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HomeMy WebLinkAboutBOH Agenda 062420 ORANGE COUNTY BOARD OF HEALTH MEETING AGENDA DATE: June 24, 2020 TIME: 7:00 P.M. PLACE: Go to Meeting Please join my meeting from your computer, tablet or smartphone. https://qlobal.gotomeeting.com/moin/778968797 You can also dial in using your phone. United States: +1 (571) 317-3112 Access Code: 778-968-797 New to GoToMeeting? Get the app now and be ready when your first meeting starts: https://qlobal.aotomeeting.com/install/778968797 TIME ITEM 7:00 p.m. I. Public Comment for Items NOT on Printed Agenda public Comment for Items ON Printed Agenda will be handled during that agenda item (Please sign up for both on the chat section of the screen.) Please limit your comments to 3 minutes. 7:00—7:05 II. Approval of June 24, 2020 Agenda 7:05—7:10 III. Action Items (Consent) A. Minutes of May 27, 2020 7:05—7:40 IV. Educational Sessions A. Annual Communicable Disease Report Michael DeFranco (20 minutes) B. BOH Strategic Plan Discussion Beverly Scurry (15 minutes)(relative to BOH Strategic Plan Priority:ALL) 7:40—7:50 V. Action Items (Non-Consent) A. BOH Subcommittees Beverly Scurry (10 minutes) 7:50—8:25 VI. Reports and Discussion with Possible Action A. BOH Open Seats Discussion (Pharmacist and Vice Chair) Jessica Frega B. Health Director Report Quintana Stewart C. COVID-19 Update Quintana Stewart D. Media Items Kristin Prelipp 8:25—8:30 VII. Board Comments 8:30 Vill. Adjournment BOARD MEMBERS: To ensure a quorum, SEND E-MAIL to Istran_ge(cb-oranpecountync.pov advising her of your attendance at this meeting OR CALL 919-245-2411. Compliance with the"Americans with Disabilities Act"and Title VI-Interpreter services and/or special sound equipment are available on request. Call the Immigrant and Refugee Health Program Manager at 919.245.2387 to request an interpreter or other accommodation. Conforme a la"Ley sobre Estadounidenses con Discapacidades"(ADA)y el Titulo VI—los servicios de interprete y/o equipo de sonido especial estan disponibles a solicitud. Llame a la Administradora del Programa de Salud para Inmigrantes y Refugiados al 919-245-2387 para solicitar un interprete u otros arreglos o adaptaciones. MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH May 27, 2020 ORANGE COUNTY HEALTH DEPARTMENT MISSION STATEMENT: To enhance the quality (of life, promote the health, and preserve the environment for all people in the Orange County community. THE ORANGE COUNTY BOARD OF HEALTH MET ON May 27, 2020 virtually via Go To Meeting. BOARD OF HEALTH MEMBERS PRESENT: Jessica Frega, Chair, Keith Bagby, Bruce Baldwin, Aparna Jonnal, Liska Lackey, Sam Lasris, Commissioner Earl McKee, Lee Pickett, Timothy Smith and Alison Stuebe. BOARD OF HEALTH MEMBERS ABSENT: None. STAFF PRESENT: Quintana Stewart, Health Director; Denise Blanco-Duran, Community Outreach Specialist; Susan Clifford, Immigrant and Refugee Health Program Manager; Rebecca Crawford, Financial and Administrative Services Director; Victoria Hudson, Environmental Health Director; Donna King, Health Promotion & Education Services Director; Pamela McCall, Public Health Nursing Director; Kristin Prelipp, Communications Manager; Ashley Rawlinson, Healthy Carolinians Coordinator; Beverly Scurry, BOH Strategic Plan Manager; and La Toya Strange, Administrative Support I. GUESTS PRESENT: Brian Crandell, Craig Lloyd, Jennifer Miller, and Diane Uzarski. Jessica Frega, Chair, called the meeting to order at 7:01 pm. Ms. Frega announced that she'll be conducting all voting via roll call by individually calling upon each member versus a show of hands. Quintana introduced the new employee in attendance: Denise Blanco-Duran. I. Public Comment for Items NOT on Printed Agenda: None. II. Approval of the May 27, 2020 Agenda Motion was made by Bruce Baldwin to approve the agenda, seconded by Alison Stuebe and carried without dissent. III. Action Items (Consent) A. Minutes of April 22, 2020 Meeting Motion was made by Liska Lackey to approve the minutes of April 2020, seconded by Lee Pickett and carried without dissent. IV. Educational Sessions A. 474 CLAS Standards Advancing Health Equity AA Beverly Scurry, BOH Strategic Manager, provided an update on the 474 CLAS AA. The goal of S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ May Page 1 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH May 27, 2020 the Agreement Addendum (AA) is to provide training for agencies and communities to increase cultural and linguistic competence through adoption of the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care. OCHD is now in the second and last year of this pilot project. While COVID-19 interrupted a lot of the plans for year two, there were many great outcomes for our staff and community partners. Below are highlights of the presentation. • The service period for the AA was from June 1, 2019 to May 31, 2020. There was an award of$28,000 received. • The Health Department (HD) staff leading the AA efforts are Beverly Scurry, Susan Clifford and Donna King. • There was an increase of 13 individuals and 9 organizations from year one for a total of 35 individuals representing 23 community organizations and county departments on the Health Equity Council (HEC). • Year one highlights include: 0 25 staff and partners attended the 40t" Annual Minority Health Conference. o Trainings provided by the Office of Minority Health and Health Disparities (OMHHD) were attended by 60 staff and community partners. o A community forum that featured a Gallery Walk was held. • Year two highlights include: o There were some deliverables that were interrupted by COVID-19 which caused plans to change and events cancelled. o In lieu of in-person trainings, OMHHD sent 10 webinars to assist with attendance in attaining the percentage (which was lowered from 20% to 10%) of OCHD staff participation. Webinar topics included Perinatal Health Equity, Health Equity and Food Security and Building Communities through Faith Partnerships. o Management Team, frontline staff, HEC members and BOH members attended Racial Equity Institute Phase I training. • Year three next steps include: o HEC will create an action plan to address the health equity top priority identified in the Community Health Assessment. o OCHD will have a fall UNC Capstone Team from the Health Behavior and Health Equity, Social Justice and Human Rights MPH concentrations at the UNC Gillings School of Public Health that will focus on the Equity Data Index as well as other items from the OCHD's Racial Equity Strategic Plan. The BOH members had questions that were addressed by Ms. Scurry. B. 2019 Community Health Assessment Presentation Ashley Rawlinson, Healthy Carolinians of Orange County (HCOC) Coordinator, gave an update on the 2019 Community Health Assessment (CHA) which enables public health officials to address health disparities and identify needs of populations who are most disadvantaged. Below are some highlights. • Community data was collected via community opinion surveys (in-person and online), focus groups and community input sessions. BOH members were present at each session to facilitate community discussions. • The top 10 issues that were presented at the community input sessions that residents voted on were Access to Care, Mental Health, Substance Abuse, Physical Activity and S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ May Page 2 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH May 27, 2020 Nutrition, County Government & Infrastructure, Income & Employment, Social Justice, Housing, Environmental Health and Health Promotion. • The original 3 chosen priorities were: Access to Care, Health Promotion and Social Justice. After speaking with Quintana Stewart and Donna King, Director of Health Promotion & Education Services, and referencing Healthy NC2030, the decision was made to replace Health Promotion with Health Behaviors and Social Justice with Health Equity. • The 2019 CHA is complete and as of now, is awaiting feedback from the state on whether or not it's approved or if any edits need to be made. • There are 8 phases to the CHA process—all of which occurs over a 12 month period. Phase 1 (establish CHA teams) started January of last year with phase 6, the creation of CHA document, starting this past January. • Next steps include community and partner involvement recruitment to assist in the development of Community Health Improvement Plans (CHIP) and the actual develop of those action plans based on Results Based Accountability (RBA). Phase 7, to disseminate the CHA document, will begin in early June. The document will be shared electronically, with the hope to share it wide throughout OC (website, listserv's, HCOC membership, OCHD staff, OC Government staff, BOCC). Physical copies will also be available. The last phase, to develop community action plans, will begin in June. The deadline to submit completed action plans is September, and the HCOC will work to write the plans based on RBA. The HCOC was instructed that if additional time is needed to develop them, due to the detailed and extensive nature of RBA, an extension can be granted. • The goal is not to create all new groups or initiatives, but to see who may be doing what, where the gaps are, and who needs to be involved to create the best results so that OC, as a whole, is better off. HCOC will address the 3 chosen priorities through committees and/or partnering with pre-existing committees. • To satisfy the Accreditation requirement, Ms. Rawlinson mentioned sharing the results of the CHA with the BOH as being an Accreditation requirement and that it should be reflected in the minutes that the Board was able to review the CHA document, were able to review the data and have any questions answered. Ms. Rawlinson also requested the Board's stamp of approval to move forward with