Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

For the most up to date COVID-19 data (account required): https://geohealth.hhs.gov/arcgis/home/

Key Updates/Actions

FEMA HQ: National Watch Center Steady State; NRCC Level I; Level 1: Region I, IX; Level 2: Regions II, III, IV, V, VI, VII, VIII, X; COVID-19 Major Declarations: 57 (FEMA Update, May 8, 2020, 4:24 p.m. ET)Department of Homeland Security: 3,176 (+18) FEMA employees deployed to support COVID-19 Response; IMAT-A teams deployed to 27 states, territories, and DC; LNOs deployed to 37 states and territories (FEMA Update, May 13, 2020, 1:52 p.m. ET)Department of Health and Human Services: 418 (+3) HHS personnel deployed to support COVID-19 response; Health and Medical Task Force (HMTF): 38 personnel deployed to 3 (-1) sites; Rapid Deployment Force (RDF): 110 deployed to 5 sites; Disaster Mortuary Operational Response Team (DMORT): 70 (-1) personnel deployed to 10 sites; IMT/Logistics: 53 (+5) personnel deployed to 7 sites; RECs/LNOs: 137 (-1) personnel deployed; Strike Team: 10 personnel deployed to 1 site(HHS Update, May 13, 2020, 1:23 p.m. ET)

Current Situation: FEMA, HHS, and our federal partners are working with state, local, tribal and territorial (SLTT) governments to execute a Whole-of-America response to the COVID-19 pandemic. Among the 17 states not presently experiencing a decrease in confirmed cases, 7 have no stay-at-home order in place, 1 has local or limited stay-at-home order, and 9 have state-wide stay-at-home orders in place. CDC Update: CDC confirmed, probable, and presumptive U.S. cases of COVID-19: 1,358,419 (+21,481)(across 50 states and D.C., Guam, PR, CNMI, and USVI); Deaths: 81,958 (+1,671); Combined CDC and WHO reported global cases: 4,088,848 (+82,591); global deaths: 283,153 (+4,261); Countries and areas with cases: 215 (HHS Update, May 13, 2020, 8:38 a.m. ET) Testing: 9,301,026 (+179,635) cumulative as of May 13 (includes samples tested by State/Local Public Health Laboratories, Commercial Laboratories, Hospital Laboratories, CDC, VA, and Abbott ID NOW instruments).

Health and Medical Lifeline

Publ

ic H

ealth

Federal/State Assistance• USACE has awarded 37 contracts for ACS with a projected bed capacity of 15,066;

947 (-146) USACE staff supporting (ESF-3 Update, May 13, 2020, 9:44 a.m. ET)• TX: National Guard (NG) is disinfecting the West Oaks Nursing and Rehabilitation

Center in Austin; NG service members have also been distributing food and medical supplies, supporting food banks, and disinfecting long term care facilities throughout the State (NGB Update, May 13, 2020, 6:27 a.m. ET)

• TX: HHS has extended the seven federally-supported CBTS locations in El Paso (1), Dallas (2), Houston (2) and Harris County (2) through June 30 (HHS Update, May 13, 2020, 3:44 p.m. ET)

Testing• OH: University Hospital in Cleveland confirms local case of 'mystery illness' in

children possibly linked to COVID-19; there are four suspected cases awaiting lab results (CISA Update, May 13, 2020, 3:46 a.m. ET)

Personal Protective Equipment• The Food and Drug Administration Emergency Use Authorization removed

approximately 60,000 N95 respirators from the market as a result of anassessment of international respirators (HHS Update, May 13, 2020, 8:38 a.m. ET)

Med

ical

Car

e

Hospital Capacity• LA: Baton Rouge General Medical Center Mid-City Hospital augmented with 103

DoD medical personnel; anticipating further mission extension to June 15: 38 (-9)/60 beds filled; 141 total patients seen; 38 (-9) COVID+ patients being treated; 2 deceased (DoD Update, May 13, 2020, 7:38 a.m. ET)

• NJ: Edison Expo Center: anticipated end of mission on May 13; 0 (-9)/125 beds filled; 145 (+6) total patients seen; 0 (-9) COVID+ patients (DoD Update, May 13, 2020, 7:38 a.m. ET)

• CT: Bennett Medical Center: will stop accepting new patients on May 13; anticipated mission complete on or about May 19; 20/83 beds filled; 231 total patients seen; 20 COVID+ patients being treated; 15 deceased (DoD Update, May 13, 2020, 7:38 a.m. ET)

