On April 14, 2020, the Yolo County Board of Supervisors heard COVID-19 updates from:
Yolo County Health Officer, Dr. Ron Chapman
CommuniCare CEO, Dr. Melissa Marshall
Homeless Coordinator with City of Davis, Ryan Collins
Owner & Executive Chef at Broderick Roadhouse, Chris Jarosz
The meeting was recorded and can be found here. Highlights from these reports can be found below.
Stay home and stay healthy! We'll be seeing each other soon. As always, please feel free to email me at email@example.com to share your thoughts.
In shared service,
Dr. Ron Chapman, Yolo County's Health Officer, offered a COVID-19 update, including the following information:
California: 23,000 confirmed cases, 662 deaths
Yolo County: 101 cases, 4 deaths
Testing continues to be very limited and the County has not been able to ramp up testing as they'd hoped. Yolo County has tested only 0.5% of our total population.
Hospital census remains low, which is a good indicator that our Shelter In Place Order and social distancing are working.
Local healthcare systems continue to have ample capacity to handle a surge.
The County is prioritizing worker safety, making sure to support essential businesses as they work hard to keep society running.
The nursing home outbreak in Woodland: 35 cases of COVID-19, including 23 residents and 12 staff. Sadly, one resident has passed away.
Not all staff cases involve Yolo County residents, so they are not all counted on our dashboard.
Family members of all residents in the facility were informed of outbreak.
This outbreak has been contained at this facility--there is no increased threat to the community. Sick staff are isolating at home.
Because nursing homes are such "hot spots" (elderly, underlying health conditions, close proximity), the County issued orders weeks ago to restrict visitors and to perform staff health screenings before all shifts. These orders are still in place.
It's been four weeks since the Shelter In Place Order was issued in Yolo County, which is the equivalent of two incubation periods. Evidence shows that what we're doing is working.
The next phase will be a gradual approach, beginning with determining which non-essential businesses can re-open with appropriate protective measures in a way that we can sustain health protections. We cannot flip a switch and turn everything back on.
Isolation and quarantine for positive COVID-19 cases and those directly exposed will continue and become more important over the coming months.
Governor Newsom will be issuing a non-pharmaceutical intervention roadmap very soon.
Sacramento Bee Article: Gavin Newsom Outlines 6 Factors to Determine When Stay-At-Home Orders Will Loosen
Dr. Melissa Marshall, Chief Executive Officer at CommuniCare Health Center, offered an update on CommuniCare's experiences during this COVID-19 crisis. Here are some highlights from her report:
The clinic is working to support and care for patients without having them enter the facility. They are triaging by phone, isolating patients with concerning symptoms outside, and testing in tents and cars.
CommuniCare has experienced a 25% reduction in overall volume and a 94% reduction in dental volume. Reduced traffic in the clinics is good for public health, but puts economic stability at risk.
Access to COVID-19 testing kits has been very limited. They have used 54 tests, four of which have been positive and eight of which are still pending. Up to 40% of testing results in false negatives.
They have a very low supply of Personal Protective Equipment (PPE). Masks are being used conservatively to preserve supply.
CommuniCare has been innovative in working to preserve staffing, encouraging telecommuting and supporting use of emergency or paid family leave to be available for redeployment later.
Ongoing, regular, consistent communication with staff and with external partners has been critical.
50% of the regular volume at Woodland facility is agricultural workers. There is concern for these essential workers who cannot shelter in place. CommuniCare will continue to connect these workers with the care they need.
The future may present some unique challenges as the clinics work to support patients with "pent up" medical needs and as the number of medi-cal patients increases due to increased unemployment.
Ryan Collins, Homeless Coordinator with City of Davis, offered an update on efforts to shelter and support homeless individuals in Yolo County. Highlights from his presentation include:
Sleep and safety are the greatest needs for homeless individuals. Meeting food and psychological needs is also a priority.
Project Room Key is sheltering over 160 homeless individuals in local motels. Security is on site and support services are being provided.
Referrals to Project Room Key are made by local law enforcement, the medical community, word of mouth, city homeless coordinators, and county homeless teams.
Food distribution has ramped up through partnership with Yolo Food Bank.
Day resource centers remain operational. The Respite Center, operated by CommuniCare, has embedded nursing staff, showers, laundry, food, cloth face coverings, disinfecting supplies. These centers are following distancing protocols and are disinfecting regularly.
Those who have chosen to remain unsheltered are experiencing challenges with limited access to Internet (libraries are closed) and communication. It's not easy to receive informal charity (panhandling) right now.
Encampments have been provided with porta-potties and hand-washing stations.
There is a deep concern for homeless individuals with diminished cognitive capacity.
Moving forward, there is a hope that we can use what we've learned through this crisis to better help this population to meet their health and safety needs even in non-crisis times.
Executive Chef and Owner at Broderick Roadhouse, Chris Jarosz, shared his experience in providing meals to the community. Presentation highlights include:
Chris and his team are experiencing an ongoing journey of learning to adapt to a new business model during the Shelter In Place Order.
Broderick Roadhouse started on this journey by preparing meals for service workers who had been laid off. Quickly, they expanded to making meals for the senior community and individuals in the Project Room Key program.
Over the last few weeks, this effort has been able to feed 3,000 people per week.
Del Monte Meat Company has donated 2000 pounds of protein for making these meals.
Yolo Food Bank has joined with this effort and will provide ingredients for meals.
A recent collaboration with Washington Unified School District has allowed Chris and staff to use the Bryte Culinary School kitchen in West Sacramento, which he hopes will allow them to increase to 8,000-10,000 meals per week.
So far, this effort has been entirely self-funded. Chris, and other restauranteurs working to support food insecure individuals in our community, are seeking financial support to expand hot meal service.
Support in coordination, communication, and donation solicitation is also being sought.