the action steps. The BOH members had questions that were addressed by Ms. Rawlinson, Quintana Stewart and Susan Clifford. C. BOH Strategic Plan Discussion Beverly Scurry, BOH Strategic Plan Manager, displayed the "Top Ten Community Concerns and Related Data" document based on community feedback. Ms. Scurry led a discussion with the Board regarding the BOH's top three priorities. Quintana Stewart made a request to the Board. In thinking about the priority areas and tasks we want to work on, it was requested of the Board to assist with some of the macro level types of interventions and strategies as the Board has more leeway to do a little more with the advocacy piece than the OCHD as local government employees at times. Ms. Stewart also mentioned that all ideas, input and programmatic support from the Board are appreciated; however, she wanted to use and capitalize on their positions as board members to help with the bigger policy and advocacy tasks. S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ May Page 3 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH May 27, 2020 After discussion was held, the Board voted via Menti.com on the three priorities from the ten community concerns. The chosen three priorities were Access to Healthcare, Social Justice and Substance Abuse. BOH member, Bruce Baldwin, had abstained from voting. The BOH members had questions that were addressed by Ms. Scurry and Ms. Stewart. V. Reports and Discussion with Possible Action Action Items (Non Consent) A. BOH Vice-Chair Discussion Jessica Frega, Chair, informed the Board that Jennifer Deyo, Vice-Chair and Pharmacy representative, moved to Alamance County; thus, she's no longer a member of the Board. There was a request for volunteers to serve on a small committee to interview candidates to fill the Pharmacy representative seat. Timothy Smith and Lee Pickett will serve on that committee alongside Ms. Frega. Ms. Frega also asked the Board to send her nominations, in the next couple of weeks, for the Vice-chair position which will be voted on at the June Board meeting. Nominees should be aware that they are expected to serve the remainder of this year, next year and the year after. Ms. Frega also announced that the BOCC reappointed Lee Pickett as the Veterinarian representative and approved the recommendation to appoint Shielda Rogers to fulfill the Nursing representative seat. She will be participating in the August Board meeting. B. Health Director Report In addition to mentioning upcoming events, Ms. Stewart also reiterated the items below from her report. • Dr. Michael Day, Dental Clinic Director, is retiring this Friday. He has worked for many years as a dentist in many counties in North Carolina and out of state as well. He will be relocating to Florida to join his family that travelled ahead of him. Ms. Stewart encouraged the Board to send him well wishes and will provide Dr. Day's email address to the Board. • Ms. Stewart along with the Deputy County Manager and AMS Director, Travis Myren and Steve Arndt, respectively, had two meetings at the courthouse in Hillsborough to discuss the safe re-opening of courts on June 1st during the COVID-19 pandemic. • Ms. Stewart and Environmental Health Director, Victoria Hudson, spoke to the Chapel Hill Chamber on "Safe Operation, Regulation and Health Inspections" during COVID-19. • Ms. Stewart continues to participate in weekly Multi-Agency Coordinating Policy Group (MAC/Policy Group) calls to give updates on COVID-19 and discuss potential policy needs. • OCHD will partner with OWASA and NC State to participate in a study to test wastewater samples for COVID-19. C. Mask/Cloth Facial Covering Chair, Jessica Frega, led the discussion on mask/cloth facial coverings. Aparna Jonnal, Liska Lackey and Ms. Frega received an email from a member of the public concerned that masks/face coverings are not mandated in Orange County as they are in Durham County. At which time, Ms. Frega reached out to Quintana Stewart to find out how that decision was made. S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ May Page 4 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH May 27, 2020 Since receiving that email, it has now become a requirement for certain workers. Kristin Prelipp, Communications Manager, recited part of the Executive Order which includes "All restaurant, personal care, grooming, tattoo, and retail employees and staff shall wear a face covering while on duty, however notwithstanding this general requirement, people whose religious beliefs prevent them from wearing a Face Covering, people who cannot wear a Face Covering due to a medical or behavioral condition, and people who are under twelve (12) years of age are excepted from the requirement to wear a Face Covering. Children under two (2) years of age shall not wear a Face Covering so that their breathing may not be inhibited...". Ms. Prelipp also helped define what constituted as being a restaurant, still citing the Executive Order Number 141. Ms. Frega wanted to inform the Board that the decision was made by the MAC/Policy Group which includes the mayors of Hillsborough, Carrboro & Chapel Hill, Town Managers, the County Manager, Sheriffs, Police Chiefs, Public Information Officers, EMS Director, UNC Hospitals, BOCC Chair and our OCHD Health Director, Ms. Stewart. It was stated that there was discussion on having a mandated policy similar to Durham County; however, access to masks and enforcement were issues that influenced the decision not to do so. Ms. Frega relayed the information to the community member at that time. Ms. Frega noted that this discussion was just for informational purposes and for future reference, in case the Board wants to make a public stance on this topic. Discussion was also had on the specificity of religious exemptions. Ms. Stewart stated that the exemptions listed in the revised Orange County declaration did not include religious exemptions. If the public wants to report someone not in compliance with the face covering order, they have been instructed to call the COVID information line (919-245-6111) or 911 as law enforcement are technically legally to assist in enforcing these orders. As a result of recent guidance from DHHS regarding restaurants specifically regarding non-compliance, we may take other avenues to hold the restaurant owners accountable. Ms. Frega stated that further discussion can take place at next month's meeting if there are any additional developments between now and June. D. COVID-19 Update Quintana Stewart, Health Director, gave an update on the COVID-19 status in Orange County as well as took questions from the Board. Some highlights are below. • As of today at 11 am, ➢ in NC, there are: 0 24,628 confirmed lab cases 0 794 deaths with 63% occurring in the 75+ age group and 21% in the 65-74 age group 0 434 hospitalizations ➢ in OC, there are: 0 314 confirmed lab cases 0 40 deaths 0 27 hospitalizations 0 28 patients are being monitored o The bulk of the cases are from the 65+ age group; while 30% of cases fall into the 25-49 year old age group • There has been an increase in cases in the Latinx community. Staff is trying to find out what's going on and whether there's a cluster or something similar occurring? • There is an UNC mobile testing event occurring on June 51h in the northern part of the county in the parking lot of the Mt. Zion AME Church. The numbers are low there in the S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ May Page 5 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH May 27, 2020 rural part of the county. That may be due to lack of testing. The African-American and Latinx communities there may not have transportation to get tested. We're focusing on targeting the underserved populations. There's a meeting on tomorrow to iron out the testing event details including testing criteria. • We're still doing contact tracing. The contact tracers consist of county staff and school nurses. We continue to build and train more in case of a spike in cases and are still looking to add more bilingual staff to assist with contact tracing. • The Medical Director, Erica Pettigrew, continues to have weekly calls with congregate facilities. • The Strike Team has begun to focus on educating farmers and the migrant workers. There was a dashboard titled "Board of Health Dashboard — OCHD COVID-19 Response" displayed. Ms. Stewart will email it to the Board members. It will also be posted on the OCHD website. This dashboard was created by Rebecca Crawford to show how the OCHD clinics responses have been affected by COVID-19. Below are some highlights. • Patients are still being seen at both clinics. The SHSC Clinic has been deemed the "well clinic" where visits such as primary care and family planning occur. The Whitted Clinic has been deemed the "sick clinic" for those symptomatic patients and those unable to do telehealth appointments. • The Dental Clinic is missing from the dashboard as we were unable to pull data from EagleSoft. They continue to only see emergency visits at this time. • In regards to data on communications, o The Nurseline is still receiving calls about coronavirus. o The COVID-19 information line has seen a drastic decrease in call volume; however, emails are still being received by the COVID-19 email link. o We have a strong social media presence thanks to Kristin Prelipp and the Joint Information Center (JIC). They are doing a great job. o Our Immigration and Refugee Health program has been extremely beneficial in assisting DSS and other Human Service agencies in serving our immigrant and refugee populations. E. Media Items Kristin Prelipp, Communications Manager, mentioned that all of the articles were COVID-19 related. Ms. Prelipp also briefly spoke about the social media campaign that consists of taking a selfie wearing a face covering along