UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 1 of 17 Date: May 2, 2020

Situation Report (SitRep) 20-0265 2020 Novel CoV | May 2, 2020

Incident Information

Incident Number: 20-0265 2020 Novel CoV SitRep Version: Update SitRep #43

Incident Type: Pandemic Operational Period: 5/2/20 0700 to 5/3/20 0700

SEOC Activation Level: Level 1 – Full Disaster Manager: Rob Lang

Activated Emergency Centers: See page 4 for county activation levels

Activated Emergency Support Functions (ESF): 1, 2, 3, 4, 5, 6, 7, 8, 11, 12, 13, 14, 15, and 20

Unified Commanders: Chris Utzinger/EMD, Lori Melchiori/DSHS

Date/Time UCs Approved: 5/2/20 1630

General Situation

The Washington State Emergency Operations Center (SEOC) continues to respond to the global outbreak of COVID-19. Fully activated since January 22, 2020, the SEOC has been coordinating the acquisition and delivery of personal protective equipment (PPE), the use of non-pharmaceutical interventions (NPIs), intelligence and advanced planning, and logistical support to stakeholders.

Today’s Highlights

• The Office of the Insurance Commissioner (OIC) extended the emergency order for waiving

deductibles and copays for coronavirus testing through 6/3/20. OIC Press Release

• Yakima County has top rate of coronavirus cases on West Coast. Seattle Times

Critical Information Requirements (CIRs)

Current Risks

• Public fatigue due to the stay home order. (Intelligence Section)

• Increased risk surrounding wildfire season. (Intelligence Section)

• Public response to second wave of COVID cases. (Intelligence Section)

• Food bank supply and volunteer shortages.

Future Operations

• Phased reopening of the state, according to the status of disease activity, risk to vulnerable populations, testing capacity, health care system readiness, and case and contact investigations. (Governor’s Press Conference 5/1/20)

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 2 of 17 Date: May 2, 2020

Unified Area Command COVID-19 Estimated Expenditures (as of 5/2/20)

Expenditure of Interest Cost

Test Kits $525,000

N95 Respirators $248,026,578

Ventilators $17,360,629

Additional PPE (gloves, face shields, sanitation, etc.) $144,265,881

Total PPE Expenditures $410,710,588

SEOC Average Daily Costs (Includes DOH) $229,800

Total Estimated Expenditures Reported $532,370,822

Epidemiology (EPI) Report (as of 4/30/20 11:59pm)

This table displays the number of laboratory confirmed (including presumptive) positive COVID-19 cases and deaths in Washington State by age group. Data are preliminary and presumptive positive tests are subject to change after confirmatory testing.

Summary Cumulative

Totals # Hospitalized # in ICU

# Hospitals Reporting

Confirmed Cases 14,637 (+310) 428 (-42) 117 (-3) 73 (-7)

Total Tested 198,724

Deaths 824 (+10)

Objectives

Strategic Objectives in Priority Order:

1. Ensure the safety of our healthcare and other critical infrastructure workforce.

2. Implement a public health and healthcare system response that flattens the COVID-19 curve and prevents the healthcare system from becoming overwhelmed with special considerations for the most vulnerable populations (over 65, living in congregate settings, underlying chronic health conditions, pregnant, experiencing homelessness, etc.).

3. Maintain the community and critical infrastructure lifelines (e.g., food, energy, communication, transportation, etc.).

4. Ensure the development, maintenance, and use of data collection and analysis systems across the response that inform decision making processes and allow for evaluation of intervention efforts.

5. Plan for economic, physical and behavioral health, social and healthcare system recovery.

Operational Objectives:

(Operational objectives should be completed within the operational period of IAP #16)

6. Provide personnel, planning capability, equipment and supplies to increase capacity of contact tracing, testing, medical surge, isolation and quarantine efforts. (SO #2)

7. Validate and refine the allocation system for resource distribution. (SO #3)

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 3 of 17 Date: May 2, 2020

8. Gather and share information to protect food supply, supply chain, and health and safety of agricultural and food processing workers. (SO #3, #4)

9. Provide expanded safety guidance to critical infrastructure systems and businesses in order to support return to operations under non-pharmaceutical intervention (NPI) modifications. (SO #1, #5)

10. Operationalize the Intelligence Section data dashboard to inform key partners and the Unified Coordination Group (UCG). (SO #4)

Essential Elements of Information

Tribes & Nations with Emergency Declarations

Confederated Tribes of Colville Tribes: Full, Declaration 3/16/20

Confederated Tribes of the Chehalis Reservation: Partial, Declaration 3/13/20

Cowlitz Indian Tribe: Declaration 3/16/20 Samish Indian Nation: Declaration 3/12/20

Hoh Indian Tribe: Declaration 3/5/20 Shoalwater Bay Indian Tribe: Declaration 3/18/20

Kalispel Tribe of Indians: Declaration 3/18/20 Skokomish Indian Tribe: Proclamation 3/13/20

Lower Elwha Klallam Tribe: Declaration 3/13/20 Snoqualmie Tribe: Declaration 03/01/20

