UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 1 of 27 Date: April 6, 2020

Situation Report 20-0265 2020 Novel CoV | April 6, 2020

Incident Information

Incident Number: 20-0265 2020 Novel CoV SitRep #17

Situation Report Version: Update Operational Period: 4/6/20 0700 to 4/7/20 0700

Incident Type: Pandemic

Affected Political Subdivisions with Confirmed COVID-19 Cases: See pages 4 and 8 for details.

SEOC Activation Level: Level 1 – Full Disaster Manager: Adam Wasserman

Activated Emergency Centers: See pages 4 and 8 for complete list.

Unified Commanders: Neil Good/DOH Chris Utzinger/EMD Dana Phelps/DSHS

Activated Emergency Support Functions (ESF): 1, 2, 3, 4, 5, 6, 7, 8, 11, 12, 13, 14, 15, and 20. Date / Time UAC Sup Approved: 4/6/20 1630

Critical Information Requirements (CIR)

Federally Supported Community Based Testing Sites (CBTS) Date: 4/3/2020 Number of CBTS: 1

Total Individuals Screened 125

Individuals Tested 125

Individuals Not Tested 0

Institute for Health Metrics and Evaluation (IHME) *See page 7 for more information on IHME

Total Statewide Fatalities Statewide ICU Bed Needed at Peak Date

251 as of 4/1/20

350 as of 4/4/20 (Yesterday)

350 as of 4/5/20 (Today)

Risks • Severe blood shortage reported by the American Red Cross. • Volunteer shortages for food bank staffing. • Financial burden of long-term stay-at-home order. • Lack of messaging (county-level) for those with a Limited English Proficiency (LEP). • Increasing mental health burden of long-term pandemic, stay-at-home orders, and recovery.

Trending Media Headlines

• What is Families First Coronavirus Response Act, how does it cover me? (KIRO)

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 2 of 27 Date: April 6, 2020

Future Operations • Focusing on PPE acquisition and distribution. • Planning alongside US Public Health Service for opening Astria Regional Medical Center.

Finance and Administration

Unified Area Command - COVID 19 Projected Costs (as of 4/6/20) Expenditure of Interest Cost Astria Medical Center Lease (per month) $1,500,000 Rehabilitation and Nursing Center $13,503,280 N95 Respirators $37,895,828 Ventilators $17,360,629 Additional PPE (gloves, face shields, sanitation, etc.) $35,196,057 SEOC Average Daily Costs (Includes DOH) $148,000 Total Estimated Expenditures Reported $141,329,346

b

General Situation

The Washington State Emergency Operations Center (SEOC) is currently responding to an outbreak of respiratory disease caused by a novel (new) coronavirus that was first detected in China. The SEOC has been fully activated since January 22, 2020 with ESF 8 taking the lead in response efforts. The virus that causes COVID-19 seems to be spreading easily and sustainably in the community (“community spread”) in some affected geographic areas. Community spread means people have been infected with the virus in an area, including some who are not sure how or where they became infected. CDC Information: https://www.cdc.gov/coronavirus/2019-ncov/index.html Governor’s Proclamations: https://www.governor.wa.gov/office-governor/official-actions/proclamations

• Today, Governor Inslee announced the extension of school closures for the remainder of the 2019-2020 school year. (Proclamation 20-09.1)

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

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 3 of 27 Date: April 6, 2020

Objective(s) in Priority Order:

Strategic Objectives in Priority Order: 1. Provide for the health and safety of all responders, including safe work and living environments, and non-pharmaceutical intervention (NPI) implementation throughout the incident. 14b. Coordinate healthcare surge planning including personnel, equipment, and supplies amongst all partners. 5. Expand systems for continually sharing the common operating picture and the Essential Elements of Information (EEIs) among all response partners, supporting agencies and stakeholders. 6b. Provide timely, complete accurate and culturally appropriate information about the COVID-19 situation. Promote health equity, actively combat stigma and discrimination to the residents of Washington. Informs healthcare system partners on the measures they must take in response to COVID-19. 7a. Apply the best public health and medical science for decision-making on controlling and mitigating the COVID-19 outbreak, including indicators of the effectiveness of NPI. 34. Ensure Human Services needs are met (e.g., Food Supply, Housing, Mental Health Support). 17. Work with private sector partners to increase manufacturing capacity of critical supplies and equipment. 13. Mitigate impacts to private sector and infrastructure lifelines. 4b. Assist tribes, state agencies, and counties with requests for assistance. 36. Plan for long-term recovery of impacted sectors. 37. Monitor long-term impacts of NPI implementation. 10b. Maintain statewide procedures for donations, vendor and volunteer management. 8a. Support the operation of drive-thru testing sites. 12. Provide guidance on disbursement of federal and state funding. 11. Capture and monitor state agencies' costs associated with COVID-19 response.

Operational Objectives: 24a. Refine and communicate the allocation system for resource distribution. (Per Strategic Objective, SO 4b). 19a. Be poised to implement emerging guidance on personal protective equipment allocation and use. (Per SO, 1). 15b. Build a sustainable process for healthcare surge. (Per SO 14b.) 23a. Refine the process for resource management with Department of Enterprise Services (DES) and private sector partners. (Per SO 4a). 30. Activate and continuously identify foodbank staffing and supply demand. (Per SO 4b). 35. Standup a system for streamlined data collection across sections and operationalize a data dashboard to inform key partners and decision makers (Per SO 5, 6b). 33. Develop equitable support tools for Limited English Proficiency (LEP) populations. (Per SO 6a). 32. Support community mental health through resource allocation, specifically through the Crisis Counseling program (Per SO 4b). 31. Distribute guidance on essential personnel to infrastructure partners. (Per SO 15). 28. Reach 100% target for essential business inquiries answers. (Per SO 6a). 29a. Maintain capacity to process the surge in suspected business violations reported. (Per SO 6b). 26a. Continuously update procedures for multi-agency financial accounting and reporting. (Per SO 11, 12).

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 4 of 27 Date: April 6, 2020

Essential Elements of Information (EEIs)

County COVID-19 by the Numbers

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 5 of 27 Date: April 6, 2020

Rapid Health Information Network (RHINO) Surveillance COVID-like Illness (CLI) Hospitalizations

Note: At the date of this graph, 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.

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

UAC SEOC Situation Report #17 Page 6 of 27 Date: April 6, 2020

IHME Projections for Hospital Resource Use

COVID-19 projections assuming full social distancing through May 2020 Last updated April 5, 2020

Note: Hospital Resource Use data comes from the Institute for Health Metrics and Evaluation (IHME), an independent global health research center at the University of Washington. The data being used in these forecasts come from local and national governments, hospital networks like the University of Washington, the American Hospital Association, the World Health Organization, and a range of other sources. The model is updated as new data are available, in order to provide the most up-to-date planning tool possible. (https://covid19.healthdata.org/projections)

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

Summary

Total Confirmed Cases 7,984

Total Deaths 338

Number of Individuals Tested

Result # of Individuals Tested % of Tests

Negative 83,391 91%

Positive 7,984 9%

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 7 of 27 Date: April 6, 2020

Confirmed Cases and Deaths by Age (as of 4/4/20 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. *Case updates can be delayed due to issues with WDRS.

