If it's happening in "The County", it's probably here.
Wednesday, April 29, 2020
Amador County: Health Officer COVID-19 Update
Health Officer COVID-19 Update
Dr. Rita Kerr, Amador
County Health Officer
Post Date: 04/28/2020
Where We’ve Been
·8 laboratory-confirmed cases in Amador County
residents to date
·As of April 27, 2020 Amador County has
received 439 test results from 379 individuals. 365 of those results were from
·Sutter Amador has collected 373 tests. Of
those 1.5% have tested positive for COVID-19.
Hospitalized to date: 2
to date: 0
to date: 7
County’s first 3 cases, which were reported in March, were related to travel to
locations with COVID-19 community transmission, international and within
California, prior to when the Stay-at-Home Order took effect.
5 Amador cases that have occurred since have been related to household contacts
and individuals working in essential occupations.
of April 27, 2020 there have been 14 cases in residents of other counties that
impacted Amador County as well. The Contact Tracing Investigations from out-of-county
residents include people who work in Amador but reside in other areas. These
cases were related to individuals working in essential occupations.
Although Amador has had individual cases of community
transmission – cases who could not identify linkage to a known case nor travel
outside the county – Amador County has not experienced widespread, ongoing
March 30, 2020 the Amador Health Officer issued an Order instructing all
medical clinics to advise all persons who sought evaluation for respiratory
illness with fever to stay home and self-isolate, whether or not they were
tested for COVID-19. This has helped limit the spread of illnesses.
Where We Are:
combination of contact tracing/isolation/quarantine, along with the Statewide
and Community-wide Stay at Home Orders, has “flattened the curve” and allowed
the state, region and our county an opportunity to increase readiness. The
Emergency Operations Center (EOC) opened in late March to support the Public
Health Department Operations Center (DOC), especially in:
·Procuring/distributing personal protective
equipment (PPE), hand sanitizer and supplies
·Maximizing grant funding opportunities
·Multi-agency response coordination, and
·Planning for Amador patient surge, also known
as surge planning with our health care partners, Sutter Amador Hospital and
Surgery Center, plus further planning with the Sleep Train alternate care site (ACS)
for regional support.
infection control practices in congregate-living settings, including strict
limitation of visitors, masking of health care staff, and pre-shift screening
for symptoms of illness, has been effective so far in Amador County avoiding an
outbreak of COVID-19 in long term care facilities, the Amador County Jail and
Mule Creek State Prison.
date, our local and state health care capacity has not been overwhelmed. The
timing of the ban on large gatherings in mid-March coincided with cancellation
of events, such as Dandelion Days, as well as not having a large contingent of
Amador County band students and families travel to Disneyland during the school
spring break. This reduced importation of the virus into Amador County. The
Stay-at-Home orders, which went into effect a few days later, have also helped
curb the transmission of COVID-19 in our county. Everyone in this community,
who has made sacrifices and adjustments to limit their activities and social
mixing, shares in this success.
EOC is currently providing guidance to county and city agencies on FEMA and the
State of California reimbursement protocols.
Areas that Need
·Project Roomkey –
non-congregate housing of homeless individuals meeting certain criteria
·Amador EOC is still working on obtaining more
supplies to test more people.
oMore supplies have been requested from the
State, but since our per capita test rate is a slightly better than most rural
counties, Amador has been deemed lower priority by the State for fulfillment.
oPublic Health was able to obtain testing swabs
and transport tubes via mutual aid from another county to have enough tests on
hand in the event of an institutional outbreak, and the EOC Operations Section
has organized a staffing plan with a partnership with Mountain Valley Emergency
Medical Services Agency (MVEMSA) to ensure adequate personnel to perform
oThe Amador Health Officer continues to
advocate for increased Amador County access to State-organized testing sites.
The State goal is testing within a 1-hour drive for rural residents.
sites planned in El Dorado County for early May.
·Amador OES, DOC and EOC have completed
State-required surveys and are conducting gap analysis with the goal to meet
the six key indicators that the Governor has listed as necessary to ease off of
1.The ability to monitor
and protect our communities through testing, contact tracing, isolating and
supporting those who are positive or exposed
2.The ability to prevent
infection in people who are at risk for more severe COVID-19
3.The ability of the
hospital and health systems to handle surges
4.The ability to develop
therapeutics to meet the demand
5.The ability for
businesses, schools and child care facilities to support physical distancing
6.The ability to
determine when to reinstitute certain measures, such as the Stay-at-Home
orders, if necessary
·As testing capacity increases and more cases
(including asymptomatic and mildly symptomatic) are identified, Public Health
DOC plans to increase workforce dedicated to Case Investigation/Contact
oCoordination with the Social Services
department and partner agencies will continue to plan for wrap-around services
needed for individuals who must stay home
oTo date, Amador County has had consistent
voluntary compliance from individuals who have been instructed to self-isolate
(for ill persons) or self-quarantine (for exposed persons).
§However, as case counts are expected to
increase, the Amador Health Officer will issue an enforceable community-wide
order to ensure that individuals who need to stay isolated or quarantined must
week, non-emergency but necessary health care is encouraged to resume. Elective
surgeries were postponed due to concerns about PPE supplies. Subject to
adequate stock of PPE, surgeries such as joint replacement and cataracts, can
resume. Also, resuming are necessary in-person visits for chronic disease
management and preventive care services is advised, with safety/risk mitigation
measures in place. These medical services were never prohibited by the
Stay-at-Home Orders, but many people delayed seeking routine care over the past
month and a half. Some data has indicated that frightened people may even be
hesitant to call 911 for a true medical emergency. Please be assured that the
first responders and Emergency Room staff are taking all needed precautions to
keep patients and themselves as safe as possible and minimize risk of COVID-19.
Where We Plan to Be:
Amador Health Officer publically acknowledged today that the past 5 weeks of
being under Stay-at-Home Orders has caused economic and emotional hardship for
our entire community. As many of you are aware, the Amador Stay-at-Home Order
currently in place is due to expire at the end of day April 30, 2020. If that
Order lapses, Amador County would still remain under the State Order.
California counties that are allowing Orders to lapse will remain under the
State Order. The Amador Health Officer believes there is value in re-issuing an
updated version of the Amador County Order and FAQs, to be responsive to our
unique community concerns at the local level. While our local Order currently
cannot be less restrictive than the Governor’s Order, the Amador Health Officer
is working with County Counsel and a coalition of Health Officers throughout
our region to carefully evaluate how to maximize allowable activities within
the current “essential” definition. The purpose of the Updated Order would be
to clarify that the Stay-at-Home Order be read broadly where appropriate and
within reason, thereby relaxing restrictions on social mobility and business
activity in the County, within our current limitation of being under the Statewide