covid-19 update & actions to support equity in alameda ......2020/07/30 · note: includes deaths...

RACIAL DISPARITIES TASK FORCEJuly 30, 2020

Kimi Watkins-TarttPublic Health Director

COVID-19 Update & Actions toSupport Equity in Alameda County

Dr. Nicholas MossInterim Health Officer

&

Racial Inequities in Alameda County

Note: Includes cases with known race/eth (86%);Latest numbers on County Dashboard

Share of COVID-19 Cases by Race/Ethnicity vs. Share of the County Population

Source: ACPHD, with data from CalREDIE as of 7.26.20

60%

12% 11%8%

0.7% 0.3% 1%6%

22%

31% 31%

10%

0.8% 0.2%4%

0.3%0%

10%

20%

30%

40%

50%

60%

70%

Latino Asian White Black NHOPI AIAN Multi-race Other

% of Cases (with known Race/Eth) % of County Population

https://ac-hcsa.maps.arcgis.com/apps/opsdashboard/index.html#/1e0ac4385cbe4cc1bffe2cf7f8e7f0d9

Note: Includes hospitalizations with known race/eth (96%);

Share of COVID-19 Hospitalizations by Race/Ethnicity vs. Share of the County Population

49%

16% 15% 15%

22%

10%

31% 31%

0%

10%

20%

30%

40%

50%

60%

Latino Black Asian White

% of Hospitalizations(with known Race/Eth)

% of County Population


Note: Includes deaths with known race/eth (99%)

Share of COVID-19 Deaths by Race/Ethnicity vs. Share of the County Population


28%

22% 21%24%22%

10%

31% 31%

0%

10%

20%

30%

40%

Latino Black Asian White

% of Deaths(with known Race/Eth)

% of CountyPopulation

Death Rates (per 100,000 pop)by Race/Ethnicity

Case-Fatality Rate (per 100 cases)by Race/Ethnicity


19.7

13.4

8.97

10.6

0

5

10

15

20

25

Black/African

American

Latino/Hispanic

White Asian Total(with known

race/eth)

Deat

h ra

te p

er 1

00,0

00 p

op

5.0%

3.9%

3.3%

0.9%

2.1%

0%

1%

2%

3%

4%

5%

6%

Black/African

American

White Asian Latino/Hispanic

Total(with known

race/eth)

Case

-Fat

ality

Rat

io

COVID-19 Case Rates (per 100,000 pop) by Zip Code in Alameda County


Inequities by Place in Alameda County

Social Gradient in Disease:COVID-19 Case Rates by Neighborhood Poverty Level


116.5188.3

336.4

535.5

802.8

0

100

200

300

400

500

600

700

800

900

Essential Work & Work Conditions Matter

Source: PolicyLink, “A Profile of Frontline Workers in the Bay Area”, May 13, 2020

Racial/Ethnic Distribution of Frontline vs. All Workers: Alameda County, 2014-2018

29% 29%

11%

4%

27%

21%

31%

9%

4%

35%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Hispanic AAPI Black Other White

All Frontline Industries All Workers

People of color comprise over7 out of 10

frontline workers.

64% in Building Cleaning & Waste

Management

LATINO/A WORKERS account for:

57% in Construction

47% in Domestic Work

55% in Agriculture,

Forestry, & Fishing

BLACK WORKERS account for:

35% inPublic Transit

20% in Child Care& Social Services

ASIAN/PI WORKERS account for:

39% in Trucking,Warehouse, &

Postal

39% in Healthcare

Racial/Ethnic Distribution of Workers in Frontline Sectors: Alameda County, 2014-2018

Source: PolicyLink, “A Profile of Frontline Workers in the Bay Area”, May 13, 2020

Congregate & Close Living Quarters MatterAlameda County

35% Latino/a30% Black

Racial/Ethnic Distribution of

Homeless Cases

46% Black39% Latino/a

Racial/Ethnic Distribution of

Santa Rita Jail Cases

Racial/Ethnic Distribution of Skilled Nursing Facility Cases

28% Asian23% White19% Black

Source: ACPHD, with data from CalREDIE as of 6.25.20Source: ACPHD, with data from CalREDIE as of 7.5.20 Source: ACPHD, with data from CalREDIE as of 6.25.20

Source of Contact among Latino Cases reporting Contact with a Confirmed Case:

Alameda CountyN=1,381

70%

12% 10%3%

0%

10%

20%

30%

40%

50%

60%

70%

80%

household work community healthcare


Racial/Ethnic Distribution of High-Risk Households:

CaliforniaOver-crowded with at least 1 essential worker

Source: Botts & Lo Benichou, https://calmatters.org/projects/california-coronavirus-overcrowded-neighborhoods-homes/

Racial/ethnicdistribution

Native AmericanMulti-raceBlackAPIWhiteHispanic

https://calmatters.org/projects/california-coronavirus-overcrowded-neighborhoods-homes/