Department of Health Lab & Epidemiological Activities

Activity Area Metric/Process Measure Status Updated

Public Health Lab Supplies and Testing

14 days of testing supplies available 10 days available

4/4/20 400 specimen/day testing capacity 200 specimen/day capacity

1000 specimen collection kits available 1,900 kits available

COVID case reporting volume, process, and completeness

Average daily % change in new cases needing interview (averaged across past week)

25% average daily increase in past week (state and LHJ resources)

3/28/20

Days to complete >95% of case interviews 3 days

% of cases with known hospitalization status 41% known status (10% ever hospitalized; 31% not hospitalized; 59% unknown)

3/28/20

Long-Term Care Facilities (LTCF)

Long-Term Care Facilities Impact # LTC Facilities w/ Reported Positive COVID-19 Case* (as of 4/3/20)

By county

Benton 4 Chelan 1

Clark 6 Douglas 1 Franklin 1

Grant 1 Island 2

King 60 Kittitas 1

Age Group (years)

Percent of Cases

Percent of Deaths

<19 2% 0%

20-39 27% 1%

40-59 34% 7%

60-79 26% 38%

80+ 10% 55%

Unknown 1% 0%

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

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Pierce 7 Skagit 7

Snohomish 18 Spokane 6

Walla Walla 1 Whatcom 5

Yakima 5 TOTAL 126

* As reported by DSHS; corrected on 04/06/20 – should receive new data 4/7/20

Tribal Updates

Cowlitz Indian Tribe: Declaration 3/16/20 Swinhomish Tribe: Declaration 3/9/20 Lummi Nation: Declaration 3/3/20 Lower Elwha Klallam Tribe: Declaration 3/13/20 Makah Tribe: Partial, Declaration 3/13/20 Confederated Tribes of Colville Tribes: Full, Declaration 3/16/20 Samish Indian Nation: Declaration 3/12/20 Shoalwater Bay Indian Tribe: Declaration 3/18/20 Snoqualmie Tribe: Declaration 03/01/20 Nisqually Tribe: Declaration 3/17/20 Skokomish Indian Tribe: Proclamation 3/13/20 Kalispel Tribe of Indians: Declaration 3/18/20 Spokane Tribe of Indians: Declared 03/16/20 Port Gamble S’Klallam Tribe: Declaration 3/9/20 Squaxin Island Tribe: Full, Declaration 3/20/20 Puyallup Tribes: Declaration 3/18/20 Stillaguamish Tribe of Indians: Declaration 3/5/20 Tulalip Tribes: Proclamation 3/10/20 Suquamish Tribe: Partial, Declaration 3/9/20 Quinault Indian Nation: Declaration 3/18/20 Muckleshoot Indian Tribe: Partial, Declaration Hoh Indian Tribe: Declaration 3/5/20 Confederated Tribes of the Chehalis Reservation: Partial, Declaration 3/13/20

Federal & National Actions Undertaken

• The Senate and the House have passed the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). President Trump signed it into law.

• Lyft has established a COVID-19 Task Force to open up their services for riders and drivers in need. • President Trump extended the federal guidelines for social distancing through 4/30/20. • Widespread closure of National Parks and US Forest Service trails.

o North Cascades National Park, Ross Lake National Recreation Area, and Lake Chelan National Recreation area will close to all park visitors on 4/3/20 until further notice.

State of Washington Actions Undertaken

Quarantine / Isolation Locations

King County: 6 locations Cowlitz: 1 location

School Closures Proclamation Amendment 20-09 ordering the closure of ALL public and private K-12 schools in the state. This order is in effect through 4/24/20, unless extended beyond that date. Proclamation 20-09.1 extends closures through the end of the 2019-2020 school year.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

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Proclamation Amendment 20-10 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. Childcare Asotin, Benton, Chelan, Clallam, Clark, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Klickitat, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, Skagit, Snohomish, Spokane, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima are currently offering childcare for first responders, medical staff, and other families in need during school closures. Specific information can be found on school district sites. Event Cancellations Under the Governor’s ‘Stay Home, Stay Healthy’ order (Proclamation 20-25), every Washingtonian is required to stay home unless they need to pursue an essential activity. This order bans all gatherings for social, spiritual, and recreational purposes. Service Shutdowns Proclamation Amendment 20-13 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. Washington State Parks and Recreation, Department of Fish and Wildlife (WDFW), and the Department of Natural Resources have closed all state campgrounds, day use areas, and trails in Washington. WDFW has also closed the fishing and shellfishing season. Proclamation Amendment 20-25 requires all people of Washington State to remain in their homes except for essential activities or to go to work for an essential business. Activities considered essential are obtaining necessary supplies and services; engaging in activities essential for the health and safety of the household; caring for a family member, friend, or pet; and engaging in outdoor exercise (while still following social distancing practices). A list of essential businesses can be found here: https://komonews.com/news/coronavirus/list-of-jobs-businesses-considered-essential-during-washingtons-stay-at-home-order. The Supreme Court of Washington has issued an order to suspend or adjust trials through 4/24/20. Travel/Border Updates United States-Canadian border closed for nonessential travel. United States Department of State has issued a Level 4 travel advisory for international travel. CDC has issued Warning Level 3 – Avoid All Nonessential International Travel.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 10 of 27 Date: April 6, 2020

Department of Health Status Updates

Shoreline IMT (as of 4/5/20 16:00)

Epidemiological (Epi) Branch: Healthcare Associated Infections (HAI) • Long-Term Care Outbreaks –

o Worked with Tacoma-Pierce County Health Department (TPCHD) on four nursing home outbreaks and two adult family home outbreaks. Teams are working to schedule site visits at two of these nursing homes.

o Tracking situation in King County at two facilities with ongoing outbreaks. • Completed mock-up of REDCap intake survey. This survey captures COVID-19 clusters in congregate

settings and was adapted from a form created by Public Health Seattle King County (PHSKC). • Discussed how to manage agency healthcare staff that work in multiple healthcare

facilities. Potential guidance document to be generated. • Continued site visits in Chelan-Douglas.

Investigation Technical Advisory Group (I-TAG) • Reaching out to counties regarding the death reconciliation in Washington Disease Reporting

System (WDRS). So far, have reached King, Benton, Whatcom, and Island counties, but have not been able to get in touch with Snohomish, Yakima, or Pierce. Will continue to contact those counties.

• Processed a number of requests for test kits from the local health jurisdictions (LHJs). Receiving test kit requests from the medical examiners. Working with Public Health Laboratory (PHL) to get test kits sent to all of the county medical examiners.

