touchtone phone. Press *2 to withdraw your question. You may queue up at any time. You will hear a tone to indicate your question is pending.

TRANSCRIPT A transcript will be available following the briefing at CDC's web site: www.cdc.gov/media.

###


P562

CDC worh 2417 protecting America's health, safety and security. Whether diseases start at home or abroad, are curable or preventable, chronic or acute, or from human activity or


If you would like to unsubscribe from this ListServ LIST, please send an email to [email protected], enter

CDC in the email Subject, and include the following "one" line in the Body of the email: signoff MMWR

MEDIA

P563

From: To:

CCSF Department of Emergency Management Aragon. Tomas CDPH)

Subject: Date:

DEM 24-Hour Daily Situational Awareness Report - 01-29-2020 Wednesday, January 29, 2020 9:47:19 AM




- The Centers for Disease Control and Prevention (CDC) confirmed two cases of a

2019 Novel Coronavirus in California, one in Orange County and one in Los Angeles

County. The CDC is continuing to screen passengers who arrive at San Francisco

International Airport on direct and connecting flights from Wuhan China.


ncov/index.html or by calling 800-CDC- INFO \ (800-232-4636) I TTY: (888) 232-6348




https://www .sf72.org/







- Primary (415) 260-2591

P564

- Desk (415) 558-2738










I Level II EOG Status II Description II Time I I DO I MOC \I EOG Standby II Duty Officer I Manager On-Call II After-hours & Weekends I

~I EOG Open II

Watch Center

II 0600-2230; daily


CJI EOG Open II


II As Needed

I Elements & Support

~I EOG Open II

Full Activation



Today - Mostly sunny, with a high near 60. Light winds from 5 to 9 mph.

Tonight - Cloudy, with a low of 51. Winds of 7 mph.

Tomorrow - Mostly cloudy, then clearing with a high of 64.Winds 5 to 7 mph.


Current: 46



P565






Friday (1/31/2020)

- Society of Photographic Instrumentation Engineers (SPIE) Photonics West, from

4:00pm to 7:00pm@ Moscone North, South, and West

Saturday (2/01 /2020)


Convention, from 4:00pm to 7:15am to 9:00pm@ Moscone North, South, and West

- Night of Ideas Festival, from 7:00pm to 2:00am Sunday@ the Main Library.

CLOSURE: Fulton Street between Larkin and Hyde streets

- Jauz Concert from 7:00pm to midnight@ Bill Graham

Sunday (2/2/2020)



- Kaiser Permanente Half Marathon, from 8:00am to 12:00pm @ Golden Gate Park.





Monday (2/3/2020)



Tuesday (2/4/2020)



P566



- Starting today, 1/29, private vehicles will be prohibited from turning onto or using

Market in the car free area: westbound from Steuart to VN and eastbound from 10th

to Main.












Virus cases in China jumps to 5,97 4, surpassing SARS as evacuations begin

BEIJING - Countries began evacuating their citizens Wednesday from the Chinese

city hardest-hit by a new virus that has now infected more people in China than were

sickened in the country by SARS. The number of confirmed cases jumped to 5,974,

surpassing the 5,327 in mainland China during the SARS outbreak in 2002-2003. The

death toll rose to 132, which is still lower than the 348 people who were killed in

China by SARS. Scientists say there are still many critical questions to be answered

about the new virus, including just how transmissible and severe it is. China's latest

figures added 26 deaths, all but one in Hubei province and its capital, Wuhan. The

number of cases rose 1,459 from the previous day, a smaller increase than the 1 ,771

new cases reported on Monday. More than 50 infections have been confirmed

abroad. The United Arab Emirates, home to long-haul carriers Emirates and Etihad,

reported its first cases on Wednesday in members of a family who had come from

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Wuhan, the state-run news agency reported. It wasn't immediately clear how many

family members were involved.

https://www.ktvu.com/news/virus-cases-in-china-jumps-to-5974-sumassing-sars-as-evacuations-begin

Bay Area public health officials quell false information spread about

coronavirus

SAN JOSE, Calif. (KTVU) - While there aren't confirmed cases of the coronavirus in

the Bay Area, one county health department scrambled Tuesday to stem false reports

of at least one case. A tweet, citing a nurse as the source, blared confirmation of the

virus in East San Jose. However, KTVU confirmed the tweet is not true. "We have no

confirmed cases in the county of Santa Clara," said county Health Officer Dr. Sara

Cody. "We have no evidence that the virus is circulating actually in the U.S., in

California, or in the Bay Area." Cody says the county is investigating potential cases,

but it's too soon to make the leap, as they may not develop into the virus. "What we're

trying to do here in the public health department is to get up to date, accurate

information. And make it available for people to access," she said. "And the more

accurate information we can put out on multiple channels, the better to counteract

information that may not be accurate."

https://www.ktvu.com/news/bay-area-public-health-officials-que\l-false-information-spread-about-coronavirus

Caribbean earthquake of 7.7 prompts office evacuations in Miami

A powerful 7.7-magnitude earthquake has struck in the Caribbean, prompting brief

tsunami warnings and office evacuations as far away as Florida. The quake hit

between Jamaica, the Cayman Islands and Cuba at a depth of 10 km (6.2 miles), the US

Geological Survey (USGS) said on Tuesday. Buildings shook and tremors were felt across

the Caribbean, but there were no immediate reports of casualties. Some offices were

temporarily evacuated in Miami and parts of Jamaica. Warnings by the Pacific Tsunami

Warning Center (PTWC) were later withdrawn. The PTWC initially said "hazardous tsunami

waves" were possible for coasts located within 300km (186 miles) of the earthquake's

epicentre. This included parts of Belize, Cuba, Honduras, Mexico, the Cayman Islands and

Jamaica, it said. But in an update at around 20:45 GMT, the PTWC said the "tsunami threat

had now largely passed". Seismologist Dr Lucy Jones tweeted: "The M7.7 Jamaican quake

produced sideways motion on the fault, so the tsunami risk is low." The epicentre of the

quake, initially reported as magnitude-7.3 before being upgraded, was 125 km north-west

of Lucea, Jamaica. Shaking was reported in the Cuban capital, Havana, in Kingston,

Jamaica and Miami - some some 708 km from the epicentre.

https://www.bbc.com/news/wor\d-latin-america-51287 493

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safety partners.



P569

From: LAHAN To: Aragon, Tomas CDPHl Subject: LAC DPH Health Information: LAC DPH and CDC Te/ebrlefings for Clinicians- 2019-nCoV on 1/30/20 and 1/31/20

Tuesday, January 28, 2020 7:48: 13 PM Date:


F&&i %? #4¥ ;;g;;

LAC DPH Health Information: LAC DPH and CDC Telebriefings for

Clinicians- 2019 Novel Coronavirus (2019-nCoV) on 1/30/20 and 1/31/20

January 28, 2020

; N # %§@·,

This message is intended for all healthcare providers. Please distribute as appropriate.

The Los Angeles County Department of Public Health (LAC DPH) as well as the Centers for

Disease Control and Prevention (CDC) are hosting briefings for clinicians this week.

LAC DPH Telebriefing for Health Care Providers: Hospitals, Healthcare Community

and Urgent Care

Thursday, January 30, 2020, 1 :00-1 :45 PM (PST)

Telephone Call-in (877) 692-8954; Access Code 9713284

Subject matter experts from LAC DPH will provide an update on the County's prevention and

control measures related to 2019-nCoV and answer heath care provider questions .

.. Barbara Ferrer, PHO, MPH, MEd, Director • Muntu Davis, MD, MPH, Health Officer • Jeffrey Gunzenhauser, MD, MPH, Chief Medical Officer

Participants are strongly urged to call in at 12:50 PM to check in. Participants will be asked to

provide their name and organization.

For more information contact: (213) 240-81441 [email protected]

CDC Webinar/Call: Interim Guidance for Clinicians

Friday, January 31, 2020, 11 :00 AM - 12:00 PM (PST)

For access to the webinar/call and other information visit,

https://emergency.cdc.gov/coca/calls/2020/calli nfo 013120.asp

Clinician Outreach and Communication Activity (COCA) will provide information on the current

P570

epidemiology, infection control and prevention recommendations, specimen collection and testing,

and clinical management for patients with 2019-nCoV infection.

There will be only a few introductory slides for this presentation and no slide deck.

It is recommended to join the webinar/call in a few minutes before it starts. Due to the likely high

demand participants are asked to access the webinar/call in groups if possible.

For resources for local providers, visit the LAC DPH Coronavirus webpage for Health

Professionals http://publichealth.lacounty.gov/acd/nCorona2019. htm

To view a printable PDF of this communication and other LAHAN communications, please

visit publichealth. lacounty.gov/lahan.

If this message was forwarded to you, please join LAHAN here.

Share this email: Effiall

~ iTWitlei

: Ill Fac€b00k, ; ~l . lf.!!!.!J

Got this as a forward? ~\i9n vp to receive our future emails.

VVant to view this online? \ll;;;;,•,· •:cnf:''''

241 N. Figueroa St. Suite 275

Los Angeles, C/\. \ 90012 US

This email was sent to [email protected].

To continue receiving our emails, add us to your address book.

P571

From: To:

DPH. Phepr (DPH) DPH-PHD-Public Health Emerqencv Preparedness and Response; Ochi. Ed (DPH); Vien. Veronica (DPHl; Stoltey, Juliet (DPH); Stier. David (DPHl; DuBois. Amie CDPH); Duren. James CDPH); Majeski. Nick (ADM); Sanchez, Melissa CDPH); Masinde. Godfred (DPH); Siador. Christine CDPH); Aragon. Tomas CDPH); Kwong, Amanda (DPH); DPH-Integration Steering Committee; [email protected]; [email protected]; DutyOfficer. DEM (DEM); mhccsitreps&[email protected]; [email protected]

Subject: SFDPH DOC Novel Corona Virus 2019 (nCoV-2019)- Sit Stat #5 Date: Tuesday, January 28, 2020 4:26:32 PM



# of Cases/Deaths

Worldwide: 4,593 Cases/106 Deaths US: 5 Cases/O Deaths CA: 2 Cases/O Deaths


SFDPH

Summary of actions

• Public FAQs revised, updated, and new versions have been posted online.

• Guidance developed for Home Care for PUI, non-PU I, and household

members/caregivers, translations in process.

• SFDPH DOC continues to expand roles.

• Continued work on PUI housing and resources, now working closely w/local

colleges/universities to discuss campus housing for PU!.

• Coordinating needs assessment/communication/providing guidance with internal DPH

and external outpatient clinics.

• Transport/EMS collaborating with DEC re: screening at the dispatch level, transport, 911

surge, and monitoring CDC precautions relevant to 911 providers and patient care .

.. Accommodations made for additional Nursing Staff to assist the Communicable Disease

Branch-reporting tomorrow 01/29/20- multiple work stations at multiple locations secured

with IT and other equipment provided.

• The DPH Environmental Health Branch and Lab Branch created disinfection guidance

(related to 2019-nCoV) for the general public (personal and residential use).

" OSH is monitoring and reviewing CDC updates to recommended personal protective

equipment (PPE}, for any staff or workers who may be exposed to nCoV-2019. Planning for

PPE deployment and "just-in-time" respirator fit testing, if needed (not needed at this time).

" The Office of the Medical Examiner will maintain a high degree of suspicion for nCoV with

any deceased persons who had pneumonia, respiratory distress, ARDS, or shock. This

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will add an added layer of monitoring the virus.

" Quicker and more streamlined processes are being completed around nCoV-2019 testing. SFDPH Page: https ://www .sfcdcp.org/i nfectious-diseases-a-to-z/coronavi rus- 2019-novelcoron avi rus/

• CDC developed and posted new travel guidance for China:

https: //wwwn c. cdc.gov /trave\/d es tin ati ons/trave I er /none/chi na#trave\-notices

• CDC is monitoring for illness among travelers and providing educational materials for

any travelers arriving in the United States from China at 20 U.S. airports with quarantine

stations in the United States.

• CDC is posting and updating the number of PUis in the U.S. As of 01/27 /20: 5 positive,


CDC nCo V page: https://www.cdc.gov/coronavirus/2019-ncov/index.html


• WHO senior leadership team, met with President Xi Jinping of the People's Republic of

China in Beijing. They shared the latest information on the outbreak and reiterated their

commitment to bring it under control.

• Focus on improving containment measures in Wuhan, strengthening public health

measures in other cities and provinces, conducting further studies on transmissibility of

the virus, sharing data, and for China to share biological material with WHO. These

measures will advance scientific understanding of the virus and contribute to the

development such as vaccines and treatments. https://www.who.int/news-

room /d eta i I /28-01-2020-wh o-ch i na-lea d ers-discuss-n ext-steps-in-battle-against-

coro n avi rus-outb rea k

• WHO is launching a Global 2019-nCoV Clinical Data Platform to allow Member States to

contribute anonymized clinical data in order to inform the public health clinical

response.

• Globally 4593 confirmed cases in 14 countries.

• China has reported 4537 confirmed cases, 6973 suspected cases, and 976 severe cases.

106 deaths.

• Areas outside of China reported 56 confirmed cases, no deaths.

