COVID-19 Response + Recovery CFT Report

COVID-19 Response Recovery Cross Functional Team Update 7.10.2020 1|Page COVID-19 Response + Recovery CFT

Table of Contents

1.

2.

Overview…………………………………………………………. page 3-7 Team Report Outs 1.

Health Focus………………………………………………. page 8 2.

Testing Recap and Update……………………………… page 9 3.

Data Analysis……………………………………………… page 10-11 4.

Community Vulnerabilities and Human Services……page 12-14 5.

Economic Recovery……………………………………… page 15-17 6.

Operations Focus………………………………………… page 18-20

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Overview (Tommy Gonzalez) Current Situation-By the Numbers ❖ Dozen+ Partnerships for testing o

29 sites available (+9 since last reporting) and expanded capacity

o All free of charge o All sites available to everyone, symptomatic and asymptomatic o Other cities, like San Antonio, are limiting testing to only those who are symptomatic o Nations Tobin Rec Center Walk-Up Site: doubled daily testing capacity (250 to 500) ❖ We continue to break daily testing numbers ❖ Average daily testing up—almost tripled over previous reporting period ❖ Current daily average: 2,560 tests performed Other key information: ❖ Our survivability rate is 98.1% ❖ National death rate is 6% ❖ In June, we were at 2.8% ❖ In July, we are now at 1.7% ❖ Our recovery rate is almost 62% ❖ We are taking an active approach to getting community moving and focusing on wellness-Live Active, El Paso! o To assist our community in addressing underlying health conditions including high blood pressure, diabetes, obesity o Improving physical and emotional well-being o Preparing the community to be ready for current and future challenges

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Overview (Karla Nieman) Legal Overview ❖ Governor’s Executive Orders, Mayor’s Directive, and Local Health Authority Orders ❖ Frequently Asked Questions Support ❖ Court Operations during COVID-19

Governor Abbott’s Executive Orders & Local Emergency Directives

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Local Health Authority Orders Termination of the following orders:

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Frequently Asked Questions Task Force

www.epstrong.org/faqs.php

Federal Courts

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State Courts

El Paso County Council of Judges

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Team Report Outs: 1. Health Focus (Hector I. Ocaranza, M.D.) Current COVID-19 Situation (As of 07/05/2020). ❖ Over the last 2 weeks we have seen a sharp increase of positive COVID-19 cases, as well as new hospital admissions of over 300%. ❖ Doubling time for positive cases is decreasing indicating an increase in transmission. ❖ Testing has continued to increase and now we have been testing an average of over 200 tests per 100,000 ❖ Our positivity rate continues to increase and now we are over 10% last week.

Cumulative is now over 8% ❖ Deaths on all positive cases have dropped and is 1.87%, while our current mortality rate is 15.4 deaths per 100,000 and has plateaued. ❖ Most deaths continue to occur on people with underlying medical conditions, being hypertension and diabetes the most frequent. ❖ The effects of mandatory face mask expect to be seen in about 2 weeks but will require enforcement. ❖ Due to surges, LHA orders have been created (Sun metro and other mass transit), modified existing LHA orders to align with Gov. Abbott new proclamation. ❖ Working with school districts to develop local directives. ❖ Weekly testing of Nursing Homes residents and staff has been carried out.

Testing of ALF have been done. ❖ Currently assisting Detention Facilities to develop and implement a more aggressive testing plan.

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2. Testing Recap and Update (Tracey Jerome) With the recent spike in cases, demand for testing has risen exponentially across the community. The Department of Health continues to work closely with the Office of Emergency Management (OEM) to address issues which have resulted from the increased testing demand including expanding telephone capacity and personnel for improved appointment management. OEM has deployed furloughed employees from other departments, as feasible, to support efforts, and is currently hiring additional staff to expand testing capacity. While other cities, including San Antonio, have begun limiting testing sites, capacity and availability of testing to those experiencing symptoms only, our OEM staff continues to work with our community partners to further expand testing availability, which remains free of charge and available to everyone, symptomatic and asymptotic: ❖ The City is now administering the former Federal Drive-thru • Tests now processed locally • Faster turnaround of results=better customer service for community ❖ UTEP lab fully functional: processing 800 tests daily for Department of Public Health ❖ From Wednesday, 8 July, the Nations Tobin Walk-Up site will begin operations at 8 AM and will double its daily maximum testing capacity to 500 tests per day ❖ Walmart has added 8 new testing sites across the community at their neighborhood store locations ❖ Project Vida has added another day to their testing schedule each week to increase appointment availability ❖ New testing partnership with Centro San Vicente, adding another new test site ❖ Current average daily testing: 2,559 • Up approximately 270% over previous reporting period • New one day testing record set on 2 July: 3,600

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3. Data Analysis (David Coronado) Updated City of El Paso Data: International Bridge Crossings Percent decline of southbound crossings by mode compared to 2018 average (Baseline)

Source: City of El Paso International Bridges. Graph reflects a seven-days moving average. Last observation for Cargo and Vehicles: July 6, 2020. Last observation for Pedestrians: July 4, 2020

Key Takeaway: â?– Cross-border travel restrictions had a negative impact on international bridge traffic but border crossings are slowly recovering as the El Paso economy reopens

Updated City of El Paso Data: Daily TSA Throughput Daily TSA Throughput (in 000s) June 2019 avg. = 5,753 a day 6

76% decrease of throughput YoY

4

June 2020 avg. = 1,382 a day

2

2019

2020

0 Jan

Feb

Mar

Apr

May

Jun

Source: El Paso International Airport. TSA Throughput are all individuals passing through (travelers and employees). Graph reflects a seven-days moving average. Last observation: June 30, 2020

Key Takeaway: â?– Airlines continue struggling - El Paso International Airport TSA throughput declined 92% in April year-over-year, however, a slow upward trend in Airport activity is observed since early May.