• NYC: 764 (-18) DoD medical personnel supporting 9 (-1) local NYC hospitals; FEMA approved USN/AF Reserves extension request until June 15 (DoD Update, May 13, 2020, 7:38 a.m. ET)

• NYC: Mortuary Affairs: DoD providing 24-hour operations in 3/5 boroughs; anticipate mission to be extended by 30 days; remains processed: 7,929 (+194) (DoD Update, May 13, 2020, 7:38 a.m. ET)

• CA: USNS Mercy providing 61 medical personnel support for Fairview Development Center; 12 (+1)/100 beds filled; 15 (+1) total patients seen; 12 (+1) COVID+ patients (DoD Update, May 13, 2020, 7:38 a.m. ET)

• CA: San Diego and Imperial Counties hospitals are showing an uptick in COVID-19 patients arriving from Mexico; Mexicali and Tijuana (Mexico) are reporting that their hospitals are at or near capacity, which is resulting in border crossings in San Diego and Imperial counties’ for health-related services (CISA Update, May 13, 2020, 3:46 a.m. ET)

Other Domestic Lifelines

Safe

ty &

Se

curit

y

• CISA issued an awareness message to federal and private industry partners regarding an attempt by Iranian-linked hackers to compromise the email account passwords of a major science corporation who is working with global health authorities on the appropriate use of Remdisivir (DHS NOC Update, May 13, 2020, 8:42 a.m. ET)

Food

, Wat

er, &

She

lter

• NE: All meat processing plants are now open and operational; two plants are working at reduced capacity (CISA Update, May 13, 2020, 3:46 a.m. ET)

• Meat processing at 73% capacity, creating a backlog of 300,000 pigs that need to be depopulated; depopulation will need to begin by May 18 (FEMA Region V Update, May 13, 2020, 2:09 p.m. ET)

• Region I applications for the Supplemental Nutrition Assistance Program jumped 35% last month; food pantries across the Region are also seeing demand up by about 30% (FEMA Region I Update, May 13, 2020, 2:09 p.m. ET)

• NY: 50 soldiers and airmen of the National Guard assisted the Montgomery County Sheriff by packing food boxes at the Fonda Fairgrounds; residents of the county and surrounding areas received boxes of food staples (NGB Update, May 12, 2020, 8:47 a.m. ET)

• OH: USDA approved state’s request to operate P-EBT program; currently, there are 25 states operating the P-EBT program, a supplemental food purchasing benefit to current SNAP participants (ESF-11 Update, May 13, 2020, 2:05 p.m. ET)

• Navajo Nation: Requesting 500 clean-up kits, 500 personal hygiene kits, and 500 tents; FEMA ESF-6 coordinating donation from Salvation Army, who has 561 (+144) clean-up kits and is coordinating delivery; working with GSA to source tents (ESF-6 Update, May 13, 2020, 2:05 p.m. ET)

• Navajo Nation: Finalized one non-congregate shelter agreement (Chinle); two are pending as of May 12: lease signed for 80-person capacity at Crownpoint, NM and 50-person capacity at Many Farms, AZ for dormitory locations (FEMA Region IX Update, May 13, 2020, 2:27 p.m. ET)

Ener

gy

• Gasoline demand has risen nearly 5%, causing gasoline prices to rise as supply remains low; industry has raised refinery utilization to 70.5% suggesting that gas prices will continue to rise with increased consumer demand until supply reaches parity (NBEOC Update, May 12, 2020, 6:00 p.m. ET)

• The Electricity Subsector Coordinating Council released Planning Considerations for COVID-19 Contact Tracing in the Electric Power Industry to help organizations develop approaches that fit local conditions (CISA Update, May 13, 2020, 3:46 a.m. ET)

Tran

spor

tatio

n

• As of May 11, 25 cruise ships from 11 cruise lines have submitted attestations to disembark 5,714 crew (including 156 U.S. residents) at U.S. ports; a total of 72 outbreaks on cruise ships with 1,823 cases and 28 deaths have occurred as of May 11 (HHS Update, May 13, 2020, 8:38 a.m. ET)

• U.S Coast Guard is currently monitoring 65 cargo vessels in transit that have embarked from a coronavirus port of interest within 14 days and have a scheduled arrival in a US port within next 96 hours, 16 of 65 which will arrive in the next 24 hours (DHS NOC Update, May 13, 2020, 8:52 a.m. ET)