WHO nCoV page:

https: //www. who.int/em ergen ci es/d iseases/novel-coron avi rus-2019

P573

CDPH (California Department of Public Health)

• CDPH is providing information and consultation to local health departments and health

care providers across California on how to safely and effectively evaluate ill people who

have been to China, how to manage cases safely, support laboratory testing, and

implement recommendations from the CDC. CDPH nCoV page: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/lmmunization/nCOV2019.aspx




P574


Leonoudakis. Kristina CDPHl

Araaon. Tomas (DPH)

Re: Sit. Stat review for 01/28/20

Tuesday, January 28, 2020 3:55:39 PM

Indeed! Thank you!




( 415) 558-5934 office

(415) 377-8549 mobile

kristi n a. m. leonouda kis@sfd ph. org





To: Leonoudakis, Kristina (DPH) <[email protected]>

Subject: Re: Sit. Stat review for 01/28/20

typo corrected: Can you always include these resource links; maybe at the end:

Tomas




To: Leonoudakis, Kristina (DPH) <[email protected]>

Subject: Re: Sit. Stat review for 01/28/20

Can always include these resource links; maybe at the end:

SFDPH nCoV page:

https://www.sfcdcp.org/infectious-diseases-a-to-z/coronavirus-2019-novel-coronavirus/

CDPH nCoV page:

https: //www .cd ph .ca .gov /programs/Cl D /DCDC/Pages/I mm u n ization/nCOV2019 .aspx

P575

CDC nCoV page:


WHO nCoV page:


Thanks!

Tomas



415-515-5734 (cell); 415-554-2898 (office)




101 Grove St., Rm 308, SF CA 94102










Subject: Sit. Stat review for 01/28/20

Thank you!




(415) 558-5934 office

(415) 377-8549 mobile

kristina. m. [email protected]


P576


P577


Thank you!

Leonoudakis. Kristina CDPH)

Aragon. Tomas (DPH)

Sit. Stat review for O 1/28/20


nCoV PRAFT sit. stat.#5 2020.01.28.docx




(415) 558-5934 office

(415) 377-8549 mobile

kristina. m. [email protected]



P578

From: Mary Lou I icwinko

To: Andrea Yeung MD; Bennett. Ayanna CDPHl; Beth Griffiths; Brjan Grady. MD; Dennis Song; Dr Anne M Cummings practice; Edward ~; Fung Gordon (LJCSF); Heyman Oo; Jason Nau MD; [email protected]; Joseph Woo MD; Kenneth Tai. MD;~ Newell. MD; [email protected]; [email protected]; Matt Willis; Michael Shrader. MD; Monique Schaulis; Nida Deqesvs; Robert Harvey; [email protected]; Steohanie Oltmann. MD; William Prey, MD; Winnie Tong; Iqbal. Zarah (UCSFJ; Edward Chow MD; George Fouras MD; John Maa MD; Kristina Casadei; Lawrence Cheung MD; Man-Kit Leung MD; Phillip Goldbero:

Cc:

Richard Podolin MD; Robert Maroolin MD; Roger Eng MD; Shannon Udovic Constant MD; Steven Fugaro

Aragon Tomas (DPH); Erin Henke; Ian Knox; Lynne Deepe; Steve HeHiq

Subject: Date:

FW: CDC Call on F, 1/31 at llAM: Outbreak of 2019 Novel Coronavirus (2019-nCoV)-lnterim Guidance for Clinicians



Below is an alert from the SFDPH on the coronavirus. The SF Chronicle also had an excellent article on the front page

this morning on the virus. The article extensively quoted SFMMS Board Member Dr. Tomas Aragon.

Best,

Mary Lou

Mary Lou Licwinko, JD, MHSA

Executive Director/CEO

San Francisco Marin Medical Society

2720 Taylor Street, Suite 450


(415) 561-0850 ext. 237

[email protected]

SFMMS

www.sfmnu.org/())Vlmts.aspx fatiUlitY '31, 2020

From: SFDPH Alert <[email protected]>



http://www.sfmms.org/Events/Ann ualGa I a .aspx

Subject: CDC Call on F, 1/31 at llAM: Outbreak of 2019 Novel Coronavirus (2019-nCoV)-lnterim Guidance for

Clinicians

Dear Colleagues,

CDC will be hosting a Clinician Outreach and Communication Activity (COCA) call titled Outbreak of 2019 Novel Coronavirus (2019-nCoV)-lnterim Guidance for Clinicians on Friday, January 31 at 11 :OOam (Pacific Time). During this COCA Call, clinicians will learn about the current epidemiology, infection control and prevention recommendations, specimen collection and testing, and clinical management for patients with 2019-nCoV infection. Call Details A few minutes before the webinar begins on Friday, January 31, 2020, please click the link below to join the webinar: https://zoom.us/j/915683484 Or join by iPhone one-tap:

P579

US: +16468769923,,915683484# or +16699006833,,915683484# Or join by Telephone (for higher quality, dial a number based on your current location): Dial US: +1 646 876 9923 or +1 669 900 6833 Webinar ID: 915 683 484 International numbers are available: https://zoom.us/u/anixAVglV Special Request: Due to the high demand we anticipate for this COCA Call, we kindly ask participants to access it in a group format, if at all possible, to allow for the maximum number of participants to attend. Please note, there will be only a few introductory slides for this presentation. The subject matter covered during this webinar will not have an accompanying slide deck.

For more information, visit https://emergency.cdc.gov/coca/calls/2020/callinfo 013120.asp

Please share this email with clinical colleagues as appropriate. Thank you for your attention.

Disease Prevr;;ntion and Control Branch Population Health Division San Francisco Department of Public Health https://sfcdcp.org/

**CONFIDENTIALITY NOTICE** This email message and any attachments are solely for the intended recipient and may contain confidential or privileged information. If you are not the intended recipient, any disclosure, copying, use or distribution of the infonmation included in this message and any attachments is prohibited. If you have received this communication in error, please notify the sender immediately and permanently delete or otherwise destroy the infonmation.

P580

I (BOS)

From: Tran, Sophie (DPH)

Sent: To:

Wednesday, March 30, 2022 11 :37 AM SOTF, (BOS)

Subject: RE: SOTF - Notice of Appearance, April 6, 2022 - Sunshine Ordinance Task Force; 4:00 PM; Remote Meeting

Attachments: Written Response_04.06.22 SOTF Hearing (3 cases)_final.pdf; Copies of Responsive Records Sent_File No. 20059.pdf; File No. 20059_03.01.22 email to requester.pdf; Responsive Records Provided to Requester_File No. 21124.pdf

Good morning Ms. Leger,

Please find attached to this email DP H's response for 4/6/2022 hearing.

Thank you.

ZUCKER8EHG SAt'l Fflt\NC!SCO GENEHM. Hospital and Trauma Center

Sophie Tran Yang, RHIT, CCS EPIC Super User - HIMS HIMS Operations Supervisor Pronouns: she I her I hers

Zuckerberg San Francisco General Hospital and Trauma Center Laguna Honda Hospital and Rehabilitation Center Health Information Management Services 375 Laguna Honda Blvd. Admin Building, Wing 3B, Room 305 San Francisco, CA 94116

Phone: (415) 759-4648

This e-mail is intended for the recipient only. If Protected Health Information (PHI) is contained in this email, unauthorized disclosure may subject the discloser to civil or criminal penalties under state and federal privacy laws. If you received this email in error, notify me and destroy the email immediately.

From: SOTF, (BOS) <[email protected]>

Sent: Tuesday, March 22, 2022 8:36 AM

To: Tran, Sophie (DPH) <[email protected]>

Subject: RE: SOTF - Notice of Appearance, April 6, 2022 - Sunshine Ordinance Task Force; 4:00 PM; Remote Meeting

Thank you Ms. Tran.

Cheryl Leger Assistant Clerk, Board of Supervisors

[email protected] Tel: 415-554-7724

Fax: 415-554-5163

www.sfbos.org

P581




From: Tran, Sophie {DPH) <[email protected]> Sent: Tuesday, March 22, 2022 6:30 AM To: SOTF, {BOS) <[email protected]> Subject: RE: SOTF - Notice of Appearance, April 6, 2022 - Sunshine Ordinance Task Force; 4:00 PM; Remote Meeting

Good morning Ms. Leger,

I will be joining as the interim custodian of records for DPH for the hearing on April 6th.

Thank you.

ZUCKH\f:H'.HG SJ3,N FHfd\lCISCO GENFRAL Hospital and Trauma Cemer

Sophie Tran Yang, RHIT, CCS EPIC Super User - HIMS HIMS Operations Supervisor Pronouns: she I her I hers

I , ''0 U• I•:; H .) i 11:: .. 1 ~ ·i / ;-:,~ 1:: ·.ll

.:;i:J i=-':t'hii" Ji .,~l.1<: 1 ·, LH·:": ·

Zuckerberg San Francisco General Hospital and Trauma Center Laguna Honda Hospital and Rehabilitation Center Health Information Management Services 375 Laguna Honda Blvd, Admin Building, Wing 3B, Room 305 San Francisco, CA 94116

Phone: (415) 759-4648

This e-mail is intended for the recipient only. If Protected Health Information (PHI) is contained in this email, unauthorized disclosure may subject the discloser to civil or criminal penalties under state and federal privacy laws. If you received this email in error, notify me and destroy the email immediately.

From: SOTF, {BOS) <[email protected]> Sent: Monday, March 21, 2022 11:35 AM To: [email protected]; Ng, Wilson {BOS) <[email protected]>; Somera, Alisa {BOS) <[email protected]>; Calvillo, Angela {BOS) <[email protected]>; Tran, Sophie {DPH) <[email protected]>; [email protected]; [email protected]; Marc Norton <[email protected]>; Lee, Patty (DBI) <[email protected]>; SunshineRequests, DBI {DBI) <[email protected]>; Grier, Geoffrey {DPH - Contractor) <[email protected]>; Wynship Hillier <[email protected]>

2 P582

Cc: Young, Victor (BOS) <[email protected]> Subject: SOTF - Notice of Appearance, April 6, 2022 - Sunshine Ordinance Task Force; 4:00 PM; Remote Meeting

Good Afternoon:

You are receiving this notice because you are named as a Complainant or Respondent in the following complaints scheduled before the Sunshine Ordinance Task Force to: 1) hear the merits of the complaint; 2) issue a determination; and/or 3) consider refenals from a Task Force Committee. Please confirm your attendance for this hearing with the Sunshine Task Force Administrator.

Date: April 6, 2022

Location: Remote Meeting

Time: 4:00 p.m.

Complainants: Your attendance is required for this meeting/hearing.

Respondents/Departments: Pursuant to Section 67.21 ( e) of the Ordinance, the custodian of records or a representative of your department, who can speak to the matter, is required at the meeting/hearing.

Complaints:

File No. 21085: Complaint filed by Kevin Carroll, the Hotel Council of San Francisco and Matthew C. Alvarez against Angela Calvillo, Clerk of the Board of Supervisors for allegedly violating Administrative Code (Sunshine Ordinance), Section(s) 67. l and 67. 7 by failing to provide fair and equitable access to members of the public (Board of Supervisors, Budget and Finance June 25, 2021, meeting). Action: Shall SOTF continue File No. 21085 to the April 6, 2022, meeting.


File No. 21116 Complaint filed by Anonymous against Department of Public Health (DPH) for allegedly violating Administrative Code (Sunshine Ordinance), Section(s) 67.21, by failing respond to a public records request in a timely and/or complete manner.

File No. 21124 Complaint filed by Marc Norton against the Department of Public Health (DPH) for allegedly violating Administrative Code (Sunshine Ordinance), Section(s) 67.21, by failing to respond to a public records request in a timely and/or complete manner.

PS83

File No. 21159: Complaint filed by Bob Planthold against the Department of Building Inspection Commission (Access Appeals Commission) for allegedly violating Administrative Code (Sunshine Ordinance), Section(s) 67.16 by failing to post meeting minutes (2000 through 2011).