Lummi Nation: Declaration 3/3/20 Spokane Tribe of Indians: Declared 03/16/20

Makah Tribe: Partial, Declaration 3/13/20 Squaxin Island Tribe: Full, Declaration 3/20/20

Muckleshoot Indian Tribe: Partial, Declaration 3/18/20

Stillaguamish Tribe of Indians: Declaration 3/5/20

Nisqually Tribe: Declaration 3/17/20 Suquamish Tribe: Partial, Declaration 3/9/20

Port Gamble S’Klallam Tribe: Declaration 3/9/20 Swinhomish Tribe: Declaration 3/9/20

Puyallup Tribes: Declaration 3/18/20 Tulalip Tribes: Proclamation 3/10/20

Quinault Indian Nation: Declaration 3/18/20

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 4 of 17 Date: May 2, 2020

COVID-19 by the Numbers

# Cities

Proc/Dec Cases Deaths Recovered Iso/Quar⁴ Childcare⁵

P Adams 3/18/2020 2 48 ----- 43 ----- 2

M Asotin 3/16/2020 2 18 2 ----- ----- 1

P Benton 3/17/2020 4 479 44 ----- ----- 2

F Chelan 3/17/2020 4 116 5 12 ----- 6

F Clallam 3/17/2020 2 18 ----- 13 ----- 2

F Clark 3/16/2020 7 361 21 ----- ----- 7

P Columbia ----- 1 1 ----- 1 ----- 1

F Cowlitz 3/4/2020 5 48 ----- ----- 2 4

F Douglas 3/18/2020 5 80 1 3 ----- 1

P Ferry 3/16/2020 1 1 ----- ----- ----- 2

F Franklin 3/16/2020 4 328 6 ----- ----- 1

P Garfield 3/18/2020 ----- ----- ----- ----- ----- -----

P Grant 3/18/2020 1 171 3 71 ----- 3

F Grays Harbor 3/12/2020 11 12 ----- ----- ----- 3

F Island ----- ----- 175 9 ----- ----- 1

P Jefferson ----- ----- 28 ----- 26 ----- 2

F King 3/1/2020 30 6,507 456 ----- 11 17

F Kitsap 3/8/2020 4 152 2 ----- ----- 5

F Kittitas 3/6/2020 5 14 ----- 14 ----- 3

F Klickitat 3/14/2020 4 17 3 12 ----- 2

P Lewis 3/17/2020 11 29 3 ----- ----- 3

M Lincoln 3/13/2020 ----- 2 ----- 1 ----- 3

P Mason 3/4/2020 1 24 ----- ----- ----- 3

P Okanogan 3/20/2020 11 25 1 15 ----- 4

F Pacific2 3/19/2020 5 4 ----- ----- ----- 2

P Pend Oreille 3/16/2020 2 2 ----- ----- ----- 1

F Pierce 3/6/2020 19 1,484 52 ----- ----- 15

F San Juan ----- 3 14 ----- ----- -----

P Skagit 3/10/2020 8 345 13 143 ----- 5

M Skamania 3/17/2020 1 4 1 ----- ----- 1

P Snohomish 3/4/2020 13 2,467 109 1,682 ----- 10

F Spokane 3/17/2020 ----- 367 22 ----- ----- 12

F Stevens 3/17/2020 1 9 1 ----- ----- 3

P Thurston 3/12/2020 5 110 1 97 ----- 7

P Wahkiakum² 3/17/2020 ----- 2 ----- ----- ----- 1

F Walla Walla 3/13/2020 5 86 ----- 34 ----- 3

F Whatcom 3/10/2020 3 314 28 ----- ----- 4

M Whitman 3/19/2020 1 16 ----- ----- ----- 2

F Yakima 3/12/2020 11 1,293 48 280 ----- 6

0 192 15,171 831 2,447 13 150

County ECC/EOC

Activation Level

M Monitoring

P Partial

F Full

COVID-19 By the Numbers - Updated 5/02/20 at 1400

Confirmed Cases¹Proc/Dec

County

EOC

Facilities

¹As reported by County Health Departments

²Data gathered from Department of Health (1-2 day lag)

⁴Number of isolation and quarantine facil ities as reported by DOH

⁵Number of school districts offering childcare as reported by ESDs

Counties: 39

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 5 of 17 Date: May 2, 2020

Hospital Surveilance and Projections

Rapid Health Information Network (RHINO) Surveillance At the date of these graphs, 87/99 (88%) Emergency Departments in the state submit data to RHINO. Data are preliminary and may change. These data are intended to be used for surveillance purposes only.

Daily Emergency Department Visit Volume – Visits through 5/1/20

Daily Emergency Department Visits for CLI* – Visits through 5/1/20

Daily Percent of Hospitalizations for CLI* – Hospitalizations through 5/1/20

*COVID-19-like Illness (CLI) includes subsyndromes of Fever or Chills AND Cough/Shortness of Breath/Difficulty Breathing. Subsyndromes are based entirely on key words in the initial chief complaint. Please note these visits are not confirmed COVID-19 cases. While some visits of interest may be missed and others that are not of interest included, the intent is to monitor trends in syndromes that may be sensitive to circulation of COVID-19 in the community.