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Operational Task ForcesMedical Counter-Measure (MCM) Development

• 2,813 (+13) market research submissions and 273 (+3) CoronaWatch meetings held (MCM TF Update, May 13, 2020, 8:34 a.m. ET)• Emergency Use Authorizations granted by FDA: 56 (+2) molecular diagnostic tests, 25 laboratory-developed tests, 12 antibody tests, 1 antigen test, and 3 repurposed

treatments (chloroquine, hydroxychloroquine, remdesivir) (MCM TF Update, May 13, 2020, 8:34 a.m. ET)

Health Care Resilience (HCR)

• HRTF continues to collaborate with the Federal Communications Commission on a $200M grant program to support telemedicine expansion; health care providers in both urban and rural areas will provide telehealth services during the coronavirus pandemic (HCR TF Update, May 13, 2020, 10:21 a.m. ET)

• Project Extension for Community Healthcare Outcomes (ECHO®) peer to peer sessions: conducted COVID-19 Clinical Rounds: Critical Care on May 12 (445 participants from 46 states and 5 countries); conducting sessions on Emergency Medicine May 14 and EMS May 15 (HCR TF Update, May 13, 2020, 10:21 a.m. ET)

• Medical Operations Coordination Cells (MOCC) Toolkit, First Edition posted to ASPR TRACIE. The MOCC toolkit offers flexible and modifiable guidance aimed to assist regional, state, local, tribal and territorial governments to ensure load-balancing across healthcare facilities and systems during the COVID-19 response (HCR TF Update, May 13, 2020, 03:39 p.m. ET)

Lab Diagnostics (LD)

• In the process of shipping 600,000 Thermo Fisher reagents to states; these will primarily go to public health labs (LDTF Update, May 13, 2020 10:24 a.m. ET)• Finalized updates to Frequently Asked Questions about hospital data and reporting requirements; HHS and the White House will lead the dissemination of the updated FAQs to

stakeholders (LDTF Update, May 13, 2020 10:24 a.m. ET)• Blood draws to start next week at the Serology testing pilots planned for New York City and Detroit (LDTF Update, May 13, 2020 10:24 a.m. ET)

Community Based Testing Sites (CBTS)

• 180,060 (+3,923) samples collected at CBTS locations since March 20 (CBTS TF Update, May 13, 2020, 10:00 a.m. ET)

• 169,855 (+2,332) tests processed and received by call center since March 20; 25,902 (+191) positive, 1,914 (+53) indeterminate, and 142,039 (+2,088) negative (CBTS TF Update, May 12, 2020, 9:51 a.m. ET)

• 210,500 (+21,106) tests processed from Private-Partnership Testing Sites since April 5; 20,251 (+1,601) positive, 591 (+39) indeterminate, and 189,658 (+19,466) negative (CBTS TF Update, May 13, 2020, 10:00 a.m. ET)

• Wave 1 Pro Rata completed— 3,000,286 swabs and 2,244,078 media shipped (CBTS TF Update, May 13, 2020, 9:24 a.m. ET)• WAVE 1 PRO RATA COMPLETED – 3,000,286 swabs shipped, 2,44,078 media shipped (CBTS TF Update, May 13, 2020, 9:24 a.m. ET)• 554,700 (+220,400) swabs and 368,400 (+142,900) units of media shipped in last 24 hours (CBTS TF Update, May 13, 2020, 9:24 a.m. ET)

Supply Chain Stabilization (SC)

• One flight carrying approx. 4.8M FEMA procured N95 masks arrived in Baltimore, MD, on May 12; Total 3M masks received to 44M/55M currently scheduled for shipment (SC TF Update, May 13, 2020, 11:54 a.m. ET)

• SCTF assisted in providing administrative coordination for 40 deliveries of medical PPE kits to nursing homes; total medical PPE kits delivered: 203; Roughly 15,000 nursing homes nationwide will receive PPE packages in May and June (SC TF Update, May 13, 2020, 11:54 a.m. ET)

• Airbridge flight #133 arrived in Chicago May 13; cargo will be determined May 14 (SC TF Update, May 13, 2020, 11:54 a.m. ET)• Airbridge flights #134 and #135 (Chicago), #136 and #138 (Los Angeles), #137and #139 (New York) are scheduled to arrive May 13; cargo will be determined after landing (SC TF

Update, May 13, 2020, 11:54 a.m. ET)

Community Mitigation Measures (CMM)