File No. 22017: CONSENT AGENDA - The Sunshine Task Force (Committee) shall review File Nos, 21021, 21036, 21087, 21095, 21099, 21103, 21118, to determine ifthe Sunshine Ordinance Task Force has jurisdiction and determine if the requested records are public pursuant to Administrative Code (Sunshine Ordinance), Sections 67.21(e) and whether or not any person has violated the Sunshine Ordinance, California Public Records Act, or Brown Act pursuant to Administrative Code (Sunshine Ordinance) Section 67 .3 0( c ), and, if applicable, to issue an Order of Determination and refer matters to the Compliance and Amendments Committee for monitoring. The Complainant and Respondent are not required to attend the April 6, 2022, Sunshine Task Force meeting but may attend to provide testimony related to the above listed determinations.

a) File No. 21021 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7 and 67.9, by failing to provide meaningful and sufficiently clear agenda descriptions, distribute agenda packets to members of the public, 67 .15 by failing to provide an opportunity for public comment on each item on the agenda, and California Public Records Act by failing meeting with quorum and failing to list disability information on the agenda.

b) File No. 21036 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7(a) by failing to post the Agenda 72 hours in advance of the meeting and failure to provide a description of each item of business; 67.7(b) failing to post documents on the website or make available to the public; agenda; 67.9(a) failure to post relevant documents on the internet; 67.15(c) failing to allow public comment; and 67.21(e) failing to make.

c) File No. 21087 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7, 67.9, and 67.15, by failing to make documents available to the public as soon as they are available, by failing to list proposed actions on the agenda, acting on a matter not listed on the agenda and by failing to approve a rule allowing the public to address the body; and California Government Code 54954(a) by failing to provide the time and place for holding regular meetings. (January 20, 2021, February 3, 2021, February 9, 2021, February 18, 2021, and June 12, 2021, meetings).

d) File No. 21095 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7, 67.9, and 67.15 and California Government Code Sections 54953 and 54954(a)(l) by failing to refer/post explanatory documents provided to the policy body, failing to agenda and other documents on file available to the public, failing to provide a brief description of each item of business, failing to make documents available on the internet, failing to take a roll call vote, failing to specify for each item of business the proposed action or statement that the item is for discussion only, failing to adopt a rule providing that each person wishing to speak on an item before the body shall be permitted to be heard once for up to three minutes, failing to include a message for people with disabilities on the agenda, failing to include language on the agenda regarding Sunshine Rights, and failing to include the contact information for the Sunshine Ordinance Task Force. (February 3,2021, February 9, 2021, and February 17, 2021, meetings).

e) File No. 21099 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67. 7, 67 .9, and 67 .15 and

PS184

California Government Code Sections 54953 and 54954(a)(l) by failing to refer/post explanatory documents provided to the policy body, failing to agenda and other documents on file available to the public, failing to provide a brief description of each item of business, failing to make documents available on the internet, failing to take a roll call vote, failing to specify for each item of business the proposed action or statement that the item is for discussion only, failing to adopt a rule providing that each person wishing to speak on an item before the body shall be permitted to be heard once for up to three minutes, failing to include a message for people with disabilities on the agenda, failing to include language on the agenda regarding Sunshine Rights, and failing to include the contact information for the Sunshine Ordinance Task Force. (February 9, 2021, Executive Committee meetings).

f) File No. 21103 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7, 67.9, and 67.15 and California Government Code Sections 54953 and 54954(a)(l) by failing to refer/post explanatory documents provided to the policy body, failing to agenda and other documents on file available to the public, failing to provide a brief description of each item of business, failing to allow an opportunity for public comment on each on the agenda, failing to take a roll call vote, failing to make documents available on the internet, failing to take a roll call vote, failing to specify for each item of business the proposed action or statement that the item is for discussion only, failing to adopt a rule providing that each person wishing to speak on an item before the body shall be permitted to be heard once for up to three minutes, and failing to announce agenda changes at the beginning of the meeting or as soon thereafter as possible. (February 17, 2021, meetings).

g) File No. 21118 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7, 67.9 and 67.15 and California Government Code Sections 54953(a)(b) and 54954(a) by failing to refer/post explanatory documents provided to the policy body, failing to provide a brief description of each item of business, failing to take a roll call vote, and failing to adopt a rule providing that each person wishing to speak on an item before the body shall be permitted to be heard once for up to three minutes,. (March 17, 2021, Behavioral Health Commission and March 9, 2021, Implementation and Executive Committee).

For inclusion in the agenda packet, supplemental/supporting documents must be received by 5:00 pm, March 31, 2022.




Disclosures: Personal information that is provided in communications to the Board of Supervisors is subject to disclosure under the California Public Records Act and the San Francisco Sunshine Ordinance. Personal information provided will not be redacted. Members of the public are not required to provide personal identijj;ing information when they communicate with the Board of Supervisors and its committees. All 1'vritten or oral communications that members of the public submit to the Clerk's Office regarding pending

P5:85

legislation or hearings will be made available to all members of the public for inspection and copying. The Clerk's Office does not redact any informationfi·om these submissions. This means that personal information-including names, phone numbers, addresses and similar information that a member of the public elects to submit to the Board and its committees-1nay appear on the Board of Supervisors i-vebsite or in other public documents that members of the public may inspect or copy.

P5i86

DPH Written Response to SOTF in advance of April 6, 2022 Hearing

San Francisco Department of Public Health Statement Regarding All 3 Complaints:

The Department of Public Health (DPH) is the lead City agency responsible for San Francisco's ongoing

COVID emergency response. At the time these requests were made, a high proportion of DPH

employees were deployed as Disaster Service Workers, including our custodians of records. With an

average of 50-60 public records requests received by the DPH every week, it has been incredibly

challenging to respond to all requests received during the COVID pandemic in a timely manner.

In addition, DPH has had custodian of records turnover which means there has been a significant loss of

historical knowledge and context with regards to DPH Public Records Requests. DPH is working to

address these staffing challenges as expeditiously as possible. We will be hiring public records staff

dedicated solely to public records work, a new model for DPH. We plan to interview candidates for the

permanent custodian of records position very soon. In this interim period, we have a team of DPH staff

addressing our public records request. We thank the Sunshine Ordinance Taskforce for their patience

during this transition.

Please also note that the previous custodians of records who were managing these requests left DPH in

September 2021 and December 2021, respectively. The extent of our historical knowledge from that

time is limited to what was entered in our NextRequest database.

All 3 complaints on the Agenda concern a lack of DPH timely response during our management of the

ongoing public health emergency. Despite staff limitations, we were able to finally gather, review and

produce the requested records, these requests are now closed.

File No. 20059: Complaint filed by Anonymous against the Department of Public Health for allegedly

violating Administrative Code (Sunshine Ordinance), Section 67.25 by failing to respond to an Immediate

Disclosure request in a timely and complete manner.

" On February 28, 2020, DPH received an immediate disclosure public records request from MuckRock.com seeking: All communications with CDC or its employees (email, text, or chat) with 13 keywords related to COVID-19. And all communications to or from the California DPH or its employees (email, text, or chat) with 13 keywords related to COVID-19 from Nov 14, 2019 to present.

" On March 3, 2020, the custodian of records at the time emailed the requestor to indicate that the request that per San Francisco Administrative Code Section 67.25(a) the request would be treated as a standard public records request subject to the normally applicable 10-day response time, with a possible extension.

" On March 11, 2020, the custodian of records, per California Government Code Section 6253(c), invoked an extension of up to 14 days because of the voluminous nature of the request.

" On March 13, 2020, the custodian of records emailed the requestorthat DPH had identified approximately 25,000 emails (totaling a currently unknown number of pages) potentially responsive to the request, all in electronic format.

P587

o We also indicated that DPH would need to review the emails for responsiveness, privilege, and exemptions.

o We noted that this effort would be time-consuming and, in light of the global coronavirus pandemic, including declared State and local San Francisco emergencies, would involve use of scarce public resources.

• On March 18 2020, the custodian of records emailed asking for clarification on multiple requests received from the same requester with similar requests.

• We never received a response to this request for clarification, and in October 2020, the custodian of records notified the requester via NextRequest that since additional clarification had not been provided, we were unable to conduct a diligent search for responsive records without their guidance, and we considered the request closed.

• This complaint, File No. 20059 filed by the requester, was initially heard at a SOTF Complaint Committee hearing on February 15, 2022. Natalie Pojman attended as DPH's representative.

• On March 1, 2022, DPH provided a written response via email to the requester with a request for clarifying information (PDF attached). The requester has not yet replied to that email.

• Since March 8, 2022, DPH has provided the requester with over four thousand pages of responsive records directly via email as well as via NextRequest (PDF attached). SOTF has been copied on all responsive records provided.

.. DPH acknowledges that it did not respond to this request in a timely manner due to staffing

shortages, the volume of public records requests received, and the ongoing COVJD emergency

response; however, we have provided a voluminous number of documents following the

February 15 hearing and consider this request completed.

File No. 21116 Complaint filed by Anonymous against Department of Public Health (DPH) for allegedly

violating Administrative Code (Sunshine Ordinance), Section(s) 67.21, by failing respond to a public

records request in a timely and/or complete manner.

Next Request Record #21-1964:

• On April 24, 2021, the requester opened NextRequest record #21-1964, for "All emails and texts

to/from Joseph Pace during calendar year 2020 with the keywords "McCallum" or "Foley" or

"Justin."

.. DPH did not provide responsive records within the customary 10-day timeframe.

• On September 8, 2021, the requester followed up on the status of their request.

• SOTF File No. 21116 was brought against DPH for failing to respond to a public records request

in a timely and/or complete manner.

.. This complaint was heard by the Education and Training Committee on January 11, 2022. Natalie

Pojman attended the hearing. The requester did not show up to the hearing.

• The Committee requested that DPH pull the following as responsive records:

o Emails forthe month of January 2019 (which the requester had previously asked for in

writing, according to the hearing agenda).

o Texts to/from Joseph Pace with the above keywords.

.. The interim DPH Sunshine Team worked with Joseph Pace to search and review responsive

records. Responsive records in the form of texts, emails, and email attachments were provided

to the requester in batches on March 9th, 17th, and 13th, 2022 (PDF attached). The records were

provided both in NextRequest and via direct email to the requester.

P588

.. DPH acknowledges that it did not respond to this request in a timely manner due to staffing

shortages, the volume of public records requests received, and the ongoing COVID emergency

response; however, we fulfilled the requests of the Committee following the January 11 hearing

and consider this request completed.

File No. 21124 Complaint filed by Marc Norton against the Department of Public Health (DPH) for

allegedly violating Administrative Code (Sunshine Ordinance), Section(s) 67.21, by failing to respond to a

public records request in a timely and/or complete manner.

Next Request Record #21-1698:

.. On April 12, 2021, DPH received a public records request from Marc Norton seeking: "Any and all written documents between the City and the Giants, Warriors or Bon Appetit regarding reopening protocols at Oracle Park or Chase Center."

" On April 21, 2021, the Custodian of Record, Veronica Vien, contacted Mr. Norton with the following: "In light of the current pandemic and local health emergency, this request will take a great deal of time to process and involve use of scarce public resources. Therefore, we request that you more narrowly tailor your request so we can identify and produce responsive documents .... " We made the above request under Sunshine Ordinance Section 67.25 (c), which entitles the City to inquire as to a requester's purpose in order to "suggest alternative sources for the information which may involve less redaction or to otherwise prepare a response to the request."

" On April 23, 2021, Mr. Norton declined to narrow his request.

.. On July 1, 2021, DPH contacted Mr. Norton and stated it was still working on identifying responsive records, but that he could refer to NextRequest files #20-1287 and #20-4844 for responsive records related to the Golden State Warriors.

"' On September 16, 2021, through the Sunshine Ordinance Task Force, Mr. Norton followed up on his request.

"' DPH conducted a search and, on September 25, 2021, provided 41 emails and 24 documents as responsive records. This was done by a new Custodian of Records, Cristina Padilla, as Veronica Vien had separated from DPH by this time.

.. Mr. Norton then inquired about additional documents relating to Oracle Park. DPH then went back to the DPH subject matter expert to inquire after any additional records.

"' After conducting a further search for records through the subject matter expert, DPH uploaded 63 additional records on October 9, 2021.

.. On January 27, 2022, at the request of the Sunshine Ordinance Task Force, DPH uploaded a documents index of the responsive records.

.. To date, DPH has provided more than 100 responsive records to Mr. Norton, which included plans, emails, and other documents. DPH has no additional responsive records to provide.

.. DPH acknowledges that it did not respond to this request in a timely manner due to staffing shortages, the volume of public records requests received, and the ongoing COVID emergency response; however, our response up to the present time is complete and we consider this

request completed.

P589


From: DPH Sunshine Sent: Tuesday, March 8, 2022 1 :43 PM

To: Cc: Subject: Attachments:

SOTF, (BOS); DPH Sunshine [email protected] RE: Public Records Request #20-1076 CDPHemails_Batch 1.pdf

Requester,

We have conducted a diligent search for records responsive to your request. We have located responsive records, which are available to you here and have also been uploaded to NextRequest case #20-1076. Due to the need to continue reviewing, we will produce any additional responsive records on a rolling basis.

Thank you.





We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS'' "COVID" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2"

1

P590

"2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20).

Thank you,

DPH Sunshine Team

2

P591


From: DPH Sunshine Sent: Tuesday, March 8, 2022 2:06 PM To: Cc:

DPH Sunshine; SOTF, (BOS) [email protected]


RE: Public Records Request #20-1076 CDCEmails_Batch 1.pdf; CDPHEmails_Batch2.pdf

Requester,

We have conducted a diligent search for records responsive to your request. We have located responsive records, which are available to you here and have also been uploaded to NextRequest case #20-1076. Due to the need to continue reviewing, we will produce any additional responsive records on a rolling basis.

Thank you.





We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COV!D" "COV/019" "COVID-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COVID-19" "SARS-CoV-2"

1

P592

"2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" ''novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20).

Thank you,

DPH Sunshine Team

2

P593


From: DPH Sunshine Sent: Tuesday, March 8, 2022 4:35 PM To: Cc:



RE: Public Records Request #20-1076 I File No 20059 CDC Emai\s_Batch2.pdf

Requester,


Thank you.





