San Luis Obispo County Response to the Covid-19 Pandemic

Commendations 12

• CM1
  If the respondent disagrees wholly or partially with an item, the respondent must elaborate on the portion of the item that they disagree with, and provide an explanation.
• CM2
  If a respondent notes that an item will be implemented in the future, the response must include a timeframe for implementation.
• CM3
  If a respondent notes that an item requires further analysis, the agency must include in the response an explanation of and the scope of what will be studied and the timeframe needed for the study. The timeframe for follow-up from the agency cannot exceed six months.
• CM4
  If the item will not be implemented or is not reasonable, the respondent is required to provide a detailed explanation. 933.05. Findings and Recommendations (a) For purposes of subdivision (b) of Section 933, as to each grand jury finding, the responding person or entity shall indicate one of the following: (1) The respondent agrees with the finding. (2) The respondent disagrees wholly or partially with the finding, in which case the response shall specify the portion of the finding that is disputed and shall include an explanation of the reasons therefore. (b) For purposes of subdivision (b) of Section 933, as to each grand jury recommendation, the responding person or entity shall report one of the following actions: (1) The recommendation has been implemented, with a summary regarding the implemented action. (2) The recommendation has not yet been implemented, but will be implemented in the future, with a timeframe for implementation. (3) The recommendation requires further analysis, with an explanation and the scope and parameters of an analysis or study, and a timeframe for the matter to be prepared for discussion by the officer or head of the agency or department being investigated or reviewed, including the governing body of the public agency when applicable. This timeframe shall not exceed six months from the date of publication of the grand jury report. Submitted March 1, 2022 18 (4) The recommendation will not be implemented because it is not warranted or is not reasonable, with an explanation therefore. Presiding Judge Grand Jury Presiding Judge Craig van Rooyen San Luis Obispo County Grand Jury Superior Court of California P.O. Box 4910 1035 Palm Street Room 355 San Luis Obispo, CA 93403 San Luis Obispo, CA 93408 Submitted March 1, 2022 19 Attachment 1 - Key Events and Dates Associated With SLO County’s Response to the COVID-19 Pandemic Key Dates Event An outbreak of a respiratory illness caused by the Novel Coronavirus (2019- nCoV) was first identified in Wuhan, Hubei Province, China. The 2019-nCoV December strain of Coronavirus presents with pneumonia-like symptoms, including fever, 2019 cough, or difficulty breathing. The first confirmed death occurred on December 27, 2019, in Wuhan, and thousands of confirmed cases were identified in China. The U.S. Health and Human Services Secretary declared a public health 1/31/2020 emergency for the entire United States to assist the Nation’s healthcare community in responding to 2019-nCoV. The County Health Agency, Department Operations Center (CHADOC) issued a Level II activation (Monday through Friday, 0800 – 1700 hrs.) for necessary 2/4/2020 sections. SLO County Administrator, County Counsel, Board of Supervisors, and other key County departments were notified. Postmortem testing on two deaths from February 6 and February 17, 2020, confirmed that COVID-19 was spreading in the greater Bay Area. Both February fatalities in Santa Clara County had no travel history, and likely acquired 2020 COVID-19 through community spread. Prior to this, the only reported cases were travel related. The Governor of the State of CA declared a State of Emergency to allow a 3/4/2020 faster Public Health response. 