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Updated City of El Paso Data: Sun Metro Ridership Monthly Sun Metro Ridership (in 000s) 1,200 900

958

2018

2019

2020

600 300

71% decrease in June ridership YoY

274

0 Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Source: Sun Metro. Last observation: June, 2020

Key Takeaway: ❖ Sun Metro daily ridership bottomed in late March but ridership has been recovering gradually since then.

New Economic Data Released: Industrial Production and El Paso Trade U.S. Industrial Production Index & Juarez Mfg. Employment

JRZ MFG (in 000s) 300

Index 2012=100 120

JRZ MFG 250

110 US IPI

200

100

USIP increased 1.4% in May 150

90

Great Recession

100 07

08

09

If contraction continues JRZ mfg. employment and cargo traffic will decline 80 10

11

12

13

14

15

16

17

18

19

20

Source: FRED and INEGI data Seasonally Adjusted. FRED last observation: May, 2020. INEGI last observation: April, 2020.

El Paso Trade (in billions)

$8 Great Recession

$6

Imports

Exports

Total Trade

Total trade through El Paso decreased 43% YoY in April

$4 $2 $0 07

08

09

10

11

12

13

14

15

16

17

18

19

20

Source: U.S. Bureau of Transportation Statistics. Last observation: April, 2020.

Key Takeaway: ❖

U.S. industrial production increased marginally in May but cross border trade through El Paso decreased 43% in April year-over-year. Impacts to regional manufacturing employment are also expected.

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4. Community Vulnerabilities and Human Services (Nicole Ferrini) Our team is focused on supporting the most vulnerable El Pasoans as we navigate through the impacts of the COVID-19 crisis.

This pandemic has exacerbated deep challenges that already existed in our community including housing affordability, utility cost burden, access to food and the individual financial stability of El Pasoans.

An Inclusive + Resilient Recovery An inclusive and resilient recovery is an ongoing process that requires our community to both understand our vulnerabilities and strengths prior to the crisis as well as targeting goals that better position us to respond to any future crisis. Currently, our community and the nation exist within the Stabilization Phase of the graphic below. As we continue to adapt to changing conditions and implement recovery programs, the goal has to remain focused on an upward trajectory that ultimately institutionalizes lessons learned and benefits the community far beyond the end of the current crisis.

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The following updates reflect a resilient and inclusive recovery process in the areas of community and human vulnerabilities.

CARES Response + Recovery Package ❖ ❖ ❖ ❖

May 29, 2020: Notice of Funding Availability Issued June 22, 2020: Awards Approved + Announced Contracts in Progress ETA: Week of July 13th

Small Business Relief: ❖ Loan Relief Program Deployed: 7 clients have taken advantage of the program to date ❖ Existing Community and Human Development Loan Clients Being Assisted ❖ Program Expires Mid-September Delta Site Transition Update: Homeless Solutions Working Group ❖ Mission: Create systemic solutions for homelessness in our community that have been exacerbated by the pandemic. Leverage lessons learned and unprecedented collaborative effort to collectively identify resources needed to better prepare our community for emergency response as well as enhance capacity to move forward on identified community goals addressing homelessness. ❖ Purpose: Provide recommendations for transition from the Delta Site emergency shelter while developing a permanent community crisis response plan for displaced populations.

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❖ • • • • • • •

Guiding Principles Transparency + Inclusion Systemic Standards Training + Development Evidence Based Decision Making / Data Driven Initiatives Resilience, Growth and adaptability Collaboration / Multi-Stakeholder Engagement / Input / Solutions Community Engagement and Education

Homeless Services Funding Update ❖ The Emergency Solutions Grant-CV Phase II funding allocation has been confirmed: • $3.9 million • planning process initiated Food Security Task Force ❖ 15 Agency Stakeholders Represented ❖ Purpose: To identify immediate and long-term solutions to food access and keep open lines of communication with our stakeholders in an effort to identify barriers that need to be removed or opportunities that need to be activated to ensure food security, funding and infrastructure across the El Paso Community. In particular, ensure that vulnerable populations, without adequate financial resources to purchase sufficient food for an active, healthy life, have access to sufficient no cost nutritious food to maintain a healthy, productive life. ❖ Mission & Objectives: To facilitate access to information, to maximize nutrition program access, and explore creative partnerships to maximize resources to lessen the burden that COVID 19 has posed on the El Pasoans Fighting Hunger Food Bank and food providers. To strengthen El Paso’s food bank disaster preparedness by ensuring adequate equipment, infrastructure, funding, manpower and vital programs are in place necessary for providing sufficient emergency food for El Paso’s most vulnerable citizens in both good times and bad, including homeless people, homebound, people living below the poverty line, people in crisis such as experiencing medical issues or job loss. To assist the food bank to establish 4 to 5 mega pantries strategically located around the community.