with a quote of why you do or why you don't or are unable to wear a face covering. It's aimed at trying to normalize face coverings so that people can wear them in public and feel confident. She invited anyone that wants to participate to email her a selfie wearing a face covering including a quote of why you wear one or if you're unable to, a quote stating why not. Media items were in the packet which focused on Orange County's events and our involvement in various efforts. Public Comment There was a public comment in the chat box left by public attendee, Jennifer Miller. It asked "Do you have a formal stance on considering graduation to be limited to 25 people outside at once on the entire campus of OHS?". S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ May Page 6 MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH May 27, 2020 In the chat box, Kristin Prelipp quoted Ms. Stewart's official response to the school district which was "Pursuant to Section 4(E)(3) of Executive Order 138 the Governor has left decisions about whether to hold graduation ceremonies up to local school boards and superintendents and has directed those officials to consult with local health departments and law enforcement officials about how to safely hold such graduation ceremonies. If local school leaders elect to hold graduation ceremonies, then those ceremonies must comply with requirements of applicable Executive Orders in effect at the time of the event. It's outside of the Health Director's jurisdiction; it's left to the discretion of the school boards and superintendents. As the local health official, I strongly recommend that the outdoor graduation ceremonies limit groups to 25 max including support staff. I also recommend the use of face coverings for those that are able to wear them, physical distance of at least 6ft between individuals, and clear communication advising that COVID positive individuals and those with symptoms should not attend as graduates, family, or support staff. Again the final decision about graduation ceremonies remains at the discretion of local school board and superintendents". Ms. Stewart added the school boards and superintendents were given guidance to consult with local health officials which they have done. She continued by stating that it is a milestone in the life of a high school graduate, she's not immune or insensitive to that. She does want everyone to have the experience of celebrating that milestone, understands that everyone has worked hard but just wants everyone to be safe doing so. Ms. Miller thanked Ms. Stewart for the clarification as she stated that the school board had pushed the idea that the Health Director had the final say on high school graduations. VI. Board Comments. None. VII. Adjournment Alison Stuebe moved to adjourn the meeting at 9:19pm and Aparna Jonnal seconded. The next Board of Health Meeting will be held June 24, 2020 at 7:00pm via Go To Meeting. Respectfully submitted, Quintana Stewart, MPA Orange County Health Director Secretary to the Board S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ May Page 7 Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: June 24, 2020 Agenda Item Subject: Annual Communicable Disease Report Attachment(s): PowerPoint Presentation Staff or Board Member Reporting: Purpose: Action X Information only Information with possible action Summary Information: Michael DeFranco, Public Health Services Manager, will present the Annual Communicable Disease report to the Orange County Board of Health for the 2019 calendar year. Includes updates for VPD, Vector Borne, Enteric, STI, TB, and the COVID-19 Pandemic that began in December 2019. Recommended Action: Approve Approve & forward to Board of Commissioners for action Approve & forward to _X_Accept as information Revise & schedule for future action Other (detail): Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: June 24, 2020 Agenda Item Subject: BOH Strategic Plan Discussion Attachment(s): N/A Staff or Board Member Reporting: Beverly Scurry Purpose: Action X Information only Information with possible action Summary Information: The Board of Health's final top three priorities over the next four years will be ➢ Access to Care ➢ Substance Abuse ➢ Social Justice/Health Equity The Board of Health will be off for July and will return in August. During this time Beverly will research potential action plan items to include in the BOH Strategic Plan. Board members are encouraged to be a part of the strategic planning process by offering ideas, suggestions, or people connected to the top priorities. BOH members are encouraged to think on a macro level of community and institutional change — public health policy, population health, advocacy, marketing and media, cultural and societal norms, and other systemic level change. Subcommittees will meet in August to discuss the draft strategic plan. Potential Discussion Items: • Board input on focus areas for priorities • How and when board members would like to provide input on strategic plan • Strategic Plan Timeline • Other? Recommended Action: Approve Approve & forward to Board of Commissioners for action Approve & forward to _X_Accept as information Revise & schedule for future action Other (detail): Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: June 24, 2020 Agenda Item Subject: BOH Subcommittees Attachment(s): N/A Staff or Board Member Reporting: Beverly Scurry Purpose: Action Information only _X_ Information with possible action Summary Information: The Board of Health's final top three priorities over the next four years will be: ➢ Access to Care ➢ Substance Abuse ➢ Social Justice/Health Equity Current subcommittees include: ➢ Substance Abuse and Mental Health Subcommittee o Alison Stube o Sam Lasris o Tim Smith ➢ Social Determinants of Health Subcommittee o Keith Bagby o Jennifer Deyo - leaving o Lee Pickett o Liska Lackey - leaving ➢ Physical Activity and Nutrition o Jessica o Bruce o Aparna o Earl Board Members will need to: ➢ Name the new subcommittees ➢ Volunteer for a subcommittee There should be no more than 5 members to a subcommittee Recommended Action: Approve Approve & forward to Board of Commissioners for action Approve & forward to _X_Accept as information Revise & schedule for future action Other (detail): Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: June 24, 2020 Agenda Item Subject: BOH Open Seats Discussion (Pharmacist and Vice-Chair) Attachment(s): None Staff or Board Member Reporting: Jessica Frega Purpose: X Action Information only Information with possible action Summary Information: The Board will vote on a Vice-Chair and discuss the fulfillment of the Pharmacist representative. Recommended Action: X Approve Approve & forward to Board of Commissioners for action Approve & forward to Accept as information Revise & schedule for future action Other (detail): Health Director's Report June 2020 • June 5,2020—Northern Orange Testing Event at Mt.Zion A.M.E. Church in Hillsborough. We tested 147 individuals;provided mask and community health information/resources. This was collaboration between Orange County Health Department,UNC PNC and UNC Health RDC. • June 10,2020- State Health Coordinating Council; review and approval of NC Proposed 2021 State Medical Facilities Plan; Public Hearings for comments on the proposed plan will occur via WebEx during the month of July(Virtual Meeting) • June 10,2020—Long Term Recovery Group (LTRG) -local leadership has directed the establishment of a LTRG to ensure a coordinated recovery process for COVID-19 aimed at a whole-community approach. The LTRG is divided into 7 Recovery Support Functions: ■ RSF 1 —Economic ■ RSF 2—Health (OC Health Director to serve as primary coordinator) ■ RSF 3—Human Services ■ RSF 4—Housing ■ RSF 5—Natural/Cultural Resources ■ RSF 6—Community Planning and Capacity Building ■ RSF 7—Public Information and Inter-governmental Affairs • June 12,2020-All Staff meeting; this meeting included a presentation of Employee of the Quarter(Ms.Angela Sowers,EH Specialist),announcement about employee transition to Human Rights &Relations(Susan Clifford),and updates on FY 20-21 Budget and COVID-19. The Racial Equity Commission(REC) also facilitated breakout groups to discuss recent webinars, social media posts and other items related to equity in the COVID-19 era. • June 15,2020—Family Success Alliance Coordinating Council meeting(Virtual); informative presentation from Dr. Mike Steiner on the Integrated Care for Kids Program • June 16,2020-The Orange County Board of County Commissioners(BOCC)voted to approve the Fiscal Year 2020-21 Budget Ordinance, County Grant Projects, and County Fee Schedule. (Approved unanimously) • June 17,2020—Meeting with Ed Kerwin,Executive Director of OWASA,to discuss transition after his retirement, effective July 6,2020. • June 18,2020—NC Association of Local Health Directors Meeting(Virtual) Upcoming Events • Pam McCall is retiring as the OCHD Personal Health Services Director(Nursing Director), effective August 12,2020.Pam has served the Orange County community for more than 20 years. Her dedication and passion to public health in North Carolina will missed greatly. Please join me in wishing Pam well in her Retirement! Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: June 24, 2020 Agenda Item Subject: COVID-19 Update Attachment(s): Staff or Board Member Reporting: Quintana Stewart Purpose: Action X Information only Information with possible action Summary Information: Quintana Stewart will give an update on COVID-19 status in Orange County. Recommended Action: Approve Approve & forward to Board of Commissioners for action Approve & forward to _X_Accept as information Revise & schedule for future action Other (detail): Orange County high school seniors petition against drive-thru graduation-The Daily Tar Heel 5�26[2020, 10:19PM a a Orange County high school seniors petition ai drive-thru graduation Cedar Ridge HighIM No, thank you Close � Cedar Ridge Class of 2020 graduates stand -in front of Cedar Ridge High School on Friday, May 15, 2020. Rn l ieu of an in-person-graduation: t he school has proposed-a*drive`thru'g raduation ceremony,a solution that mangy+students a re opposed to. Photo courtesy of Ca itlyn Loyd and ph otograg her Shili Quade SHAREVaeda Samey used the money she camed working at her local grocery stare 0 SHARE during the school year to burr ltcr cap and gown. She kcc-ps it hung in her raarr4 unsure when, if ever, she will wear it to walk across the stage to = graduate in front of family and friends_ https://www.dailytarheel.com/article/2020/05/orange-county-seniors-0527[6/16/2020 9:02:47 PM] Orange County high school seniors petition against drive-thru graduation-The Daily Tar Heel Carolina, a May 20 executive order by Gov. Roy Cooper limited all outside gatherings to just 25 people much less than the number of guests at a typical graduation ceremony. A senior at Cedar Ridge High School, Sumey is the first in her immediate family to graduate from high school. Her cousin, Chelsey Fairbrother, planned to travel from her home in New York to watch Sumey walk across the stage. Instead, last week Sumey signed a petition protesting modified "drive-thru" graduation ceremonies at two Orange County high schools: Cedar Ridge and Orange. "They're seniors—they work really, really hard," Fairbrother said. "It's really hard for them—they didn't get prom, they didn't get their last year in senior sports, they had a lot of things kind of stripped away from them because of everything that's going on. She's more so come to terms with it, that if that's how it has to go, then it's just how it is. But it's still heartbreaking." The petition, titled "Drive-Throughs are for BigMacs, not diplomas"was created by Cedar Ridge students two weeks ago, following the announcement that graduations at Cedar Ridge and Orange High School would have drive-in ceremonies for students. EDITORS PICKS 6M Column: Black America is Q&A: UNC grad and Heel Talk episode 10: UNC tired of fighting for USADA head Travis Tygart leaders discuss racial equity something we shouldn't talks Lance Armstrong case plans for the 2020-21 school have to fight for and more year "The pandemic has taken away things like prom, senior days, last days of school, signing yearbooks, spring sports, senior nights and other countless activities celebrating our accomplishments (we took it like champs and knew it was necessary)," the petition states. The petition proposes graduation be postponed until a traditional ceremony can be held outdoors with necessary safety precautions. "We have watched each other grow up and become young adults, and it would be a shame to move on from our childhood without proper closure. We want to celebrate, and say goodbye safely together. We wish you all well, and stay safe during this historical time," the petition states. "Drive-thrus are for getting BigMacs, not diplomas." https://www.dailytarheel.com/article/2020/05/orange-county-seniors-0527[6/16/2020 9:02:47 PM] Orange County high school seniors petition against drive-thru graduation-The Daily Tar Heel At the time of publication, the petition had almost 900 signatures. Cedar Ridge Principal Carlos Ramirez said he was proud of the students who created the petition. He said they articulated their argument well, and they're right to feel disappointed. "I can't blame them for feeling the way they do," he said. "Their senior year has been stolen from them everything, within 24 hours it was all gone." Still, Ramirez said plans to hold a drive-in graduation still stand. He said the decision was reached following deliberation by the school's graduation committee, which consists of teachers, parents and students. Originally, Ramirez said the committee opted for a socially distanced traditional ceremony. That plan was rejected by county officials for not passing safety tests. The details of the drive-in ceremony will be released once the plan is approved by county officials, he said. "I'm happy that we're able to plan something for our students, something that will be memorable and hopefully exciting," Ramirez said. "The reality is we have to work within the limits of the executive orders." Other Orange County high schools are also planning drive-in graduations, according to a document shared by Jeff Nash, executive director of community relations for Chapel Hill-Carrboro City Schools. Phoenix Academy High and East Chapel Hill High both plan to have variations of drive-in ceremonies, according to the document, although East Chapel Hill High plans to allow students to walk across a stage to receive their diplomas. At Carrboro High, students will walk across the stage with their guests and staff will cheer them on in a "wide gauntlet" as they exit the gymnasium. Students at Chapel Hill High will walk through the A- building of the school, to be demolished this summer. Once they reach the lobby of that building, their names will be called, and they will grab their diplomas from off of a table, the document states. Phoenix Academy High's commencement is to take place June 6. The other three ceremonies are scheduled for June 13. Melany Stowe, public information and community engagement officer for Orange County Schools, said in an email that all Orange County schools, including Orange High and Cedar Ridge High, have plans for graduation that they've shared with representatives from the health department and emergency services for guidance and approval. "It is really important for us to provide graduation details once our partners (health department, emergency services and law enforcement) have informed us that they do meet the state and local guidelines," she said in the email. "We are grateful to have partners assist us with the best means of staying safe and honoring our graduates." https://www.dailytarheel.com/article/2020/05/orange-county-seniors-0527[6/16/2020 9:02:47 PM] Orange County high school seniors petition against drive-thru graduation-The Daily Tar Heel Some community members think school administrators should postpone ceremonies so that a more traditional graduation could be held later in the summer. Jon Franklin, who works as a public announcer at Cedar Ridge sporting events, said he signed the petition after seeing it on Facebook. "I think a lot of school systems are kind of rushing or feeding in to the hysteria by just having these drive- in, drive-by commencement ceremonies when this is something that's never happened before," Franklin said. "It's a cheap way out and these kids are so much better than that." Fairbrother said she agrees the ceremony should be postponed, but she said she knows the process to make a decision right now must be difficult. "Everything is so unknown at the moment, and it's nobody's fault, obviously," she said. Ramirez said he is working with the graduation committee to find additional ways to celebrate seniors, such as a parade through downtown Hillsborough. He said working to follow guidelines while pleasing people on all sides of the discussion regarding COVID-19 is a challenge. "We feel terrible that we're not able to do what the students would like whatever the original stadium plans were," Ramirez said. "All of this has been challenging for every administrator, because the reality is, we can't go back to normal. We still feel bad about it, but what can we do?" @HannerMcClellan n,DTHCityState I city@dailytarheel.com ■ Next up in • • Immigrant protesters grapple with fear of losing status, risking deportation • Protesters talk education, systemic racism at Black Lives Matter March & Rally • Food for Students to provide meals to Chapel Hill-Carrboro students through summer months Next up in • Immigrant protesters grapple with fear of losing status, risking deportation • Protesters talk education, systemic racism at Black Lives Matter March & Rally • Food for Students to provide meals to Chapel Hill-Carrboro students through summer months https://www.dailytarheel.com/article/2020/05/orange-county-seniors-0527[6/16/2020 9:02:47 PM] Families of COVID-19 victims speak out as nursing home death toll rises in Orange County 0©0000 Y' NWS CONFIRMS EF EF-O TORNADO O WITH THE CBS IJ WEATHER APP.SEARCH'CBS 17-AT at PoYM Mry ID,3YN1r6ll PM EYT I Yp3rM Nry H,N'NI WAIPN EYI DORIIAM,N.C.)WNCN)—The Cumber of COVID-19 deaths at nursing homes continues to rise he Oamm County where 40 residents have died due to complications from the virus. According to da a from the North Cardin Department of HWN and Human Services,20 residents base died at Pruitt Health-Carotin Pnmt m Hudson,and another 20 residents have dim at Signture Heaitmare in Chapd THE. DaG from NCDHHS alam said that there are 188 confirmed cases of MVIo-19 at three different nursing homes m Omnge County.These include Pruitt Health-Carolina Point where there are 112 cases, Signature Healthcare in Chapel HUI where there areR cases,and Parkas w HWN and Rehabilitation Center in Chapel Hill where there are 4 cases. Same families who have had loved ones the at these faiffi es are concerned about the rising number of deaths awt Corkmns brother,Clyde vowclt died from complications of coven-19 in Apid zozo after be contracted the virus at Pruitt Health-Carom car Point. She sued her broadly is still Baiting to have a proper forms. 'At least you ran take an hour to honor the memory of a brother first you have had for 74 years,l cou dn4 do Nat."Corkum saut Corhum said her brother was rushed to the hospital on Apid 3rd where he tested i sitive for COVDP19. Vowel dim the new day. Contains is questioning why her brother was not eshtl sooner at the facility 'If you4erow going to bother to test them,what are you doing!Waiting for them to diet Corkum said- Orange County spokesperson Muhl MCGa said it was difficult for county health officials to get in font of the outbreak when it started. 