3/11/2020 The World Health Organization declared COVID-19 to be a pandemic. The Governor of the State of CA issued an executive order cancelling or 3/12/2020 postponing non-essential mass gatherings. The SLO County Health Officer, declared a local health emergency regarding 3/13/2020 COVID-19. SLO County declared a local health emergency that the Board of Supervisors (Board) ratified on March 17, 2020. This declaration allowed latitude in procurement for the County. It also allowed access to emergency reserve 3/13/2020 funds the Board could use to address the situation and allowed flexibility in assigning individuals in the County workforce as Emergency Services Workers. The SLO County Administrative Officer (CAO) / Director of Emergency Services, 3/13/2020 issued a Proclamation of Local Emergency pursuant to the CA Emergency Services Act. Submitted March 1, 2022 20 3/14/2020 First reported COVID-19 case in SLO County. The County’s Office of Emergency Services (OES) upgrades the Operational Area Emergency Operations Center (EOC) to a Level III activation (all sections) to support full activation of the CHADOC. Key Public Health personnel are 3/16/2020 requested to respond to the EOC to support both the EOC and CHADOC. County-wide Disaster Service Workers are activated to support the response on a 7-day a week schedule. 12-hour day shifts are established 0700 hrs. – 1900 hrs. The County issued a moratorium on alcohol establishments to avoid large 3/16/2020 gatherings and the spread of the pandemic. 3/16/2020 SLO County started its Phone Assistance Center (PAC). SLO County hosted its first press briefing and launched the website 3/17/2020 READYSLO.ORG to communicate with the community. The County announced a mandatory shelter-at-home order effective 5 PM, 3/18/2020 March 19, 2020, to limit the spread of COVID-19. 3/19/2020 CA State issued a shelter-at-home order. 6/18/2020 CA State issued its first mask mandates. The FDA authorized Pfizer vaccine use under an Emergency Use Authorization 12/11/2020 (EUA). 12/14/2020 The first COVID-19 vaccine administered in CA was in Los Angeles County. CA State notified SLO County Public Health it would be the first in the County 12/14/2020 to receive a total of 1,950 vaccine doses. 12/18/2020 The FDA authorized Moderna vaccine use under an EUA. First doses of COVID vaccine were administered to five volunteers from the vaccination Phase 1a, Tier 1 group:
• CM5
  A firefighter for the SLO City Fire Department
• CM6
  An in-center hemodialysis nurse for DaVita Dialysis Centers 12/18/2020 • An emergency physician at Sierra Vista Regional Medical Center
• CM7
  An emergency department nurse at French Hospital Medical Center
• CM8
  A medical director at the SLO County Psychiatric Health Facility. Submitted March 1, 2022 21 12/19/2020 COVID-19 became the number 1 cause of death in the United States. The County opened its first vaccination clinic for front-line health care workers 12/19/2020 and Emergency Medical Technician (EMT) staff in the City of SLO. Public Health later moved it to Cuesta College. The County announced an online registration system for vaccination appointments. People could also get appointments via the call center. 12/19/2020 Available appointments were released Thursday morning at 9:00 AM and were filled on a first-come, first-served basis. The first, full-day vaccination clinics were held for 3-days beginning Monday, 12/21/2020 December 21, 2020. These clinics were by Public Health invitation only and focused on health care workers and first responders. 12/28/2020 Vaccination registration was opened to all healthcare workers. Public Health requests the San Luis Obispo County All Hazards Incident 12/30/2020 Management Team to set up two mass vaccination PODs; one located in North County and the other located in South County. 1/6/2021 SLO County’s VTF met for the first time. 1/14/2021 SLO County began using online registration for COVID-19 vaccinations. 1/18/2021 The North County clinic opened at the Paso Robles Event Center. Skilled Nursing Facilities begin to receive vaccine through the National 1/18/2021 Pharmacy Program. Vaccination registration opened to Phase 1B frontline essential workers and 1/18/2021 age 75 and older. 