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 6 of 17 Date: May 2, 2020

Institute for Health Metrics and Evaluation (IHME) Projections (as of 4/29/20)

IHME is a forecasting tool designed to help with planning response efforts for COVID-19. Forecasts include data from local and national governments, hospital networks and associations, the World Health Organization, third-party aggregators, and a range of other sources. Models are updated regularly as new data is available. More information is available on their website: https://covid19.healthdata.org/projections

Peak Day Predictions

Peak Deaths Per Day Hospital Resource Use (All Beds/ICU Beds/Ventilators)

42 deaths 26 days since peak (4/6/20) 924/254/232 27 days since peak (4/5/20)

Predictions for 5/2/20

Deaths All Beds

(Needed/Available) ICU Beds

(Needed/Available) Invasive Ventilators

(Needed)

7 (0-30) 252 (61-84)/4,907 83 (35-233)/341 70 (27-209)

Projected Total Deaths

877 deaths By 8/4/20

In Washington, current modeling suggests we are on a downward trend for deaths per day and hospital resource use. Based on previous data, it is predicted that the state is past our peaks in all tracked areas. However, there is still a possibility for spikes in daily deaths or resource use (as represented by the ranges in the table). See IHME’s website for prediction graphs: https://covid19.healthdata.org/united-states-of-america/washington

Government Actions

Federal & National Actions Undertaken

Presidential Actions

• On April 16, 2020 President Trump released guidelines “Opening Up America Again”; a three-phased approach based on the advice of public health experts. Link to details

o On April 27, 2020, President Trump released the “Opening Up America Again Testing Overview” and “Testing Blueprint” designed to facilitate State development and implementation of testing plans and rapid response programs, as described in the “Opening Up America Again” guidelines. Links: Statement Testing Overview Testing Blueprint

• On April 24, 2020, President Trump signed the Paycheck Protection Program and Health Care Enhancement Act. This $484 billion aid bill helps employers and hospitals by refreshing Small Business Administration relief programs, gives money to hospitals, expands testing programs, and provides money for small banks.

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 7 of 17 Date: May 2, 2020

Federal Agencies

• Widespread closure of National Parks, US Forest Service trails, and Bureau of Land Management sites. o National Parks in Washington: https://www.nps.gov/state/wa/index.htm o US Forest Service Trails in Washington: https://www.fs.usda.gov/alerts/mbs/alerts-notices o Bureau of Land Management: https://www.blm.gov/oregon-washington/covid-access-

restrictions

• Department of Homeland Security (DHS) delayed enforcing the REAL ID Act until 10/1/21 due to the pandemic. Press Release

• U.S. Department of Treasury and the Internal Revenue Service published a “Get My Payment” web app to help taxpayers track the status of their stimulus check and add direct deposit information if they have none on file. Link to page

• Federal tax deadline pushed back to 7/15/20. Press Release

• In order to limit the spread of coronavirus, the U.S. reached agreements with Canada and Mexico to limit all non-essential travel across borders. DHS Fact Sheet

• U.S. Food and Drug Administration (FDA) issues emergency use authorization of remdesivir to treat coronavirus. FDA News Release

State of Washington Actions Undertaken

School Closures Governor’s Proclamation 20-09.1 (4/6/20) extends closures through the end of the 2019-2020 school year. Governor’s Proclamation 20-12 (3/13/20) ordered all public and private universities, colleges, technical schools, apprenticeships and similar programs to suspend in-person classroom instruction and lectures related to all educational and apprenticeship related programs. Affiliated labs and clinics may still occur if social distancing measures are strictly implemented.

Service Shutdowns and Disruptions

Proclamation Amendment 20-13 (3/16/20) issues a state-wide shutdown of restaurants, bars, entertainment, and recreational facilities. Restaurants will still be allowed to provide take-out and delivery services. The ban does not apply to grocery stores and pharmacies, and other retail outlets will have reduced occupancy.

Travel/Border Updates United States-Canadian border closure extended 30 days (to 5/20/20) for nonessential travel. (4/18/20) United States Department of State has issued a Level 4 travel advisory for international travel. (3/21/20) CDC has issued Warning Level 3 – Avoid All Nonessential International Travel. (3/27/20) Department of Defense military-wide travel ban extended to June 30. (4/18/20)

Additional Support Washington State Patrol: Mobilization of fire service resources has been authorized to aid in the COVID-19 response. The Washington State Fire Defense Committee anticipates the utilization of fire service resource for non-traditional, all-hazards response. Governor’s Office

Partial Reopening of State Lands Governor Inslee announced the partial reopening of outdoor recreation activities beginning May 5. This allows day use of state parks, public lands, fish and wildlife areas as long as proper social distancing is