'It was curulatlrg before we Mew about it,'McGee said. He said now the county has orgammad a suffice team nude up of Orange County H®Ith officials and hospital personnel from GNC and Duke Hospitals who visit nursing homes when an oubreak is reported. The team will test afi of the residents and staff at the nursing Mma Cis t]reached out to fruit:Health-Caro4na Point for a comment,but they was rot readable m speak on camera an Thursday However,in an enuil officials with the facility mid they began testing as aggressively as the Leading supply allowed them to do w. Pruitt Health officials also said dory are actively monitoring patients,screening staff,and they have recentybought Notation units to work to contain the vuus. Cod u r n said she just doesn't want another family to go through what she went through last month. '1 cant hold anyone accountable,but I can he very upset at the nursing home for not doing wbat they should w been doing,'Contemn said According to NCDHHS,there are US cases at nursing homes in Orange County.Mrordi ag to their&is hnz residents ma 36 staff members at twee different ramifies have the vwra Beijing closes all schools agar'n over new co armvirus outbreak Reopen NC co-founder burns masks in protest al potential lace-covering command 10 pmjects worm$123M underway in NC aimed at preventing I-95 pending Board votes unmrimously to rename Raleigh middle school named after white supremacist Man wrecks car after he's seriously wounded in Durham shooting For more sfmies His this that matter to you,rink here w dowNaod as CBS 17 New app forJree. Watch lice nAouast s,get breaking area aM sign up for push aUuU-dawntrad wm uar9n tam rewwa ug.i2.u who .m ow nsuam ndic n . 3H MI95TWIY . 000000 AROUND THE WEB 9 revca'rtertI & Revolulionary$890eaice Caols My HOW tags Cry for Help:3 Warning 3 Ways Your Cal Ash for Help Room in 2 Minutes Bqq Your Bog is Crying for Help In times of knead:Radius Pizza owners balance business with compassion Arts&Entertainment I newsoforange.com a In times of knead: Radius Pizza owners balance business with compassion Dale Edwards/News of Orange Jun 3, 2020 ARE Kate and Mick Carroll, owners of Radius Pizza in downtown Hillsborough, stand outside of their restaurant. Dale Edwards/News of Orange http://www.newsoforange.com/arts_and_entertainment/article_6259ldb2-a59c-Ilea-94ec-933560024926.html[6/16/2020 8:49:03 PM] In times of knead:Radius Pizza owners balance business with compassion I Arts&Entertainment I newsoforange.com The radius is the line that runs from the center to the perimeter of a circle. When you have more than one radius, or radii, you begin to create wedges. When you put enough of those wedges together you get something that resembles a pizza. Kate Carroll, who opened a • pizzeria in 2013 with her husband, Mick, describes the varied Scenes from Radius Pizza customer base of the Hillsborough restaurant as "wedges of life." And Courtesy photos Jun 3, 2020 when you put enough of those wedges together you get something that resembles Radius Pizza. Over the past few months, though, those wedges have been unable to get together. COVID-19 and the efforts to slow its spread have taken a mammoth bite from Radius' business, despite its efforts to stay afloat through curbside and take-out offerings. "We're basically trying to keep things moving," Carroll said. "We're trying to keep the muscles slightly toned. Business is down by about 84 percent. I'm grateful for the opportunity, and so is Mick. For us to have something to do that feels valuable and productive helps us feel like we're making a contribution. We're so grateful that the customers that are coming are supportive and appreciative. But it's kind of a battle of wits. It's like, if you're scaling a tall mountain and you've just got to keep telling yourself `don't look down,' but `don't look up too much.' You have to keep your eyes on where you are and look about 15 feet ahead. Even with the onset of Phase 2 toward reopening North Carolina, Radius isn't prepared to welcome guests into the restaurant. "We're hoping, if we can get Mother Nature to cooperate with us, to be able to open the patio," Kate said. "But we're still also formulating how that will work, both for our staff in keeping them safe; and keeping their morale up and helping them feel confident that they're safe. There's so much information out there that it's really hard for folks to parse out the information to allow themselves to absorb http://www.newsoforange.com/arts_and_entertainment/article_6259ldb2-a59c-1 lea-94ec-933560024926.html[6/16/2020 8:49:03 PM] In times of knead:Radius Pizza owners balance business with compassion I Arts&Entertainment I newsoforange.com what's safe, what's not safe when it's easier for everybody to just say, `I'm not going to come into contact with anybody.' I completely understand and respect that perspective. We're going with the science, and we're going with the recommendations from the Orange County Health Department, from the CDC and also from alternative resources for information, like the New York Times and the Washington Post. There are ways we can engage with our communities in person that will still keep people safe. That's part of my job in our business. Taking all that information in, sifting through it and filtering it out. Reinterpreting it and then communicating that to our team so my employees can feel confident." Carroll and her husband place a high priority on their staff because they care deeply about them and consider them family. They also recognize the importance of customer interaction with the staff. This has been one of the challenges of working through the coronavirus crisis. "We're trying to figure out a way to convey that personal exchange as much as possible so it's not just like basically being a drive-thru. I hope it's better food! (Laughs). At the end of the day, you've got to bring more to the customers' experience than just the food. Beyond the human aspect, the Radius owners needed to tackle and figure out the best technology to bring the ordering experience to the customer in a way that made sense, and would be easy for them to navigate and communicates what it needs to communicate. "We closed on the 20th of March and we reopend on the 8th of April because we wanted to develop and online ordering system," Kate said. "The call-in ordering was not allowing our staff and the public to social distance in a way that we felt safe for either our staff or customers. It was still the early days of the virus. I think a lot of folks in the community had to adjust what they were used to. It's a beautiful thing that folks still want that level of interaction with our team, but our team wasn't able to meet that expectation. So, we closed so that we http://www.newsoforange.com/arts_and_entertainment/article_6259ldb2-a59c-1 lea-94ec-933560024926.html[6/16/2020 8:49:03 PM] In times of knead:Radius Pizza owners balance business with compassion I Arts&Entertainment I newsoforange.com could set up an online ordering portal." Reopening for curbside and take-out became a family effort with the Carrolls' twin sons pitching in to help the business. The two had in the past helped out at Radius, but with most of the staff staying offsite, Wyatt and Ronan helped roll dough and fold pizza boxes while their dad prepped food and did dishes. "We were burning the candle at both ends. We slowly added people to come in to work, but only those who were comfortable doing so," Kate said. "I think also that with the time that elapsed between when we started taking call-in orders and when we closed had given folks in the community a chance to get used to the new way of doing business. Like giving credit card info over the phone and having people walk food out to your car. It's like we've created a whole new business. We have a known product. We have a customer base. But almost everything else is different." Kate Carroll was raised in Durham. After graduating from East Carolina University, she moved to San Franscisco. There she met and married Mick. Months after the births of their twin boys, the Carrolls moved back to North Carolina. "We needed grandparents. Badly," she said. "We just realized that life would be a lot easier if we were closer. Plus, it's just better to raise kids in North Carolina rather than San Franscisco. We were on the 7th floor of a high-rise condo. Fitting the double-stroller into the elevator wasn't easy. The cost of living is certainly far less. It just felt like we were ready for a change." The couple eventually decided to craft a plan for a restaurant, building off Mick's restaurant experience and Kate's business knowledge. "We opened on March 26, 2013," Kate said. "We opened with the idea of having a brick oven pizzeria with a natural fermentation process for dough. That means we don't use a dry yeast. We make http://www.newsoforange.com/arts_and_entertainment/article_6259ldb2-a59c-1 lea-94ec-933560024926.html[6/16/2020 8:49:03 PM] In times of knead:Radius Pizza owners balance business with compassion I Arts&Entertainment I newsoforange.com what is known to bread bakers as a "mother starter." Mick made his about 8 years ago with pineapple juice and water and then you let that ferment for a few days. And then you keep feeding it with flour and water. We've been using that same starter for a little over eight years. We built the restaurant because we wanted a place where we could bring our children and we could feel like we wouldn't be disturbing our patrons with our kids. Like a family-friendly restaurant that provided a global comfort food experience. I sometimes call it `sneaky gourmet.' We don't want to bore anybody with the details of what