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Monthly Metrics Update: Plan for Preventing the Spread of COVID-19 in San Mateo County and Reducing Disparate Impacts

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Two strategies address immediate drivers of spread

While the roots of the disparate impacts of the COVID-19 are deep, the focus of this Plan is on two strategies: Strategy 1: Expand and improve communication to encourage adoption of protective behaviors and build trust and engagement in Public Health protection efforts and, Strategy 2: Enhance culturally competent mitigation strategies for preventing spread (testing, contact tracing, isolation support, healthcare and supportive services) and related actions we can take to address the immediate drivers of the spread in at-risk communities: (1) Continued focus on adoption of the protective behaviors that most prevent the spread (face coverings, hygiene, social distance, no gatherings); (2) Lack of trust in government and engagement in Public Health protection efforts (3) Lack of testing among certain communities with high positivity rates; and (4) Inability for frontline and low wage earners to safely isolate due to economic impacts.

Meet overarching metrics

The State equity metric introduced September 29 requires each county to reduce overrepresentation of COVID-19 positive cases in the lowest quartile of their Healthy Places Index (HPI) census tracts.

Metric/Milestone Goal Status

Percentage COVID-19 positivity
(7-day average, 7 days lagged) for the lowest quartile HPI census tracts must hit goal to move to next tier in State framework

<5.25% to remain in the orange tier;
<2.2% to move to the yellow tier

2.5% reported by State 11/10

Appointment of Public Health Equity Officer

We will appoint a new Public Health Equity Officer to coordinate our public engagement related to this plan by November 15th

Completed

Strategy 1: Expand and improve communication to encourage adoption of protective behaviors and build trust and engagement in Public Health protection efforts

A. Expand targeted, culturally competent communications and public information through the Office of Community Affairs and trusted emissaries to reinforce core messaging on protective behaviors

Metric/Milestone Goal Status

Responses to Office of Community Affairs RFP from community partners

Due September

Met; 34 Total Confirmed Funded Partners (33 Confirmed Outreach Partners +1 Confirmed CAT Coordinator). Funded Partners to begin outreach in November 2020

# canvassing events per month

One Canvassing Event per month

Total of 7 Canvassing Special Events by OCA in May – October 2020:

  • 5/17, 5/21, 5/27 – North Fair Oaks
  • 6/2 – North Fair Oaks
  • 6/8, 6/9 – Half Moon Bay
  • 7/27, 7/29 – North Fair Oaks
  • 9/16 – Moonridge and Main Street Park, Half Moon Bay
  • 10/28: Redwood Trailer Village and Sequoia Trailer Park
  • 10/29: Daly City
# of media impressions in target communities per month

To reach 4.5 million media impressions in target communities per month

August – 4,118,696 impressions
September – 7,459,238 impressions
October* – 2,958,246 impressions
TOTAL – 14,536,180 impressions
*Does not count COVID-19 radio ads currently being run on KHMB Radio

# visitors to COVID resource webpage per month

To maintain at least 1000 views per month

3,957 views (August – October 2020) ~ 1,319 views per month

# masks distributed by Mask Mobile per month

To expand community distribution of PPE to around 600 masks per week (dependent on supplies).

August – 3,538 masks
September – 6,473 masks
October – 2,836 masks
TOTAL – 12,847 masks

B. Maintain public dashboards and in-language resource information

Metric/Milestone Goal Status

Visitors to website per month

100,000

96,225

Followers on Facebook at monthly point in time

22,000

22,487

Followers on Twitter at monthly point in time

5,300

5,456

C. Centering the voices of those most impacted: provide information and support and enlist ongoing feedback from most impacted communities through town halls and focus groups

Metric/Milestone Goal Status

PHPP Equity Officer to convene Latina/o/x advisory committee to review learnings and offer input to PH response

PHPP Equity Officer appointed by November 15; advisory committee organized by December 31

PHPP Equity Officer appointed

Support interactive information, support, feedback town halls and focus group activities

6+ interactive activities by December 31

4 completed (10/17 Regional PI Faith convening, 9/17 Resiliency and Connection During COVID-19 (Eng, Sp), 11/5 What Does Orange Tier Mean for Business?)