We have included the original request below for reference. All communications with CDC or its employees (email, text or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS'' "COVID" "COV/019" "COVID-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS'' "COVID" "COV/019" "COVID-19" "SARS-CoV-2"

1

P594

112019-nCOV" "nCOV" "severe acute respiratory syndrome" 11viral pneumonia 11 "pneumonia of unknown origin" 11novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20).

Thank you,

DPH Sunshine Team

2

P595


From: DPH Sunshine Sent: Friday, March 11, 2022 3:28 PM

To: Cc:



RE: Public Records Request #20-1076 I File No 20059 T omasAragon_ CDPHemails_Batch 1 _Redacted.pdf

Requester,

We have conducted a diligent search for records responsive to your request. We have located responsive records, which are available to you here and have also been uploaded to NextRequest case #20-1076/ SOTF File 20059. We have redacted parts of the records provided in response to your request here because such records contain protected health information. Cal. Govt. Code Secs. 6254(c), 6254(k); Health Insurance and Accountability Act of 1996, 45 C.F.R. Secs.160, 164; Cal. Civ. Code Secs. 56 et seq.; California Constitution, Art. I, Sec. 1.

Due to the need to continue reviewing, we will produce any additional responsive records on a rolling basis.

Thank you.





We have included the original request below for reference. Al I communications with CDC or its employees (email, text, or chat) with any of the fol I owing insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO,

1

P596

FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.

Thank you,

DPH Sunshine Team

2

P597

Michaela

From: DPH Sunshine Sent: Tuesday, March 15, 2022 1 :52 PM To: Cc:



RE: Public Records Request #20-1076 /File No 20059 TomasAragon_ CDCemails_Batch 1.pdf

Requester,


Thank you.


Sent: Tuesday, March 1, 2022 1:15 PM To: [email protected] Cc: SOTF, (BOS) <[email protected]> Subject: Public Records Request #20-1076




We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS'' "COV/0 11 "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2"

1

P598



2

P599


From: DPH Sunshine

Sent: Wednesday, March 16, 2022 9:50 AM

To: Cc:


Subject: RE: Public Records Request #20-1076 I File No 20059

Attachments: T omasArag on_ CDCemai ls_Batch 6.pdf; T omasAra g on_ CD Ce ma i ls_Batch 7 .pdf; T omasArag on_ CDCemai ls_BatchS.pdf

Requester,




Thank you.









We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COVID19" "COVID-19" "SARS-CoV-2" "2019-nCOV" ''nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request any format showing all participants {TO, FROM; CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient.

1

P600

2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20).

Thank you,

DPH Sunshine Team

2

P601


From: DPH Sunshine Sent: Thursday, March 17, 2022 4:55 PM To: Cc:



RE: Public Records Request #20-1076 I File No 20059 TomasAragon_CDCemails_Batch8.pdf

Requester,


Thank you.

From: DPH Sunshine <[email protected]> Sent: Tuesday, March 1, 2022 1:15 PM To: [email protected]

Cc: SOTF, (BOS} <[email protected]> Subject: Public Records Request #20-1076




We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COVID-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/0-19" "SARS-CoV-2"

1

P602


Thank you,

DPH Sunshine Team

2

P603


From: Varisto, Michaela (DPH)

Sent: Thursday, March 17, 2022 4:56 PM

To: Cc:



RE: Public Records Request #20-1076 I File No 20059 Tom asArag on_ CD Ce ma i ls_Batch 9.pdf

Requester,




Thank you.



Cc: SOTF, {BOS) <[email protected]> Subject: Public Records Request #20-1076




We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS'' "COVID" "COV/019" "COV/D-19" "SARS-CoV-2"

1

P604


Thank you,

DPH Sunshine Team

2

P605


From: Varisto, Michaela (DPH)

Sent: Thursday, March 17, 2022 4:56 PM

To:

Cc: DPH Sunshine; SOTF, (BOS) [email protected]

Subject: RE: Public Records Request #20-1076 I File No 20059 Attachments: TomasAragon_ CDCemails_Batch 1 O.pdf; TomasAragon_ CDCemai ls_Batch 11.pdf

Requester,


are available to you here and have also been uploaded to NextRequest case #20-1076/ SOTF File 20059. This concludes

your public records request.

Thank you.






DPH has identified a voluminous number of emails potentially responsive to your request. We would appreciate any narrowing down of the request. Could you plecase provide specific names of individuals that you'd request the information?


We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS'' "COV/0 11 "COV/019" "COV/D-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants {TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS'' "COVID" "COV/019" "COVID-19" "SARS-CoV-2"

1

P606

"2019-nCOV 11 "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20).


2

P607



Hello,

DPH Sunshine

Tuesday, March 1, 2022 1 :15 PM

[email protected] SOTF, (BOS)

Public Records Request #20-1076




We have included the original request below for reference. All communications with CDC or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COV/0-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present. For solely this request, any format showing all participants (TO, FROM, CC; and BCC for items sent by City employees) and preserving the body, attachments and images is sufficient. 2. All communications to or from the California DPH or its employees (email, text, or chat) with any of the following insensitive keywords: "coronavirus" "wuhan" "SARS" "COVID" "COV/019" "COVJD-19" "SARS-CoV-2" "2019-nCOV" "nCOV" "severe acute respiratory syndrome" "viral pneumonia" "pneumonia of unknown origin" "novel pneumonia" from Nov 14, 2019 to present (request submitted: 2/28/20}.


P608



Requester,

DPH Sunshine Wednesday, March 9, 2022 11 :11 AM

[email protected]; SOTF, (BOS) DPH Sunshine NextRequest #21-1964 I File No. 21116 J.Pacetexts_keywordJustin.pdf

We are enclosing here (and have also uploaded to NextRequest #21-1964) responsive records to SOTF File No. 21116.

We will continue to review and provide further records on a rolling basis.

Thank you.

1

P609

Michaela


Requester,

DPH Sunshine

Thursday, March 17, 2022 4:27 PM DPH Sunshine; [email protected]; SOTF, (BOS) RE: NextRequest #21-1964 / File No. 21116

Joseph PaceEmails_Batch 1.pdf



Thank you.

1

P610



Requester,

DPH Sunshine Thursday, March 17, 2022 4:37 PM DPH Sunshine; [email protected]; SOTF, (BOS) RE: NextRequest #21-1964 /File No. 21116 JosephPaceEmails_Batch2_Redacted.pdf

We are enclosing here (and have also uploaded to NextRequest #21-1964) responsive records to SOTF File No. 21116. Please note that due to privacy concerns, some personal information, such as personal phone numbers, cell numbers and email addresses, have been redacted from the documents that we are making available to you. We redacted this personal information pursuant to Section 6254{c) and Section 6254(k) of the California Public Records Act and Article 1, Section 1 of the California Constitution. We will continue to review and provide further records on a rolling basis.

Thank you.

1

P611



Requester,

DPH Sunshine Thursday, March 17, 2022 4:42 PM

DPH Sunshine; [email protected]; SOTF, (BOS) RE: NextRequest #21-1964 /File No. 21116 JosephPaceEmails_Batch3.pdf



Thank you.

1

P612



Requester,

DPH Sunshine

Thursday, March 17, 2022 4:53 PM DPH Sunshine; [email protected]; SOTF, (BOS)

RE: NextRequest #21-1964 I File No. 21116

JosephPaceEmails_Batch4.pdf


WklvflErqfa:ghv#j rxulSxedf#hfngv#.ihtxhvWl

Thank you.

1

P613


From: DPH Sunshine Sent: Thursday, March 17, 2022 4:48 PM To: Subject:

DPH Sunshine; [email protected]; SOTF, (BOS) RE: NextReq uest #21-1964 I File No. 21116

Requester,

Please be advised, DPH has withheld 4 emails that contain confidential personnel records protected by the California Constitutional right of privacy. (See, Cal. Const. Art. I §1; Hill v. National Col!egiate Athletic Assn., (1994) 7 Cal.4th 1, 35 (identifying privacy interest in precluding dissemination of sensitive, confidential information); Teamsters Local 856 v.

Priceless, LLC, (2003) 112Cal.App.4th1500, 1512 (public employees have a right to privacy in their personnel files).) This record is also a personal record the disclosure of which would constitute an unwarranted invasion of personal privacy under state law. (See (California Government Code§ 6254(c) (protecting "[p]ersonnel, medical or similar files, the disclosure of which would constitute an unwarranted invasion of personal privacy"), and§ 6254(k) (protecting records which are "exempted or prohibited pursuant to provisions of federal or state Jaw" from disclosure); see also S.F. Admin. § 67.l(g).)

Thank you.

From: DPH Sunshine <[email protected]> Sent: Thursday, March 17, 2022 4:42 PM To: DPH Sunshine <[email protected]>; [email protected]; SOTF, (BOS) <[email protected]> Subject: RE: NextRequest #21-1964 I File No. 21116

Requester,

We are enclosing here (and have also uploaded to NextRequest #21-1964) responsive records to SOTF File No. 21116. We will continue to review and provide further records on a rolling basis.

Thank you.

1

P614


Dear Requestor,

DPH Sunshine Friday, April 15, 2022 3:33 PM Anonymoose (@journo_anon) ~ 0.. SOTF, (BOS); Lila LaHood; DPH Sunshine RE: SOTF order in 20059 against you - COVID comms with CDPH/CDC

This is email is follow-up to SOTF File No. 20059. The San Francisco Department of Public Health {DPH) has reopened this request (NextRequest case #20-1076) and is working to provide you additional records. In addition to the records that we have previously provided from the Department's most senior leadership, we have an email out to all 8,000+ DPH employees asking for all responsive records they may have. We will continue to provide documents on a rolling basis. Dr. Tomas Aragon no longer works for the City and County of San Francisco and does not have a CCSF cell phone. Dr. Aragon's texts from that period are no longer accessible.

Please also note that the previous custodians of records who were managing this request separated from DPH in

September 2021 and December 2021, respectively. The extent of our historical knowledge from that time is limited to what has been entered in our NextRequest database.

DPH is the lead City agency responsible for San Francisco's ongoing COVID emergency response. At the time these requests were made, a high proportion of DPH employees were deployed as Disaster Service Workers and reassigned from their usual duties to tasks related to the emergency, including our custodians of records. With an average of 50-60 public records requests received by the DPH every week, it has been incredibly challenging to respond to all requests received during the COVID pandemic in a timely manner.

Due to the high turnover of DPH custodians of records there has been a significant loss of historical knowledge and context with regards to overdue DPH Public Records Requests. DPH is working to address these staffing challenges as expeditiously as possible. We will be hiring staff dedicated solely to public records work. In this interim period, we have a team of DPH staff addressing our public records requests. We thank the Sunshine Ordinance Taskforce for their patience during this transition.

Sincerely, DPH Sunshine Team

-----Origin a I Message-----

From: Anonymoose (@journo_anon) ~ (\ <[email protected]> Sent: Monday, April 11, 2022 12:49 AM To: Colfax, Grant {DPH) <[email protected]> Cc: [email protected]; SOTF, {BOS) <[email protected]>; Lila LaHood <[email protected]> Subject: SOTF order in 20059 against you - COVID com ms with CD PH/CDC


PB15

I (BOS)


Requester,

DPH Sunshine Tuesday, April 19, 2022 10:25 AM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 / File No 20059 StaffEmails_Batch 1.pdf




Thank you.

P6t1 6

From: To:

Bell, David (DPHl Aram Bronston; California Governor"s Office of Emergency Services: CDPH Duty Officer; DPH-lntegration Steering Committee; DPH-nCoV Activation 2020; DutvOfficer, DEM IDEM); Emeroency Medical Services Authority; Medjcal and Healtb Coordination Center; Northern California Regional Intelligence Center

Subject: SFDPH COVID-19 Sit. Stat. Report 02-20-2020 Thursday, February 20, 2020 4:26:59 PM Date:



# of Cases/Deaths Worldwide: 76,199 Cases/ 2,247 Deaths (John Hopkins CSSE, link below) US: *15 Cases (CDC excluding 14 Cases from Diamond Princess Cruise Ship)/ 0 Deaths CA: 8 Cases / 0 Deaths SF: 0 Cases


SFDPH

Summary of actions • A suspected case of novel coronavirus (COVID-19) from Travis Air Force Base is being treated in a San

Francisco hospital. The individual has no symptoms but tested positive for the virus in Japan and was brought to San Francisco from Travis Air Force Base in Fairfield, where they were quarantined after disembarking a cruise ship.

• On 02-19-2020 SFDPH hosted a conference call with six major SF University and College systems to provide

information and guidance on managing return travelers from China that may need follow up.

• SFDPH DOC is identifying reporting needs and requirements for SF return traveler data, to guide analysis

and provide a comprehensive picture of the ongoing and completed work.

• SFDPH is utilizing data from incoming clinical consultation calls to guide prioritization of site visits and

outreach to community clinics, healthcare facilities, and hospitals in SF. This includes facilities in the SFDPH

Safety Net and external and/or private facilities.

• SFDPH Primary Care clinics are universally screening their return traveler patients in clinic and report

readiness to safely manage potential COVID-19 PUI cases.

• SFDPH has identified a need to align efforts on quarantine clearance requests from the SF community and

employers.

• Public Information Office is focusing on emerging questions from the community about the quarantine

process for congregate living settings (Single Room Occupancy units, multi-family homes, etc.).

