CRIHB COVID-19 RESPONSE
CRIHB activated a Coronavirus 2019 (COVID-19) Task Force on March 2, 2020, involving staff from the CRIHB California Tribal Epidemiology Center (CTEC), Research and Public Health Department, Health Systems Development Department, and Tribal and Child Development Department. CRIHB is closely monitoring the outbreak of the novel coronavirus or COVID-19 infection, which is caused by the SARS CoV-2 virus. COVID-19 symptoms include fever, cough, and shortness of breath and more rarely, a severe respiratory illness requiring hospitalization. Please seek medical attention if you develop these symptoms, especially if you have been in contact with someone who has been diagnosed with a COVID-19 infection. Please periodically check the CRIHB or the California Department of Public Health webpage to stay informed on the most current guidance. CRIHB is actively working with public health officials to keep our Tribal communities safe and informed.
CRIHB COVID-19 KEY HIGHLIGHTS
Over the last few weeks, CRIHB leadership has participated in a series of COVID-19 stakeholder meetings and planning sessions at the county, state, and national level. Below are some key highlights of information shared in these meetings:
- CRIHB Task Force representatives are participating on calls with the California Department of Public Health (CDPH), California Conference of Local Health Officers (CCLHO), California Office of Emergency Preparedness (Cal-OES), Indian Health Service, Tribal Epidemiology Centers, National Indian Health Board, Clinicians Outreach, and Communication Activity (CDC).
- A rapid assessment conducted by the CRIHB COVID-19 Task Force with Tribal Communities in California indicated:
- Tribal Health Programs have indicated that there are backlogs in supply chains, including hand sanitizers, disinfectant and cleaning supplies, masks, and gloves through McKesson and other established suppliers.
- Tribal Health Programs have requested guidance for managing patients that could be potentially house quarantined in rural and urban area, particularly coordination of meals, delivery of medications, and waste management.
- Tribal Health Programs are asking for guidance as to whether they should activate their Emergency Operation Procedures (EOPs).
- We are asking if Tribal Health Programs have an appointed Incident Commander.
- Child care needs could be a challenge for Tribal Health Program staff and there is a need to have a continuity of operations plan (COOP) on hand.
- There is potential for prolonged school closures, and this could have an impact on Tribal Health Program staff.
- Need to take into consideration places where Elders congregate and identify alternate options for services offered to Elders should the facility need to close for disinfection.
- Tribal Health Programs are working on their continuity of operations (COOP) plans.
- Tribal Health Programs are requesting assistance with COVID-19 educational materials and Facebook postings. Marketing materials are being developed by the CRIHB COVID-19 Task Force.
- Tribes are seeking guidance from IHS for casinos and other enterprises with potential for prolonged exposure to COVID-19.
California Public Health Updates
- California Public Health Experts: Mass Gatherings Should be Postponed or Canceled Statewide to Slow the Spread of COVID-19
California Tribal Epidemiology Center's (CTEC) Situational Reports
- CTEC’s COVID-19 Situational Report #12-March 27, 2020
- CTEC’s COVID-19 Situational Report #11-March 26, 2020
- CTEC’s COVID-19 Situational Report #10-March 25, 2020
- CTEC’s COVID-19 Situational Report #9-March 24, 2020
- CTEC’s COVID-19 Situational Report #8-March 23, 2020
- CTEC’s COVID-19 Situational Report #7-March 20, 2020
- CTEC’s COVID-19 Situational Report #6-March 19, 2020
- CTEC’s COVID-19 Situational Report #5-March 18, 2020
CRIHB Member Tribes and Tribal Health Programs Weekly Call Updates
CRIHB Tribal Health Programs Call
- CTEC Presentation: An Overview of COVID-19
- Guide to Initial Steps in Responding to a Newly Identified Case in a Tribal Community
- Emergency Declarations and Tribes: Mechanisms Under Tribal and Federal Law
- COVID-19 Guidance For Staff of Tribal Childcare Programs
- COVID-19 Guidance for Community Health Rep
- COVID-19 Guidance For Tribal Casinos and Hotels
- COVID-19 Guidance for Tribal Mass Gatherings
- COVID-19 Guidance for Sweats
- COVID-19 Resources for Victims of Abuse and Domestic Violence
- COVID-19 Managing Anxiety and Stress
- Do I Need to See a Doctor? Flyer
- COVID-19 Tribal Patient Information Brochure
- COVID-19 Tribal Outreach Poster
- Auntie Breaks Down the Coronavirus Video
Centers for Disease Control and Prevention (CDC) Resources
- CDC Medical Office Preparedness Planner
- CDC COVID-19 Daily Key Points (March 17, 2020)
- CDC COVID-19 Weekly Key Messages (March 17, 2020)
- Main CDC COVID-19 Web Page
- Updated Guidance on Evaluating and Testing Persons for Coronavirus Disease 2019 (COVID-19)
- Get Your Mass Gatherings or Large Community Events Ready for Coronavirus Disease
- Preventing COVID-19 Spread in Communities
- Interim Guidance for Preventing the Spread of Coronavirus Disease 2019 (COVID-19) in Homes and Residential Communities
- Coronavirus Disease 2019 (COVID-19) Frequently Asked Questions
- Video: COVID-19 Stop the Spread of Germs
- Stigma and Resilience
- Coping with Stress During the 2019-nCoV Outbreak Flyer
- Helping Children Cope with Stress During the https://www.cdc.gov/coronavirus/2019-nCoV/index.html019-nCoV Outbreak Flyer
- CDC: COVID-19: How to Protect Against Novel Coronavirus?
- CDC: COVID-19: Should I Wear a Facemask?
- CDC: What you Need to Know about Handwashing
- Know the Facts about Coronavirus Disease 2019 and Help Stop the Spread of Rumors
Healthcare Facility Resources
- Guidance for Home Community Health Care Workers during COVID-19 Pandemic
- NPTC Drug Safety Alert: Avoid Nebulizer Therapy to Reduce the Spread of COVID-19
- FAQs for OUD Prescribing and Dispensing
- FEMA Pandemic Influenza Continuity of Operations Annex Template
- THP Community Clinic and Health Center Pandemic Preparedness and Response Template
- COVID-19 Healthcare Planning Checklist
- Medical Surge and the Role of Health Clinics
- CMS Pandemic Influenza Operations and Response Plan
- OSHA Pandemic Influenza Preparedness and Response Guidance for Healthcare Workers and Healthcare Employers
- COVID-19 Non-Clinical Staff Screening Guidance
- OCR Announces Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency
- COVID-19 Triage Guidance
- COVID-19 Resources for Healthcare Facilities
- CDC: Healthcare Workers: Clean Hands Count
- Public Health Communicators Get Your Community Ready for Coronavirus Disease 2019
- COVID-19 & Healthcare Professionals: Frequently Asked Questions and Answers
- California Department of Public Health-Main COVID-19 page
- CDC Tests for COVID-19
- Steps Healthcare Facilities Can Take Now to Prepare for Coronavirus Disease 2019 (COVID-19)
- Resources for State, Local, Territorial and Tribal Health Departments
- List N: Disinfectants for Use Against SARS-CoV-2