• The doh-ncov-epi inbox will receive requests for negative COVID-19 results for specific cases from the LHJs until a regular system is put into place.

Investigation Branch: • The first three interview teams began interviewing in RedCap remotely on 4/4/20. Team is working

to address backlog of interviews due to system delays and process changes. • The first case investigation summary numbers from REDCap indicated that investigators averaged

six completed interviews per investigator from Saturday morning through Sunday midday. • Investigation Branch will continue to expand to a total of 7 teams for case investigation and contact

tracing. • Continuing to develop QA processes around phone numbers and addresses.

Surveillance Branch: • The Epidemiological Branch, Health Technology Solutions (HTS) and other Department of Health

(DOH) staff are working with Microsoft on a Business Intelligence tool to visualize data. The public-facing application on www.doh.wa.gov is now live.

• Newly formed Modeling Team held a cross organizational meeting for alignment of modeling methods. Developing a white paper for Unified Command decisions that will be delivered on Monday (4/6/20).

• Continued to work on a discrepancy in the number of number of deaths being reported in WDRS and Electronic Death Registration System (EDRS). Duty Epidemiologists reaching to LHJs affected.

• Surveillance reports and power Microsoft Business Intelligence (BI) visualizations are being revised due to the changes in negative lab reporting.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

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Informatics Branch: • The Informatics Branch monitored REDCap functionality closely with the addition of a large number

of new users from the Investigation Branch, and it performed as expected. • Department of Health (DOH) continues to monitor Washington Disease Reporting System (WDRS)

functionality and will work with Health Technology Solutions, Microsoft, and the data system vendor to expand the system’s capacity as necessary to account for future increases in data volume and computing demands, including potentially standing up a new instance of WDRS for COVID-19 in a cloud-hosted environment. Second maintenance window tentatively planned (testing ongoing) and we implemented a second processor (Maven based) to increase database efficiency.

o The Informatics Branch developed a stabilization report that will run daily in the morning and the evening to ensure that WDRS is prepared to produce data for daily epidemiological reports.

• The Branch continues to work on processing negative test data outside of WDRS and making summary data available to analysts. This information was provided to LHJs on today’s Epi-to-Epi webinar and through an email communication to the LHJs.

• Branch staff are supporting the Surveillance Branch’s work of clarifying the process of recording, counting and reporting deaths.

• The Branch continues to make good progress on preparing for the imports (e.g. setting up the mechanism and testing) from REDCap remote interviews and Rapid Health Information Network (RHINO) hospitalization data.

Public Health Lab (PHL) Branch, including Apps Group: Lab materials and general operations

• Public Health Laboratory (PHL) is continuing to maintain a three-week schedule for staffing. • The PHL is working to maintain an inventory of supplies to secure throughput daily. The PHL

remains critically low on some items. • Swabs will be the limiting factor going forward. Logistics for sample collection kits and sample test

kits is increasing in complexity and material shortages persist. • 600 new Viral Transport Media (VTM) received. New Tubes to resolve the leaking issue experienced

with the first batch. They will be producing 50,000 more tubes over the course of next week.

COVID-19 sample collection kits • Public Health Laboratory (PHL) is continuing to assemble sample collection kits and distribute them

to Local Health Jurisdictions. PHL distributed to Yakima Indian Health Center (50) and Washington Care Services (50) specimen collection kits by Fish and Wildlife staff on 4/5/2020.

o Plan of distributing to Yakima County (300), Grant County (100) and Adams County (200) on 4/6/2020.

• Working with our Epi branch to send out collection kits to all county medical examiners. About 10 per county or 350 collection kits.

o Note: sample collection kits, which are used in the field, differ from sample test kits, which are used at the Public Health Lab.

• PHL has updated sample collection guidance to include nasal swabs. PHL has about 1700 nasal swabs to use for the collection kits.

• PHL has approximately 30NP swab kits available

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 12 of 27 Date: April 6, 2020

COVID-19 testing • Public Health Laboratory (PHL) is continuing to assemble sample collection kits and distribute them

to Local Health Jurisdictions. PHL distributed to Yakima Indian Health Center (50) and Washington Care Services (50) specimen collection kits by Fish and Wildlife staff on 4/5/2020.

o Plan of distributing to Yakima County (300), Grant County (100) and Adams County (200) on 4/6/2020.

• Working with our Epi branch to send out collection kits to all county medical examiners. About 10 per county or 350 collection kits.

o Note: sample collection kits, which are used in the field, differ from sample test kits, which are used at the Public Health Lab.

• PHL has updated sample collection guidance to include nasal swabs; PHL has about 1700 nasal swabs to use for the collection kits.

• PHL has approximately 30NP swab kits available.

WA Department of Health Costs:

Expenditures through: 4/5/20 Total staff involvement 788 Staff Worked Past 24 Hours 371 Staff in Travel Status 26 Total Hours Worked 101,189 Total DOH effort $9,640,300 Non-Budgeted Expenditures $4,194,500 Average daily cost $127,000

B Washington State Emergency Registry of Volunteers (WASERV)

Profession Counts (Updated 03/19/20)

Profession Count Profession Count Acupuncturist 1 Naturopathic Doctor 51 Anesthesiologist 3 Non-Medical 1 Chiropractor 41 Nurses 262 Counselor 3 Pharmacist 7 Dermatologist 1 Phlebotomist 2 Dietician 1 Physical Therapist 2 Doctor (DO) 9 Physician Assistant 15 Doctor (MD) 50 Psychiatrist 1 EMT 15 Radiologic Technician 2 Medical Assistant 1 Respiratory Therapist 6 Mental Health 2 Speech Language Pathologist 1 Midwife 1 Social Worker 7 Total (includes applications in process) 486

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

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Literature Review

(Updated 4/3/20)

This is not official guidance from the CDC and is based on a Department of Health literature review. Reports can be found here: https://www.doh.wa.gov/Emergencies/Coronavirus/Resources

Key Takeaways • Local health departments can potentially use sentinel surveillance to understand the level of

community transmission of COVID-19. • Data from the 2017 BRFSS indicate that 45% of U.S. adults have an underlying condition that could

potentially increase their risk of complications from COVID-19. • A study recommends using electronic personal protective equipment (ePPE) to protect staff and

conserve PPE while providing rapid access to emergency care for suspected COVID-19 cases. • Gargle lavage could be a safer and possibly more sensitive alternative or additional option for

COVID-19 diagnosis.

State Agency Impacts and COOP Activities

Department of Social and Health Services • 30 total COVID-19 cases. • Tracking work locations of other employees who had close contact with confirmed COVID-19 staff and

patients. • Department of Social and Health Services seeking contracts to accept (60) patients from WSH to ease

staffing shortages. • Tracking call-ins, overtime, morale, and facility operational necessities are met each day. All facilities

report adequate staffing with the exception of WSH and ESH. However, they are accomplishing all essential functions.