• Coordinating with CA, WA, OR, NE, and CO departments of health to provide support for potential public health issues related to state re-openings (CMM TF Update, May 13, 2020, 10:16 a.m. ET)

• Published to CDC website updates to the Community Mitigation Framework Appendix A on underlying medical conditions that may increase risk for individuals of all ages (CMM TF Update, May 13, 2020, 10:16 a.m. ET)

• Published to CDC website guidance on COVID 19 impacts to hemoglobin disorders; provides actions and information on why some individuals may be at higher risk (CMM TF Update, May 13, 2020, 10:16 a.m. ET)

Continuity of Operations (COOP)

• Over the past 24 hours 1 Wireless Emergency Alert (WEA) messages related to COVID-19 sent by local authorities; 1 stay-at-home/curfew reminder (COOP TF Update, May 13, 2020, 8:56 a.m. ET)

• Reconstitution exercise starter kit was cleared and posted to FEMA.gov on May 12; the starter kit provides organizations with considerations for returning to normal or establishing a post-COVID-19 new normal; distribution to continuity and reconstitution contacts is under way (COOP TF Update, May 13, 2020, 8:56 a.m. ET)

Data and Analysis (DA)

• Completed Federally Qualified Health Centers (FQHCs) dashboard visualizing results of the Health Resources and Services Administration (HRSA) weekly COVID-19 Survey of FQHCs testing capacity; integrated to COVID-19 Common Operating Picture on May 12 (DA TF Update, May 13, 2020, 10:19 a.m. ET)

• Completed enhancements to PPE Distribution dashboard on COVID-19 Common Operating Picture; enhancements include summary cards to show total allocation by priority products of interest; completed May 12 (DA TF Update, May 13, 2020, 10:19 a.m. ET)

• Actively facilitating access to HHS Protect for state partners and FEMA and ASPR regional staff; Training for staff from the state of New Hampshire completed on May 12 (DA TF Update, May 13, 2020, 10:19 a.m. ET)

• Developing CDC/ASPR public-facing COVID-19 Pandemic Planning Scenarios to help analysts and public health officials assess resources (e.g. ventilators) and mitigation options (e.g. social distancing) to inform assessments of the range of impacts of COVID-19 disease in U.S. states and localities; under leadership review DA TF Update, May 13, 2020, 10:19 a.m. ET)

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Title 32 Status by State and Territories

41,739 (+105) ActivatedState Active Duty (SAD): 1,187 (+79) T32 Approved: 49

T-32 502(f): 40,552 (+26) T32 Requested: 4

NGB Update, May 13, 2020, 6:07 a.m. ET

State / Territory SAD T-32

502(f)Title 32 Request

Status State / Territory SAD T-32 502(f)

