COVID-19 Command Center COVID-19 RESPONSE COMMAND CENTER

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COVID-19 Command Center COVID-19 RESPONSE COMMAND CENTER

Transcript Of COVID-19 Command Center COVID-19 RESPONSE COMMAND CENTER

Thursday, December 17, 2020
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Massachusetts Emergency Management Agency
Situation Update
Next Week’s Command Center Situation Report will be published on Wednesday, December 23rd.

Deliveries of Hope: A vaccine to prevent COVID-19 arrived at health care sites throughout the Commonwealth this week, bolstering the state’s response to the pandemic. Above, DPH staff receive a shipment of vaccine at the State Lab for distribution to hospitals.
In This Week’s Report: • Latest Data: Public Health Update • Week in Review: Key State Actions o Administration Provides Vaccine Update o Officials Urge Holiday Caution and Issue Updated Guidance o MA 1st State to Get Approval to Continue Pandemic EBT o ALDI Joins Massachusetts’ SNAP Online Purchasing Program o DPH, Emergency Management, and Disaster Recovery Updates o Holyoke and Chelsea Soldiers’ Homes Weekly Update – New Veterans’ Services, Soldiers’ Homes Leaders Announced
Helpful Links: • Apply for jobs at COVID-19 Alternate Care Sites o UMassMemorialResponds.com o LowellGeneralResponds.com • Get Back Mass • Mass.gov/holidays • Mass.gov/findfoodhelp • Stop the Spread • HandHoldMA.org • Reopening Massachusetts • Mass.Gov/covid19 • Massachusetts Emergency Management Agency • Unemployment & COVID-19 • Dept. Of Transitional Assistance Online Portal • COVID-19 Cost Eligibility and Tracking Guidance

Situation in Numbers
Massachusetts current as of
12/17
297,301 Total Confirmed Cases (click here for more information)
11,305 Deaths among confirmed cases
9,901,732 tests for the virus conducted to date by MA State Public Health Laboratory, hospitals, and commercial laboratories.
United States Last Updated 12/17
Case numbers are updated regularly at noon. Saturday/Sunday reports are preliminary and have not been confirmed with state/territorial health departments.
Total Cases Reported to CDC: 16,756,581 Total Cases 306,427 Deaths
57 Jurisdictions Reporting Cases (50 states, D.C., Puerto Rico, Guam, Northern Marianas, Marshall Islands, American Samoa, and US V.I.)
Social Distancing Basics:
 Stay Home  Call/Facetime/online chat
with friends and loved ones. If you go out for essential needs:
 Avoid crowds  Stay 6 feet away from others  Don’t shake hands or hug  Wear a face covering or mask
if physical distancing is not possible.

COVID-19 RESPONSE COMMAND CENTER WEEKLY SITUATION REPORT
Latest Data: COVID-19 Public Health Update
Testing Update: Today, over 92,000 new molecular (viral) tests were reported in Massachusetts with 4,985 newly reported confirmed positive cases. The total number of molecular tests administered to date is over 9.9 million. Hospitalizations & Capacity Update: As of today, 1,871 people are hospitalized, with 383 reported to be in the Intensive Care Unit (ICU). Key indicators from today’s Daily Dashboard are below.
Weekly Public Health Report: The Command Center released the Weekly Public Health Report, with town by town information, including the weekly listing of city and town risk levels. The report posted today also includes granular information on cases