D. Rely on partnerships and trusted intermediaries SAMCEDA, the County Office of Education, First5, and the Health Plan of San Mateo to reach key sectors       

Metric/Milestone Goal Status

Targeted information campaign with SAMCEDA using multi-channel ethnic media, social medial and direct mailings, enlisted respected business leaders and targeting minority owned high risk businesses

Commence in October. Reach 500 businesses by 12/31/2020 (350 English and Spanish language outreach; 150 Chinese language outreach). Milestone: Reach 150 – 175 businesses via English and Spanish outreach by 11/30/2020.

10/12/2020 – 10/30/2020: The engagement team has visited over 65 businesses in the south side of the county and is moving its way north, with close to half being Spanish speaking businesses. On average, 23 mins have been spent with each business, discussing posting signs of COVID-19 symptoms at every public entrance; social distancing, cleaning, and disinfecting protocols; and resources needed to maintain compliance.

Strategy 2: Enhance culturally competent mitigation strategies for preventing spread (testing, contact tracing, isolation support, healthcare and supportive services) 

If our efforts as part of Strategy 1 are successful to expand and improve communication, Strategy 2 will be more successful. We are prioritizing the four actions below (A-D) to respond to the following drivers of the spread of the virus in our most vulnerable communities: (2) Lack of trust in government and engagement in Public Health protection efforts (3) Lack of testing among certain communities with high positivity rates; and (4) Inability for frontline and low wage earners to safely isolate due to economic impacts.

A. Ensure low barrier access to testing for at-risk populations by expansion of neighborhood-level testing sites supported by local trusted partners and combined with outreach.

Testing Plan and weekly updated metrics contained at https://www.smcgov.org/testing-strategy-covid-19

Metric/Milestone Goal Status

Achieve 308 tests/100,000 population

By October 12, 2020

Met: County testing rate of 520.9/100,000 population per day for period 10/25—10/31/2020 (as reported by CDPH on 11/9/2020).

Achieve # neighborhood testing events

By October 19, average at least four neighborhood testing events per week

Met. 10/1 – 10/31: 31 events — EPA (7), Menlo Park, HMB (6), Pescadero (4), Daly City (1), Brisbane (2), and San Mateo (11).

B. Ensure timely and responsive, culturally competent contact tracing and case investigation​

Metric/Milestone Goal Status

Ensure % of contact tracers have bilingual language competency

40%

Not Met as of 11/3/20: 34% (33/97) 31 Spanish 1 Tagalog 1 Hindi of staff currently trained up and taking cases.

C. Provide culturally competent wrap around services to COVID+ who need support to isolate through MHA Public Health Support Program and referrals to meet needs for housing, food security, economic support and coverage. 

Metric/Milestone Goal Status

# bilingual case managers

At least 3 of 4

Met as of 10/31/20: 4 of 4

# referrals per month

Exceed 250

Met as of 11/12/2020: 437 referrals

D. Continue safety net healthcare and supportive services to health and prevent spread.

Metric/Milestone Goal Status

Hospital capacity to meet surge if needed

% of available beds, defined as:
[available staffed beds + surge beds]/ [available staffed beds + surge beds + all in use beds]

>35%

For October:

Acute beds (med/surge),
# of days:

  • For month total Red or More Concerning (<20%): 0
  • For month total Orange or Moderately Concerning (20%-35%): 17
  • For month total Yellow or Less Concerning (>35%): 14

ICU

  • For month total Red or More Concerning (<20%): 0
  • For month total Orange or Moderately Concerning (20%-35%): 0
  • For month total Yellow or Less Concerning (>35%) 31

 

Commands