goes into making our pizza. We just want you to enjoy it. People with kids, empty-nesters, business lunch, girls night out; first-time date, night out with friends. We wanted the restaurant to appeal to all these different sections of our community and all these different sections of our lives. And I think we were successful in developing a place like that. We were very fortunate that we have many patrons who come three, four, five times a week. They might show up for lunch and then show up for drinks with friends later that day. I've had people walk up to me and say, "You know, this is the fourth time this week I've been here." Radius Pizza enjoyed consistent success. Enough that the Carrolls were able to renovate the restaurant in February, which is traditionally a slower time for the business. And then March came. "We were going to be open for the spring and we're just going to kill it," Kate said. "Come back strong (after the remodeling) and it's gonna be fantastic. We closed to remodel the bar, a massive maintenance upgrade and paint the interior. We fixed things that needed fixing, we cleaned the entire restaurant within an inch of its life; and we opened up the bar and reconfigured it. We removed some shelving that was in front of the window. We've got more space back there and it's bright and open. It looks great. We can't wait until we're able to have people back inside to benefit from it." Having people back in the restaurant during the time of the coronavirus means more changes. http://www.newsoforange.com/arts_and_entertainment/article_62591db2-a59c-1 lea-94ec-933560024926.html[6/16/2020 8:49:03 PM] In times of knead:Radius Pizza owners balance business with compassion I Arts&Entertainment I newsoforange.com "We're going to be following what the N.C. Health Department dictates, first and foremost," Kate said. "There's a lot of information that we received from the Orange County Health Department. The big things are we have to interview each of our employees every day before their shift starts, on whether they're having any symptoms, if they've been around anyone that has been diagnosed with COVID-19 within the last 14 days. Or been within six feet or less with them for 10 minutes or longer. If the answer to that is yes, then we have to send them home. The next question is whether the employee is having any symptoms. If the answer is yes, we send them home. The last is we ask them if they have been diagnosed with COVID-19 since the last time they came to work." Radius can normally have up to 91 people inside, with another 40 people on its patio. But the Phase 2 rules greatly reduce that number. "We have to decrease our seating now to a maximum of 50 percent occupancy inside the restaurant," Kate said. "The guests cannot be less than six-feet from each other. For some restaurants, that means they won't be able to have even 50 percent in their dining area. It's the same for bar seating. Technically, we're not allowed to have six people at a table together unless they are family. The groups of people cannot be under six feet from each other. We have a pretty big dining room. We could put more than 46 people in our restaurant, and people would be more than six feet from each other. But the law states that you can't have more than 50 percent of your occupancy. That includes your employees. If I've got five people in the kitchen, then I'm down to 41 customers. And then there's myself and three other staff, so now I'm down to 37 inside the restaurant. We don't know yet whether these numbers will make sense for us." Despite the limits and changes Radius is now going through, the owners said the community has been largely supportive and understanding. "The response has been 'we miss you.' 'We want you to reopen.' http://www.newsoforange.com/arts_and_entertainment/article_6259ldb2-a59c-1 lea-94ec-933560024926.html[6/16/2020 8:49:03 PM] In times of knead:Radius Pizza owners balance business with compassion I Arts&Entertainment I newsoforange.com `We're grateful that you are open and that you're doing as much as you are,"' Kate said. "We've had some people who are, I would say, frustrated that we have not opened our dining room. My husband and I try to temper that with keeping in mind that these folks love Radius and they want to have that experience they used to have. We try to keep that foremost in our mind when folks maybe very unhappy that we're not open. "Some have asked if we really think all of this was and is necessary. Unfortunately, I have been directly connected to people who have had people very close to them die. I know nine people who have died (related to COVID-19). Unfortunately, I do think all of this is necessary," she said. "I respect that people really want to get back to business. I respect that people want to ask questions, and I really respect that they want to hear the answers. That's the key to getting through all of this: keep asking questions and keep listening." Through it all, the Carrolls are continuing to try to be creative in their approach to the restaurant, although they now say all decisions are based on what they can afford. "I think online ordering at Radius is definitely here to stay," Kate said. "Practically every day I am adding more customization for the customer. I think people are going to be getting take out in much higher numbers than what they used to be. I think our menu is going to be smaller than it was pre-Covid. Hopefully we'll be able to offer weekly specials more than we used to. I don't know when we'll be opening for lunch again. I'm not sure that's going to be profitable for a while. I think we'll also go to a five-day work week for us. Right now, we're only open four days a week, but that's mostly because we're trying to get our kids through their schooling. Once we get into the summertime we'll see if it makes sense to open a fifth day, and then we'll see if it makes sense opening for lunch. Before COVID, we were all about "what do you think the customer wants? What cool idea can http://www.newsoforange.com/arts_and_entertainment/article_6259ldb2-a59c-1 lea-94ec-933560024926.html[6/16/2020 8:49:03 PM] In times of knead:Radius Pizza owners balance business with compassion I Arts&Entertainment I newsoforange.com we come up with for menu items. Now, every decision we're making is based on whether it's financially feasible." Regardless of that, the owners of Radius Pizza are still finding ways to give back to its community and particularly the frontline health care workers. The restaurant recently launched the "Pie-It-Forward" campaign. "You can donate pizza to your local hospital or Durham Rescue," Kate said. "You can buy a pack of 10 or 15, or you can buy two packs of 10 or 15, or you can buy just one pizza and once we have 10, we will pack them up and drop them off to whatever charity. For every five pizzas that are purchased, we donate a pizza. And these are our signature pizzas. That's on our online ordering portal." Radius is also working on creating a mobile pizza party by sending out Facebook surveys to see which neighborhood would like Radius to come out to deliver a pizza party. "We're gonna load up the Radius van with different pizzas and different salads. Possibly beverages. We'll blast it on social media. Those are things we've got in the works," she said. The Carrolls have also started Failte Fields Farm, which is a garden on the family's farm. Failte means "welcome" in Gaelic. Kate said some of the veggies and herbs grown on the farm, which will include heirloom Irish curly greens, Rosemary, sage, lemon thyme, parsley, mixed lettuces, chives and onions may be used in the restaurant's meals. Most Popular Articles http://www.newsoforange.com/arts_and_entertainment/article_6259ldb2-a59c-1 lea-94ec-933560024926.html[6/16/2020 8:49:03 PM] In times of knead:Radius Pizza owners balance business with compassion I Arts&Entertainment I newsoforange.com • Church during COVID-19—A story of two paths: Still not the time to Gather • Church during COVID-19—A story of two paths: Coming back with Grace • In times of knead: Radius Pizza owners balance business with compassion • Mayor issues updates amid COVID crisis • Parade celebrates much-loved Sportsplex instructor • The Lowdown: Criminal Investigations Division explained • Editorial: Phase 2—We want to be a part of your plan • Efland's own takes the cake for Girl Scout cookie sales Submit Your News We're always interested in hearing about news in our community. Let us know what's going on! Ow Latest e-Edition http://www.newsoforange.com/arts_and_entertainment/article_6259ldb2-a59c-Ilea-94ec-933560024926.html[6/16/2020 8:49:03 PM] An incomplete count: Hispanics with COVID-19 are missing from the radar BYA'11RMRNEYM out PRSR AND ANORFA FOR AD&OUE PhSlr TUNE 05,20200440 PM, UPDATED TUNE 05.20200620 PM y f P� Carolina del None Viviana 5.Martinez-Bianchi,MD,FMFP es una doi an el Duke Family Medicine Center.Aqui ella comparte information del Departumento de Saint de nun prote9erse del COVIPI9 y abmtla el tame de PAPER el virus creche a Ins aim-annerlcanMy lathes.W NCDHHS 0 Listen to this article now 02:31 Powered ny T.mioA.am A version of this story ongma/ly appeared io Spanish in QuEE Pasa. Since COVID-19 arrived in North Carolina in early March,over 30,000 people have been infecied with the virus and more than 900 have died from the disease. Since C0VD}19 arrived in North Carolina in early March,over 30,000 people have been infected with the virus and more than 900 have died from the disease. But how many,of them are Hispanic? TOP RRTCLES �� tr Senate approves $4 million for African Americans monuments in Raleigh Although the North Carolina Department of Health and Human Services updates daily the number of Hispanics who have been infected or died of C0VD}19,the data is incomplete. And that means health officials