Thursday, June 24, 2021

Deputy Health Officer Answers Questions on the COVID Outbreak at Granada and the Coming Vaccine – Lost Coast Outpost


Today, Dr. Josh Ennis, a county deputy health officer for the county, took a number of concerns from the media on the state of the pandemic– consisting of, particularly, the outbreak at the Granada assisted living center and the coming vaccines.
Video above, rough transcript below.
Great afternoon and thank you for being with us. Would you like to start by attending to the

I believe that Im not able to offer an exact number at this time.
The FDA is presently reviewing the EUA submission.
In anticipation of an emergency situation usage authorization happening, it could be as early as.
shipments shipping next week. Once again, supply will be very minimal really early on,.
however it might be as early as next week that they in fact begin shipping allotments.

The North Coast News asks … “How numerous vaccines is the county.
anticipating to receive in the first rollout? Any upgrade on when they will roll out?”.

I think numerous individuals in this particular.
group are anxiously waiting for vaccine, I totally comprehend that. This suits more with stage 1B,.
and right now were in the extremely beginning here, stage 1A as its called by the CDC,.
is truly going to focus on healthcare workers.
To offer you a concept of timeline here, health care.
employees number someplace around north of 10,000 for our county. Were taking a look at allocations that.
fall well short of that very at an early stage. Therefore when we speak about individuals who may be in this next.
group of phase 1B, which is what this question is asking about, that may be a month away yet..
the planning around phase 1A has actually changed on a practically everyday basis, however as we get closer and.
closer, it has actually been available in with more clarity.
For phase 1B we have a concept of how we might roll this.
out, there might be parallel channels here consisting of Public Health notifies, including working through.
out health care coalition and making sure theres direct outreach from the service providers themselves,.
but as far as specifics go, we do not have a particular plan due to the fact that there are a lot of.
specifics go, we dont have a particular strategy due to the fact that there are a lot of.
logistical concerns surrounding getting the vaccine and special requirements around storage.
and movement and rack life. And so, its been extremely challenging to have.
genuine company details as we roll out this preparation, however this concern is asking about phase 1B and.
there would probably be a number of different methods we would reach out to that population.

At this time,.
there is no requirement, there is no mandate, and I believe thats all I have to state about that.

I want you to understand that despite these numbers looking as huge.
as they do, they are not driving the current, cumulative totals over the very same period.
Something like 70 percent approximately of all these cases are still beyond the center,.
and so it d be really misinforming for anyone to conclude that whats taking place at this facility.
is driving all of our numbers here. I d like to advise you that these are.
people were talking about, they have enjoyed ones in the community, and we can truly tie.
our daily actions of every single individual to whats occurring in this nursing facility. I d.
motivate you all to be kind to one another, and be considerate and attempt to look after each other.

The North Coast News asks … Do you expect to require the.
Redwood Acres alternate care center in the coming month?

The short response is no. Over the previous a number of months, there have actually just been a.
couple staff members, and in fact no prisoners. Weve worked very carefully with the prison.
to mitigate any risk of introduction of COVID-19 into the facility and they continue.
to be a terrific partner in doing so..

Ill ensure that we have actually been working extremely closely from the very beginning with Granada,.
As their local management. I was on the phone at 8 p.m. a couple nights earlier,.
speaking with some folks at Granada. We are in continuous interaction with them, as well as CDPH,.
and weve actually been moving hand in hand with this.
Any time we have numbers, for numbers of.
citizens, varieties of staff, were vetting those numbers with Granada at least daily to make certain.
our numbers line up. Now when it comes to what theyre presenting on a public-facing page,.
I dont know what their procedure looks like for reporting of that, of their internal number,.
I guarantee you, their internal number on an everyday basis is a match to ours.

We hope to not need Redwood Acres. We have actually been preparing around how to use it, ought to we require it.
eventually. I actually dont know the answer to this question and it depends to some degree.
on how bad influenza season is. I do understand and I firmly think that if COVID-19 spreads really quickly,.
, if we have more than one possibly one experienced nursing facility outbreak continuous at the exact same.
time, and after that we have a bad flu season, it is really possible that we would require Redwood Acres.
Theres a lot in there that I cant predict. If you predict our current rate, I do know that.
of COVID-19 along with hospitalizations, it could seriously tax our health care system.
We are going to do everything we can to keep the care taking place within the 4 walls of the.
healthcare facilities and weve been working with them the whole time to develop robust plans to do that.
We do have actually a so called “pop-off valve” where we can enable extremely low acuity individuals at.
the end of COVID-19 care who possibly simply require another day or 2 to get things figured out,.
to allow that to happen at Redwood Acres.

think believes important essential talk a.
little bit about the situation at Granada. Yesterday we revealed some numbers, and.
Now, is it going to happen any time quickly? No, I believe its going to.
When Im talking about this, were talking about established very first world nations.

The Redheaded Blackbelt asks … Have there been any new cases of.
COVID identified among the jail population in the last couple of weeks? If so, the number of?

The Redwood News asks …” Public Health says there are 54 positive cases in locals,.
and 16 team member at Granada. Their own site (last updated 12/9) states they only.
have 5 cases in locals. With the thought in mind that Granada and Public Health are working.
together through this break out, dont you believe the 2 very different numbers are misinforming?
Can you provide a description regarding why the numbers do not reflect each other?”.

Well get into questions from the media.