COVID-19 RESPONSE COMMAND CENTER WEEKLY SITUATION REPORT
by county, biweekly testing rates, contact tracing information (including active COVID cluster information by Exposure Setting Type), hospitalization data, race and ethnicity data, information about cases in long term care facilities, and PPE distribution data.
Week in Review: State Actions
Administration Announces Vaccine Update The Baker-Polito Administration announced updates on the Commonwealth’s distribution efforts of the first doses of the COVID-19 vaccine as well as new guidance from the Department of Public Health (DPH) to help residents celebrate the holiday safely. (Read news release here).
On Monday, the first doses of Pfizer’s COVID-19 vaccine arrived in the Commonwealth. Four hospitals received 5,850 first doses on Monday.
On Tuesday, 53,625 more doses have begun to arrive to 17 more hospitals statewide.
Pending the approval of Moderna’s Emergency Use Authorization, the Commonwealth, based on federal guidance, has been told to anticipate 180,000 doses of the Pfizer vaccine and 120,000 doses of the Moderna vaccine. In all, the Administration expects the Commonwealth to receive 300,000 doses by the end of December.
DPH places vaccine orders on behalf of the providers. From there, the vaccine is shipped to the hospital or facility directly from the manufacturer on behalf of the federal government.
When vaccination begins, hospitals report data into DPH, and DPH and the Command Center will launch a public dashboard to keep track of immunizations administered next week. Individuals with questions about what phase they can be vaccinated in can send an email to [email protected] for prioritization clarifications.
Additionally, CVS and Walgreens will begin vaccinating in nursing homes the week of December 28th under the CDC’s Long-Term Care Pharmacy Partnership program. Their doses will come from the state’s Pfizer allocation, between 40,000 – 60,000 will be shipped to CVS and Walgreens for Massachusetts skilled nursing facilities.
When can I get the COVID-19 vaccine?
The Baker-Polito Administration and the Department of Public Health developed a vaccine distribution timeline after extensive consultation with the Massachusetts Vaccine Advisory Group, made up of leaders from health care, the faith community, community organizations, local government, and others.
The timeline reflects several priorities: protecting our most vulnerable, maintaining health care system capacity, and addressing inequities in health care access and COVID-19 burden. Vaccine distribution in MA will occur in a phased approach.
Visit this webpage to learn more about where you fit in the COVID-19 vaccine distribution timeline.

COVID-19 RESPONSE COMMAND CENTER WEEKLY SITUATION REPORT
December Holiday Guidance As we enter the December holiday season, residents are urged to follow the public health guidance that we know will help keep people safe. This year we ask residents to:
• Limit in-person celebrations to household members only
• Postpone or cancel travel this holiday season. If you do choose to travel, be aware of and comply with Massachusetts travel order requirements.
• Follow the current state gathering size limits and sector-specific workplace safety standards.
Lower-Risk Celebrations and Activities • Limit in-person holiday gatherings to only people you live with. • Host a virtual holiday dinner with extended family or friends. • Prepare foods for family and neighbors and deliver them in a no-contact way. • Virtually attend your traditional holiday activities, such as a visit with Santa. • Consider virtual caroling or reciting. Provide a link to your virtual caroling to the people you want to sing to. • View holiday lights from your car with those you live with.
Higher-Risk Celebrations and Activities • Any time you gather with others outside of your household, you increase the risk of contracting or spreading illness. All residents are discouraged from gathering. Gatherings in Massachusetts are subject to gathering size limits. • You are risking your health and others health if you host or participate in any in-person festivities if you or anyone in your household: • has been diagnosed with COVID-19 and has not completed the isolation period; • has symptoms of COVID-19; • is waiting for COVID-19 viral test results; • may have been exposed to someone with COVID-19 in the last 14 days; or • is at increased risk of severe illness from COVID-19, such as older adults or those with certain medical conditions. • If in-person caroling or reciting, stay more than 25 feet from the people you are reciting or singing for and wear a mask. Remain outdoors while caroling. • If you visit Santa Claus in person, wear a mask, stay 6 feet from Santa and others while in line, and make a reservation for your visit where available. • If viewing holiday lights outdoors, take a one-way walk with those you live with and maintain distance from others.
Other Recommendations and Guidance: • Always wear your mask and watch your distance. (Remove your mask only for eating and drinking.) • For 10 days before and after holiday gatherings, monitor yourself closely for fever and other symptoms of COVID-19, minimize contact with other people, and leave home only for essential services like going to work, buying groceries, and appointments with doctors; OR,