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5. Economic Recovery (Jessica Herrera) Overview ❖ In May, El Paso’s economy improved slightly relative to the previous month as evidenced by: • A three percent increase in monthly employment; • Slight decrease in the unemployment rate from 14.5 to 14 percent; and • Since the start of May and through mid-June, a steady decline in unemployment claims week over week ❖ This slight improvement is likely the result of the gradual reopening of the economy. ❖ However, despite the uptick between April and May, El Paso’s economy continues to operate at historically depressed levels and weekly unemployment claims remain substantially higher than last year’s claims. ❖ Moreover, certain industries and occupational categories continue to be disproportionately and negatively impacted including those related to: (1) leisure and hospitality, (2) professional and business services; and (3) trade, transportation and utilities. ❖ In line with previous economic downturns, current national, state and local survey data reveal small businesses face a unique set of challenges and that, at least initially, federal financial assistance programs have failed to align with these needs. ❖ Given that nearly half of all businesses in El Paso County fall within one of the three hardest hit industry sectors and are small in nature, employing less than 20 people, it is critical to focus economic response and recovery on this economic segment. ❖ The Economic Response and Recovery Action Plan approved on June 22nd responds to this finding by allocating nearly $18.9 million in CARES funding to programs that: • Provide immediate financial assistance to small businesses negatively impacted by the COVID-19 pandemic; and • Lay the groundwork for a number of interventions designed to help small businesses overcome reductions in demand as a result of the pandemic. ❖ Looking forward, critical indicators to watch will include cross-border trade volumes and U.S./Mexico production indices, both of which correlate to the health of El Paso’s trade, transportation and utilities; professional and business services; and manufacturing industry sectors. Together, these three industry sectors are responsible for over one-third of El Paso’s employment.

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CARES Response + Recovery Package ❖ On May 29th, a Notice of Funding Availability was issued in coordination with Community Development Department requesting proposals from community partners for the development and implementation of a series of economic response and recovery programs intended to assist small businesses through: (1) improved liquidity and cash flow; (2) interventions designed to invigorate demand; and (3) restarting and continuing operations safely. ❖ On June 22nd, funding recommendations and the associated Economic Response + Recovery Action Plan was presented to and adopted by City Council resulting in the establishment of 17 response and recovery programs to be executed by 11 community partners.

• The programs, funded by CARES dollars, represent nearly $18.9 million in assistance to El Paso’s business community, targeting small businesses hardest hit by the pandemic. ❖ Contract negotiations with the 11 community partners awarded funding are currently underway and expected to be complete the week of July 13th.

LiftFund Partnership Expanded ❖ On June 22nd, in recognition of the tremendous need, the City’s partnership with LiftFund originally approved on March 30th was expanded to provide an additional nearly $525 million to El Paso small businesses currently in queue for grant funding. ❖ Review of applications is in process and funds are expected to be fully dispersed to eligible small businesses no later than August 22nd in the form of $5,000 grants.

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Pledge to Safety Program ❖ In early June, the City launched its Pledge to Safety Program, a voluntary and self-monitored program asking local businesses to commit to work safe guidelines accessible to all types of businesses in order to promote public health through workplace safety, while also building trust and consumer confidence. ❖ Since its launch, 92 area businesses have taken the Pledge, including the City of El Paso. ❖ The El Paso Chihuahuas and Locomotive have additionally taken the pledge and created a PSA to further promote the program and workplace safety, which can be viewed here: https://chihuahuas.cimediacloud.com/mediaboxes/d111b7c384e545a18e426e91 21b649e1 ❖ Participating businesses are recognized via social media, newsletters and epstrong.org website. ❖ Businesses agreeing to take the pledge may also be interviewed and highlighted.

• Most recently, we interviewed RockStar Burger Bar; their interview can be viewed here: https://www.amazon.com/clouddrive/share/SpFm0idTI4k3uaUYo3TceiPrg 8ktBJWg6lCOYJiNUT0 ❖ Area businesses interested in the participating can take the pledge online at: http://epstrong.org/takethepledge.php

Additional Information for Businesses ❖ A reminder that as we continue to work through the COVID-19 pandemic and its economic fallout, we will continue to update and maintain the epstrong.org website as a central repository of COVID-19 related information for our local businesses. ❖ Notably, updated work safe guidelines in the form of checklists can be found at the epstrong.org site to assist businesses of all types in restarting and continuing operations safely.

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6. Operations Focus (Cary Westin) HR Return to work Guidelines and training

❖ Employee Return to Work Guidelines have been completed and deployed to workforce. ❖ Plan to resend Guidelines to all employees once we phase back our telecommuting workforce to ensure maximum publication. ❖ HR online training to complement the guidelines has been developed and uploaded for workforce access. https://cityofelpaso.sharepoint.com/sites/COVID-19CityEmployeeResources ❖ Each department is currently working on developing safety work site protocols.

City Facilities Assessment and preparation Facilities staff have been conducting assessments of City facilities in partnership with departmental users to identify opportunities for physical modifications ❖ Through these assessments action plans are devised for each respective work section for employee and public protection ❖ Common improvements are installation of plexiglass at reception areas, floor decals identifying separation requirements of maintaining social distancing, installing signage to limit the quantity of employees at elevators, copy machines, coffee stations and common areas, installation of hand sanitizer stands, window decals, etc. ❖ City Departments are developing their own respective Action Plans relative to their operational units with additional measures for employees to adhere to that is unique to their services and operations ❖ Facilities staff has received hand foggers for use in offices, public safety vehicles and rescue equipment, and Police holding facilities ❖ Sprayers have been issued to public safety departments for hard surface disinfecting City 1 ❖ Installation of plexiglass completed though out the building ❖ Installation of Floor decals “Six Feet Apart” on floors completed ❖ Installation of signage limiting quantity of people allowed on elevators, copy machines and at coffee stations ❖ Hand Sanitizers Stands and Dispensers installed throughout the building ❖ Seat covers for City Council- material ordered-expected delivery next week ❖ City 1 expected to completed and ready for reopening mid-July

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City 2 Started Installation of plexiglass, floor and wall decals - work still in progress as materials become available, expected completion within two weeks.