• Behavioral Health Administration/Developmental Disabilities Administration 211 test line expected to be operational on April 2 and go-live April 6.

• Another 7000 isolation gowns will arrive early this week. • Staff are now being issued PPE on S3, S4, S7 and S8. After receiving guidance from DOH on mask

usage, adding S7 and S8 has had little impact on burn rate of PPE. • Assessing hotel room eligibility guidance. • Reviewing leave scenarios and possible impacts from Families First Corona-Virus Response Act. • 100 masks to be redistributed from Yakima Valley School to Yakima Competency Restoration

Program. • Awaiting DOH written report from Western State Hospital visit. Suggestions on mask usage, ward

movement and others are being implemented. • Yakima Valley School (YVS) and Rainier School implemented masks for all direct care staff. Lakeland

Village and Fircrest will implement early next week. Lakeland and Fircrest have produced enough DIY masks to accomplish this. YVS and Rainier School report they will have enough cotton masks for all direct care (DC) staff next week.

DSHS Lacey IMT Updates • 126 Long-term care (LTC) facilities with positive COVID-19, as reported by Facility or WA State

Employees.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

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• 106 LTC Facilities with suspected or COVID-19 Test Pending reports by Facility or WA State Employees. • 1246 Total inspections reported by DSHS Staff.

DSHS Economic Services Administration • Community Services Division: On April 1, 2020, the Community Services Division filed an emergency

rule to expand the TANF 60-month Time Limit Extension (TLE) to support families experiencing a hardship due to COVID-19 related needs. Families who have exhausted 60 months on TANF cash assistance and are experiencing hardships due to COVID-19, will not be denied benefits. We are working quickly to make this change happen. This includes making updates to the manual and handbook, creating a desk-aid and ensuring component codes are valid. We are also working to reinstate cases that were closed or denied in March due to time limits.

• Division of Disability determination Services (DDDS): Social Security Administration (SSA) notified DDDS that some claims that were previously being held are now allowed to be completed and sent back. These included Continuing Disability Review cases and cases where people ceased receiving benefits and a new decision has been made to reinstate benefits. SSA also directed that claims for insufficient evidence or failure to cooperate will be held until further notice in order to give people more time to submit needed information for the claims.

Washington State Department of Corrections Established HQ EOC. DOC has implemented screening measures where possible. WA State Department of Veterans Affairs Fully activated the ECC and COOP. Services are limited. Many locations have moved to teleworking and housing restrictions. Department of Ecology EOC activated level 2. Telework implemented. Department of Fish and Wildlife Supporting ESF 11, activated COOP. Fulfilling mandatory telework directive (statewide) and continuing to get all staff the necessary remote digital tools. Working with local health departments to make sure our recreational activities comport with local needs. Temporarily closed access to public lands, recreational fishing, and recreational shellfishing. Closed facilities to the public (statewide), providing alternate avenues to customer service. WDFW Police Officers are patrolling statewide to implement the state’s Stay Home, Stay Healthy order and enforcing state land, fishing, and hunting closures. All state lands will be closed to the public through 5/4/20. Labor and Industry ECC Partial Activation. COOP activated per pandemic plan. Providing staff for future SEOC support. Assessing facility contacts to ensure NPI’s and prevention is in place. Maintaining essential functions using online tools to streamline consistent messaging to external stakeholders. Department of Licensing Full EOC activation. COOP activated. Adhering to social distancing and NPI measures. DOL buildings are closed to the public.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

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Department of Social and Health Services ECC Activated. IMT focused on direct care facilities. Type 3 IMT in place in Eastern WA for long term care efforts. Supporting ESF 6. Using WebEOC and adhering to social distancing guidelines. State Liquor and Cannabis Board COOP Activated. ECC Activated. Field staff adhering to all precautions. Assessing impacts to businesses regarding the Governor’s order closing restaurants/bars. Office of Financial Management EOC is virtual. COOP implemented. Adhering to social distancing guidelines. Office of the Insurance Commissioner Activated Phase 2 of COOP. Expanding telework options and other methods of adhering to social distancing. Department of the Treasurer COOP partially activated (2 divisions). Focused on telework expansion. State Attorney General Partial activation of EOC. COOP is under review. Mandatory telecommuting for entire office. In-person staffing by exception only. State Conservation Commission COOP is active. Agency response/recovery meeting daily. Adhering to social distancing guidelines. Department of Commerce Implemented Telework agency wide. Supporting SEOC Business and Infrastructure Branch activities and SEOC Advance Planning efforts. Department of Transportation HQ EOC is activated. COOP is active. Teleworking and adhering to social distancing guidelines. Most construction work has been suspended at least for the next two weeks. Department of Revenue EOC activated. COOP activated. Closed front counters to public. Expanded telework options. State Department of Agriculture EOC operating remotely. COOP activated. Agency and division Mission Essential Functions updated. Mandatory telework effective until further notice–upholding essential functions that must occur in agency offices and buildings. Closing agency offices and buildings to the public effective week of 3/23. Maintaining consistent messaging to employees and external stakeholders, including guidance around BRE and Food and Agriculture as Critical Infrastructure. Supporting ESF 6, Business & Infrastructure Branch and SEOC advanced planning efforts. State Department of Agriculture Co-leading ESF 11 with WDFW. State Gambling Commission Activated Pandemic portion of agency COOP. Telework authorized at all levels. Law Enforcement Officers mandated to take precautions.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

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Department of Children, Youth, and Families All DCYF buildings are closed to the public. Washington State Patrol All WSP District and Detachment Offices are closed to the public. Offices have notices posted with contact information. WSP has temporarily stopped conducting Vehicle Identification Number (VIN) inspections at all locations until further notice. WSP Criminal Records Divisions front counter/lobby will be closed to the public until further notice. Some of the services affected are fingerprinting, notary letters, record reviews and background check requests. Employment Security Department Implementing broad telework and social distancing. Working to support unprecedented demands that are overwhelming the system. Taking actions to get unemployment benefits out quickly to those that are eligible. Working to expand benefits to those who are not currently eligible. Working with employers to get needed staff and shift to an online model. Commissioner of Public Lands/Department of Natural Resources The state Department of Natural Resources (DNR) today announced the closure of all DNR-managed lands to the public. The closure will last through at least 4/8/20. Campgrounds closed through 4/30/20. Health Care Authority As of Wednesday, March 18, HCA’s lobby will be closed. In-person customer services for Apple Health and the PEBB and SEBB Programs will not be available. Parks and Recreation All state parks closed. Small Business Association The SBA has Economic Injury Disaster Loans for business in all counties that has suffered substantial economic injury. Visit https://disasterloan.sba.gov/ela/ for more information.