COVID-19 RESPONSE COMMAND CENTER WEEKLY SITUATION REPORT
• Obtain a negative result from a COVID-19 test, on a sample obtained within 72 hours of the celebration. Even with a negative test you must be vigilant about masking and distancing when you are around individuals you do not live with. • Testing only indicates whether a person may have COVID-19 when they were tested. You can still become sick with COVID-19 after your test and before your celebration. • Testing information can be found at www.mass.gov/GetTested
• Do not share food, drink, or any utensils, including serving utensils. • Seat people with plenty of space (at least six feet) from one another while dining. • Consider seating people at smaller tables in multiple rooms instead of around a large family table. • Improve ventilation by opening windows and doors. • If setting up outdoor seating under a tent, ensure guests are still seated with physical distancing in mind.
Enclosed 4-wall tents will have less air circulation than open air tents and should be considered indoor spaces (check also fire codes for heating tents).
• If outdoor temperature or weather forces you to put down the tent sidewalls, consider leaving one or more sides open or rolling up the bottom 12 inches of each sidewall to enhance ventilation while still providing a wind break.
Provide supplies to help everyone to stay healthy. These include extra masks (do not share or swap with others), hand sanitizer that contains at least 60% alcohol, and tissues. Stock bathrooms with enough hand soap and single use towels.
Holiday Shopping In addition to observing store capacity limits, wearing a mask, staying at least 6 feet away from others, and following directions and place markings at stores, consider the following when holiday shopping:
Higher Risk: High-risk activities include in-person promotions or holiday activities that encourage large crowds. When shopping with a non-household member, make sure to wear a mask, including while driving together.
Medium Risk: If you choose to shop in-person, wear your mask and maintain 6 feet of distance from others. Try to shop at off-peak times when there are fewer shoppers.
Lower Risk: Shop online. Many retailers have options for online shopping and in-person, contactless curbside or drive-up pick-up. If using in-person pick-up, you and the retail personnel should wear masks. Important reminders:
• Wear a mask (when not eating or drinking). • Wash your hands often with soap and water or use hand sanitizer. • Stay at least six feet away from other people. • If you may be around others at higher risk of severe illness from COVID-19, such as older adults or those
medical conditions, take extra precautions to keep them safe. • Get the flu vaccine. • For additional information, please refer to the holiday guidance provided by the CDC

COVID-19 RESPONSE COMMAND CENTER WEEKLY SITUATION REPORT
Massachusetts is First State to Gain Federal Approval to Continue Pandemic EBT through School Year 2020-21
The Baker-Polito Administration received federal approval to issue Pandemic EBT benefits (P-EBT) for the rest of the 2020-2021 school year. P-EBT promotes increased food security for families who participate in the United States Department of Agriculture’s (USDA) National School Lunch Program (NSLP), covering the cost of missed school meals for more than 500,000 students in remote or hybrid learning environments. (Read article here).
Eligible households will receive the next round of P-EBT benefits by the end of December. The benefits cover school meals missed during the months of October and November, and households will receive benefits monthly through the end of the 2020-2021 school year. The Department of Transitional Assistance estimates PEBT will bring $40 to $60 million per month in federal dollars into the Commonwealth’s economy.
“COVID-19 has exacerbated food insecurity, especially for children who receive nutrition support in school settings. This remains a significant challenge for many families throughout the Commonwealth,” said Secretary of Health and Human Services and COVID-19 Command Center Director Marylou Sudders. “Massachusetts continues to maximize every opportunity to tackle food insecurity across the state. The rapid approval of our plan to issue P-EBT through the end of the school year provide relief to hundreds of thousands of families across the state for many months as we continue to navigate this public health crisis.”
The Families First Coronavirus Response Act established the option for states to establish program P-EBT. Massachusetts initially launched its P-EBT program in April 2020 to help students and their families buy healthy food while schools were closed from March through June due to the COVID-19 pandemic, and was one of a limited number of states to receive federal approval for September P-EBT benefits. To date, P-EBT has brought more than $253 million in federal dollars into the Commonwealth, supporting families across the state and local grocery retailers. The Continuing Appropriations Act of 2021 extended P-EBT through the entire 2020-2021 school year.
P-EBT is jointly administered by the Department of Transitional Assistance (DTA) and Department of Elementary and Secondary Education (DESE), in collaboration with local school districts. Families with eligible students are expected to begin receiving P-EBT benefits to cover October and November school days, by the end of the year.
“P-EBT has proven to be an effective tool during the COVID-19 pandemic to help families with students learning at home directly purchase healthy, culturally appropriate food,” said DTA Commissioner Amy Kershaw. “P-EBT also brings critical resources into our local communities, supporting food retailers and their employees.”
“P-EBT benefits are an important piece of support for students and families during this challenging time,” said Elementary and Secondary Education Commissioner Jeffrey C. Riley. “I’m grateful to everyone at the state and district levels who are helping to feed children, from the people facilitating P-EBT benefits to the school nutrition workers preparing free meals.”
Families with eligible students will receive their P-EBT benefits monthly for the remainder of the school year. Based on federal rules, families will receive varying P-EBT amounts. Families with children in a fully remote learning environment will receive $117 a month per child, and children in a hybrid learning environment will receive $58 a month per child. Families can check their P-EBT balance by calling the number on the back of the