City 3 and 4 Started Installation of plexiglass, floor and wall decals, and working with the Director of Planning and Inspection on departmental special needs; work still in progress as materials become available, expected completion within two weeks.

Economic and International Development (123 Mills Ave.) Installed two portable hand sanitizers stands, floor decals, and signage All offices have been completed; additional work pending for departmental futures needs when the staff returns Zoo Progress is pending material ordered from vendors; Zoo maintenance staff will handle the installations ❖ ❖ ❖ ❖

Assessments Complete Pending physical action Libraries assessments - materials have been ordered Museums assessments – scheduled for next week All Park Facilities (Recreation Centers, Sr. Citizen Centers, Pools) – expected assessments completed in July

Example of Department Initiated Action Plans to Protect Employees Street Maintenance Division Example

❖ Designated safety coordinators at each corral with a non-contact infrared thermometers for temperature checks as employees report to work ❖ Practice Social Distancing at common areas and when in line at the Kronos clocks. ❖ Assigning different reporting times to avoid congregating at time clocks and at common areas ❖ Swiping in/out – Designated areas have floor markings in six feet intervals designating where to stand ❖ Disinfecting of meeting rooms: tables, time clocks, computer workstations, and key boxes ❖ Disinfect of equipment: All equipment sprayed with disinfect at the end of workday ❖ Seating arrangement – Rearranged sitting with distancing and removing excess chairs ❖ Lunch Shifts – for some corrals divided crews into two shifts: first shift 11:00 am – 12:00 pm and second shift 12:30 pm – 1:30 pm; breakroom areas are disinfected between shifts ❖ Hand sanitizers – Available on all equipment (4 oz. bottles), 2 dispensers available on meeting room and 1 dispenser on office (refills upon request) ❖ Face Masks required signage at meeting room entrances ❖ Constant reminder of social distance during morning muster at corrals

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Logistics All employees will be issued a cloth mask with a City logo upon return to work. We are currently convening a Focus group to find a quality face covering that will be distributed to our employees. EOC logistics is also working with Departments to order disposable masks and cleaning products for a sustainment supply at the Department level.

Face Covering Focus Group ❖ Personnel from 12 departments ❖ Evaluate 4 different styles based on the following criteria: • Quality • Comfort • Durability Evaluation period for each mask is 3 days Kick-off of Focus Group's Evaluation Process July 6th

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COVID-19 Response + Recovery Cross-Functional Team Update 7.10.2020

Table of Contents 1. Overview (Tommy Gonzalez) a. Update on Governor Abbott’s Executive Orders and Local Emergency Directives. (Karla Nieman) b. Update on City Attorney’s Office Support During COVID-19 Pandemic.

(Karla Nieman)

2. Team Report Outs: 1. Health Focus (Hector Ocaranza, M.D.) 2. Testing Recap and Update (Tracey Jerome) 3. Data Analysis (David Coronado) 4. Community Vulnerabilities and Human Services (Nicole Ferrini) 5. Economic Recovery (Jessica Herrera) 6. Operations Focus (Cary Westin)

2

1. Overview

Tommy Gonzalez

Current Situation-By the Numbers ❖Dozen+ Partnerships for testing ❖ 29 sites available (+9 since last reporting) and expanded capacity ❖All free of charge ❖All sites available to everyone, symptomatic and asymptomatic ❖Other cities, like San Antonio, are limiting testing to only those who are symptomatic ❖Nations Tobin Rec Center Walk-Up Site: doubled daily testing capacity (250 to 500) ❖ We continue to break daily testing numbers ❖Average daily testing up—almost tripled over previous reporting period ❖Current daily average: 2,560 tests performed 4

Current Situation-By the Numbers (cont’d) ❖ Our survivability rate is 98.1% ❖National death rate is 6% ❖In June, we were at 2.8% ❖In July, we are now at 1.7% ❖Our recovery rate is almost 62% ❖We are taking an active approach to getting community moving and focusing on wellness-Live Active, El Paso! ❖To assist our community in addressing underlying health conditions including high blood pressure, diabetes, obesity ❖Improving physical and emotional well-being ❖Preparing the community to be ready for current and future challenges 5

1. Overview ❖ Update on Governor Abbott’s Executive Orders and Local Emergency Directives ❖ Update on City Attorney’s Office Support During COVID-19 Pandemic

Karla Nieman

Legal Overview ❖Governor’s Executive Orders, Mayor’s Directive, and Local Health Authority Orders ❖Frequently Asked Questions Support ❖Court Operations during COVID-19

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Governor Abbott’s Executive Orders & Local Emergency Directives JUNE

JUNE

JUNE

23

26

29

Governor Abbott issues GA-28, suspending further reopening, decreasing restaurant capacity to 50% (from 75%), and closing bars

Mayor Margo issues 2nd Amendment to 4th Local Emergency Directive to align with GA-28 and prohibit outdoor gatherings >100 without Mayoral permission