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 8 of 17 Date: May 2, 2020

practiced. Campgrounds, including primitive camping, will remain closed. Officials are working with tribal and federal partners on opening certain coastal areas, as well as clam digging. Update Links: WA State Parks | WA Dept. of Fish & Wildlife | Dept. of Natural Resources | Governor’s Office

Proclamation Extensions Governor Inslee extended 20 proclamations relating to COVID-19. The proclamations include orders relating to long-term care, relief from various penalties and fees, telemedicine, healthcare worker licensing, and other emergency measures that will be extended until early May. Governor’s Proclamations

Washington’s Recovery Plan – A Safe Return to Public Life On April 20, Governor Inslee introduced his plan for facilitating a safe start and transition to economic recovery. https://www.governor.wa.gov/news-media/inslee-announces-washington%E2%80%99s-covid-19-recovery-plan

Western States Pact Governor Inslee announced on 4/13/20, the Western States Pact between Washington, Oregon, and California to move forward with a joint COVID-19 response. The three states will work together on a shared approach for reopening their economies. Link to details

‘Stay Home, Stay Healthy’ Proclamation Under the Governor’s ‘Stay Home, Stay Healthy’ Proclamation 20-25 (3/23/20), every Washingtonian is to remain in their homes except for essential activities or to go to work for an essential business. The order has been extended through 5/31/20. Link to details

Phased Approach to Reopening Business and Modifying Physical Distancing Measures On 5/1/20, the Governor released the phased approach that outlines how businesses will reopen and changes to physical distancing measures going forward. Phase 1 will allow for some outdoor recreation; drive in spiritual service with one household per vehicle; continues to limit travel to essential travel only; and allow essential businesses, existing construction projects that meet agreed upon criteria, landscaping, automobile sales, retail (curbside pickup orders only), car washes, housecleaning, and pet walkers to resume operation once protocols are in place. Counties are allowed to work with their local health jurisdiction and the Department of Health to open earlier; they are also allowed to continue with stricter restrictions. Link to Details

Department of Health Updates

WA Department of Health Costs:

Expenditures through: 5/1/20

Total staff involvement 777

Staff in Active Status 309

Staff in Travel Status 13

Total Hours Worked 178,700

Total DOH effort $21,300,800

Non-Budgeted Expenditures $10,432,200

Average daily cost $208,800

DOH COVID-19 Literature Review

The scientific literature on COVID-19 is rapidly evolving and some articles were selected for review based on their relevance to Washington State decision making around COVID-19 response efforts. Included in the review are some

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 9 of 17 Date: May 2, 2020

manuscripts that have been made available online as pre-prints but have not yet undergone peer review. For the full report, visit https://www.doh.wa.gov/Emergencies/Coronavirus/Resources.

Key Takeaways (5/1/20)

• Detection of SARS-CoV-2 RNA in the blood is strongly associated with severe disease (ICU hospitalization 32% v. 14%; mechanical ventilation 21% v. 4%) and increased mortality among COVID-19 patients (14% v. 0%) compared to patients without detectable RNA.

• Modeling indicates that broad screening strategies to detect COVID-19 infection that include both symptomatic and asymptomatic individuals could decrease case-fatality ratios in France (1 life saved per 1000 additional screening tests).

• A population-based study found that US counties with more diverse demographics, education, income levels, higher population, and lower disability rates are under higher risks of COVID-19 infection. Counties with higher disability and poverty rates have higher mortality rates. These health inequities might be due to the workforce of essential services, poverty, and access to care.

• SARS-CoV-2 RNA has been detected in septic tanks of Wuchang Fangcang Hospital and stool of COVID-19 patients. Although there is no evidence of fecal-oral transmission, virus may embed in fecal particles that resist disinfection via sodium hypochlorite.

• An estimated 3% of employees at meat/poultry processing facilities have contracted COVID-19 (4,913 cases, 20 deaths). The percentage of workers with COVID-19 per facility ranges from 0.6% to 18.2%.

Department of Social and Health Services Update

Economic Services Administration (ESA)

Community Services Division (CSD)

SNAP, TANF, and DCAP applications, compared to baseline totals. Daily ESA call center volume.

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 10 of 17 Date: May 2, 2020

Acronyms for charts: Aged, Blind or Disabled (ABD); Consolidated Emergency Assistance Program (CEAP); Disaster Cash Assistance Program (DCAP); Housing and Essential Needs (HEN) Referral; State Family Assistance (SFA); Supplemental Food Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF)

Division of Disability Determination Services (DDDS)

Social Security Disability Insurance and Supplemental Security Income (SSDI and SSI) disability claims. Processing time (age of claim in days when final decision made) and the number of claims in backlog.