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Local Impacts (structural losses, infrastructure status, shelters open, etc.) from 4/6/20

CLARK COUNTY • Churches in Clark County are participating in a program called “SafePark” to provide a place for

people living in their vehicles to safely park at night. KING COUNTY

• Boeing extended their production shutdown indefinitely.

ADAMS COUNTY ISLAND COUNTY SKAGIT COUNTY ASOTIN COUNTY JEFFERSON COUNTY SKAMANIA COUNTY BENTON COUNTY KITSAP COUNTY SNOHOMISH COUNTY CHELAN COUNTY KITTITAS COUNTY SPOKANE COUNTY CLALLAM COUNTY KLICKITAT COUNTY STEVENS COUNTY COLUMBIA COUNTY LEWIS COUNTY THURSTON COUNTY COWLITZ COUNTY LINCOLN COUNTY WAHKIAKUM COUNTY DOUGLAS COUNTY MASON COUNTY WALLA WALLA COUNTY FERRY COUNTY OKANOGAN COUNTY WHATCOM COUNTY FRANKLIN COUNTY PACIFIC COUNTY WHITMAN COUNTY GARFIELD COUNTY PEND OREILLE COUNTY YAKIMA COUNTY GRANT COUNTY PIERCE COUNTY

GRAYS HARBOR COUNTY SAN JUAN COUNTY

Local Successes from 4/6/20

• Fewer ambulance transports in March than predicted by counties. • County-run drive through testing sites functional, some with restrictions to health care workers or

symptomatic patients. • SEOC Representatives have been helping in the counties they are assisting. • Good collaboration with county emergency management and local health jurisdictions.

Response/Recovery Activities from 4/6/20

OPERATIONS (ESF 5 Emergency Management)

• The following Emergency Support Functions are currently activated for the COVID-19 response: o ESF 1 Transportation o ESF 2 Communications o ESF 3 Public Works o ESF 4 Firefighting o ESF 5 Emergency Management o ESF 6 Mass Care, Temporary Housing and Human Services o ESF 7 Resource Support o ESF 8 Public Health, Medical and Mortuary Services o ESF 11 Agriculture and Natural Resources (Operating remotely) o ESF 12 Energy

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 18 of 27 Date: April 6, 2020

o ESF 13 Public Safety, Law Enforcement and Security (Operating remotely) o ESF 14 Long Term Recovery o ESF 15 External Affairs - Joint Information Center o ESF 20 Defense Support of Civil Authorities

• The 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 (to a lesser extent) 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 1300 today, the total number of consolidated resource requests to counties, tribes and state agencies is 665. The cumulative status of resource requests in Resource Tracker (WebEOC) are as follows:

o Unassigned = 10 o Assigned = 215 o Accepted = 103 o In Transit = 49 o On Scene = 30 o Completed = 178

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.

• The Notifications Unit continued fielding incoming emails and calls from state, local and tribal entities, distributing key information regarding SEOC calls and meetings, and compiling local data from county EMs this data is coordinated with the Planning Section's Situation Unit.

• The Business & Infrastructure Branch (BIB) continued to coordinate and support private sector supply-chain integrity and lifeline workforce integrity efforts, and transportation/communications/public works sector activities. The Business Recovery Group's actions are summarized in the BIB SitRep section.

• The Human Services Branch is developing a map of program areas, highlight current state and action steps to reach strategic objectives. Increased food bank support communications to county emergency managers. For the local jurisdiction daily call, added a standing hunger relief agenda topic to report out updates on food supply, volunteer staffing and logistics support to food banks supported by SEOC. Identifying ways to better inform county emergency managers with updates and support of food banks in their jurisdictions.

• The Operations Section continued to provide liaison support to local EOCs via four SEOC Representatives placed in four WA regions, who are on-call over the weekend (Sat/Sun).

• The Operations Section continued to monitor tribal, state, and local EOC activations and support operations as requested.

Business and Infrastructure Branch • Business Response Group continue to respond to business inquiries. On 03/31/20, the Compliance Unit

was formed and started processing suspected business violations from the web form located on https://coronavirus.wa.gov/business-workers. Once processed these are pushed to the appropriate state agency for action. Guidelines for Enforcement of Governor Inslee’s COVID-19 Proclamations

• Current numbers as of 1400 on 4/6/20: o Essential Business Inquiries: 15,169 (+495) total. 14,188 (+735) processed, 981 (-240) pending. o Suspected Business Violations: 11,810 (+983) received.

Human Services Branch • Coordinating efforts and information between ESF 6, 11 and Infrastructure branch.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 19 of 27 Date: April 6, 2020

• Gathered data on hunger relief efforts. • Identified a DSHS Economic Services staff to join ESF 6 weekly briefings.

ESF 1 Transportation

• Supported Department of Commerce business sector leads with their public-private partnership transportation needs in their efforts to expand manufacturing and supply chain capacity for the response effort.

• Supported the Business Response Group to respond to essential business inquiries regarding the Governor's proclamation as it applies to transportation.

• Continued to coordinate with stakeholders and partners to support supply chain integrity for grocery and pharmaceutical, transportation to include maritime, food and other identified sectors.

• Coordinated with ESFs 6 and 11 to identify and mitigate current and potential impacts to food lifelines.

• Coordinated with DHS-CISA on information and analysis regarding critical infrastructure. • Submitted and tracking request for essential function workers mask resupply through the SEOC. • Continued to reach out to employees for requests from SEOC future staffing shortfalls. • Continued to see decline in ridership throughout all modes of transportation. • Continuously reporting to the governor’s office and the advanced planning team for traffic impacts

due to the Stay home, Stay safe order for modeling and action.

ESF 2 Communication, Information and Warning Systems

• No Updates

ESF 3 Public Works

DES: • 25% of all DES Public Works projects have been deemed essential and will continue work. The rest of

the projects will stop work until the order is lifted. • DES is reviewing letters from contractors regarding delay to projects. • L&I has indicated that they have pared back inspection services. DES is working with them to define

their restrictions. • Department of Corrections, DSHS, and Department Children, Youth, Family (DCYF) are all using NPIs

for screening all parties entering their facilities for temperature and health condition questioning. DOC is experiencing some COVID-19 cases.

Department of Ecology: • Ecology has implemented teleworking and is prioritizing safety/health and environmental inspections

and field work. Our regional offices are closed to the public and we are looking at options to limit access to the public in our HQ in Lacey.

Wastewater: • Concerns about RV dump stations: operation and use of these is a local government decision. Ecology

staff can assist with contact information. • Wastewater treatment plants (WWTPs): from communications we understand some are operating

under emergency management plans; this is not something directly reported to Ecology, but a local government decision.

Solid Waste: • Commercial solid waste truckers are to be considered essential for the removal, storage, and disposal

of solid and hazardous waste.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 20 of 27 Date: April 6, 2020

Additional Updates • Our spills response capabilities are at 100%. • We have been made aware of potential suspension of curbside garbage pick-up by one (non-

franchise) city/municipal garbage service. Further investigation will occur. • Essential vs. Nonessential questions from WA business owners are directed to the Business and

Infrastructure branch for response. The branch has responded to all questions and asks that businesses fill out a form to help determine essential vs. non-essential businesses.