Governor Abbott issues a Proclamation amending GA-26 to grant local authority’s the right to regulate outdoor gatherings >100 people (compared to 500)

8

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Governor Abbott's Executive Orders & Local Emergency Directives JULY

JULY

2

2

Governor Abbott issues a Proclamation amending GA-28 to enable local authority’s to regulate outdoor gatherings >10 and issues GA-29 to require all individuals to wear face coverings

Mayor Margo Issues 3rd Amendment to 4th Local Emergency Directive to align with July 2nd Proclamation and GA-29

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Local Health Authority Orders Termination of the following Orders:

Outdoor Mass Gatherings

Amendment for Outdoor Markets

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Amendment for Parades

Frequently Asked Questions Task Force Initial Response Principal Tasks Ongoing Response

• 3/24/2020: Task force was created to interpret the Mayor’s Stay Home, Work Safe Directive • Analyzed over 300 questions received by the City related to the Directive and provided responses to City staff • Identified recurring themes in questions, and created a FAQ list and answers with staff • Analyzed local, state, and federal guidelines and benchmarked other major Texas cities responses • Coordinated with staff across multiple departments to provide answers to questions not in the FAQ page

• Continue to coordinate with PIO to ensure FAQ’s are updated with changing laws and guidelines • Continue to analyze and advise staff on questions that the City Receives

www.epstrong.org/faqs.php 11

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Federal Courts JUNE

JUNE

18

23

Chief Judge Garcia issues Order directing all federal civil and criminal bench and jury trials scheduled from 6/18 through 8/31 to be continued. Presiding judges responsible for rescheduling trial settings.

Chief Judge Garcia issues an Order authorizing judges in the Western District of Texas to use video and telephonic conferencing in juvenile criminal cases.

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State Courts MAY

JUNE

26

29

Texas Supreme Court issues Order authorizing video conferencing and teleconferencing. No jury proceedings, including jury selection and jury trials, can occur until August 1st, unless extended.

The Texas Supreme Court issues an Order extending its previous directive to have no jury proceedings, including jury selection and jury trials, until September 1, 2020, unless as authorized by the Court. Order expires 8.31, unless extended.

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El Paso County Council of Judges MAY 27

JUNE 29

Issues Operating Plan to comply with Texas Supreme Court.

Non-essential in-person proceedings are permitted to be set no sooner than June 1; however, requires all reasonable efforts to conduct such proceedings remotely.

Jury trials to resume on July 6; however, the Supreme Court superseded this target date with its June 29 Order to not have jury selections or jury trials until September 1.

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Team Report Outs

1. Health Focus

Hector I. Ocaranza, M.D.

Health Focus

COVID-19 Information El Paso Situational Update 17

STATISTICS

18

COVID-19 EP County

❖ Age Range in El Paso County

19

Age Range – County Comparison

20

COVID-19 EP County â?– Breakdown by race/ethnicity in El Paso County

21

Race – County Comparison

22

COVID-19 EP County

â?– Gender breakdown within the county

23

Gender Ratio – County Comparison

24

COVID-19 EP County ❖ Health indicators within El Paso County • County Comparison • Co-Morbidities • Identified Co-Morbidities

25

Health Indicators – County Comparison

26

Health Indicators – Co-Morbidities

27

Health Indicators – Co-Morbidities

28

COVID-19 EP County ❖ Testing

• Total testing by CDC week • Tests per 100,000 w/ Positive Rate by week

• Source of Infection • Cluster Report 29

Total Testing by CDC Week

30

Testing and Positivity Rate

31

Source of Infection

32

COVID-19 Cluster Report

33

COVID-19 EP County ❖ Cases • Total cases with forecast

• Doubling Rate • Infectivity Rate

• Cases per 1,000 • Asymptomatic Cases 34

Total Cases

35

Doubling Rate - Total Cases

36

Infectivity Rate - Total Cases

37

Cases per 1,000 by Zip Code

38

Asymptomatic Cases

39

Asymptomatic Cases

40

COVID-19 EP County

â?– Counts of positive cases by age and gender

41

Positive Cases by Age and Gender

42

COVID-19 EP County ❖ Hospital Admissions • Hospital Admissions by Week • Hospital Admission by Age Range (Cumulative) • 7 Day Rolling Averages (Hosp, ICU, Vents)

• Hospitalization Rate 43

Hospital Admissions by Week

44

Hospital Admission by Age Range

45

7 Day Rolling Average for Hospital Admissions

46

7 Day Rolling Average for ICU Admissions

47

7 Day Rolling Average on Vent Usage

48

Hospitalization Rate

49

COVID-19 EP County ❖ Deaths in EP County

• Case Fatality Rate by Age Group • Gender • Underlying Health Conditions • CFR and Death Rate • Doubling Rate • Deaths by Race and Ethnicity 50

Case Fatality Rate

51

COVID Related Deaths

52

Deaths by Age Group

53

Deaths by Gender

54

Underlying Conditions

55

Cumulative CFR and Mortality Rate

56

Doubling Rate - Deaths

57

Deaths by Race & Ethnicity

58

2. Testing Recap & Update Tracey Jerome

New Key Information ❖Expanded testing continues across our community • • • •

Total sites: 29 Changes since last report: +9 New sites added: +9 New partnerships: +1, Centro San Vicente