State Agency COVID-19 Webpages

Agriculture (WSDA) https://agr.wa.gov/about-wsda/news-and-media-relations/covid-19

Attorney General (ATG) https://www.atg.wa.gov/

Children, Youth & Families (DCYF) https://www.dcyf.wa.gov/coronavirus-covid-19

Commerce (COM) https://www.commerce.wa.gov/

Conservation Commission (SCC) https://scc.wa.gov/

Corrections (DOC) https://www.doc.wa.gov/news/covid-19.htm

Ecology (ECY) https://ecology.wa.gov/coronavirus

Employment Security (ESD) https://esd.wa.gov/newsroom/covid-19

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 11 of 17 Date: May 2, 2020

Financial Institutions (DFI) https://dfi.wa.gov/coronavirus

Financial Management (OFM) https://www.ofm.wa.gov/

Fish and Wildlife (WDFW) https://wdfw.wa.gov/about/covid-19-updates

Gambling Commission (WSCG) https://www.wsgc.wa.gov/

Health Care Authority (HCA) https://www.hca.wa.gov/

Insurance Commissioner (OIC) https://www.insurance.wa.gov/

Labor and Industry (LNI) https://www.lni.wa.gov/

Licensing (DOL) https://www.dol.wa.gov/

Liquor & Cannabis Board (LCB) https://lcb.wa.gov/agency/covid-19_update

Natural Resources (DNR) https://www.dnr.wa.gov/slider

Insurance Commissioner (OIC) https://www.insurance.wa.gov/coronavirus

Parks & Recreation (PARKS) https://www.parks.wa.gov/AlertCenter.aspx

Revenue (DOR) https://dor.wa.gov/

Social & Health Services (DSHS) https://www.dshs.wa.gov/alert/covid-19-information

State Patrol (WSP) https://www.wsp.wa.gov/

Transportation (WSDOT) https://www.wsdot.wa.gov/

Treasurer (OST) https://www.tre.wa.gov/

Utility & Transportation (UTC) https://www.utc.wa.gov/aboutUs/Pages/Covid19.aspx

Veterans Affairs (DVA) https://www.dva.wa.gov/

RESPONSE/RECOVERY ACTIVITIES

Operations Section

Mission Assignment Unit

• Continued to promptly process new resource requests in WebEOC and track several hundred existing requests. The majority of these requests continues to be PPE, medical supplies, and staffing needs. They worked closely with local requestors, SEOC Logistics, and SEOC Planning Section (Resource Support Unit) to ensure proper coordination as these requests are addressed.

• As of 5/2/20, the total number of consolidated resource requests to counties, tribes, and state agencies is 1,585 (+29). The cumulative status of resource requests in Resource Tracker (WebEOC) are as follows:

Unassigned Assigned Accepted In Transit On Scene Completed

2 359 57 27 145 808 Please note, there are several requests whose status not currently summarized in the WebEOC's dashboard,

which is the source for the above roll-up. They are included in the Total count, just not the status breakdown. Notifications Unit

• Collected responses to the questionnaire about isolation and quarantine. Responses were compiled

into a spreadsheet and has been emailed to Unified Command for dissemination.

• Fielding other incoming emails and calls from state, local and tribal entities, distributing key

information regarding SEOC calls and meetings, and compiling local data from county emergency

managers.

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 12 of 17 Date: May 2, 2020

Business and Infrastructure Branch • Branch continues to work with state and local partners to better understand impacts to food supply and

agricultural communities. Monitoring reports of cases at farms and food processors. Branch is reaching out to industry and food supply experts to identify emergent trends and issues.

• L&I developed draft WAC emergency rules for temporary agricultural worker housing. SEOC is trying to better understand how this will impact agricultural community.

• Sent a survey to all major food processors in the state. We have received over 200 replies citing their key issues.

• With recent pork processing closures, 43% of US pork capacity is off-line. (FEMA NBEOC) • Cold storage red meat supplies were down 2%, frozen pork down 4%, and frozen poultry supplies were up

4% from March. This suggests that there is enough frozen supply to meet normal real demand vice panic driven artificial demand. (FEMA NBEOC)

• Maritime shipments from China are 22% down from the prior year and 20% of Asia-US container shipping has been canceled for May and June. (FEMA NBEOC)

• Smaller carriers/owner-operators and those that rely more on the spot market are being impacted the most. This impact may come in the form of bankruptcy and reincorporation, leasing on to another carrier, temporarily parking or carriers truly calling it quits. (FEMA NBEOC)

Current Business Inquiry and Suspected Violations as of 5/2/20

Business Inquiries Suspected Violations

Completed Open Received Closed

19,456 428 24,400 7,682

ESF 1 Transportation No changes since last report. ESF 2 Communication, Information and Warning Systems No activities reported. ESF 3 Public Works No activities reported. ESF 12 Energy

No changes since last report.

Human Services Branch

No changes since last report. ESF 6 Mass Care, Emergency Assistance, Temporary Housing and Human Services No activities reported. ESF 11 Agriculture and Natural Resources (Operating remotely) No activities reported. ESF 14 Long-Term Community Recovery No activities reported.

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 13 of 17 Date: May 2, 2020

Additional ESFs Under Operations

ESF 4 Firefighting No changes since last report. ESF 8 Public Health, Medical and Mortuary Services No activities reported. ESF 13 Public Safety, Law Enforcement and Security (Operating remotely) No changes since last report. ESF 15 External Affairs – Joint Information Center

• ESF 15 continues to provide support to the JIC. Contacts for the JIC are 253-512-7491 and

JICdirector@mil.wa.gov. Media inquiries can be routed to wajic@mil.wa.gov or 253-512-7100.