ESF 4 Firefighting

• Coordinate IMT and single resource requests with "fills" through the Washington Fire Service and the DNR.

• Coordinate with the IMT Branch to ensure unity of effort. • Monitor the various impacts to the Firefighter/EMS responders within the Washington Fire Service. • Monitor Washington Fire Service, service level impacts within the communities of Washington. • Monitor for wildfire activity throughout Washington.

ESF 6 Mass Care, Emergency Assistance, Temporary Housing and Human Services

• Coordinating Resource Requests to support isolation & quarantine facilities across the State Facilitating resource requests for equipment and staffing for isolation & quarantine facilities in King County. Assisting with research of potential sources for isolation & quarantine facility services.

• Coordinating with ESF 11 to address food bank issues, which involve both food supply and volunteer staffing. Priority task for Volunteer Management is food bank volunteers.

• Assisting tribal partners with resource requests and communications issues. • Continuing to coordinate requests and offers for volunteers and donations via the

covidhelp@mil.wa.gov inbox.

ESF 7 Logistics Management and Resource Support

Product Acquisitions:

• KN95 respirators, 20 million, weekly deliveries through 6/15 (BYD) • Surgical masks, 14.5 million, weekly deliveries through 6/15 (BYD) • Gowns, additional 3 million partial weekly deliveries between April 13th and May 7 (Jay Franco) • Disinfectant, 204 pack of 4/pk, Lysol cans, delivery Wednesday (Costco) • Hand Sanitizer, 50k of 16oz pump bottles, delivery before 4/15

Donations:

• Received confirmation that a shipment of 100,000 N95 masks should arrive on Wednesday morning.

Product Distributions out of DES Warehouse:

• 19 pallets to Bremerton • 1 Pallet to Moclips • Several FedEx size order were shipped • Several small local deliveries made by DES • Preparing for large distribution to LTC facilities

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 21 of 27 Date: April 6, 2020

Products Received into DES Warehouse: • 1 pallet hand wash • 6 large pallets of gloves • Amazon delivery containing hydrogen peroxide wipes, hand sanitizer, bio waste bags, N95 respirators • Miscellaneous UPS deliveries

ESF 8 Public Health, Medical and Mortuary Services

The below bullets are the operational plan for the ESF 8 desk: • Assist state and local partners with logistical support regarding federal requests. • Providing situational awareness for our military partners. • Continue to monitor medical staffing request and coordinate with the National Volunteer workgroup

to fill request. • Working on guidance and notifications for medication request and orders being filled by WSHA. • Provide situational information and ongoing support regarding drive-thru testing. • Pushing out public health information to local public health response. • Patient movement – monitor numbers, hospital capacity, contracts with EMS (only if patient

movement plan is activated and requested). • Mass care services (providing technical guidance and expertise, partnering with DSHS). • Patient Care • Fatality Management

Non-Pharmaceutical Intervention (NPI) Status • Support LHJs by providing NPI guidance for NPIs 12-13.

ESF 11 Agriculture and Natural Resources (Operating remotely)

• The Washington Department of Fish and Wildlife (WDFW), State Department of Natural Resources (DNR), and Washington State Parks and Recreation Commission (Parks) extended closure of state lands to the public through May 4. The closure coincides with the extension of Gov. Jay Inslee’s “Stay Home, Stay Healthy” order.

• ESF 11 continues to coordinate with: o ESF 6 on the newly formed Human Services Branch to identify ways to further support current

efforts under ESF 11. o Hunger Relief Network stakeholders, local jurisdictions, and ESF 6 to elevate the awareness

around pet food needs at human food banks and pantries. o Red Cross and other volunteer groups under ESF 6 including WA Conservation Corps and

Team Rubicon to support labor and staffing needs for hunger relief network resource request. • ESF 11 continues to monitor pet testing activities for COVID-19 in WA State and support the Isolation

Facility Task Force. Provide guidance and subject matter expertise related to Interim recommendations for intake of companion animals from households where humans with COVID-19 are present.

• WSU's Washington Animal Disease Diagnostic Lab (WADDL) developed and validated a PCR test for COVID-19 which can be used to test companion animals for the presence of the virus. NOTE: The presence of COVID-19 does not necessarily mean the animal is ill or that the animal can transmit the virus to other animals or humans.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 22 of 27 Date: April 6, 2020

• Animal Services Division continued to work with hunger relief network stakeholders, local jurisdictions, and ESF-6 (Mass Care) to elevate the awareness around pet food needs at human food banks and pantries.

• WSDA ESF 11 and Food Security Coordination Team Liaison continues to field questions between National Guard staff at the SEOC and the food banks regarding technical assistance needs, such as resource requests for additional cargo trucks, drivers, etc. to support food transport and distribution needs.

• Essential Business Inquiries: 15,169 (+495) total. 14,188 (+735) processed, 981 (-240) pending. • Suspected Business Violations: 11,810 (+983) received.

ESF 12 Energy

General: • Will be holding an electric coordination call every other week, next call is scheduled for 4/8/2020 &

10:30-11:30 • Document electric and natural gas utilities changes in procedures for late payments and shut-off

processes. o Second report has been provided to the Governor’s Office 4/3/2020 - 4-6-2020 Continuing to

will follow up with as needed. o First report has been provided to the Governor’s Office. o Coordinating with those utilities who have not updated procedures from proclamation 20-23

• Working to track the difference in the Business Re-entry program and private utilities and working to respond to questions.

o Tracking these based on the energy sector specific list and the registration site. o We are also supporting energy sector getting the correct number of cards for the BRE

program. o Connecting them with their local emergency management EOC/ECC.

Impacts to systems: • Track changes in operational changes and capabilities from the energy sector due to impacts from

COVID-19 • ESF 12 is coordinating with the energy sector for resource requests

o Starting to support resource requests and recommending they contact the local EOC first and then the state if unable to receive supplies requested.

o Tracking/ understand burn rate for PPE & sanitizing needs to support updating prioritization as the supply chain allows.

o Hand sanitizer - electric utilities to compile with WA DOH & CDC guidelines for essential workers who's normal supply chains are exhausted.

• Tracking if utilities looking to isolate control room or mission essential personnel. o Checking with IOUs & BPA priority - have started to receive information.

• ESF 12 has received the requests from energy sector partners for testing for control room and mission essential personnel prior to isolating them "shelter-at-site" notified them the state at this time cannot meet this request due to the priorities for healthcare workers and individuals with symptoms.