❖Average daily testing rate: 2,559 • Increase of approximately 270% over previous reporting period • New one day testing record set on 2 July: 3,600 60

Testing Recap & Update â?–We continue to expand our number of testing sites and our partnerships to broaden accessibility for anyone and everyone in our community who wants to be tested â?–Our testing program is led by Public Health with a communitywide approach, in collaboration with a diverse list of partners from both the public and private sectors

61

Testing Recap & Update ❖CURRENT PARTNERSHIPS • Federal government • QuestLab • UTEP • Walmart • Texas Department of Emergency Management for Rural Testing • Texas Department of Emergency Management, Texas Military Department Mobile Testing

(TMD-MTT) • CVS • Area ISDs

• Project Vida • Centro San Vicente • GynPath

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Testing Recap & Update ❖New Testing Access: Neighborhood Walmarts — 8 new sites • • • • • • • •

1551 N. Zaragoza RD. 79936 101 E. Redd RD 79932 3000 Saul Kleinfeld DR 79936 10301 Alameda AVE Socorro 79927 4716 Hondo Pass DR 79904 10840 Martin Luther King Jr. BLVD. 79934 3590 N. Zaragoza RD. 79938 1110 Sunland Park DR 79922

For details, visit: 63

https://www.arkansasonline.com/news/2020/jul/01/walmart-humana-to-team-on-testing/

Testing Recap & Update ❖New Service Provider: City of El Paso Drive-Through • Formerly Federal Drive-Thru, now locally administered o Test results will be expedited, providing better customer service for community

• Who: All members of the community with or without symptoms • When: Mondays — Saturdays • Time: 7 AM — 5 PM • Cost: Free of Charge • How: Book an appointment by phone: (915) 212-0783 • Address provided when appointment booked 64

Testing Recap & Update ❖UTEP • Expanded current lab capacity = more testing and expedited reporting of test results • Model for collaboration connecting public university research capacity to serve an emergent public health need

• Expedited turnaround period is significant for our community, reducing anxiety and increasing productivity as we begin to restart our economic recovery • Lab fully functional, processing 800 tests per day in support of Department of Health 65

Testing Recap & Update ❖Walmart • Where: 3 Locations PLUS 8 New Neighborhood Sites (see slide 80) o 4530 Woodrow Bean (79924) o 1850 N Zaragoza Rd (79936) o 7555 N Mesa St (79912) • Who: Anyone experiencing symptoms and those considered high-risk without symptoms • When: Mondays, Wednesdays and Fridays • Time: 7 AM — 10 AM • Cost: Free of Charge • How: Book an appointment online: www.DoINeedaCOVID19test.com o For more information, please call: 800-635-8611 66

Testing Recap & Update ❖Texas Department of Emergency Management—Rural Testing • Providing additional testing sites for El Paso County’s rural communities • Open to all, regardless of location of residence • • • •

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Who: All members of the community with or without symptoms Time: 9 AM — 5 PM Cost: Free of Charge How: Book an appointment online: https://texas.curativeinc.com/welcome

Testing Recap & Update ❖Texas Department of Emergency Management—Rural Testing (cont’d) • Tues, July 7: West Valley Fire Station, 510 Vinton Road, Vinton • Wed, July 8: Ysleta Del Sur Pueblo, 11200 Santos Sanchez Blvd., Socorro • Thurs, July 9: El Paso County ESD #2 District Office, 16001 Socorro Rd., Fabens • Fri, July 10: El Paso County ESD #2 Fire Station; 11440 N. Loop, Socorro • Sat, July 11: Montana Vista Fire Station #1; 13978 Montana Ave., El Paso • Mon, July 13: Horizon First Baptist Church; 17018 Darrington Road, Horizon City 68

Testing Recap & Update ❖Texas Department of Emergency Management , Texas Military Department Mobile Testing (TMD-MTT) • Mobile team sent by governor to expand testing further into neighborhoods across the city: • Who: All members of the community with or without symptoms • Cost: Free of Charge • How: Book and appointment online: https://texas.curativeinc.com/welcome

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Testing Recap & Update ❖Mobile Testing (cont’d) • Nations Tobin Recreation Center Walk Up Site, 8831 Railroad Drive

• When: Mon, July 6 through Sat, July 11 Mon, July 13 • • • •

Who: All members of the community with or without symptoms Time: 8 AM — 4 PM Cost: Free of Charge How: No appointment necessary • A maximum of 500 tests can be performed each day • Once maximum number of tests are performed, service will end for the day

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Testing Recap & Update ❖Mobile Testing (cont’d)

• 4 Sites o Don Haskins Recreation Center, 7400 High Ridge o Pavo Real Senior Center, 9301 Alameda o Marty Robbins Recreation Center, 11620 Vista Del Sol Dr o Memorial Swimming Pool; 3251 Copper Ave • Service extended through July 13

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Testing Recap & Update ❖ Mobile Testing (cont’d) • When: July 8, 10, 13, 9 AM — 5 PM o Pavo Real Recreation Center o Don Haskins Recreation Center

• When: July 12, 9 AM — 3 PM o Pavo Real Recreation Center o Don Haskins Recreation Center

• When: July 7, 9 and 11, 9 AM — 5 PM o Marty Robbins Recreation Center Memorial Swimming Pool

