Centers for Disease Control and PreventionSituation Update

COVID-19 HHS/FEMA Interagency VTC

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Current Epidemic curve status by state, April 27, 2020

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Proposed Reopening America Indicator:Days of downward trajectory (as of April 27, 2020)

# Days in downward trajectory, by state

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Trends in Country COVID-19 Epidemic Curves

*Categorized according to the slope of a spline fit to the 3 day moving average of daily incidence and the number of new cases (per 100,000) in the past 2 weeks. Elevated incidence is defined as >10 new cases per 100,000 in the past 2 weeks. Data source: JHU. Data as of April 25

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Trends in Country COVID-19 Epidemic Curves

United States

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New discharge diagnoses* among hospitalized COVID-19adult cases — COVID-NET, March 1–April 28, 2020 (N=1566)

Cardiovascular Disease Comorbidity is Less Common than with Flu

• Only 1 hospitalized adult case diagnosed with stroke during hospitalization

ARDS = Acute respiratory distress syndrome; MI = myocardial infarction; CHF = congestive heart failure; COPD =chronic obstructive pulmonary disease; *Diagnoses obtained from discharge summary and not mutually exclusive.

57.4

36.9

18.5 18.2

9.95.0

1.9 1.8 1.7 1.5 1.40

10

20

30

40

50

60

70

Pneumonia Respiratoryfailure

Acute renalfailure

Sepsis ARDS Encephalitis Asthma MI CHF COPD Bacteremia

Perc

ent

(%)

Data and AnalyticsTask Force

COVID-19 HHS/FEMA Interagency VTC

10COVID-19 Response ▪ Data & Analytics Task Force

Logansport, IN

(CBSA)

Sioux City (CBSA)

11COVID-19 Response ▪ Data & Analytics Task Force

Logansport, IN (CBSA)Counties: Cass, IN

Sioux City (CBSA)Counties: Woodbury, IA; Dakota, NE; Dixon, NE;

Union, SD

Community MitigationTask Force

COVID-19 HHS/FEMA Interagency VTC

13COVID-19 Response ▪ Community Mitigation Task Force 1

State and federal government perceptions

14COVID-19 Response ▪ Community Mitigation Task Force 1

State Reopening Orders and Plans (as of 1:00PM EDT, April 27)

Healthcare ResilienceTask Force

COVID-19 HHS/FEMA Interagency VTC

Laboratory DiagnosticsTask Force

COVID-19 HHS/FEMA Interagency VTC

Community Based Testing SitesTask Force

COVID-19 HHS/FEMA Interagency VTC

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Community-Based Testing Sites and revised CDC Guidelines

Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms or combinations of symptoms may have COVID-19:

• Cough

• Shortness of breath or difficulty breathing

Or at least two of these symptoms:

• Fever

• Chills

• Repeated shaking with chills

• Muscle pain

• Headache

• Sore throat

• New loss of taste or smell

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

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Community-Based Testing Sites and revised CDC Guidelines

https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-criteria.html

Supply ChainTask Force

COVID-19 HHS/FEMA Interagency VTC

Medical CountermeasuresTask Force

COVID-19 HHS/FEMA Interagency VTC

Communication/Messaging

COVID-19 HHS/FEMA Interagency VTC