COVID-19 RESPONSE COMMAND CENTER WEEKLY SITUATION REPORT
card. P-EBT benefits can be used anywhere Supplemental Nutrition Assistance Program (SNAP) benefits are accepted, including online from Walmart and Amazon. Learn more about P-EBT at MAp-ebt.org.
P-EBT builds upon the work of the Massachusetts COVID-19 Command Center’s Food Security Task Force to strengthen our local food system and maximize federal food assistance programs to ensure that food insecurity needs are addressed during the COVID-19 public health emergency and into the long-term.
Families who already receive DTA benefits will get their P-EBT benefits on their existing EBT card. Families who do not receive DTA benefits but were mailed a P-EBT card in the past, will get their P-EBT benefits on their existing P-EBT card. Newly eligible students will receive their P-EBT benefits on their EBT card if receiving DTA benefits or will be mailed a P-EBT card if they do not receive DTA benefits. Families who lost their P-EBT card can request a new one.
Many families eligible for P-EBT may also be eligible for the Supplemental Nutrition Assistance Program (SNAP) and are being encouraged to apply. Children and teens participating in the free and reduced-price lunch program can also get free meals at hundreds of school meal locations throughout the state, no registration or ID required.
DTA assists and empowers low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long term economic self-sufficiency. DTA serves one in eight residents of the Commonwealth with direct economic assistance and food assistance, as well as workforce training opportunities. DTA administers three core programs: SNAP; Transitional Aid for Families with Dependent Children (TAFDC); and Emergency Aid to the Elderly, Disabled, and Children (EAEDC).
DESE is committed to preparing all students for success after high school. The Department's work includes licensing educators, distributing state and federal education money, helping districts implement learning standards, overseeing statewide standardized tests, monitoring schools and districts, and convening districts and individuals to share best practices. In addition, we collect data to inform state and local decisions.
ALDI Joins Massachusetts’ SNAP Online Purchasing Program Today, the Baker-Polito Administration announced that Massachusetts residents who receive Supplemental Nutrition Assistance Program (SNAP) can now use their EBT SNAP benefits to buy groceries online from participating ALDI stores for pickup and delivery via Instacart. ALDI joins Walmart and Amazon as federally approved SNAP online retailers in the Commonwealth. Massachusetts first launched the SNAP online purchasing program on May 29th.
To date, Massachusetts residents have spent over $19 million in SNAP online grocery purchases. Similar to using EBT SNAP benefits to purchase food in a store, benefits can be used to buy SNAP-eligible foods online, including fresh produce, frozen foods, dairy and eggs.
“SNAP online purchasing is one of several tools the Administration is employing, alongside the state’s national leadership in Pandemic EBT, to combat food insecurity for Massachusetts families and advance the COVID-19 Command Center Food Security Task Force’s recommendation to maximize federal nutrition programs,” said COVID-19 Command Center Director and Secretary of Health and Human Services Marylou Sudders. “Helping thousands of families across the