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Testing Recap & Update ❖CVS • Testing provided at pharmacy drive-up windows • Where: o 8041 N. Mesa St, Suite A, (79922) o 1780 N. Lee Trevino Dr, (79935) o 12051 Tierra Este Rd, (79938) • Who: Anyone experiencing symptoms or considered high risk • Time: During store hours (by appointment) • Cost: Free of charge • How: Book an appointment online: WWW.CVS.COM 73

Testing Recap & Update ❖Area ISDs • Anthony and Canutillo ISD Partnership o Every Tuesday o 7:30 — 11:30 AM o Anthony and Canutillo ISD o Alderete Middle School, 801 Talbot Road, Canutillo, TX o Collaboration with OEM/DPH • Fabens, Tornillo and San Elizario o Limited staff o Texas Military MTT Mobile Testing will provide service, at this time 74

Testing Recap & Update

❖ Fourth of July Campaign centered on testing ❖ Detailed listings ❖ Social Media, TV, Print, Radio

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3. Data Analysis

David Coronado

Updated City of El Paso Data: Bridge Crossings Percent decline of southbound crossings by mode compared to 2018 average (Baseline)

Source: City of El Paso International Bridges. Graph reflects a seven-days moving average. Last observation for Cargo and Vehicles: July 6, 2020. Last observation for Pedestrians: July 4, 2020

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Updated City of El Paso Data: Daily TSA Traffic Daily TSA Throughput (in 000s) June 2019 avg. = 5,753 a day 6 4

76% decrease of throughput YoY June 2020 avg. = 1,382 a day

2

2019

2020

0 Jan

Feb

Mar

Apr

May

Jun

Daily Baggage Checked (in 000s) 6

Feb. avg. = 2,605 a day

67% decrease of baggage from Feb. avg.

4

June 2020 avg. = 856 a day 2

2020 0 Jan

Feb

Mar

Apr

May

Jun

78

Source: El Paso International Airport. TSA Throughput are all individuals passing through (travelers and employees). Graphs reflect a seven-days moving average. Last observation: June 30, 2020

Updated City of El Paso Data: Sun Metro Ridership 3/1-3/15 avg. = 20,083 a day

2020 Daily Sun Metro Ridership (in 000s)

30

20

6/1-6/15 avg. = 9,076 a day 10

0 1-Mar

8-Mar 15-Mar 22-Mar 29-Mar 5-Apr

12-Apr 19-Apr 26-Apr 3-May 10-May 17-May 24-May 31-May 7-Jun

14-Jun 21-Jun 28-Jun

Source: Sun Metro. Last observation: June 30, 2020

Monthly Sun Metro Ridership (in 000s) 1,200

900

958

2018

2019

2020

600 300

274

0 Jan

Feb

Mar

Apr

79

Source: Sun Metro. Last observation: June, 2020

May

Jun

71% decrease in June ridership YoY Jul

Aug

Sep

Oct

Nov

Dec

New Economic Data Released: USIP and Trade U.S. Industrial Production Index & Juarez Mfg. Employment

JRZ MFG (in 000s) 300

Index 2012=100 120

JRZ MFG 250

110 US IPI

200

100

USIP increased 1.4% in May 150

Great Recession

100 07

08

09

90

If contraction continues JRZ mfg. employment and cargo traffic will decline 80 10

11

12

13

14

15

16

17

18

19

20

Source: FRED and INEGI data Seasonally Adjusted. FRED last observation: May, 2020. INEGI last observation: April, 2020.

El Paso Trade (in billions)

$8 Great Recession

$6

Imports

Exports

Total Trade

Total trade through El Paso decreased 43% YoY in April

$4 $2 $0 80

07

08

09

10

11

12

Source: U.S. Bureau of Transportation Statistics. Last observation: April, 2020.

13

14

15

16

17

18

19

20

4. Community Vulnerabilities & Human Services

Nicole Ferrini

Community Vulnerabilities + Human Services

Community Partnerships 82

Our team is focused on supporting the most vulnerable El Pasoans as we navigate through the impacts of the COVID-19 crisis. This pandemic has exacerbated deep challenges that already existed in our community including housing affordability, utility cost burden, access to food and the individual financial stability of El Pasoans.

We are charged with equitably deploying relief programs and support to ensure an inclusive and resilient recovery that makes our community ultimately stronger and more prepared than ever before.

Social Services

Philanthropy

An Inclusive + Resilient Recovery Our team is focused on supporting the most vulnerable El Pasoans as we navigate through the impacts of the COVID-19 crisis. This pandemic has exacerbated deep challenges that already existed in our community including housing affordability, utility cost burden, access to food and the individual financial stability of El Pasoans.

Financial Empowerment

Housing + Homelessness

Human Services Infrastructure

An Inclusive + Resilient Recovery An inclusive and resilient recovery is an ongoing process that requires our community to both understand our vulnerabilities and strengths prior to the crisis as well as targeting goals that better position us to respond to any future crisis. Currently, our community and the nation exist within the Stabilization Phase of the graphic below.

As we continue to adapt to changing conditions and implement recovery programs, the team remains focused on an upward trajectory that ultimately institutionalizes lessons learned and benefits the community far beyond the end of the current crisis.

CARES Response + Recovery Programs

May 29, 2020: Notice of Funding Availability Issued

Contracts in Progress, ETA: Week of July 13th

June 22, 2020: Awards Approved + Announced

Homeless Solutions Team Purpose: Provide recommendations for transition from the Delta Site emergency shelter while developing a permanent community crisis response plan for displaced populations.