ESF 20 Defense Support to Civil Authorities No changes since last report.

Logistics Section

General:

• Processing Tier 1 Consolidated PPE Resource Requests.

• Processing non-PPE resource requests.

• Sustaining internal SEOC operational needs.

• Assisting the Intelligence Section with information needs. ESF 7 Logistics Management and Resource Support No activities reported.

Intelligence Section

General: No updates reported.

Federal Partners

FEMA Region X

• Working logistical concerns related to distribution of swab and testing media.

Media Clips (5/1/20)

DOH QUOTES / MENTIONS Inslee announces new initiative to expand language access to COVID-19 information (Secretary of Health John Wiesman quoted; Islands Sounder) Beware of COVID-19 scams, state and federal officials warn (Danielle Koenig quoted; Spokesman-Review) Inslee preparing to announce plan to re-open state in phases (Dr. Charissa Fotinos quoted; KOMO) Washington investigating state totals after COVID-19 ‘excess deaths’ report (Dr. Kathy Lofy mentioned; Capitol Hill Seattle Blog) Compulsory mask-wearing in Pacific Northwest caused spirited debate -- and a jury trial -- during 1918-19 flu pandemic (WA State Board of Health mentioned; Oregon Live)

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 14 of 17 Date: May 2, 2020

Former Port Angeles naturopath accused of selling fake COVID-19 cure (DOH mentioned; KIMA TV, KOMO) Live Updates: People Of Color Disproportionately Represented In Coronavirus Caseload (DOH mentioned; KLCC) Pacific County’s has seen their first COVID-19 attributed death (DOH mentioned; KXRO) At least 8 have died of virus at Lewiston nursing home (DOH mentioned; Lewiston Tribune) Local United Way joining a statewide cloth mask-making challenge (DOH mentioned; Longview Daily News) At least 190 Tyson employees test positive from meat plant in Wallula (DOH mentioned; KEPR TV) Tri-Cities health board official questions COVID death count (state health officials mentioned; Tri-City Herald) Masked teachers, desks 6 feet apart: How returning to school could look post stay-home order (DOH mentioned; News Tribune) WA Dept. of Health: Inslee will ‘dial restrictions up and down’ in days ahead (MyNorthwest) Farmworkers sue Washington state seeking coronavirus protections (DOH mentioned; NBC News) WA STATE EvergreenHealth tests coronavirus drug, remdesivir (KIRO 7) County lags state in virus testing (Blaine Northern Light) A very deliberate reopening by Inslee: Washington is not Georgia (Seattle PI) Inslee preparing to announce plan to re-open state in phases (KOMO, KEPR TV, KING 5) ‘Unprecedented’ contact tracing efforts take shape to contain coronavirus (Daily UW) Frustrated Washington nursing homes welcome new Covid-19 beds, PPE (KUOW) Tens of thousands of people in state could soon start being tested for coronavirus (KIRO 7) How Reliable Are COVID-19 Tests? Depends Which One You Mean (KUOW) Essential Workers Plan May Day Strikes; Others Demand End To COVID-19 Lockdowns (KUOW) I put people on mechanical ventilators. Here's what I've seen (KUOW) Franklin County official planning to sue Inslee over stay-home order (KEPR TV) Real-time updates: Amazon extends remote work until at least Oct. 2 (KING 5) More than 1.6 million people in Washington are struggling with food (KEPR TV) Coronavirus lessons from Roosevelt outbreak helped Everett-based ship (KOMO) DNR Commissioner describes how 2020 wildfire season will look amid coronavirus pandemic (KREM) At least 2 more coronavirus deaths in Tri-Cities. Hospitals busier as people don’t stay home (Tri-City Herald) Nearly 15% of workers tested so far at Tyson plant near Tri-Cities are infected (Tri-City Herald) Early test results suggest widespread coronavirus infections at Washington state’s largest beef plant, Tyson (Seattle Times) Cowlitz County finished testing at Foster Farms, won’t specify new cases there (Longview Daily, Columbian) Patients struggle to get UW’s touted test amid misinformation, suspicion about reliability of coronavirus antibody tests (Seattle Times) Seattle-area essential workers’ jobs changed due to coronavirus. Here’s what they want you to know. (Seattle Times) Jury trials in Washington postponed until July; new coronavirus guidance issued for courts (Seattle Times, Columbian) Multiple Seattle farmers markets to open this weekend with new rules (Seattle PI) Tenino Farmers Market to open Saturday with a new setup to maintain social distancing (Olympian) Edmonds offers up to $1,000 in COVID aid for bills or food (Everett Herald) School officials air proposal for outdoor graduation ceremonies for Class of 2020 (Spokesman) Nearly half of Spokane Veterans Home residents positive for COVID-19 after 6 more test positive (Spokesman) Fund the gap: Officials call for help to meet demand at food banks (Spokesman) 2 more free food giveaways set in Tri-Cities. Handmade cloth masks needed (Tri-City Herald) Unemployment drives high demand for food assistance (Olympian) Return to construction in Clark County requires workarounds amid safety restrictions (Columbian) Medically fragile Camas woman says, ‘We feel forgotten’ (Columbian) Kitsap Transit to require face coverings on Worker/Driver service (Kitsap Daily) Six more residents of Spokane Veterans Home test positive for coronavirus (KREM) Two more die from coronavirus in Tri-Cities region; total cases at 914 (KEPR TV) Coronavirus cases in Tri-Cities still have not peaked, health experts say (KEPR TV) More than 1200 cases of COVID-19 confirmed in Yakima Co.; 49 deaths (KIMA TV)