COVID-19 RESPONSE COMMAND CENTER WEEKLY SITUATION REPORT
Commonwealth shop for healthy food in a safe way is important as we continue to navigate our way through the public health crisis.”
“As a result of the economic fallout of COVID-19, the Commonwealth has seen a historic increase in residents using SNAP benefits to buy food. SNAP remains our most critical tool to help fight food insecurity by putting money directly into the hands of over 500,000 households,” said Department of Transitional Assistance Commissioner Amy Kershaw.
“The COVID-19 pandemic has hurt all communities, but for our most vulnerable populations, it has exacerbated the inequalities that exist when it comes to accessing food,” said Andrew Nodes, Vice President of Retail at Instacart. “By unlocking the use of EBT SNAP benefits for grocery and delivery services at ALDI in Massachusetts, we’re helping to ensure that residents who lack transportation, are homebound with disability or illness, or are elderly can access fresh, nutritious food and supplies during the remainder of the pandemic and beyond. We’re proud of our partnership with Baker-Polito Administration and ALDI on this important initiative.”
Residents can shop for groceries online at Shop.ALDI.us. ALDI uses Instacart as its online grocery delivery and pickup platform. Search by zip code to find participating ALDI stores with delivery and pickup options. Some retailers have a delivery fee, and all Instacart orders have a service fee. New with this expansion and to help subsidize costs for EBT SNAP beneficiaries, during a 90 day period starting December 16, 2020, Instacart will waive delivery and/or pickup fees on up to the first three EBT SNAP orders from ALDI for each customer with a valid EBT card associated with their Instacart account. SNAP benefits cannot be used to pay for fees, like delivery fees. Economic assistance programs benefits received through DTA, Transitional Aid to Families with Dependent Children (TAFDC) and Emergency Aid to the Elderly, Disabled, and Children (EAEDC), cannot be used to purchase items online at this time.
In response to COVID-19, the USDA allowed states to submit plans to participate in an online purchasing pilot program. Massachusetts submitted a waiver to participate in the pilot program on April 24 and received federal approval on May 20. The USDA approves all retailers for participation in this program. Interested retailers can visit: www.FNS.USDA.gov/SNAP. For more information and outreach materials on the Massachusetts program, visit www.mass.gov/SNAPonline. To apply for SNAP benefits, visit www.DTAConnect.com. DTA assists and empowers low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long term economic self-sufficiency. DTA serves one in eight residents of the Commonwealth with direct economic assistance and food assistance, as well as workforce training opportunities.
Important Updates
Department of Public Health Updates: • MA211 received 4,884 calls from Monday 12/7 through Sunday 12/13 for a new total of 171,397. • DPH received Week 6 allocations on 12/16 as follows: Bamlanivimab 1010 doses and Regeneron 240 doses.
The Therapeutics Working Group is recommending an equitable allocation strategy. • DPH issued guidance regarding Considerations for Health Care Personnel After COVID-19 Vaccination. • The Baker-Polito Administration announced updates on the Commonwealth’s distribution efforts of the first
doses of the COVID-19 vaccine. o This week, the first doses of Pfizer’s COVID-19 vaccine arrived in the Commonwealth and vaccinations of healthcare workers began. o Pending the approval of Moderna’s Emergency Use Authorization, the Commonwealth is anticipating receiving Moderna vaccine early next week. o Planning continues relative to the allocation and distribution the vaccine.