Age Distribution of Deaths by Age Group


Age Matters

12%14%

31%

39%

0%

10%

20%

30%

40%

51-60 61-70 71-80 81+

Age Distribution of Casesby Age Group

10%

26%

37%

12%15%

0%

10%

20%

30%

40%

Age Distribution of Cases for Race/Ethnicity & Age Group


13%4% 3% 2%

10%

27%

18% 19% 14%

24%

41%

32% 29%29%

37%

11%

19%17%

14%

13%

7%

26%33%

40%

16%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Latino Asian Black White TOTAL

61+

51-60

31-50

18-30

HCSA Health Equity Team

Focus on communities with high COVID-19 disease burden African American, Latino, Pacific Islander, and Mam West Oakland, East Oakland, Ashland/Cherryland and parts of South Hayward

Actionable initiatives supporting HCSA DOC disease response strategy Improve data quality Expand & target testing access Case and contact investigations Information & Education Supports to isolate and quarantine Engage and partner with impacted communities

8/3/202016

Improve Data Quality

COVID-19 Testing Locations: http://www.acphd.org/2019-ncov/testing.aspx

Expanded & Targeted Testing

http://www.acphd.org/2019-ncov/testing.aspx

Case Investigation & Contact Tracing

Specialty Populations

Dedicated outbreak teams: LTCFs, Santa Rita, Homeless Investigate and confirm occurrence of an outbreak Conduct case investigation and identify contacts Provide testing, cleaning/disinfection, outbreak control measures

and reopening guidance and TA

Supports for Isolation & Quarantine

Project Roomkey Food Distribution& Delivery

Isolation & Quarantine Orders & Instructions

• English• Spanish• Chinese

• Vietnamese• Khmer• Arabic• Tagalog• Hindi

Information & Guidance

Case Management when needed

Food Delivery

Isolation/quarantine housing

Exploring Wage Replacement

Developing partnership with All-In

Community Engagement, Education & Information

Engagement & Partnership with:• Youth• Faith-Based Community• Racial/Ethnic Groups

• African American/Black• Latino/Hispanic• Mam• Pacific Islanders

Education

Interfaith Councilof Alameda County

Information & Resources

Countywide campaign Free, locally produced face coverings

& health promotion WIC clinics Testing sites Parks

Posters available in multiple languages and disseminated to businesses countywide

4 murals under production in highly impacted neighborhoods

Mask On Alameda County!

Alameda County Workplace Safety Teams

• Investigation• Mitigation

• Employer specific guidance

• Work exclusions

• Reporting workplace cases

• General guidance on next steps

• General guidance & tech assistance on safe reopening

• Employee resource guides

Recovery Workplace

OutbreaksDisease Containment

Workplace Safety

Local guidance and technical assistance for businesses for safe reopening

Site-Specific Protection Plan (Appendix A of the Health Officer Order) Required of all businesses in County Physical distancing, face coverings, administrative controls, handwashing, enhanced

cleaning, & employee training Workplace Outbreak support

Employers must report positive cases among employees ACPHD provides guidance on next steps We recommend AGAINST mandatory testing to return to work for people

who have tested positive

Worker resources http://www.acphd.org/2019-ncov/resources-residents/worker-resources.aspx

Exploring partnerships with businesses and labor organizations

http://www.acphd.org/2019-ncov/resources-residents/worker-resources.aspx

Workplace Safety: State’s Employer Playbook

Released 7/24/20 Detailed resource list and guidance for employers to promote safety

Site Specific COVID-19 Prevention Plan Reporting cases to Health Dept and managing outbreaks Applicable leave laws Employee education on COVID-19 symptoms, spread and prevention Return to work criteria

Enforcement contacts for State’s Strike Teams ACPHD working on updating/aligning local guidance

https://files.covid19.ca.gov/pdf/employer-playbook-for-safe-reopening--en.pdf

https://files.covid19.ca.gov/pdf/employer-playbook-for-safe-reopening--en.pdf

For Questions or More Information:

Kimi Watkins-Tartt

Public Health Director

[email protected]

Nicholas Moss, MD

Interim Health Officer

[email protected]

mailto:[email protected]:[email protected]

Slide Number 1Slide Number 2Slide Number 3Slide Number 4Slide Number 5Slide Number 6Slide Number 7Slide Number 8Slide Number 9Slide Number 10Slide Number 11Slide Number 12Slide Number 13Slide Number 14Slide Number 15HCSA Health Equity TeamSlide Number 17Slide Number 18Case Investigation & Contact TracingSpecialty PopulationsSupports for Isolation & QuarantineCommunity Engagement, Education & InformationMask On Alameda County!Alameda County Workplace Safety TeamsWorkplace SafetyWorkplace Safety: State’s Employer PlaybookSlide Number 27

covid-19 update & actions to support equity in alameda ......2020/07/30 · note: includes deaths...

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