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 15 of 17 Date: May 2, 2020

Kittitas County reports zero active COVID-19 cases (KIMA TV) New Positive COVID-19 Reported in Mason County Residents (IfiberOne) NATION Idaho congregations will be able to return to church this weekend, but not all are going back yet (Spokesman) Coronavirus and other causes driving surge in US deaths (AP) Women, minorities shoulder front-line work during pandemic (AP) Work safety strike, virus lockdown protest set for May Day (AP) Coronavirus lessons from Roosevelt outbreak helped 2nd ship (AP) California county defies governor’s virus shutdown order (AP) Los Angeles coronavirus testing website strains as free appointments fill up (Reuters) Oklahoma businesses set to reopen amid virus pandemic (AP) U.S. airlines mandating facial coverings for all passengers (Reuters) Trump says US can never declare ‘total victory’ over virus (AP) Great Smoky Mountains will be among first national parks to reopen during pandemic (Tri-City Herald) Native tribes still haven’t received the stimulus relief money they were promised (VOX) Expanded unemployment benefits create a dilemma for workers as states reopen (KEPR TV) Oregon to resume non-essential medical procedures Friday, 'first step' to reopening state (KEPR TV) Crowded Prisons Are Festering 'Petri Dishes' For Coronavirus, Observers Warn (NPR) More than 4,000 workers in meatpacking plants have the coronavirus, the C.D.C. says. (New York Times) A Life and Death Battle: 4 Days of Kidney Failure but No Dialysis (New York Times) Why even a super-accurate Covid-19 test can fail (VOX) A Next-Generation Coronavirus Test Raises Hopes And Concerns (NPR) Warnings ignored, labs slashed, expertise lost. Actions a decade ago crippled Florida’s response to COVID-19 (USA Today) When will US reach 100,000 deaths? After a horrific April, grim milestone could hit in May (USA Today) Suicides of two health care workers hint at the Covid-19 mental health crisis to come (STAT) Coronavirus at work: Safety inspectors reviewing scores of employee hospitalizations, deaths (USA Today) Coronavirus pandemic: Updates from around the world (CNN) Three potential futures for Covid-19: recurring small outbreaks, a monster wave, or a persistent crisis (STAT) As states ease coronavirus restrictions, some are taking a 'significant risk,' Fauci says (CNN) More Than 1 Million People Have Recovered From COVID-19 Worldwide (NPR, KREM) Why America’s coronavirus testing barely improved in April (VOX) Striking down DACA would eliminate thousands of health care workers, thwarting America’s pandemic response (STAT) GLOBAL Canada's coronavirus curve flattens but worrying trends emerge: top medical officer (Reuters) The Latest: India extends virus lockdown another 2 weeks (AP) Brazilians start defying isolation, egged on by Bolsonaro (AP) Imported by the rich, coronavirus now devastating Brazil's poor (Reuters) COVID-19 death rate in deprived areas in England double that of better off places: ONS (Reuters) Afghanistan likely facing coronavirus 'health disaster': U.S. watchdog (Reuters) South Africa eases one of world’s strictest lockdowns (AP) China-Australia rift deepens over calls for virus inquiry (AP) Serbia opposition stage curfew protest against government (AP) Swiss soldiers pick up smartphones to fight COVID-19 (Reuters) Turkey's contact tracers race to contain coronavirus (Reuters) Fax-loving Japan to introduce online system for reporting coronavirus (Reuters) In China, travelers rush to take advantage of loosened restrictions (New York Times) Germany is reopening. Cautiously. (VOX) Taiwan's Coronavirus Moment — And Delicate Balancing Act (NPR) South Korea Reports No New Domestic Coronavirus Cases (NPR) ECONOMY / BUSINESS