Title 32 Request Status

State / Territory SAD T-32

502(f)Title 32 Request

Status

AK 5 96WH AUTHORIZED &

APPROVED** KY 0 681WH AUTHORIZED &

APPROVED** OH 3 897WH AUTHORIZED &

APPROVED**

AL 0 668WH AUTHORIZED &

APPROVED** LA 0 1035WH AUTHORIZED &

APPROVED** OK 0 358WH AUTHORIZED &

APPROVED**

AR 38 0REQUESTED

MA 119 1604WH AUTHORIZED &

APPROVED** OR 0 165WH AUTHORIZED &

APPROVED**

AZ 0 899WH AUTHORIZED &

APPROVED** MD 5 951WH AUTHORIZED &

APPROVED** PA 54 859WH AUTHORIZED &

APPROVED**

CA 147 1750WH AUTHORIZED &

APPROVED** ME 0 101WH AUTHORIZED &

APPROVED** PR 40 790WH AUTHORIZED &

APPROVED**

CO 0 364WH AUTHORIZED &

APPROVED** MI 0 802WH AUTHORIZED &

APPROVED** RI 10 833WH AUTHORIZED &

APPROVED**

CT 27 802WH AUTHORIZED &

APPROVED** MN 11 0REQUESTED

SC 11 536WH AUTHORIZED &

APPROVED**

DC 0 315WH AUTHORIZED &

APPROVED** MO 0 822WH AUTHORIZED &

APPROVED** SD 73 0WH AUTHORIZED &

APPROVED**

DE 0 122WH AUTHORIZED &

APPROVED** MS 1 434WH AUTHORIZED &

APPROVED** TN 11 774WH AUTHORIZED &

APPROVED**

FL 8 2071WH AUTHORIZED &

APPROVED** MT 0 197WH AUTHORIZED &

APPROVED** TX 0 2912WH AUTHORIZED &

APPROVED**

GA 0 2580WH AUTHORIZED &

APPROVED** NC 0 874WH AUTHORIZED &

APPROVED** UT 151 0REQUESTED

GU 1 165WH AUTHORIZED &

APPROVED** ND 0 224WH AUTHORIZED &

APPROVED** VA 13 504WH AUTHORIZED &

APPROVED**

HI 0 1209WH AUTHORIZED &

APPROVED** NE 136 362WH AUTHORIZED &

APPROVED** USVI 0 145WH AUTHORIZED &

APPROVED**

IA 2 836WH AUTHORIZED &

APPROVED** NH 2 595WH AUTHORIZED &

APPROVED** VT 1 214WH AUTHORIZED &

APPROVED**

ID 0 0REQUESTED

NJ 0 934WH AUTHORIZED &

APPROVED** WA 0 935WH AUTHORIZED &

APPROVED**

IL 95 990WH AUTHORIZED &

APPROVED** NM 12 533WH AUTHORIZED &

APPROVED** WI 169 1215WH AUTHORIZED &

APPROVED**

IN 0 1352WH AUTHORIZED &

APPROVED** NV 0 956WH AUTHORIZED &

APPROVED** WV 31 468WH AUTHORIZED &

APPROVED**

KS 0 628WH AUTHORIZED &

APPROVED** NY 11 2995WH AUTHORIZED &

APPROVED** WY 0 0N/A

**Title 32 has been authorized and approved by the Secretary of Defense.

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

As of 5/12/2020 6:00 p.m.

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

As of 5/13/2020 4:13 p.m.

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Stay at Home Order Expiration by State/Territory, as ofMay 13, 2020 3:30 p.m. EDTState /

TerritoryExp

Date Notes State / Territory

Exp Date Notes State /

TerritoryExp

Date Notes

AL Exp. Phased reopening underway KS Exp. Phased reopening with local restrictions OH 5/29 SAH extended

AK Exp. Phased reopening underway KY Exp. Phased reopening underway OK Exp. Phased reopening with local restrictions underway

AS 5/31 SAH extended LA 5/15 SAH in effect, phased reopening announced OR No official expiration date; phased

reopening will begin 5/15

AZ 5/15 Phased reopening underway ME 5/31 Phased reopening underway PA Exp. Phased reopening underway

ARNo statewide SAH order issued; phased reopening underway at

local levelMD Until the emergency concludes,

but some restrictions being lifted PR 5/24

CA No official expiration date; phased reopening underway MA 5/18 RI Exp. Phased reopening underway

CO Exp. Phased reopening underway MI 5/28 SAH extended SC Exp. Phased reopening underway

CNMI SAH until the emergency concludes MN 5/18 SAH extended SDNo statewide SAH order issued; phased reopening underway at

local level

CT 5/20Or until terminated; phased

reopening following expiration of SAH order

MS Exp. Phased reopening underway TN Exp. Phased reopening underway

DE 5/31 Or until health threat eliminated MO Exp. Phased reopening underway TX Exp. Phased reopening underway

DC 6/8 Or until date of any emergency date extension MT Exp. Phased reopening underway at

local level USVI 6/1 Phased reopening following SAH expiration

FL Exp. Phased reopening underway NE Phased reopening underway UTNo statewide SAH order issued; phased reopening underway at

local level

GA Exp. Phased reopening underway NV 5/15 Phased reopening underway VT 5/15 Phased reopening underway

GU 5/30 Phased reopening underway with local restrictions NH 5/31 SAH extended VA 6/10

HI 5/31 Phased reopening with local restrictions NJ Until terminated WA Exp. Phased reopening underway

ID Exp. Phased reopening underway NM 5/15 SAH extended WV Phased reopening underway

IL 5/29 SAH extended NY 5/15 WI 5/26 New changes to SAH lift some restrictions

IN Exp. Phased reopening underway NC Exp. Phased reopening underway WYNo statewide SAH order issued; phased reopening underway at

local level

IANo statewide SAH order issued; phased reopening underway at

local levelND

No statewide SAH order issued; phased reopening underway at

local level

* Source: Based on State-at-Home Orders from State websites

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET

Senior Leadership Brief COVID-19May 13, 2020 5:00 p.m. ET