• SF Mayor, London Breed, will send Jetter to the RSA cybersecurity conference to 45k participants,

reinforcing that risk for COVID-19 remains low.

CDC-

• On February 19, 2020, CDC issued travel guidance for Hong Kong, recommending that travelers practice

usual precautions. https://wwwnc.cdc.gov/travel/notices/watch/coronavirus-hong-kong

• CDC reported U.S. testing data: 412 negative PUis; 52 Pending PUis.

• https://www.cdc.gov/coronavirus/2019-ncov /hep/index. htm I

Wtl.Q (World Health Organization)-

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China has revised their guidance on case classification for COV\D-19, removing the classification of "clinically

diagnosed" previously used for Hubei province, and retaining only "suspected" and "confirmed" for all

areas, the latter requiring laboratory confirmation. Some previously reported "clinically diagnosed" cases

are expected to be discarded over the coming days as laboratory testing is conducted and some are found

to be COVI D-19-negative.

• https://www.who.int/health-topics/coronavirus

CDPH (California Department of Public Health)-• CDPH announced that 16 laboratories, including the Viral and Rickettsial Disease Laboratory in Richmond,

CA, will provide more rapid results than currently available and help to inform public health action and

medical care for people who may have been exposed to novel coronavirus. Results from the Centers for

Disease Control and Prevention currently take between two to seven days. The Public Health Department

lab anticipates it will be able to conduct testing, and report results, within two days of specimen receipt.

• https: /lwww.cdoh.ca .gov /Programs/Cl D/DCDC/Pages/I m mun ization/nCOV2019. as px



• 74,999 confirmed cases in mainland China

• 1,200 confirmed cases outside of China across 29 countries.

• 2,144 deaths in mainland China+ 9 additional deaths in 7 countries outside of China (Philippines, Hong

Kong, Taiwan, Japan, South Korea, France, Iran).

• 2 deaths from Diamond Princess Cruise Ship.

National {U.S.) data:

• No new confirmed cases reported in the U.S. within the last 24 hours.

• https: //gisa nddata. maps.a rcgjs.com/a pps/opsdash boa rd/index. htm 1#/bda 7 594 7 40fd40299423467 b48e9ecf6


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From: To:

Bell. David CDPH) Aram Bronston; (aliforoia Governor"s Office of Emergency Services; CDPH Duty Officer; DPH-Integration Steering Committee; DPH-nCoV Activation 2020; DutyOfficer, DEM (DEM); Emeraency Medical Services Authority: Medical and Health Coordination Center; Northern California Regional Intelligence Center

Subject: SFDPH COVID-19 Sit Stat Report 02-19-2020 Wednesday, February 19, 2020 2:35:13 PM Date:



#of Cases/Deaths Worldwide: 75,283 Cases/ 2,014 Deaths (John Hopkins CSSE, link below) US: 29 Cases/ 0 Deaths CA: 8 Cases / 0 Deaths SF: 0 Cases


SFDPH

Summary of actions • SFDPH is focused on working with Chinese community groups, commerce, businesses, schools, and media

outlets, addressing concerns and providing preventative measures to the community.

• Site visits to SF hospitals continue. DPH is providing consultation to facilities re: level of preparedness of the

hospital and EMS, according to guidance.

• SFDPH conferring with SF colleges & universities to provide COVID-19 guidance.

• SFDPH developed a COVID-19 clinical intake form and check list to provide step-by-step guidance when

evaluating patients who may have COVID-19, with a goal of preventing the spread of infection and

expediting investigation. https: //www.sfcdcp.org/i nfectious-d iseases-a-to-z/coronavi rus- 2019-nove 1-co ro n av i ru s/co ro n avi ru s-2 019-i n form a tjo n-fo r -h ea Ith ca re-provide rs/

• A Hospital FAQ for visitors and patients is currently in development.

General FAQs

CDC-

• CDC is creating a booklet for arriving travelers to record temperatures and symptoms, to replace current

CDC temperature logs. CDC is expecting to release the booklet by the end of February 2020.

• CDC reported U.S. testing data: 412 negative PUis; 52 Pending PUis.

https://www.cdc.gov/coronavirus/2019-ncov /hep/index. htm I

WHO (World Health Organization)-• WHO is working with an international network of statisticians and mathematical modelers to estimate key

epidemio\ogic parameters of COVID19.

• Online courses have been added to the Open WHO platform:

a Critical Care of Severe Acute Respiratory Infections

• Health and safety briefing for respiratory diseases - ePROTECT

https ://www.who.int/hea Ith a ca demy/cou rses/e n/

bttps: //www.who.int/hea Ith-top ics/coro navi rus

CDPH (California Department of Public Health)-• CDPH is polling regions re: their inventory of Personal Protective Equipment (PPE).

• CDPH announced that 16 laboratories, including the Viral and Rickettsial Disease Laboratory in Richmond,

CA, will soon be able to perform COVID-19 testing.

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• CDPH reported 02/18/20 CA testing data: 172 persons tested; 8 confirmed cases; 147 negative results; 10

pending results

• https://www .cd ph .ca .gov /Programs/Cl D /DCDC/Pa ges/I m mun ization /nCOV2019. as px



• 74,188 confirmed cases in mainland China

• 1,017 confirmed cases outside of China across 29 countries.

• 2,006 deaths in mainland China+ 8 additional deaths in 6 countries outside of China (Philippines, Hong

Kong, Taiwan, Japan, France, Iran).

• 2 new confirmed cases in Iran.


• No new confirmed cases reported in the U.S. within the last 24 hours.

• https: //gisa nd data. maps.a 1-cgis.com/a pps/opsdash boa rd/ind ex. htm 1#/bda 7 594 7 40fd402 99423467b48e9ecf6


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From: To:

[email protected] on behalf of Bowen, Virginia B. (CDC/DDID/NCHHSTP/DSTDP) Philip, Susan CDPH)

Subject: FW: San Francisco/CDPH/CDC COVID-19 call

-----Original Appointment-----From: Bowen, Virginia B. (CDC/DDID/NCHHSTP/DSTDP) <[email protected]> Sent: Friday, February 21, 2020 10:43 AM To: Bowen, Virginia B. (CDC/DDID/NCHHSTP/DSTDP); Peters, Philip@CDPH; [email protected]; Fleming-Dutra, Katherine E. (CDC/DDID/NCIRD/DBD); Bialek, Stephanie R. (CDC/DDPHSIS/CGH/DPDM); Fischer, Marc (CDC/DDID/NCEZID/DVBD); Pindyck, Talia (CDC/DDID/NCEZID/DFWED); Biggs, Holly (CDC/DDID/NCIRD/DVD); Havers, Fiona (CDC/DDID/NCIRD/DBD); Milucky, Jennifer Lynn (CDC/DDID/NCIRD/DBD); Watson, John (CDC/DDID/NCIRD/DVD); Graitcer, Samuel B. (CDC/DDID/NCIRD/ISD); Guh, Alice Y. (CDC/DDID/NCEZID/DHQP); Vasquez, Amber Marie (CDC/DDID/NCEZID/DHQP); Soda, Elizabeth (CDC/DDID/NCEZID/DHQP); [email protected]; Stolley, Juliet (DPH); [email protected] Cc: CDC IMS 2019 NCOV Healthcare Infection Control; Dennison, Cori (CDC/DDID/NCEZID/DHQP) Subject: San Francisco/CD PH/CDC COVID-19 call When: Friday, February 21, 2020 4:00 PM-5:00 PM (UTC-05:00) Eastern Time (US & Canada). Where: Skype Meeting


Hi, all-

We'd like to have daily check-ins for the next 4-5 days to discuss the SF healthcare worker with (currently) inconclusive COVID-19 lab results. Please forward this invitation as needed to appropriate persons in your organizations (county, state). Our hope is that these meetings will not all need to be an hour long, but I'm scheduling them as such for now. Please see call in information below.

Thanks,

Ginny Bowen

Deputy Team Lead, Case-Tracking Team

Epidemiology Task Force

CDC COVID-19 Response

Join Skype Meeting <https://webconf.cdc.gov/xef3/50R2CT1 Y>

Trouble Joining? Try Skype Web App <https://webconf.cdc.gov/xef3/50R2CT1Y?sl=l>

Join by phone



Find a local number <https://webaudio.cdc.gov?id=22178949>

Conference ID: 22178949



Forgot your dial-in PIN? <https://webaudio.cdc.gov> !Help <https://o 15. officeredir.microsoft. com/r/rlidL ync15?clid=l 033&pl =5&p2=2009>

P621

From: Bronston, Aram, EMS To: DPH-DOC Plans Sit Stat; DPH-COVID-19 DPH Activation 2020; mhccsitreos&[email protected];

EMSADutyOfflcer@EMSA CA.GOV; DPH-Inteqration Steering Committee; [email protected]; [email protected]; [email protected]; DutyOfflcer, DEM (DEM)

Subject: Date:

Re: SFDPH DOC COVID-19 Situation Status Report (02/26/2020) Wednesday, Febnuary 26, 2020 4:44:40 PM



A ram

Aram L. Bronston EMT-P EMS Coordinator/RDMHS Region II Alameda County Health Care Services Agency 1000 San Leandro Blvd., Ste#200 San Leandro, CA 95477 [email protected] 510/618-203 3 office 510/421-9340 cell 8816-32623882 iridium (emergencies ONLY) Http://EMS.ACGOV.ORG/RDMHS-R2 (Resource & Reference Site)


From: DPH-DOC Plans Sit Stat <[email protected]>


To: DPH-COVID-19 DPH Activation 2020 <[email protected]>; Bronston, Aram, EMS

<[email protected]>; mhccsitreps&[email protected]

<mhccsitreps&[email protected]>; [email protected] <[email protected]>;



<[email protected]>; DutyOfficer, DEM (DEM) <[email protected]>

Subject; SFDPH DOC COVID-19 Situation Status Report (02/26/2020}



# of Cases/Deaths Worldwide: 81,322 Cases/ 2, 770 Deaths (John Hopkins CSSE, link below) US: 59 Cases (see notes below)/ 0 Deaths (John Hopkins CSSE) CA: 10 Cases/ O Deaths (l:.l2.EJ:i) SF: 0 Cases

bttps://gisaoddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6


SFDPH

Summary of actions

.. Mayor London Breed declared a local emergency 02/25/20, allowing CCSF to access additional resources to

prepare for potential COVID-19 cases in SF.

" SFDPH DOC expanded community outreach and mitigation efforts, working closely with the CCSF

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Emergency Operations Center (EOC) in anticipation of increased inquiries due to the declaration of a local

emergency.

" SFDPH is focusing on providing a comprehensive picture of past and current preparation and mitigation

efforts, forward leaning departmental objectives, and the data and information being used to guide the

work.

" SFDPH and the EOC are collaborating to create a process for routing briefing and other informational

requests (from media and non-media sources) to the appropriate channels.

" SFDPH drafted guidelines for housing plans for confirmed COVID-19 cases, potential COVID-19 cases, and

medium risk individuals who live in congregate living situations including Single Room Occupancies (SROs).

" SFDPH completed a preparedness consultation site visit to Chinese Hospital 02/25/20 and UCSF Mission Bay

today 02/26/20.

" SF Public Health Laboratory is strengthening their safety measures for lab personnel, including enhanced

Personal Protective Equipment (PPE) requirements.

,. SF Public Health Laboratory is still awaiting delivery of CDC testing kits. CDC reported they will have a ship

date for the testing kits by the end of th is week.

" SFDPH is updating their COVID-19 Fact Sheet to include the most recent updates and align messaging and

information across DPH and CCSF sites .

., SFDPH Public Information Office recently completed a COVID-19 prevention focused informational poster,

which will soon be displayed on BART Trains.

• SFDP H CDCP inform at ion: https ://www.sfcdcp.org/i nfectious-diseases-a-to-z/coron avi rus-2019-n ovel

% 20%20%20coronavirus/

• CDC updated their travel advisory to include South

Korea. https: //wwwnc.cdc.gov /travel /notices/warn in g/coro n avi rus-south-korea

" CDC reports that to date 445 people have been tested in the U.S.

" https: //www~cdc.gov /coronavi rus/2019-n cov /cases-in-us. htm I


" WHO stated that 4 new countries (Algeria, Austria, Croatia, and Switzerland) reported cases of COVID-19 in

the past 24 hours. (as of 02/26/20)

• https: //www. who.int/emergencies/diseases/novel-co ro n avi rus-2019 /situation-reports


• CDPH reported new cases of COVID-19 in CA in the 24 hours. Number of confirmed cases in CA remains at

10.

" https ://www.cdph.ca.gov/Progra ms/CJD /DCDC/Pages/I mm u n ization/nCOV2019.as px


International data-

" 81,322 confirmed cases globally .

., 78,064 confirmed cases in mainland China; 3,258 confirmed cases outside of mainland China, in 46

countries .

., 2, 719 deaths in mainland China+ 51 additional deaths (Afghanistan, Bahrain, Iraq, Oman, Iran, Italy,

P623


.. Confirmed cases outside of China across 36 countries/regions (includes regions of Hong Kong and Taiwan,

outside of mainland China)


• 59 confirmed cases currently in the U.S. {42 from Diamond Princess cruise ship, from unassigned

locations) cases in 5 states .