1/25/2021 The South County clinic opened at Arroyo Grande High School. CA State announced a statewide registration program called MyTurn. The 1/25/2021 target date for implementation was mid-March. 2/1/2021 SLO County’s Sierra Way vaccine clinic moved to Cuesta College. Submitted March 1, 2022 22 The VTF recommended opening vaccination eligibility for residents aged 65 2/10/2021 and older. 2/27/2021 The FDA authorized Johnson & Johnson (J&J) vaccine use under an EUA. 3/2/2021 SLO County switched to a lottery system to register for vaccinations. 3/8/2021 The South County vaccine clinic moved to the South County Regional Center. Vaccine registration opened to the remainder of Phase 1B people including 3/10/2021 Education and Child Care, Food and Agriculture, Emergency Services, and those with certain high-risk medical conditions or disabilities. SLO County vaccinated 600+ agriculture workers at a special half-day clinic in 3/19/2021 collaboration with partners in the SLO County Farm Worker Outreach Task Force. 3/22/2021 Vaccination registration opened to age 50 and older. 3/26/2021 Vaccine registration opened to Court System Workers and Jurors. 3/31/2021 Vaccine registration opened to age 30 and older. 4/1/2021 County of SLO administers its 100,000th dose of COVID-19 vaccine. First mobile vaccine clinic launched at the Men’s Gryphon House in Grover 4/6/2021 Beach. 4/7/2021 Vaccine registration opened to ages 16 – 18. The MyTurn Registration Program goes live to begin scheduling vaccination 4/8/2021 appointments for April 15, 2021, and beyond. 4/23/2021 Public Health administered 3000+ vaccinations in 1 day. SLO County retired its vaccine registry and fully transitioned to the State’s 4/28/2021 MyTurn system for vaccination registration. Submitted March 1, 2022 23 5/4/2021 Walk-in vaccinations are available at County clinics. 5/12/2021 Vaccine registration opened to age 12 and older (Pfizer only for ages 12 – 17). 6/4/2021 SLO County closed its last remaining mass vaccination clinic. 6/7/2021 SLO County held a mobile vaccination clinic at SLO High School. The U.S. Food and Drug Administration (FDA) gives full approval of the Pfizer 8/23/2021 vaccine. The CDC approves third doses of the COVID-19 vaccine for moderately-to- 8/23/2021 severely immunocompromised individuals. 8/30/2021 SLO County hosts its 100th mobile vaccination clinic. The CDC approves Pfizer booster doses for the following Pfizer vaccine recipients who completed their initial series at least 6 months prior and are:
• CM9
  65 years and older 9/23/2021 • Age 18+ who live in long-term care settings
• CM10
  Age 18+ who have underlying medical conditions
• CM11
  Age 18+ who work in high-risk settings
• CM12
  Age 18+ who live in high-risk settings (CDC COVID-19 website) Submitted March 1, 2022 24 Attachment 2 - SLO County’s Vaccine Task Force Submitted March 1, 2022 25 Attachment 3 - SLO County’s Per Capita Vaccination Rate Vaccines Administered (Percent of Population) County Population 12/30/20 1/6/21 1/13/21 1/20/21 1/27/21 2/3/21 2/10/21 2/17/21 2/24/21 San Luis Obispo 280,393 2.0% 3.0% 4.5% 6.8% 10.2% 13.4% 16.0% 19.3% 23.5% Merced 282,928 0.6% 0.9% 1.5% 2.6% 4.6% 5.8% 7.6% 10.5% 12.6% Santa Cruz 274,871 1.5% 2.3% 3.7% 6.0% 9.2% 13.1% 18.0% 23.0% 28.7% Santa Barbara 454,593 1.1% 1.7% 3.2% 5.3% 8.2% 10.5% 13.5% 16.6% 20.4% Marin 262,879 1.9% 2.6% 4.6% 7.6% 11.5% 15.7% 20.4% 26.1% 32.9% Ventura 843,843 1.5% 2.1% 3.8% 5.7% 8.0% 11.0% 14.2% 18.0% 22.6% Los Angeles 10,014,009 1.3% 2.0% 3.7% 5.7% 8.6% 11.5% 15.0% 18.4% 22.0% Kern 916,464 0.6% 1.0% 1.9% 3.2% 4.9% 6.8% 9.0% 11.4% 13.9% Monterey 445,414 1.2% 1.7% 3.1% 4.1% 5.3% 7.7% 10.4% 13.1% 16.0% Kings 153,710 0.6% 0.2% 2.2% 3.2% 3.9% 5.9% 7.1% 9.0% 10.4% Butte 226,466 1.6% 2.2% 4.2% 6.8% 10.0% 14.7% 18.1% 20.9% 24.8% El Dorado 191,848 1.5% 2.1% 4.2% 6.4% 9.5% 12.6% 16.5% 21.2% 25.3% Yolo 222,581 1.7% 2.5% 4.3% 6.0% 8.1% 11.5% 15.7% 19.8% 25.1% Placer 396,691 1.6% 2.4% 4.4% 7.4% 10.5% 14.0% 18.9% 23.9% 28.9% Solano 441,307 1.7% 2.4% 4.2% 6.8% 9.4% 12.3% 15.8% 19.8% 24.1% Data Source: https://data.ca.gov/dataset/covid-19-vaccine-progress-dashboard-data/resource/c020ef6b-2116-4775-b11d-9df2875096ab Submitted March 1, 2022 26