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 16 of 17 Date: May 2, 2020

Crews return to existing homebuilding sites in Spokane County (Spokesman) Washington unemployment claim numbers ‘gargantuan,’ commissioner says (Spokesman) 1 in 5 Washington workers have filed unemployment claims (Everett Herald) Real-estate world wracked by coronavirus impacts as corporate giants, mom-and-pop firms struggle to pay rent (Seattle Times) As coronavirus spread, Seattle-area mortgage delinquencies rose three times faster than U.S. average (Seattle Times) 4 out of 5 restaurants may not reopen on the other end of the coronavirus crisis — our critic on what we stand to lose (Seattle Times) Here's what we know about the opening of Washington's businesses (Seattle PI) Boeing rules out federal aid after raising $25 billion of bonds (Bloomberg/Seattle Times) ‘We find a way’: Seattle drag artists contend with the pandemic that threatens their livelihoods and their lifeline (Seattle Times) Jobless fret as rent comes due again amid virus outbreak (AP, Seattle PI) Pelosi: States, cities seek $1T to avoid layoffs from virus (AP) U.S. Republicans push for coronavirus lawsuit immunity for business (Reuters) Clark County’s new jobless claims spike after weeks of decreases (Columbian) Longview projects $4M revenue shortfall this year (Longview Daily) Socked by virus, comic book industry tries to draw next page (AP) Wall Street tumbles as tech stocks take a hit. (New York Times) Alaska Airlines to require masks on all passengers, flight staff (KIMA TV) Cannabis in a time of COVID-19 (Spokesman) VIEWPOINTS / OPINIONS At a time when leadership is rare, Bill Gates stands tall on COVID-19 (Seattle Times) Commentary: Finding a COVID-19 vaccine is only the first step (Everett Herald) Harrop: Has social distancing rewired our consumer brain? (Everett Herald) Today is the final day to take the county’s COVID-19 survey (Kitsap Daily) Opinion: How Long Will a Vaccine Really Take? (New York Times) COMMUNITY The life of a Seattle school social worker during coronavirus: a hospital trip and a racing heart (Seattle Times) COVID-19 survivor urges: ‘To all of you: Continue to fight’ (AP) Editor’s Notebook: Orchestral riots and new rites of spring (Crosscut) Framed: Photos of life in Seattle during COVID-19 (Crosscut) Pike Place Market to host first ever drive-thru Annual Flower Festival (Seattle PI) Idaho congregations will be able to return to church this weekend, but not all are going back yet (Spokesman) Local grocery store owners launch program to keep kids reading through summer (KEPR TV) Food relief efforts in Washington face uphill battle, as coronavirus leaves many hungry (KNKX) Overwhelmed, food banks struggle to fill shelves (KUOW) Solgen Power giving away groceries to those in need (KEPR TV) RESEARCH / SCIENCE A coronavirus drug seems to work. What’s next? (AP) Maker of coronavirus trial drug aims for wide distribution: Gilead CEO (Reuters) Potential UK COVID-19 vaccine producer eyes making a million doses a month (Reuters) Chinese startup Rokid sees opportunity with COVID-fighting smart glasses (Reuters) Find a Vaccine. Next: Produce 300 Million Vials of It. (New York Times) Coronavirus pandemic could last two more years, expert report predicts (KING 5) Swedish enrolls Covid-19 patients for trial of anti-inflammatory drug (KUOW) Blood Pressure Drugs Don’t Increase Coronavirus Risk, Studies Find (New York Times) FDA will reportedly authorize use of remdesivir for Covid-19 after trial shows 'positive effect' on recovery time (CNN) In quest for vaccine, US makes 'big bet' on company with unproven technology (CNN)

UNIFIED COMMAND

STATE EMERGENCY OPERATIONS CENTER

UC SEOC Situation Report #43 Page 17 of 17 Date: May 2, 2020

Facebook’s Covid-19 misinformation campaign is based on research. The authors worry Facebook missed the message (STAT) Fauci Says It's 'Doable' To Have Millions Of Doses Of COVID-19 Vaccine By January (NPR) EPA Dives Into Coronavirus Testing, Disinfectant Research (Bloomberg)

Weather Alerts

National Weather Service (NWS) Alerts for 5/2/20 as of 1300 PDT:

Blowing dust advisory issued from 5/2/20 1600 to 5/2/20 2000 for Lower Garfield and Asotin Counties, Moses Lake Area, Upper Columbia Basin, and Washington Palouse.

NWS Alerts for State of Washington website: https://alerts.weather.gov/cap/wa.php?x=1

SitRep Writers: Kayla Eicholtz/EMD Troy Parks/DOH

Unified Area Commanders: Chris Utzinger/EMD Lori Melchiori/DSHS

Important Links

State

Washington State Coronavirus Info Site: www.coronavirus.wa.gov

Governor’s Proclamations: https://www.governor.wa.gov/office-governor/official-actions/proclamations

WA Food Fund: https://philanthropynw.org/wa-food-fund?utm_medium=email&utm_source=govdelivery

Economic Recovery and Resiliency Webinar Series: https://vimeo.com/showcase/7058863

Federal

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

CDC COVID-19 Symptoms

President’s Emergency Declaration: https://www.fema.gov/news-release/2020/03/13/covid-19-emergency-declaration

FEMA COVID-19 Disaster Declarations: https://www.fema.gov/coronavirus/disaster-declarations

Coronavirus Aid, Relief, and Economic Security (CARES) Act: https://home.treasury.gov/policy-issues/cares

Small Business Assoc. (SBA)

https://www.sba.gov/page/coronavirus-covid-19-small-business-guidance-loan-resources