.. https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6



DPH .DOC. Pia [email protected]

**This email was sent from an external source. If you do not know the sender, do not click on links or attachments.**

P624

From: Bronston. Aram. EMS To:

Subject:

DOCAdmin, DPH IDPHl; DPH-nCoV Activation 2020; DutvOfficer DEM IDEMl; Duty Officer, EMSA@EMSA; [email protected]; [email protected]; mhccsitreps&[email protected] .gov; DPH-Jn teg ration Steering Committee; [email protected] .gov Re; SFDPH DOC COVJD-19 Situation Status Report (02/25/2020)

Date: Tuesday, Februany 25, 2020 4:12:39 PM



A ram



From: DOCAdmin, DPH (DPH) <[email protected]>

Sent: Tuesday, February 25, 2020 3:45:46 PM

To: DPH-nCoV Activation 2020 <[email protected]>; DutyOfficer, DEM (DEM)

<[email protected]>; Duty Officer, EMSA@EMSA <[email protected]>; Bronston, Aram, EMS

<Aram. [email protected]>; cdphd [email protected] <cdphd [email protected]>; [email protected] .gov

<ch ess@n cri c. ca .gov>; m h ccs itre ps& resou rcereq u ests@cd p h. ca .gov < m hccsitre ps&resou rcereq u ests@cd ph. ca .gov>;


<[email protected]>




#of Cases/Deaths (dated 02/25/20) Worldwide: 80,350 Cases/ 2,705 Deaths (John Hopkins CSSE, link below) US: 53 Cases (see notes below)/ O Deaths (CDC) CA: 10 Cases/ 0 Deaths (CDPH) SF: 0 Cases htt ps: //gisa n d data.maps. a rcgis.com /a Q ps/opsd ash boa rd/ind ex. htm I# /bda 7 594 7 40f d40299423467 b48e9ecf6


e The Mayor has declared a local emergency due to COVID-19. Although there are still zero confirmed cases





P625

I (BOS)


Requester,

DPH Sunshine Wednesday, April 20, 2022 2:28 PM DPH Sunshine; SOTF, (BOS) [email protected] RE: Public Records Request #20-1076 /File No 20059 StaffEmails_Batch2_Redacted.pdf


We have redacted parts of the records provided in response to your request here because such records contain protected health information. Cal. Govt. Code Secs. 6254(c), 6254(k); Health Insurance and Accountability Act of 1996, 45 C.F.R. Secs.160, 164; Cal. Civ. Code Secs. 56 et seq.; California Constitution, Art. I, Sec. 1.

Thank you.

P6126


Marcelle Layton Marcelle Layton FW: 2-28-2020 CDC Media Telebriefing: Update on COVID-19 Friday, February 28, 2020 9:06:28 AM


sorry for short notice, but in case any CLUE colleagues don't get these directly

From: State and Local Readiness (CDC) <[email protected]>

Sent: Friday, February 28, 2020 11:19 AM

To: State and Local Readiness (CDC) <[email protected]>

Subject: 2-28-2020 CDC Media Telebriefing: Update on COVID-19

Media Advisory

For Immediate Release

Friday Feb. 28, 2020

Contact: CDC Media Relations

(404) 639-3286

What

Who

When

CDC Media Telebriefing: Update on COVID-19

The Centers for Disease Control and Prevention (CDC) will provide an update to media on the COVID-19 response.

Nancy Messonnier, M.D., Director,

National Center for Immunization and Respiratory Diseases

12:15 p.m. ET Friday, Feb. 28, 2020 I

P627

Dial-In

Non-Media: 888-795-0855

International: 1-630-395-0498

PASSCODE: 6656039


Media: If you would like to ask a question during the call, press * 1 on your touchtone phone. Press *2 to withdraw your question. You may queue up at any time. You will hear a tone to indicate your question is pending.

TRANSCRIPT A transcript will be available following the briefing at CDC's web site:www.cdc.gov/media.

###




Sent from the New York City Department of Health & Mental Hygiene. This email and any files transmitted with it may contain confidential information and are intended solely for the

P628

use of the individual or entity to whom they are addressed. This footnote also confirms that this email message has been swept for the presence of computer viruses.

P629


Marcelle Layton

Marcelle Layton

FW: Save the Date: HAI Subcommittee COVID-19 Weekly Listening Sessions

Thursday, February 27, 2020 7:06:12 PM

Attachments: imaqe001.pnq Save the Date HAI Subcommittee COVID-19 Weekly Listening Sessions.ics


sharing w CLUE folks as good opportunity to ask CDC HAI group about COVID issues you are facing

From: Meredith Lichtenstein [mailto:[email protected]]


To: Meredith Lichtenstein <[email protected]>

Cc: Puja Shah <[email protected]>; Caitlin Pedati <[email protected]>; Perz, Joseph

(CDC/DDID/NCEZID/DHQP) <[email protected]>; Cathy Rebman <[email protected]>; CDC HAI AR (CDC)

<[email protected]>

Subject: Save the Date: HAI Subcommittee COVI D-19 Weekly Listening Sessions

{EXTERNAL/UNTRUSTED]

Sent to the CSTE HAI Subcommittee:

Good afternoon! Based on discussions held during the February subcommittee call, CSTE will host

HAI Subcommittee COVID-19 Weekly Listening Sessions at 4:00-4:30pm IT on Tuesdays beginning

next Tuesday, March 3. The purpose of these listening sessions is to offer the opportunity for you to

ask questions of and interact with DHQP staff involved in the COVID-19 response efforts at CDC.

Please find attached a calendar hold for next week's listening session and the call information below.

Note: Puja will share a recurring calendar item for all future listening sessions next week when she

returns to the office.

Call Information

Date: Tuesday, March 3

Time: 4:00-4:30pm EST

Call-in number: 1-877-668-4490


Webinar Information

1. Go to https://cste.webex.com/cste/k2/i.php?

MIID=t58c34Pc9e8c72 J e'13a59af55 2dad9afg

2. Enter your name and email address.

P630

3. Enter the session password: epi123

4. Click "Join Now".

5. Follow the instructions that appear on your screen.

Thank you,

Meredith

Meredith Lichtenstein Cone, MPH

Deputy Director of Programs

Acting Manager, Infectious Disease Program

Council of State and Territorial Epidemiologists "Using the power of epidemiology to improve the public's health"

~· MemhNshjp • ~ • IYlillfil • lnstagram

2635 Century Parkway NE, Suite 700, Atlanta, GA 30345

Tel: 770.458.3811 I Fax: 770.458.8516

ATTENTION: This email can1e from an external source. Do not open attachments or clicl< on linl<s from unknown senders or unexpected emails. If it looks suspicious, send it as an attachment to [email protected]

Sent from the New York City Department of Health & Mental Hygiene. This email and any files transmitted with it may contain confidential information and are intended solely for the use of the individual or entity to whom they are addressed. This footnote also confums that this email message has been swept for the presence of computer viluses.

P631

From: Stoltey, Juliet CDPH) To: Subject:

Saelaw, Meunq CDPH); Stier. David (DPH); Philip, Susan (DPH); Kim, Brian (DPH); Zarate, Sheilah CDPH) RE: San Francisco COVID 19 inquiry

Date: Thursday, February 27, 2020 3:03:22 PM

Hi Meung, can you please triage this to 311?

Thanks,

Julie

From: CDPH CID DCDC IMM NovelVirus <[email protected]>


To: Stoltey, Juliet (DPH) <[email protected]>; Stier, David (DPH) <[email protected]>;

Philip, Susan (DPH) <[email protected]>; Kim, Brian (DPH) <[email protected]>; Zarate,

Sheilah (DPH) <[email protected]>

Subject: FW: San Francisco COVID 19 inquiry

Importance: High


Please respond to San Francisco COVID 19 inquiry below:

Thank you,

Bonnie Sanders

COVID-19 CDPH lnbox

[email protected]

P632

From: To: Cc:

Subject:

Date:

Louie. Janice (DPH) Stoltey, Juliet (DPHl; Philip, Susan (DPH): Bobba, Naveena (DPH); Stier, David (DPH); Chan, Curtis (DPH) DuBois, Amie (DPHl; Aragon, Tomas (DPH)

Fw: News Alert: First U.S coronavirus case of unknown origin confirmed in Northern California, a sign the virus may be spreading in a local area

Wednesday, February 26, 2020 11:46:45 PM





transferred from another facility to UC Davis, is critically ill with ARDs, and was tested as a PUI



a known COVID-19 case or other ill exposures, and it sounds like contact investigation was




Consultation Team. We have been basing much of our PU! screening criteria on epidemiologic



travel or exposure, I recommend we consider broadening our PU! definition to include any

severely ill patient with pneumonia (e.g. hospitalized or in an ICU} regardless of travel history.





(aside from worried well calls). Based on the available information it seems reasonable to




Janice




Medical Director


P633

San Francisco Department of Pubiic Health

Clinic: (628) 206-8524

Fax: (628) 206-4565

[email protected]

------------·---·-·--------·------'"·-·-·--------------------·---·



To: Louie, Janice (DPH) <[email protected]>; Stoltey, Juliet (DPH) <[email protected]>

Subject: FW: News Alert: First U.S coronavirus case of unknown origin confirmed in Northern


This message is from outside the City email system. Do not open links or attachments from lilltrusted sources.







Read more»

P634

You received this email because you signed up for nev/s alerts from The Washington Post.

Manaae mv newsletters and alerts I Unsubscribe

Prjvacv Policy I J:!.J;tlp.


P635


Pottebaum. Nie D. EOP/WHO Pottebaum, Nie D. EOP/WHO HIGHLlGHTS I President Trump and Members of the Coronavirus Task Force Hold a News Conference Wednesday, February 26, 2020 7:43:29 PM image005.pno image006.png


'l'HiS WH!'i'i:. !iO'li$£

State Leaders and Staff,

This evening, President Donald J. Trump and members of the Coronavirus Task Force briefed

reporters on the extensive efforts underway to continue effectively com batting coronavirus. You can

see the full video the news conference here. Below you find highlights from that news conference.

During the news conference, Vice President Mike Pence noted the State and local partnership

saying, "And we'll also be continuing to reach out to governors, state and local officials. In fact, in

the recent days, the White House met with over forty state, county and city health officials from

over 30 states and territories to discuss how to respond to this -- to the potential threat of the

coronavirus."

You can find Secretary Alex Azar's remarks at the February 25th HHS press briefing on the Administration's response to COVID-19 here.

You can find the latest information at CDC.rrnv. CDC's Twitter account is also a great resource to echo -you can find it here: twitter.com/CDC gov.

P636

I (BOS)

From: DPH Sunshine Sent: To:

Thursday, April 21, 2022 12:48 PM SOTF, (BOS)

Cc: [email protected]; DPH Sunshine Subject: RE: File No. 20059 SOTF - Notice of Appearance - Compliance and Amendments

Committee; April 26, 2022 4:30 p.m.

Dear Sunshine Ordinance Task Force:

DPH joined the full task force meeting on April 6th to discuss File No. 20059. DPH has previously provided the requester thousands of pages of responsive records and will continue to share responsive documents on a rolling basis.

This includes emails with attachments. Any email PDFs that include attachments are indicated with an "Attachments"

line item at the top of the email. The attachment file names are all active links that can be clicked on to open the files in a new PDF tab or window. An example is pictured below:

From: QPH-nor pl.:-..05 <;ij= c;r,.• To: At"m \;Mnst?J4tl;.mr2y.N1;,J' m\yp;i!!f9$"-<•F?.q<!rr=fil'1est;r.LTdch t~ ??'f' DP'd-To±eqruli2n <;t=Jjm C0"nml\i:-"•

EMS/<Dub(>ffk-d'iliB·l~.c,..g0'-1; cdph&,¢.·c..'il::<?nil'..:dcli.t:!.o:-;•.·; che:."3!iilr.cri::,G1.goy: Cc;,,sbt::;:.e1.1ionriliC11IOES.ca.oov: Cul;-,'f)lika-, Da•l (DEM)

Subj-ect: SRJPH Dl)C Incidart Ad:ico Pt..n (IAP} for Open.ticri<il Period 7 Dare: Frid.<ty, f!Wn.Mry 28, 2020 3:47:01 PM Attachments: l.lP7 OWID-tS !AP 2020.02.23 FINAL~

Please find attached SFDPH DOC Incident Action Plan (\AP~ for Operational Period 7 (Saturday

2/29/2020 through Friday 3/6/2020).

Regarding Dr. Arago n's texts, the custodians of records who managed this request left the Department in September and December of 2021, respectively. When our current team began to work on responding to public records, Dr. Aragon had been gone from the Department for over a year. Dr. Aragon left DPH during the height of a global pandemic and all City efforts at that time were focused on addressing the task of saving lives. We have conducted a thorough search and do not have Dr. Aragon's texts. We apologize for not preserving these records when the request was made. DPH looks forward to resolution guidance on this matter from the Sunshine Task Force.

Finally, we would like to clarify early conversations that the requester had with DPH in March 2020, regarding whether requester would narrow his request. In the initial exchange between the requester and the then custodian of records,

25,000 was the estimated number for all documents, including duplications, not a final count to be used as a measure of documents to be produced. We will continue searching and providing responsive documents on a rolling basis.