and the medical community don't have sufficient information to completely understand the real impact of the disease in the Hispanic community,where cases have skyrocketed in recent weeks. So far,only 16 of the 100 counties in the state have made this data public,according to an analysis by Que Pasa. William Munn,a political analyst at the North Carolina justice Center,said that`data by race and ethnicity have been very difficult to find at the state and county levels.' "Although the most populated counties such as Mecklenburg or Wake do have ethnic data, others do not,and it is very difficult to access them,"said Munn. "Consequently it is difficult to advocate and inform audiences about the impact on communities." Mecklenburg County,which is the epicenter of the pandemic in North Carolina,was one of the first to clarify what percentage of the Hispanic population is infected with the coronavirus.Of the more than 4,350 positive cases,as of June 3,more than 1,630 were people of Hispanic origin. Just over a week ago,Wake and Durham,two of the counties with the largest Latina population in North Carolina,released this information. the more than 1,900 cases in Wake,about 624 are Latino.But in Durham, Hispanic infection rate went from 34%to 71.34%of cases in the county,according to Durham's health departmenL In Johnston County,Latinos with coronavirus makeup 40.2%(199) of the 505 cases reported so far. The Orange County Health Department released updated numbers on Friday that reveal that Hispanics are 21%of cases there despite being only 8%of the county's population. Other counties that have published the number of infections by etlmic groups are Forsyth,with almost 1,000 Latinos infected;Alamance,with a little more than 15S infected Hispanics and Guilford,which amid now has almost 168(13.3)Latinos sick with COVID-19. The tablebelowlists counties and their Hispanic coronavirus casesgiven to que Pam, the percentages of their Hispanic population and of Hispanic cases out ofall countycases. P A htnney store in your area has reopened![O:coJ�P free curbside pickup-enhanced cleaning-contactless checkout Learn more Condados que entregaren casts a Que Pasa +ows condadoss seam pararon en la Ley de pm hddad roves no responaieron. 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[wpmMa.mm ran sea~zuaaenpwnjea+rwmn auppeo mwjaMi anew misi mane mamww%cwwm,Hai- l nrgle awn machoRAI Orange County Cerrvnlsbnv maptl Hill,Grhom ENpe ChpH HII I Mayor launches on Mssk qt Heals Recontrareend Face Coverings but Way,C'ma,ye Ty,,,in yu"nanene orang, i June In 2@o ab Macy No 1&� May29,IDL1 C Orange County will require masks starting this Friday-The Daily Tar Heel 6/10/2020, 10:40AM Orange County will require masks starting this Friday r y 'r A student puts on his shoes before leaving his house on Wednesday, May 20, • 2020. Upon re-opening in the fall, it will be required for students to wear masks when they are in public. ANGELINA KATSANIS BY SUZANNAH CLAIRE PERRY Orange County residents will be required to wear facial coverings in public spaces where social distancing is not possible starting this Friday, June 12 at 5 p.m. The change was written in an amendment to the county's state of emergency declaration signed by County Commissioner Penny Rich this morning which also extended the state of emergency to August 31, past UNC students' return on August 10, meaning students will be required to wear masks in Orange County https://www.dailytarheel.com/article/2020/06/oc-mask-requirement-0610[6/16/202O 9:10:03 PM] Orange County will require masks starting this Friday-The Daily Tar Heel Rich said the mask rule will not extend to classrooms or UNC campus, but it will extend to any student who ventures into the Chapel Hill community or any student in off-campus housing. She said she hopes UNC leaders will consider crafting stricter mask rules for the classroom setting in the fall, especially considering the possibility of a second wave of coronavirus. According to the Carolina Together website, which hosts the University's roadmap for a return to campus in the fall, "the expectation is that face masks will be worn in the classroom and in the workplace." Rich said due to concerns that not everyone has access to masks, county leaders waited to put this amendment in place until they had the ability to buy masks to provide. EDITORS PICKS hi Column: Black America is Q&A: UNC grad and Heel Talk episode 10: UNC tired of fighting for USADA head Travis Tygart leaders discuss racial equity something we shouldn't talks Lance Armstrong case plans for the 2020-21 school have to fight for and more year "We've actually been talking about this for a couple weeks. The concerns among the health department and emergency services were based around the fact that we could not acquire enough masks to hand out to folks if they couldn't get masks," Rich said. "So we didn't want the requirement in place until we had the ability to actually purchase masks." In a previous amendment, service workers were required to wear masks and businesses were recommended to require customers to wear masks to enter. Under this amendment, workers and customers will be mandated to wear masks, aside from some exceptions. The most recently amended declaration states all retail and food service employees, all retail and food service patrons, all public transit users and anyone else in a situation where physical distancing of six feet is not possible are required to wear a mask. The amended declaration, which was written in collaboration between the county commissioners and the mayors, makes accommodations for those who are unable to wear a mask due to health, behavioral or religious concerns, as well as anyone under 12. https://www.dailytarheel.com/article/2020/06/oc-mask-requirement-0610[6/16/202O 9:10:03 PM] Orange County will require masks starting this Friday-The Daily Tar Heel Rich said like previous coronavirus legislation, the mask requirement would be enforced in an education- based manner, avoiding arrests or citations. Rich said the wait to put out this amendment was also to address concerns black residents may targeted with enforcement. "We just didn't know if this was going to affect how people will be enforcing it, people calling us up, we don't know if they would be targeted more, and this was a big concern of our health director, who is an African-American woman," Rich said. "So we really just took her lead on this and worked through a lot of conversation, and we included law enforcement in there, they've been involved from the beginning on this, and the Department of Social Services." In a tweet this morning, Chapel Hill Mayor Pro Tern Michael Parker wrote that masks are needed now more than ever. As we see a rush to reopen in spite of surging cases in many areas, I am reminded of a quote from Churchill: "This is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning." Physical distancing is needed more than ever as are masks. —Michael G. Parker (@michaelparkerl) June 10, 2020 The declaration allows for mask removal when complying with law enforcement orders, while dining in restaurants, in private office and home settings and in retail settings where wearing a mask may be unfeasible. This is a developing story. Check back for updates. @sclaire_perry @DTHCityState I city@dailytarheel.com ■ Next up in • • Immigrant protesters grapple with fear of losing status, risking deportation • Protesters talk education, systemic racism at Black Lives Matter March & Rally • Food for Students to provide meals to Chapel Hill-Carrboro students through summer months https://www.dailytarheel.com/article/2020/06/oc-mask-requirement-0610[6/16/202O 9:10:03 PM] Orange County will require masks starting this Friday-The Daily Tar Heel Next up in - • • - • Immigrant protesters grapple with fear of losing status, risking deportation • Protesters talk education, systemic racism at Black Lives Matter March & Rally • Food for Students to provide meals to Chapel Hill-Carrboro students through summer months Next up in ' 2020 CORONAVIRUS OUTBREAK ' • LINC wrestling commit Spencer Moore discusses Coleman Scott, recruitment and COVID-19 • Food for Students to provide meals to Chapel Hill-Carrboro students through summer months • UNC System's historically minority-serving universities given $6 million for COVID-19 research The Daily Tar Heel welcomes thoughtful discussion on all of our stories, but please keep comments civil and on-topic. CAMPUS CITY & COUNTY POLITICS SPORTS CULTURE OPINION DONATE HEELSHOUSING ■ E ■ ■ 1• E. Franklin St. Suite 210, Chapel Rightsabout advertise shop buy photos 1893 brand studio alumni events calendar celebrations/obituaries southern neighbor offline chapel hill newsletter rss classifieds All • @ Copyright 2020 The Daily Tar Heel Powered by f 'KS Solutions by https://www.dailytarheel.com/article/2020/06/oc-mask-requirement-0610[6/16/202O 9:10:03 PM] Orange County Commissioner on Mask Requirement: 9c Needs to Become a Habit wnssagarglannnxmnial l wnt;mzh l(s o,n,Halm,Shoal rsreanea [AIIA 1 awwlr�regiane,nmo-a�e cwraywdd mgin onr,dryazpm.mweanua,wnian apana the anmyz smem<,mgmry.Iz 11 to no,Seoul the end mNtiann,an NRn to m,n lie pointing Hamm lwdh onto CONo-t9tma nArgln Notion Carol e aounrysmae a.mnniniamnew Pam din all with 979 The Hie,Aaron oenmway ar<r the Hall wa announced she explained"discover tedel l as MI as She mzprs a Oapel ru. 