• Monitoring for potential interdependence impacts on the fuel supply chain/ electric/ natural gas (Alaska, BC, UT, MT, OR, ID)

Policy: • Coordinating with the Governor’s Office and the Advanced Planning Team to look at economic / long-

term recovery strategies for the energy sector.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 23 of 27 Date: April 6, 2020

• DOE is supporting getting the energy sector included in priority for PPE once the supply chain for medical needs is caught up. WA work group is also talking through this topic.

ESF 13 Public Safety, Law Enforcement and Security (Operating remotely)

• WSP continues to monitor event status and handle resource requests as they come in. Some requests are coming directly to WSP, so WSP is providing education on resource request process and engagement with local EOC and state EOC prior to reviewing resource request.

• WSP and Washington Association of Sheriffs and Police Chiefs (WASPC) are participating in the Advanced Planning Unit at State EOC.

ESF 14 Long-Term Community Recovery

• Coordinating recovery planning efforts among state agencies and counties. • Identifying recovery planning efforts taking place across the state and assisting with requests for

technical planning assistance from local jurisdictions. • Engaging partners in the Economic RSF to provide impact data and coordinate economic recovery

efforts. • Aligning economic retention, resilience, and recovery efforts (EcoRRReco) with the framework

provided by the Economic RSF. • Continuing to support the Health Care Authority application for the Crisis Counseling Program. • Continuing to work with ESF 6 and the Business and Infrastructure Branch to monitor for recovery

needs. • The second Economic RSF partners call is scheduled for Thursday, April 9 from 11:00-12:00.

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.

• Published video of Battelle PPE Decontamination System Demonstration. Provided b-roll package to media and posted link on the External Affairs Activity Log in WebEOC.

• Covered Governor Inslee’s announcement today regarding extended school closures. • The JIC is preparing for their bi-weekly telebrief – tomorrow’s topic is PPE. • We continue to respond to a wide variety of questions from the media who are asking about field

hospitals, essential v. nonessential business, PPE, and Washington National Guard movement.

ESF 20 Defense Support to Civil Authorities

• Assist tribes, state agencies and counties with requests for assistance. • Support the operation of drive thru testing sites. • Coordinate healthcare surge planning including personnel, equipment and supplies amongst all

partners. • Build a sustainable process for surge including personnel, equipment, and supplies. • Provide vision, mission, and set clear expectation and metrics for success. • Continuously identify foodbank needs and ensure we have enough resources to complete assigned

task. • Distribute guidance on essential personnel to agency partners. • Steady State Operations:

o Continue working long-term effort to identify, track, and up-channel misinformation trends warranting a response by the State.

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 24 of 27 Date: April 6, 2020

o Defining and refining multiple courses of action the Joint Forces of the Washington National Guard can execute given likely WebEOC request scenarios.

Logistics

• SEOC Logistics is continuing to: o Process non-bulk and bulk PPE shipments o Track the bulk PPE shipments that were dispatched today o Refine the distribution process based on internal and external feedback.

• Logistics has also begun the process of recalling all unused SNS ventilators from across the state. These ventilators pickups are being coordinated through ESF 7.

• Logistics has also begun the ordering process for COVID-19 test kits. This process has begun with the gathering of request data and submission of the request through the procurement process.

• COVIDHELP@mil.wa.gov continues to receive active vendor and procurement leads.

Intelligence Section

• The Intel Section continues to work towards becoming fully operational including: o Onboarding teams to complete the mission. o Developing streamlined processes for data collection and dissemination. o Working with Logistics to support the bulk PPE shipment process.

Advanced Planning Unit

• No updates today.

FEMA

• CBTS Sites in Yakima & Kitsap County were delayed in opening. Awaiting needed supplies. • Progress continues on CenturyLink Event Center & Yakima alternate care sites. • Assisting with data requests from FEMA HQ to allow national prioritization of resources. • Continued submission and tracking of state requests for federal resources.

Media Clips

DOH MENTIONS/QUOTES Eerily prescient pandemic exercise in 2018 is now informing Washington state’s coronavirus response (Dr. Kathy Lofy quoted; Seattle Times) As State Settles on Guidelines About Who Would Get Care in Worst-Case Scenario, Disability Advocates Raise Flags (Dr. Kathy Lofy quoted; Centralia Chronicle) Washington passes 7,900 COVID-19 cases, reaches 338 deaths (DOH Chief Information Officer Jennifer McNamara quoted from release; News Tribune) Coronavirus daily news update, April 6 (DOH mentioned; Seattle Times) WA nears 8,000 coronavirus cases; Boeing shuts down Puget Sound production indefinitely (Dr. Kathy Lofy mentioned; My Northwest) Real-time updates: Some Puget Sound transit agencies reducing service starting Monday (DOH mentioned; KING 5) 7,984 Coronavirus Cases Confirmed In Washington; 338 Dead (DOH mentioned; Seattle Patch) Myth Bust: Don’t be an April Fool with COVID-19 facts (DOH mentioned; San Juan Journal) The mental toll of the coronavirus crisis and what we can do to cope (DOH mentioned; KING 5) WA STATE RESPONSE Hospitals try to preserve protective gear as front-line workers brace for 'surge' (KNKX)

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 25 of 27 Date: April 6, 2020