From: SOTF, (BOS) <[email protected]> Sent: Monday, April 18, 2022 4:04:36 PM

To: [email protected] <[email protected]>; Tran, Sophie (DPH) <[email protected]>; Hawkes, Alison (DPH) <[email protected]>; pmonette-shaw <pmonette[email protected]>; sfneighborhoods.net <[email protected]>; Steinberg, David (DPW) <[email protected]> Subject: SOTF - Notice of Appearance - Compliance and Amendments Committee; April 26, 2022 4:30 p.m.

Good Afternoon:

P637

You are receiving this notice because you are named as a Complainant or Respondent in one of the following complaints scheduled before the Compliance and Amendments Committee to: 1) hear the merits of the

complaint; 2) issue a determination; and/or 3) consider referrals from a Task Force Committee. Please confirm your attendance for this hearing. Date: April 26, 2022 Location: Remote meeting; participant information to be included on the Agenda cover page. Time: 4:30 p.m. Complainants: Your attendance is required for this meeting/hearing. Respondents/Departments: Pursuant to Section 67.21 (e) of the Ordinance, the custodian of records or a representative of your department, who can speak to the matter, is required at the meeting/hearing. Complaints: File No. 20059: Complaint filed by Anonymous against the Department of Public Health for allegedly violating Administrative Code (Sunshine Ordinance), Section 67.25 by failing to respond to an Immediate Disclosure request in a timely and complete manner.

File No. 21054: Complaint filed by Patrick Monette-Shaw against Grant Colfax, Veronica Vien and the Department of Public Health for violating Administrative Code (Sunshine Ordinance), Section 67.21 by failing respond to a public records request in a timely and/or complete manner. File No. 21069: Complaint filed by Mark Sullivan against David Steinberg and the Department of Public Works for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.21(b)(c) by failing to respond to a records request in a timely and/or complete manner and by failing to assist the requester, 67.25(a) by failing to respond to an Immediate Disclosure Request in a timely and/or complete manner, CPRA Section 6253(c) by failing to notify the requestor of the possession ofrecords of the agency and by failing to notify the person making the request of the determination and the reasons for withholding, CPRA Section 6253 .1 ( a)(l) by failing to identify records and information that are responsive to the request or to the purpose of the request. For a document to be considered, it must be received at least five (5) working days before the hearing (see attached Public Complaint Procedure). For inclusion into the agenda packet, supplemental/supporting documents must be received by 5:00 pm, April 21, 2022. Cheryl Leger Assistant Clerk, Board of Supervisors Tel: 415-554-7724

~ Click here to complete a Board of Supervisors Customer Service Satisfaction form.


Disclosures: Personal information that is provided in communications to the Board of Supervisors is subject to disclosure under the California Public Records Act and the San Francisco Sunshine Ordinance. Personal information provided will not be redacted. Members of the public are not required to provide personal identifjlfng information when they communicate with the Board of Supervisors and its committees. All written or oral communications that members of the public submit to the Clerk's Office regarding pending legislation or hearings will be made available to all members of the public for inspection and copying. The Clerk's Office does not redact any information ji-om these submissions. This means that personal information-including names, phone numbers, addresses and similar information that a member of the public elects to submit to the Board and its committees-may appear on the Board of Supervisors website or in other public documents that members of the public may inspect or copy.

P638

From: Sent: To: Cc:

I (BOS)

SOTF, (BOS)

Monday, April 12, 2021 11 :15 AM

Vien, Veronica (DPH)

'[email protected]'

Subject: SOTF - Complaint Filed with the Sunshine Ordinance Task Force - File No. 20059

SOTF - Complaint Procedure 2019-10-02 FINAL.pdf; 20059 Complaint.pdf Attachments:

Good Morning:

The Department of Public Health has been named as a Respondent in the attached complaint filed with the Sunshine Ordinance Task Force. Please respond to the attached complaint/request within five business days.

The Respondent is required to submit a written response to the allegations including any and all supporting documents, recordings, electronic media, etc., to the Task Force within five (5) business days of receipt of this notice. This is your oppmiunity to provide a full explanation to allow the Task Force to be fully informed in considering your response prior its meeting.

Please include the following information in your response if applicable:

1. List all relevant records with descriptions that have been provided pursuant to the Complainant request.

2. Date the relevant records Were provided to the Complainant. 3. Description of the method used, along with any relevant search terms used, to search for the relevant

records. 4. Statement/declaration that all relevant documents have been provided, does not exist, or has been

excluded. 5. Copy of the original request for records (if applicable).

Please refer to the File Number when submitting any new information and/or supporting documents pertaining to this complaint.

The Complainant alleges: Complaint Attached.


dick here to complete a Board of Supervisors Customer Service Satisfaction form.


Disclosures: Personal information that is provided in communications to the Board af Supervisors is subject to disclosure under the California Public Records Act and the San Francisca Sunshine Ordinance. Personal information provided will not be redacted. Members of the public are not required to provide personal identifying' information when they communicate with the Board of Supervisors and its committees. All written or oral communications that members of the public submit to the Clerk's Office regarding pending legislation or hearings will be made available to all members of the public for inspection and copying. The Clerk's Office does not redact any information from these submissions. This means that personal information-including names, phone numbers, addresses and similar information that a member of the public elects to submit to the Board and its committees-may appear on the Board of Supervisors website or in other public documents that members of the public may inspect or copy.

P6J39

Leger, Cheryl (BOS)

From: Sent: To:

Subject:

SOTF, (BOS)

Tuesday, August 18, 2020 4:22 PM

[email protected]; Heckel, Hank (MYR); Elsbernd, Sean (MYR); Power, Andres

(MYR); Cretan, Jeff (MYR); Bruss, Andrea (MYR); l(ittler, Sophia (MYR); [email protected]; Cote, John (CAT); CityAttorney (CAT); [email protected]; Miyamoto, Paul (SHF);

Quanico, James (SHF); DIETTERLE, COLLEEN (CAT); FEITELBERG, BRITTANY (CAT); pmonette-shaw; [email protected]; Walton, Shamann (BOS); Gee, Natalie (BOS); Maybaum,

Erica (BOS); [email protected]; Cote, John (CAT); COOLBRITH, ELIZABETH (CAT); CityAttorney (CAT); [email protected]; Office of Cannabis (ADM); MICHAEL

PETRELIS; [email protected]; Lim, Victor (DEM); Zamora, Francis (DEM); Hart, Amy·(ADM); Breed, Mayor London (MYR); Kositsky, Jeff (DEM); Rosenfield, Ben (CON); Forbes, Elaine

(PRT); 'Murase, Emily (WOM)'; Colfax, Grant (DPH); Nicholson, Jeanine (FIR); Torres, Joaquin (ECN);

Arntz, John (REG); Raju, Manohar (PDR); Lambert, Michael (LIB); Callahan, Micki (HRD); Rhorer, Trent

(HSA); Rydstrom, Todd (CON); 'Wirowek, Christopher (ADM)'; Quesada, Amy (PRT); 'Murase, Emily

(WOM)'; Ludwig, Theresa (FIR); Thompson, Marianne (ECN); Vu, Tyler (PDR); McHale, Maggie (HRD);

Rudakov, Vladimir (HSA); [email protected]; 83843-75468749 @requests.muckrock.com; [email protected]; Vien, Veronica (DPH);

[email protected]; Lambert, Michael (LIB); [email protected];

Elsbernd, Sean (MYR); Rosenstein, Diana (DPA); Henderson, Paul (DPA); Taylor, Damali (POL); Elias,

Cindy (POL); Hamasaki, John (POL); Brookter, Dion-Jay (POL); DeJesus, Petra (POL); Youngblood,

Stacy (POL); Zach; MICHAEL PETRELIS; [email protected]; Patterson, Kate (LIB); Malhi,

Mohanned (DPH); [email protected]; 88549-63926635 ®requests.muckrock.com;

[email protected]; [email protected]; Lin-Wilson, Tiffany (REC);

Tucker, John (FIR); [email protected]; [email protected]; Nicole Mitchell; Boudin,

Chesa (DAT); Bastian, Alex (DAT); [email protected]; Kositsky, Jeff (DEM);

[email protected]; Rosenfield, Ben (CON); Rydstrom, Todd (CON);

[email protected]; [email protected]; 94992-15550486

@requests.muckrock.com; Kelly, Jr, Harlan (PUC); Public·Records; Yip; Kesinee (PUC); Youngblood,

Stacy (POL); [email protected]; Mahogany, Honey (BOS); Mcdonald, Courtney (BOS); RivamonteMesa, Abigail (BOS); Haney, Matt (BOS); Zou, Han (BOS); Beinart, Amy (BOS); Lerma,

Santiago (BOS); Monge, Paul (BOS); Ronen, Hillary; Quan, Daisy (BOS); Wong, Alan (BOS); Wright,

Edward (BOS); Mar, Gordon (BOS); Maxine Doogan; Vien, Veronica (DPH); San Francisco Living Wage;

Kelly, Naomi (ADM); Thompson, Marianne (ECN); Davis, Sheryl (HRC); Maria Schulman; chris roberts;

Amanda Ashton; Doug Yakel (AIR); Tanenberg, Diedre (ENV); Sheehan, Charles (ENV)

SOTF - Request for Waiver of 45 day Rule

Dear SOTF Petitioners, Respondents and other Stakeholders:.

As you most likely know SOTF operations have been delayed over the last few months due to the Covid-19

emergency. The SOTF have started to conduct remote meetings via videoconference and are working to establish

procedures to resume all operations including the processing of complaints.

While the Sunshine Ordinance requires that certain actions be taken within 45 days, the Covid-19 emergency has forced

delays and immense new backlogs for complaint hearings. We write today to ask if you are willing to waive the 45 day

rule for your complaint. ·

The SOTF intends to resume hearing complaints on a limited basis and complaints will be queued to be heard in the near

future. We continue to work to address technical issues posed by remote meetings. We are aware of the time

1

P640

sensitivity of your records requests. Please be assured that the SOTF appreciates the urgency of your matters and the importance of handling them in a timely manner.

If you have further questions about your files or have other issues, please feel free to email the SOTF Administrator at the email below.

Cheryl Leger Assistant Clerk, Board of Supervisors Cheryl. [email protected] Tel: 415-554-7724 Fax: 415-554-5163 www.sfbos.org



Disclosures: Personal information that is provided in communications to the Board of Supervisors is subject to disclosure under the California Public Records Act and the San Francisco Sunshine Ordinance. Personal information provided will not be redacted. Members of the public ore not required to provide personal identifying information when they communicate with the Board of Supervisors and its committees. All written or oral communications that members of the public submit to the Clerk's Office regarding pending legislation or hearings will be mode ovoiloble to oil members of the public for inspection ond copying. The Clerk's Office does not redact any information from these submissions. This means that personal information-including names, phone numbers, addresses and similar information that a member of the public elects to submit to the Board and its committees-may appear on the Board af Supervisors website or in other public documents that members of the public may inspect or copy,

2

P641

I (BOS)

From: Sent: To:

Subject: Attach merits:

Good Morning:

SOTF, (BOS)

Monday, February 7, 2022 9:53 AM Pojman, Natalie (DPH); Eya, Tomiko (DPH); '[email protected]'; Pera, Arran (POL); Reilly, Lynn (POL); '[email protected]'; 'Stiliyan Bejanski'; Guy, Kevin (CPC); 'Marc Norton'; 'A.J. White'; Rosenstein, Diana (DPA); Henderson, Paul (DPA); Maunder, Sara (DPA)

SOTF - Complaint Committee hearing, February 15, 2022; 5:30 PM; remote meeting; SOTF - Complaint Procedure 2019-10-02 FINAL.pdf

Notice is hereby given that the Complaint Committee (Committee) of the Sunshine Ordinance Task Force (Task Force) shall hold hearings on complaints listed below to: 1) determine if the Task Force has jurisdiction; 2) review the merits of the complaints; and/or 3) issue a report and/or recommendation to the Task Force.

Date: February 15, 2022


Time: 5:30 p.m.


Respondents/Departments: Pursuant to Section 67.21 (e) of the Ordinance, the custodian of records or a representative of your department, who can speak to the matter, is required at the meeting/hearing.

File No. 20059: Complaint filed by Anonymous against the Department of Public Health for allegedly violating Administrative Code (Sunshine Ordinance), Section 67.25 by failing to respond_ to an Immediate Disclosure request in a timely and complete manner.

File No. 20053: Complaint filed by Anonymous against Lt. Kathryn Waaland, Police Department, for allegedly violating Administrative Code {Sunshine Ordinance), Sections 67.21{b)(I) by failing to respond to a records request in a complete and timely manner, 67.26 withholding of records.

File No. 20124: Complaint filed by Stephen Bejanski against Kevin Guy and the Office of Short-Term Rentals for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.24 for failing to provide public information; 67.25 for failing to respond to an Immediate Disclosure Request in a timely manner, 67.26 for failing to keep withholding to a minimum; 67.27 for failing to justify withholding and 67.29 and failing to provide an index of records.