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CMpal ir,do,mold almnM.z,w,IXid°^l reoall,ampamtwwpw.xamwecoallows,maww uecanamuMq.Cwwav,dol-wryrMb axwmmm tal Gal lway tealed fibre Wang Caul to ttlkf xCs Orange Cougar(Somali awedfor Ined,novel land,1 total!thing mode m sme GaMwmafor lode lo,zoatl Candles ymmeaec kayo prom May 22 2020 Cooper says decision on shuttered businesses will come next week 1 1 •• News Weather Traffic • • • 14 Register In Cooper says decision on shuttered businesses will come next week North Carolina pleads for publics help to stop COVID-19 spike By: WSOCTV.com News Staff Updated: June 16, 2020 - 10:09 AM CHARLOTTE — North Carolina Gov. Roy Cooper says he'll announce early next week a decision on whether businesses still shuttered because of COVID-19 will be allowed to reopen. State public health officials are concerned with the rising numbers of coronavirus cases and hospitalizations. The state is most worried about the uptick in eight counties, including Mecklenburg -- which continues to lead the state in both cases and deaths with at least 7,321 and 124 respectively. Content Continues Below Mecklenburg County Health Director Gibbie Harris said the county is meeting their testing goal of 5% of the population, which is about 2,000 people a day. [ Coronavirus in the Carolinas: Nearly 1,000 more cases reported in NC ] https://www.wsoctv.com/news/local/north-carolina-pleads-publics-help-stop-covid-19-spike/IJIMDTYZG3BFF7NCQF6VSMDKW6Y/[6/16/2020 7:52:22 PM] Cooper says decision on shuttered businesses will come next week State health leaders released the latest virus numbers Monday morning and after days of significant increases, the numbers were slightly better. 983 new cases were reported, which is down after 5 straight days with more than 1 ,000 new cases. The largest increase in one day was on Friday when 1 ,768 new cases were reported. Officials said hospitalizations are a key area to watch. According to the Department of Health and Human Services, one month ago there were 492 people hospitalized with COVID-19, on Monday, that number was 797. Cooper said hospitals currently have the bed capacity to handle the cases, but they're monitoring the data closely because that can change quickly. 73% of the state's hospital beds are in use and 78% of the beds in the intensive care units are full, according to NCDHHS. Even during a weekend when the actual reporting of cases and hospitalizations slows down a bit, we continued to see record-high case counts. And we continue to be concerned with our percentage of positive tests and our hospitalizations. — Governor Roy Cooper (@NC_Governor) June 15, 2020 Nine more people died in the past 24 hours, bringing the statewide total to 1 ,118. Over the last day, NCDHHS has reported that a little more than 8% of the completed tests have come back positive. Last week, the department's Secretary Dr. Mandy Cohen said that the percentage of positive tests in North Carolina is among the highest in the U.S. Cooper said he has talked to Vice President Mike Pence about North Carolina's concerning numbers. The governor said he asked him to help the state with increasing testing capabilities especially in the counties seeing the highest numbers. Another focus would be the continued testing of all nursing home residents and staff. At this point, Cohen said nursing homes are only testing long-term care facilities that report at least one COVID-19 case, but she is working on proactive testing. https://www.wsoctv.com/news/local/north-carolina-pleads-publics-help-stop-covid-l9-spike/UIMDTYZG3BFF7NCQF6VSMDKW6Y/[6/16/2020 7:52:22 PM] Cooper says decision on shuttered businesses will come next week >> Have questions about the coronavirus pandemic and its impact on the Carolinas? We have an entire section dedicated to coverage of the outbreak -- CLICK HERE FOR MORE. She said protective equipment, close contact tracing, visitor restrictions, and strict adherence to the 3 W's are all part of the state's strategy to prevent spread within congregate care settings. Experts fear a second wave of the virus, as the state continues to gather more data from people who tested positive for COVID-19. Cohen said after weeks in Phase 2, she is concerned about trends. Gov. Roy Cooper started gradually reopening businesses at the end of May, but issued a reminder last week that North Carolina is still under the "Safer at Home" phase and just because we can go out, doesn't mean we should. The governor said he hopes to transition to a "Phase 2.5" if the numbers start to improve. Over the weekend, I talked to Vice President Pence about North Carolina's concerning numbers. I asked him to help us with increasing our testing capabilities, especially in these counties. Another focus will be testing all nursing home residents & staff. This testing is ongoing. — Governor Roy Cooper (@NC_Governor) June 15, 2020 Cooper and Cohen both said North Carolina has worked to flatten the curve once and can do it again. "I know we see things going in the wrong direction, but if we act collectively, we can take control of our fate here," Cohen said. "I know folks want to move forward with additional openings and want to get back to the activities, I know they want to get their kids back to school ... this is the way to do it -- to focus on these collective actions we can do." https://www.wsoctv.com/news/local/north-carolina-pleads-publics-help-stop-covid-l9-spike/UIMDTYZG3BFF7NCQF6VSMDKW6Y/[6/16/2020 7:52:22 PM] Cooper says decision on shuttered businesses will come next week The growth in cases has largely been attributed to more testing and the uptick in residents traveling to newly reopened businesses without following the recommended public safety guidelines. Leaders continued to stress the importance of the 3 W's: wearing a face covering, waiting 6 feet apart and washing/sanitizing hands frequently. They placed an emphasis on wearing face coverings to not only protect yourself, but the people around you. Safer At Home Phase 2 runs through at least Friday, June 26. Read frequently asked questions about Phase 2, including mass gathering limits, requirements for restaurants and businesses and more. https://t.co/2Rt4ysctYJ pic.twitter.com/jKFu6bDOsG — NCDHHS (@ncdhhs) June 15, 2020 According to Cooper, he and other state leaders are actively discussing whether cloth face coverings should be mandatory in public across the state. Some counties, like Durham County and Orange County, already have similar restrictions in place. Face coverings are currently required for employees at personal care salons -- like hair salons and barbershops -- but customers are not required to wear face coverings. The governor said he would make an announcement early next week about whether the state will move into a new phase of reopening on Friday, June 26 -- five weeks since Phase 2 began. Cooper's current executive order expires June 26. It allows restaurants to have dine- in seating again and for barber shops and hair and nail salons to reopen. But bars, movie theaters and gyms remain closed. The governor said Monday his decision will be based on science and data. https://www.wsoctv.com/news/local/north-carolina-pleads-publics-help-stop-covid-l9-spike/UIMDTYZG3BFF7NCQF6VSMDKW6Y/[6/16/2020 7:52:22 PM] Cooper says decision on shuttered businesses will come next week He has not yet said whether the next step will be a full Phase 3 or a modified Phase 2.5, lifting some restrictions currently in place, but said the decision will be based on science and data. Adding he will always do what's best for the North Carolina. Crowds at local businesses have people wondering if virus is being taken serious Crowds at local businesses have people wondering if virus is being taken seriously The crowds at restaurants and other local businesses have people wondering if residents are taking the threat of the virus seriously anymore. Outside the QC Pourhouse in South End on Friday, people could be seen crowding the door without any social distancing. The restaurant's owner Ashley Gassboro said she can limit the number of customers inside, but it's tough to control the people waiting outside. She said because its a younger crowd, the rules aren't always followed. Resident Ugo Uche said people aren't being as careful. "We're letting our guard down a bit," he said. That feeling is shared by state and local health officials who have seen big crowds protesting in the streets for more than two weeks. But daily crowds on sidewalks and streets are perhaps more telling. Resident Jenny Moore told Channel 9 that she's being careful, but you can't make everyone do the same. "People are going to do what they're going to do. Whether you say go to a restaurant or don't, they're going to find some way to get out. Whether they want to distance themselves, they will, I mean as human beings we are kind of self reliant and are going to do what we want to do," she said. https://www.wsoctv.com/news/local/north-carolina-pleads-publics-help-stop-covid-l9-spike/UIMDTYZG3BFF7NCQF6VSMDKW6Y/[6/16/2020 7:52:22 PM] Cooper says decision on shuttered businesses will come next week >> We'll bring you LIVE updates on Channel 9 Eyewitness News. Get extended coverage on the free WSOC Now app on Roku, Amazon Fire and Apple TV. CDC points to NC, SC for having surges in new coronavirus cases ©2020©2020 Cox Media Group Trending Now `Valentine Jane Doe' rape, murder solved through DNA after 29 years a Z Mass testing at Dole vegetable packaging plant in Ohio reveals around 100 new positive cases Texas man accused of throwing hot peppers in wife's face 2020 Nathan's hot dog eating contest to be held without fans present Several cows killed with crossbow in Tennessee county, deputies say https://www.wsoctv.com/news/local/north-carolina-pleads-publics-help-stop-covid-19-spike/IJIMDTYZG3BFF7NCQF6VSMDKW6Y/[6/16/2020 7:52:22 PM] Cooper says decision on shuttered businesses will come News Weather Contact Us Local Interactive RadarContact Us Video WSOC - TV EEOC Statement National/World WAXN - TV EEOC Statement Traffic WSOC - TV Public File Contact / Program Director WAXN - TV Public File Contact / Program Director WSOC - TV Public File WAXN - TV Public File ©2020 Cox Media Group. 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