COVID-19 RESPONSE COMMAND CENTER WEEKLY SITUATION REPORT
• For the date range of 12/4-12/10, 93 of 96 Massachusetts hospitals were 100% compliant in their COVID-19 data submissions to the DPH WebEOC portal which is submitted to the federal HHS Protect portal daily.
• There are currently 12 Rapid Response Teams deployed to nursing homes across the Commonwealth. At the end of this week there will be 14 teams.
• There are also 8 National Guard Teams deployed and supporting nursing and rest homes. • DPH is collaborating on the establishment of alternate medical sites (or “Field Medical Stations”) to mitigate
stress on health care systems as cases increase. The UMASS Memorial Medical Center DCU Center Field Hospital opened on 12/6/20 and planning for the Lowell General Hospital Field Hospital is ongoing. The DCU Center has announced that it will be implementing a 24-hour observation recommendation for all patients being transferred into the facility. • Action = Consequences Campaign Social Media Links
o Instagram o Twitter: All languages thread o Facebook
 Stop COVID-19: English (facebook.com)  Stop COVID-19: Portuguese (facebook.com)  Stop COVID-19: Haitian Creole (facebook.com)  Stop COVID-19: Spanish (facebook.com)
Emergency Management and Disaster Recovery Updates: Mass Care
• 3 state contracted isolation/recovery hotels in the cities of Everett, Taunton, and Pittsfield continue to receive client placements: 135 individuals are currently housed in the program which is the highest single day total since the beginning of the pandemic o Top 5 referring cities:  Springfield (113)  Brockton (90)  Worcester (82)  Cambridge (73)  Lowell (66) o To date, a total of 1,132 residents have been placed in these hotels for safe isolation and recovery.

Emergency Food Box Program Update (as of 12/12):

Food Bank/ MEMA Warehouse Total Number of Food Boxes Distributed to Date

Total Number of Food Boxes Remaining in Inventory

Food Bank of Western MA

31259

Greater Boston Food Bank

205440

Merrimack Valley Food Bank

3312

Worcester County Food Bank

1440

MEMA Warehouse (Reserve)

36869

Total Food Boxes

278,320

0 480
0 0 3,456 3,936

Logistics (including Personal Protective Equipment and Supplies) • 13 orders prepared for pick up or delivery from the MEMA warehouse between 12/11 and 12/17.

COVID-19 RESPONSE COMMAND CENTER WEEKLY SITUATION REPORT
• Support to the CEIT initiative continued this week with 130,000 KN-95 and 1,260 Packs of Alcohol-Based Hand Wipes being delivered to 9 sites.
• A balance of MEMA’s remaining Field Hospital inventory is being deployed to UMass Lowell, along with 100 Hand Sanitizer Stations, on 12/18/2020.
• Cots and other support materials are being delivered to the Cambridge Homeless Housing Site on 12/18/2020.
• The MEMA State Logistics Warehouse continues to support the three Isolation Hotels in Pittsfield, Taunton, and Everett with biweekly orders of PPE, cleaners/sanitizer, drinks, snacks, and other amenities as requested.
• DPH coordinated 76 deliveries to health care entities on Tuesday (12/15) (6 PPE/6 testing supplies, 10 ventilators and 64 BinaxNOW kits for LTC, Schools and Community Hospitals/CHC); 49 deliveries were made on Wednesday (12/16) (4 PPE/6 testing supplies and 39 BinaxNOW kits for LTC, Schools and Community Hospitals/CHC); No deliveries were made on Thursday (12/17) due to the storm and 60 deliveries have been scheduled for Friday (12/18) (2 PPE/12 testing supplies and 46 BinaxNOW kits for LTC, Schools and Community Hospitals/CHC).
Disaster Recovery On March 27, the President declared a Major Disaster Declaration for the Commonwealth of Massachusetts related to the COVID-19 pandemic response. Through this declaration, federal aid will be made available to cities and towns, state agencies, and certain non-profits in all Massachusetts counties to help pay for emergency protective measures (response costs) related to the COVID-19 pandemic. MEMA’s Recovery Unit has developed a webpage with information and guidance on, but not limited to, disaster declaration, eligibility criteria, and the application process. Highlights from the Disaster Recovery process include the following:
• Online Applicant Technical Assistant Requests: 495 • Request for FEMA Request for Public Assistance (RPA) Applicants: 667 • MEMA advanced Massachusetts Department of Early Childhood Education and Care PW $18,815,800.00
($14,111,850.00 of Federal Cost Share) to FEMA for review. • MEMA advanced Massachusetts Bay Transportation Authority PW $17,080,334.05 ($12,810,250.54 of
Federal Cost Share) to FEMA for review. • Presentation materials from recent Public Assistance webinars are posted to MEMA’s website.
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