P6142

File No. 22005: Complaint filed by Marc Norton Against the Department of Public Health for allegedly violating Administrator Code (Sunshine Ordinance), Sections 67.21, by failing to respond to a public records request in a timely and/or complete manner.

File No. 22006: Complaint filed by Andrew While against the Department of Police Accountability for allegedly . violating Administrator Code (Sunshine Ordinance), Sections 67.1, 67.21, 67.24(d), by failing to respond to a public records request in a timely and/or complete manner.

Documentation (evidence supporting/disputing complaint)

For a document to be considered, it must be received at least five (4) working days before the hearing (see attached Public Complaint Procedure).

For inclusion in the agenda packet, supplemental/supporting documents must be received by 5:00 pm, February 10, 2022.




Disclosures: Personal information that is provided in communications to the Board of Supervisors is subject to disclosure under the California Public Records Act and the San Francisco Sunshine Ordinance. Personal information provided will not be redacted. Members of the public are not required to provide personal identijjJing information when they communicate with the Board of Supervisors and its committees. All written or oral communications that members of the public submit to the Clerk's Office regarding pending legislation or hearings will be made available to all members of the public for inspection and copying The Clerk's Office does not redact any information ji-0111 these submissions. This means that personal iriformation-including names, phone numbers, addresses and similar information that a member of the public elects to submit to the Board and its co1nmittees-may appear on the Board of Supervisors website or in other public documents that members of the public may inspect or copy. '

P643

I (BOS)

From: Sent: To:

Cc:

SOTF, (BOS)

Monday, March 21, 2022 11:35 AM

[email protected]; Ng, Wilson (BOS); Somera, Alisa (BOS); Calvillo,

Angela (BOS); Tran, Sophie (DPH); [email protected];

[email protected]; Marc Norton; Lee, Patty (DBI); SunshineRequests, DBI (DBI);

Grier, Geoffrey (DPH - Contractor); Wynship Hillier Young, Victor (BOS)

Subject: SOTF - Notice of Appearance, April 6, 2022 - Sunshine Ordinance Task Force;' 4:00 PM;

Remote Meeting

Attachments: SOTF - Complaint Procedure 2019-10-02 FINAL.pdf

Good Afternoon:

You are receiving this notice because you are named as a Complainant or Respondent in the following complaints scheduled before the Sunshine Ordinance Task Force to: 1) hear the merits of the complaint; 2) issue a determination; and/or 3) consider referrals from a Task Force Committee. Please confirm your attendance for this hearing with the Sunshine Task Force Administrator.

Date: April 6, 2022


Time: 4:00 p.m.


Respondents/Departments: Pursuant to Section 67 .21 ( e) of the Ordinance, the custodian of records or a representative of your department, who can speak to the matter, is required at the meeting/hearing.

Complaints:

File No. 21085: Complaint filed by Kevin Carroll, the Hotel Council of San Francisco and Matthew C. Alvarez against Angela Calvillo, Clerk of the Board of Supervisors for allegedly violating Administrative Code (Sunshine Ordinance), Section(s) 67.l and 67.7 by failing to provide fair and equitable access to members of the public (Board of Supervisors, Budget and Finance June 25, 2021, meeting). Action: Shall SOTF continue File No. 21085 to the April 6, 2022, meeting ..


File No. 21116 Complaint filed by Anonymous against Department of Public Health (DPH) for allegedly violating Administrative Code (Sunshine Ordinance), Section(s) 67.21, by failing respond to a public records request in a timely and/or complete manner.

p 6:144

File No. 21124 Complaint filed by Marc Norton against the Depaiiment of Public Health (DPH) for allegedly violating Administrative Code (Sunshine Ordinance), Section(s) 67.21, by failing to respond to a public records request in a timely and/or complete manner.

p 611-5

File No. 21159: Complaint filed by Bob Planthold against the Department of Building Inspection Commission (Access Appeals Commission) for allegedly violating Administrative Code (Sunshine Ordinance), Section(s) 67.16 by failing to post meeting minutes (2000 through 2011).

File No. 22017: CONSENT AGENDA - The Sunshine Task Force (Committee) shall review File Nos, 21021, 21036, 21087, 21095, 21099, 21103, 21118, to determine ifthe Sunshine Ordinance Task Force has jurisdiction and determine if the requested records are public pursuant to Administrative Code (Sunshine Ordinance), Sections 67.21(e) and whether or not any person has violated the Sunshine Ordinance, California Public Records Act, or Brown Act pursuant to Administrative Code (Sunshine Ordinance) Section 67.30(c), and, if applicable, to issue an Order of Determination and refer matters to the Compliance and Amendments Committee for monitoring. The Complainant and Respondent are not required to attend the April 6, 2022, Sunshine Task Force meeting but may attend to provide testimony related to the above listed determinations.

a) File No. 21021 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67. 7 and 67 .9, by failing to provide meaningful and sufficiently clear agenda descriptions, distribute agenda packets to members of the public, 67 .15 by failing to provide an opportunity for public comment on each item on the agenda, and California Public Records Act by failing meeting with quorum and failing to list disability information on the agenda.

b) File No. 2103 6 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7(a) by failing to post the Agenda 72 hours in advance of the meeting and failure to provide a description of each item of business; 67.7(b) failing to post documents on the website or make available to the public; agenda; 67.9(a) failure to post relevant documents on the internet; 67.15(c) failing to allow public comment; and 67.2l(e) failing to make.

c) File No. 21087 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67. 7, 67 .9, and 67 .15, by failing to make documents available to the public as soon as they are available, by failing to list proposed actions on the agenda, acting on a matter not listed on the agenda and by failing to approve a rule allowing the public to address the body; and California Government Code 54954(a) by failing to provide the time and place for holding regular meetings. (January 20, 2021, February 3, 2021, February 9, 2021, February 18, 2021, and June 12, 2021, meetings).

d) File No. 21095 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7, 67.9, and 67.15 and California Government Code Sections 54953 and 54954(a)(l) by failing to refer/post explanatory documents provided to the policy body, failing to agenda and other documents on file available to the public, failing to provide a brief description of each item of business, failing to make documents available on the internet, failing to take a roll call vote, failing to specify for each item of business the proposed action or statement that the item is for discussion only, failing to adopt a rule proyiding that each person wishing to speak on an item before the body shall be permitted to be heard once for up to three minutes, failing to include a message for people with disabilities on the agenda, failing to include language on the agenda regarding Sunshine Rights, and failing to include the contact information for the Sunshine Ordinance Task Force. (February 3,2021, February 9, 2021, and February 17, 2021, meetings).

e) File No. 21099 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7, 67.9, and 67.15 and

p 6Jl.6

California Government Code Sections 54953 and 54954(a)(l) by failing to refer/post explanatory documents provided to the policy body, failing to agenda and other documents on file available to the public, failing to provide a brief description of each item of business, failing to make documents available on the internet, failing to take a roll call vote, failing to specify for each item of business the proposed action or statement that the item is for discussion only, failing to adopt a rule providing that each person wishing to speak on an item before the body shall be permitted to be heard once for up to three minutes, failing to include a message for people with disabilities on the agenda, failing to include language on the agenda regarding Sunshine Rights, and failing to include the contact information for the Sunshine Ordinance Task Force. (February 9, 2021, Executive Committee meetings).

f) File No. 21103 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7, 67.9, and 67.15 and California Government Code Sections 54953 and 54954(a)(l) by failing to refer/post explanatory documents provided to the policy body, failing to agenda and other documents on file available to the public, failing to provide a brief description of each item of business, failing to allow an opportunity for public comment on each on the agenda, failing to take a roll call vote, failing to make documents available on the internet, failing to take a roll call vote, failing to specify for each item of business the proposed action or statement that the item is for discussion only, failing to adopt a rule providing that each person wishing to speak on an item before the body shall be permitted to be heard once for up to three minutes, and failing to announce agenda changes at the beginning of the meeting or as soon thereafter as possible. (February 17, 2021, meetings).

g) File No. 21118 - Complaint filed by Wynship Hillier against the Behavioral Health Commission for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.7, 67.9 and 67.15 and California Government Code Sections 54953(a)(b) and 54954(a) by failing to refer/post explanatory documents provided to the policy body, failing to provide a brief description of each item of business, failing to take a roll call vote, and failing to adopt a rule providing that each person wishing to speak on an item before the body shall be permitted to be heard once for up to three minutes,. (March 17, 2021, Behavioral Health Commission and March 9, 2021, Implementation and Executive Committee).

For inclusion in the agenda packet, supplemental/supporting documents must be received by 5:00 pm, March 31, 2022.




Disclosures: Personal information that is provided in communications to the Board of Supervisors is subject to disclosure under the California Public Records Act and the San Francisco Sunshine Ordinance. Personal infonnation provided will not be redacted. Members of the public are not required to provide personal identifying information when they communicate with the Board of Supervisors and its committees. All written or oral communications that me1r1bers of the public submit to the Clerk's Office regarding pending

p 641- 7

I (BOS)


Leger, Cheryl (BOS) Friday, April 8, 2022 9:31 AM Tran, Sophie (DPH); Hawkes, Alison (DPH); [email protected] Sunshine Task Force Hearing motion for 20059 from the 4/6/22 hearing.

Dear Anonymous #3, Ms. Sophie Tran and Allison Hawkes: Please see the motion below from Wednesday's Sunshine Task Force hearing.

Moved by Vice-Chair Yankee, second by Member Schmidt, that the Department of Public Health violated Sunshine Ordinance, Section(s) 67.21(b) by failing to respond to a public records request in a timely and/or complete manner; 67.25 failing to follow response requirements of an Immediate Disclosure Request, 67.26 by failing to keep withholdings to a minimum and failing to provide email addresses, email attachments, texts and chats, and a redaction log or footnotes. The SOTF orders the department to turn over the remaining records on a rolling basis and to refers the matter to the Compliance and Amendments Committee to monitor compliance with the order.

Cheryl Leger Assistant Clerk, Board of Supervisors [email protected] Tel: 415-554-7724 Fax:415-554-5163 www.sfbos.org




P6148

Le er, Cher I (BOS)

From: Sent: To:

Subject:

Attachments:

Good Afternoon:

SOTF, (BOS)

Monday, April 18, 2022 4:05 PM '[email protected]'; Tran, Sophie (DPH); Hawkes, Alison (DPH); pmonette-shaw; sfneighborhoods.net; Steinberg, David (DPW) SOTF - Notice of Appearance - Compliance and Amendments Committee; April 26, 2022

4:30 p.m. SOTF - Complaint Procedure 2019-10-02 FINAL.pdf

You are receiving this notice because you are named as a Complainant or Respondent in one of the following complaints scheduled before the Compliance and Amendments Committee to: 1) hear the merits of the

complaint; 2) issue a determination; and/or 3) consider referrals from a Task Force Committee. Please confirm your attendance for this hearing.

Date: April 26, 2022

Location: Remote meeting; participant information to be included on the Agenda cover page.

Time: 4:30 p.m.


Respondents/Departments: Pursuant to Section 67.21 (e) of the Ordinance, the custodian ofrecords or a representative of your department, who can speak to the matter, is required at the meeting/hearing.

Complaints:

File No. 20059: Complaint filed by Anonymous against the Department of Public Health for allegedly violating Administrative Code (Sunshine Ordinance), Section 67 .25 by failing to respond to an Immediate Disclosure request in a timely and complete manner.

File No. 21054: Complaint filed by Patrick Monette-Shaw against Grant Colfax, Veronica Vien and the Department of Public Health for violating Administrative Code (Sunshine Ordinance), Section 67.21 by failing respond to a public records request in a timely and/or complete manner.

File No. 21069: Complaint filed by Mark Sullivan against David Steinberg and the Department of Public Works for allegedly violating Administrative Code (Sunshine Ordinance), Sections 67.21(b)(c) by failing to respond to a records request in a timely and/or complete manner and by failing to assist the requester, 67.25(a) by failing to respond to an Immediate Disclosure Request in a timely and/or complete manner, CPRA Section 6253(c) by failing to notify the requestor of the possession ofrecords of the agency and by failing to notify the person making the request of the determination and the reasons for withholding, CPRA Section 6253 .1 ( a)(l) by failing to identify records and information that are responsive to the request or to the purpose of the request.

For a document to be considered, it must be received at least five (5) working days before the hearing (see attached Public Complaint Procedure). For inclusion into the agenda packet, supplemental/supporting documents must be received by 5:00 pm, April 21, 2022.

P6L49




Disclosures: Personal information that is provided in communications to the Board of Supervisors is subject to disclosure under the California Public Records Act and the San Francisco Sunshine Ordinance. Personal information provided will not be redacted. Members of the public are not required to provide personal identifjJing information when they co1111nunicate with the Board of Supervisors and its committees. All written or oral communications that members of the public submit to the Clerk's Office regarding pending legislation or hearings will be made available to all members of the public for inspection and copying. The Clerk's Office does not redact any information fi'om these submissions. This means that personal information-including names, phone numbers, addresses and similar information that a member of the public elects to submit to the Board and its committees-may appear on the Board of Supervisors website or in other public documents that members of the public may inspect or copy.

P&SO

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Transcript of D D D D D D D D D D D D D - City and County of San Francisco