WA rushes to provide emergency child care for essential workers (Crosscut) Pullman Regional Hospital faces financial hardships amid preparations to treat coronavirus patients (Spokesman) Monroe inmate first to be diagnosed with COVID-19 inside state prison (KOMO / Seattle PI, News Tribune, Olympian) Thurston inmates voice COVID-19 fears, efforts underway to thin crowded population (Olympian) ‘Flushable’ and disinfecting wipes are clogging Tri-Cities sewers and toilets (Tri-City Herald) Coronavirus Updates: Tacoma-area long-term care facilities report first deaths (News Tribune) Washington superintendent says schools may remain closed (Columbian) Lewis County Officials Say Too Few Tested for Coronavirus to Find Trends (Chronicle) Coronavirus: President thanks Inslee for work done in WA as nation warned of difficult week ahead (KIRO 7) Wash. state sending 400 ventilators to New York as virus deaths soar there (KEPR TV, KIMA TV) Public Health Confirms First COVID-19 Related Death in Thurston County (IfibrerOne) Health leaders announce 283 cases of coronavirus in Tri-Cities (KEPR TV) Yakima County COVID-19 death toll rises to 12 (KIMA TV) Coronavirus updates in Seattle and Washington (KUOW) Yakima Health District opens new drive-thru testing site (KIMA TV) During isolation, Seattle police sees increased domestic violence reports (KUOW) Wash. state's rising virus infection rate a 'cause for concern,' Inslee says (KOMO) Tieton church remains open despite stay-at-home order (KEPR TV) Grocery workers are key during the virus. And they're afraid (KIMA TV) Emergency fund now available for King County restaurant workers (KING 5) Inslee vetoes $235M in new spending as COVID-19 fiscal cliff looms (KNKX) NATIONAL RESPONSE Tiger at New York's Bronx Zoo tests positive for coronavirus (Reuters) Tiger at NYC’s Bronx Zoo test positive for coronavirus (Q13) AP-NORC poll: Americans increasing effort to avoid infection (AP) As cases surge, 3 in 4 US hospitals already facing COVID-19 (AP) Governors plead for food stamp flexibility amid pandemic (AP) Puerto Rico imposes stricter COVID-19 measures amid lawsuit (AP) Rural America watches pandemic erupt in cities as fear grows (Columbian) More shoppers, grocery store employees wearing face masks after CDC recommendations (KEPR TV) US ‘wasted’ months before preparing for virus pandemic (KOMO) Surgeon general warns US of 'saddest week' and '9/11 moment' (KEPR TV) D.C. passes 1,000 cases of coronavirus (KEPR TV) Coronavirus Live Updates: Hospitals Run Low on Supplies as the U.S. Death Toll Nears 10,000 (New York Times) In New York, Overflow Hospitals At Javits And On Navy Ship Have Been Largely Empty (NPR) Real time updates: 44 confirmed cases in North Idaho (KREM) Coronavirus live updates: 3 in 4 hospitals facing COVID-19 as peak approaches (KING 5) Hospitals Are Sourcing Masks from Auto Body Shops, HHS Inspector General Finds (KUOW) COVID-19 projection shows height of US need for ventilators, beds will be mid-April (KING 5) Coronavirus in the US: How all 50 states are responding – and why nine still refuse to issue stay-at-home orders (USA Today) 'Get us off this ship': Coral Princess passengers frustrated with disembarkation process (USA Today) 'The damage was done': 89 test positive for coronavirus at Texas facility (USA Today) Using Shelter-in-Place Time to Foster Better Family Food Habits (New York Times) Publisher’s Platform: Please protect our food supply, food workers and those food insecure during COVID-19 (Food Safety News) Even with a pandemic, many older Americans are carrying on as usual (CNN) Report: Pentagon Knew Of Possible Coronavirus Threat For Years (NPR) This tiny federal agency was built to respond to a crisis like coronavirus. Now that it’s here, is BARDA ready? (STAT) The ‘certified recovered’ from Covid-19 could lead the economic recovery (STAT)

UNIFIED COMMAND STATE EMERGENCY OPERATIONS CENTER

UAC SEOC Situation Report #17 Page 26 of 27 Date: April 6, 2020

GLOBAL RESPONSE US, UK brace for soaring death tolls as pandemic bears down (AP) South Africa’s TB, HIV history prepares it for virus testing (AP) From Iran’s hot zone, Afghans flee home, spreading virus (AP) Millions going to Holocaust survivors for coronavirus help (AP) Getinge to ramp up ventilator production capacity by 160% due to coronavirus (Reuters) Japan animal ventilator maker looks to boost output for human coronavirus patients (Reuters) Scramble for masks as Italian region orders coronavirus cover-up (Reuters) Odd number in India coronavirus testing data sparks questions (Reuters) Chinese masks, or 'blue gold', arrive for Swiss hospitals (Reuters) Japan to declare coronavirus emergency, launch stimulus of almost $1 trillion: PM (Reuters) South Korea reports fewer than 50 new infections, earning WHO praise (Reuters) Kenya bans travel in and out of Nairobi to fight coronavirus (KEPR TV) Global Lockdowns Resulting In 'Horrifying Surge' In Domestic Violence, U.N. Warns (KUOW) Chinese tourist sites packed as country comes out of lockdown, but experts say risk still high (CNN) Russia’s growing coronavirus outbreak and its challenge to Vladimir Putin, explained (VOX) ECONOMY & BUSINESS Boeing indefinitely extends factories’ coronavirus shutdown; here’s what that means for 30,000 workers (Seattle Times, Everett Herald) Virus humbles once-thriving restaurants in Snohomish County (Everett Herald) Coronavirus has ravaged the arts. Financial relief is available, but is it enough? (Crosscut) Opinion: Saving Washington: The case for investing in light rail now (Crosscut) 'Darknet' sellers tout face masks for bitcoin, researchers say (Reuters) Greece suggests EU buy patent rights for vaccines and coronavirus tests: FAZ (Reuters) With governor's exemption, construction continues on many public projects (Yakima Herald) Consumer Pessimism About the Job Market Is Testing New Limits: Live Updates (New York Times) The Dow soars as coronavirus slows: April 6, 2020 (CNN) Fed Goes All Out To Keep Economy Alive During Coronavirus Shutdown (NPR) Experts urge smokers and tobacco firms to quit for COVID-19 (Reuters) VIEWPOINTS / OPINIONS Opinion: With COVID-19 looming, King County jail inmates feel exposed and unsafe (Crosscut) Inslee: 'Ludicrous that we do not have a national effort' against coronavirus (KING 5) Ignoring Expert Opinion, Trump Again Promotes Use of Hydroxychloroquine (New York Times) Trump aide Peter Navarro says 'second opinion' needed on Fauci's view of anti-malaria drug (USA Today) Amid coronavirus pandemic, black mistrust of medicine looms (KING 5) I was food insecure for years. Affluent people finally understand a little of what it’s like. (VOX) COMMUNITY Amazon will donate 8,200 laptops to help Seattle Public Schools students learn online during coronavirus closures (Seattle Times, KIRO 7) Coronavirus adds to suffering of foster children in King County (Seattle Times) Mental health experts race to help children cope with stay-at-home life amid coronavirus closures (Seattle Times) What constitutes ‘safe sex’ amid the coronavirus pandemic? Some of your sex questions answered here (NY Times via Seattle Times) Yakima addicts maintain sobriety, connection through virtual meetings and consultations (Yakima Herald) Coronavirus has left Puyallup nonprofit undeterred in serving low-income moms (News Tribune) Now is not the time to go to the supermarket, experts say. How else can you get food? (Olympian) Tips to keep your dog mentally and physically healthy during quarantine (KREM)

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UAC SEOC Situation Report #17 Page 27 of 27 Date: April 6, 2020

RESEARCH & SCIENCE Coronavirus patients rush to join studies of Gilead drug (AP, KOMO) US company poised to start COVID-19 vaccine safety test (AP) GSK to partner with Vir for potential COVID-19 treatments, invest $250 million (Reuters) Debate heats up over using an anti-malaria drug for COVID-19 (KEPR TV, AP) With more people staying home, Washington skies are cleaner (Crosscut) Single-use plastic and COVID-19: How to stay eco-friendly in Seattle during the pandemic (Seattle PI)

Weather Alerts

National Weather Service Alerts for 4/6/20 as of 1440 PDT: No alerts at this time. NWS Alerts for State of Washington website: https://alerts.weather.gov/cap/wa.php?x=1

SitRep Writers:

Lisa Johnson/EMD

Alyssa Auvinen/DOH

Area Commanders

Neil Good/DOH

Chris Utzinger/EMD

Dana Phelps/DSHS