I touched on this simply at the end of my upfront here, but taking the focus off.
Granada just for a moment, I wish to speak about how investigation tracing works in basic.
As quickly as we get a favorable, we try to connect to that private, we inform them youre positive,.
youre contagious, who have you come in contact with throughout your infectious duration?
And so when there are small numbers, we can do that really rapidly, we can do it effectively.
When were looking at the volume that we have had recently, on the order of.
a couple hundred cases in about a weeks time, that process slows down.
And so.
when were looking at large volumes in a short amount of time, the time with which were.
able to connect, do that examination, do that tracing, it lengthens. Therefore theres possibly.
more individuals being exposed on account of that procedure normally slowing down. Therefore.
when we talk about a center break out, its not a consisted of, closed system.
There are people, by nature of caring for those individuals, who have to can be found in and out of the.
center. And so this can, truly its a marker for illness that has come into this center,.
When numbers get large, it can ripple back external into the community,.
and thats the point I wish to make with stating this in our release yesterday.

The Redheaded Blackbelt asks … Are any citizens of Granada.
being moved to local intense care healthcare facility settings for care,.
and if so how is this impacting Humboldt Countys ICU availability portion?

The Redwood News asks …” We know that regional health care employees are going to be the.
to receive a Covid-19 vaccine once approved and it arrives in Humboldt. Are healthcare.
workers needed to get the vaccine? Are people able to opt out?”.

The North Coast News asks … “What occurs after an individual receives a COVID-19.
Do they still have to wear a mask? What portion.
of individuals require to be vaccinated in order for a few of the security modifications to be raised?”.
Yeah, these are all great questions and I believe it goes to the reality that this could be the start.
of completion of COVID-19. Now, is it going to take place at any time soon? No, I think its going to.
take numerous, many months to get people immunized. But completion point here, the last question here,.
is asking about what percentage of individuals require to be vaccinated for us to return to typical, resume.
normal life.
I think that the general concept here is that we can possibly get herd immunity.
whether thats through natural infection, or whether through the vaccination. And so we need.
to reach about 65 or 70% of people being immune to the disease all around the very same time. And so,.
we still dont have an idea of for how long natural resistance.
lasts when it pertains to real infection. We do not know the length of time resistance lasts for the vaccine.
The idea is if we can move rapidly adequate and have the immunity stay, whether thats through.
infection or vaccination, we can try and hit that 65% or 70% number. And finest case circumstance,.
lots of things need to line up, I think Ive heard some specialists state as early as June.
I believe thats positive.
I think that more practical, the earliest we can most likely see that.
happen may be in the fall. Again, theres a lot of unknown here. Production issues, distribution.
concerns. Were talking about established very first world nations when Im talking about this. There will be.
more problem doing this in developing countries, which are going to act as.
repositories for disease. There are a lot of things that go into answering this concern,.
Established nations, if everything goes as prepared,.
I believe we might be looking at summertime or fall at the outright earliest.

The Redwood News asks …” When vaccines ultimately begin being rolled out for older people with.
underlying conditions, are you able to speak about how those individuals will be recognized locally?
Will they be alerted by Public Health or their physician that they are eligible.
to receive that next phase of the vaccine?”.

So I desire you to understand that we have done a lot in that first week in response.
We had our county infection preventionist involved with examining their policies.
and procedures around this response, weve had CDPH have a surveyor on site.
the past two weeks to discuss some of those processes, and I want you to understand that Granada.
has actually been dealing with us hand in hand, and theyve been doing everything truly that weve requested for.
They have a truly difficult job right now and these individuals are doing whatever they can,.
theyre purposefully stepping into a facility with a lot of COVID-19.

Yeah, I value this opportunity to do so. I.
think its essential to talk a.
little bit about the scenario at Granada. The other day we announced some numbers, and.
we wished to give you a bit more context for what might be continuous there. So.
as we started checking the entire facility, as you have actually observed, the numbers have.
increased rather rapidly, and in examining the numbers and doing our investigations,.
I believe a reasonable conclusion at this moment is we are somewhat late in detecting cases within.
that center. The method around testing is not sure-fire, and that is shown plainly here.

Granada patients, depending upon their already-stated end of life care choices,.
might do any one number of things. Lots of people if they still want to have aggressive care,.
theyre going to get transferred to the medical facility. Theyre going to be.
offered the exact same basic treatments that numerous non-nursing center residents would be used.
Many patients have actually had the end of life discussion surrounding this pre-pandemic. So they understand that.
theyre continuously fighting chronic medical conditions. They might have made known what their.
ideas are around lifestyle, as well as dependency upon health care or medical resources.
And so a few of them have selected not to have aggressive care at the end of life,.
whether thats a COVID-19 thing or not.
So, with nursing facilities in specific,.
a number of them remain in that latter category. And so if theyve made that understood and they want.
at the end of their life to be made comfortable, we have been trying to support that taking place.
any place it is they long for that to occur. Sometimes they may long for.
it to stay within the nursing facility, some people in some cases wish to possibly go house.
But with COVID-19 that brings in a great deal of transmission and direct exposure concerns. Others may.
dream for something in the middle that maybe the medical facility is more proper for end of life..
when it concerns Granada, our present ICU capacity, it does have possible to affect our ICU.
capability considerably. At this time, it is not impacting it in a dramatic method.

The Redwood News asks …” Yesterday in concerns to the boost in cases at Granada Rehab and Wellness,.
you stated our neighborhood is not insulated from the facilitys break out, and that transmission.
within our community at large can be amplified by it. Can you elaborate on that further?”.

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