Mission: Create systemic solutions for homelessness in our community that have been exacerbated by the pandemic. Leverage lessons learned and unprecedented collaborative effort to collectively identify resources needed to better prepare our community for emergency response as well as enhance capacity to move forward on identified community goals addressing homelessness.

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Food Security Sustainability Team Purpose:

Identify immediate and long-term solutions to food access ensuring food security, funding and infrastructure across the El Paso Community.

Mission: Facilitate access to information, to maximize nutrition program access, and explore creative partnerships to maximize resources that lessen the burden that COVID 19 has posed on food access in our community. Additionally enhancing disaster preparedness by ensuring appropriate systems and infrastructure are in place to provide for the emergency needs of vulnerable El Pasoans during a crisis 87

5. Economic Recovery

Jessica Herrera

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Pledge to Safety Program Overview A voluntary program that asks El Paso-area businesses to commit to following nine safety protocols to prevent the spread of COVID-19 as our economy reopens. â?– Program launched June 8th â?– To date, 92 area businesses have taken the pledge

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Pledge to Safety Program Purpose â?–Safety awareness + educational campaign promoting accessible mitigation measures regardless of business type or industry â?–Celebrates + provides visibility to businesses doing their part to prevent the spread of COVID-19

Businesses taking the pledge additionally receive El Paso Playbook and promotional materials.

â?–Builds trust + consumer confidence in area businesses, promoting customer to business dialogue

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6. Operations Focus Cary Westin

Human Resources Updates ❖Employee Return to Work Guidelines have been completed and deployed to workforce. ❖Plan to resend Guidelines to all employees to ensure maximum publication. ❖HR online training to complement the guidelines has been developed and uploaded for workforce access. https://cityofelpaso.sharepoint.com/sites/COVID19CityEmployeeResources ❖Each department is currently working on developing safety protocols.

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Assessment of City Facilities for Return of Employees Facilities staff have been conducting assessments of City facilities in partnership with departmental users to identify opportunities for physical modifications that can help protect employees ❖ Through these assessments action plans are devised for each respective work section for employee and public protection ❖ Common improvements are installation of plexiglass at reception areas, floor decals identifying separation requirements of maintaining social distancing, installing signage to limit the quantity of employees at elevators, copy machines, coffee stations and common areas, installation of hand sanitizer stands, window decals, etc. ❖ City Departments are developing their own respective Action Plans relative to their operational units with additional measures for employees to adhere to that is unique to their services and operations ❖ Facilities staff has received hand foggers for use in offices, public safety vehicles and rescue equipment, and Police holding facilities

❖ Sprayers have been issued to public safety departments for hard surface disinfecting 95

Physical Modifications in Progress at City Facilities Upon completion of assessments and procurement of materials, Facilities staff are implementing improvements, examples; City 1 ❖ Installation of plexiglass completed though out the building ❖ Installation of Floor decals “ Six Feet Apart” on floors completed ❖ Installation of signage limiting quantity of people allowed on elevators, copy machines and at coffee stations ❖ Hand Sanitizers Stands and Dispensers installed throughout the building ❖ Seat covers for City Council- material ordered-expected delivery next week ❖ City 1 expected to completed and ready for reopening mid-July 96

City 1 Modification Examples

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Physical Modifications in Progress at City Facilities ❖ City 2 Started Installation of plexiglass, floor and wall decals - work still in progress as materials become available, expected completion within two weeks ❖ City 3 and 4 Started Installation of plexiglass, floor and wall decals, and working with the Director of Planning and Inspection on departmental special needs; work still in progress as materials become available, expected completion within two weeks ❖ Economic and International Development (123 Mills Ave.) Installed two portable hand sanitizers stands, floor decals, and signage All offices have been completed; additional work pending for departmental futures needs when the staff returns ❖ Zoo Progress is pending material ordered from vendors; Zoo maintenance staff will handle the installations ❖ Assessments Complete Pending physical action • Libraries assessments - materials have been ordered • Museums assessments – scheduled for next week • All Park Facilities (Recreation Centers, Sr. Citizen Centers, Pools) – expected assessments completed in July 98

Example of Department Initiated Action Plans to Protect Employees Street Maintenance Division Example ❖ Designated safety coordinators at each corral with a non-contact infrared thermometers for temperature checks as employees report to work ❖ Practice Social Distancing at common areas and when in line at the Kronos clocks. ❖ Assigning different reporting times to avoid congregating at time clocks and at common areas ❖ Swiping in/out – Designated areas have floor markings in six feet intervals designating where to stand ❖ Disinfecting of meeting rooms: tables, time clocks, computer work stations, and key boxes ❖ Disinfect of equipment: All equipment sprayed with disinfect at the end of work day ❖ Seating arrangement – Rearranged sitting with distancing and removing excess chairs ❖ Lunch Shifts – for some corrals divided crews into two shift: first shift 11:00 am – 12:00 pm and second shift 12:30 pm – 1:30 pm; breakroom areas are disinfected between shifts ❖ Hand sanitizers – Available on all equipment (4 oz. bottles), 2 dispenser available on meeting room and 1 dispenser on office (refills upon request) ❖ Face Masks required signage at meeting room entrances ❖ Constant reminder of social distance during morning muster at corrals 99

Face Covering Focus Group ❖Personnel from 12 departments ❖Evaluate 4 different styles based on the following criteria: • Quality • Comfort • Durability

Evaluation period for each mask is 3 days Kick-off of Focus Group's Evaluation Process July 6th 100

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Thank you!