Emergency Operations Center (EOC) Situation Report

Situation Report Number: 1.27.2021 ​ Incident Name: COVID-19 MultCo Coordination ​ OERS Number: 2020-0279 (COVID) ​ EOC: Policy Team: ​ Activated Jessica Guernsey, Multnomah County Health Department Kim Toevs, Multnomah County Health Department Chris Voss, Multnomah County Emergency Management Marc Jolin, Joint Office of Homeless Services Mohammad Bader, Department of County Human Services Unified Command Team: Lee Girard, Department of County Human Services Erin Grahek, Department of County Human Services Lisa Corbly, Multnomah County Emergency Management Alice Busch, Multnomah County Emergency Management Aaron Monnig, Multnomah County Health Department Date: Time: Situation Reports are typically released on Wednesdays. All posted Situation ​ ​ 1/27/21 1:30 pm Reports are archived on the County’s website. ​

To submit updates / actions to this report, email the Multnomah County EOC Situation Unit at ​ [email protected] with the subject line: Update for COVID-19 Situation Report. ​

Multnomah County COVID-19 Emergency Response

Announcements and Featured Media

● On January 19, Oregon Department of Education released updated guidance: Ready Schools, Safe ​ ​ Learners: Guidance for School Year 2020-21 (Version 5.5.0). ● On January 22, Governor Kate Brown held a press conference outlining COVID-19 vaccine planning. ​ ​ This story was covered by OPB. ​ ​ ● On January 25, Oregon Health Authority released the list of educators now eligible to receive a ​ COVID-19 vaccination. ​ ● On January 26, regional Health Officers held a press availability to discuss vaccine supply and ​ ​ ​ availability. Presenters included Multnomah County Public Health Director Jessica Guernsey, Regional ​ ​ Health Officer Dr. Jennifer Vines, Clackamas County Health Officer Dr. Sarah Present, and Washington County Health Officer Dr. Christina Baumann.

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COVID-19 Vaccine

Oregon Health Authority (OHA) is maintaining the COVID-19 Vaccine in Oregon page and has recently ​ ​ published the COVID-19 Vaccination Trends dashboard. OHA has identified four groups in their Phase 1a ​ ​ ​ Vaccine Sequencing Plan and Phase 1a Sequencing Update) which aligns with the federal Advisory ​ ​ ​ Committee on Immunization Practices (ACIP) and Centers for Disease Control and Prevention (CDC) guidelines for broad groups to be included in the initial phase of vaccine distribution. With a focus on health equity, the plan builds on the federal recommendations to outline specific populations within the broader groups. On January 7, OHA released a document with an overview of Oregon’s Phase 1a Vaccine ​ Sequencing Plan: Frequently Asked Questions. ​

OHA is also enrolling healthcare providers who wish to sign up as a provider of vaccine for COVID-19. More ​ ​ information is available on OHA’s Frequently Asked Questions about the COVID-19 Vaccine in Oregon page. ​ ​ Questions about COVID-19 vaccines and vaccine planning can be directed to Oregon Health Authority, at [email protected]. ​

Oregon Health Authority has convened the COVID-19 Vaccine Advisory Committee (VAC) to discuss how ​ ​ critical workers and population will be prioritized in the state’s vaccine rollout. Meeting dates, times, and links ​ ​ are posted on the webpage, with the next meeting scheduled for January 28, at 10:00 am. VAC meetings are ​ ​ open to the public. Comments and questions can be submitted in advance in English or Spanish. ​ ​ ​ ​

On January 12, Multnomah County released a statement outlining the plan for Metro-area counties and major ​ ​ ​ health systems to partner to vaccinate all area health care providers and employees eligible for the state’s Phase 1A vaccine, including solo practitioners and those unaffiliated with a hospital.

To speed this process, county public health departments are matching health care providers and employers with hospital systems that have agreed to provide these vaccinations. Public health officials are asking each employer to identify one point of contact to fill out a short survey with the name of their organization, the health ​ ​ care sector they work in, the number of employees who need COVID-19 vaccination. For organizations that have more than 100 personnel and/or residents and have the capacity to vaccinate, enrolling to be a ​ COVID-19 vaccine provider is encouraged. Solo practitioners should fill out the short survey themselves. ​ ​ ​

Current information is available on Multnomah County’s COVID-19 Vaccine page. ​ ​

COVID-19 testing Information about statewide testing efforts can be found in Oregon Health Authority’s COVID-19 Testing in ​ Oregon. You can also visit Oregon Health & Science University (OHSU) testing information website. ​ ​

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Multnomah County community testing For information about testing sites, who should get tested, and what to expect from your COVID-19 test, see Multnomah County’s COVID-19 Testing page. ​ ​ ● Call your doctor or clinic: If you have insurance or a regular care provider, contact your doctor’s office ​ or clinic to discuss whether you should be tested. ● If you don't have a doctor: Call 211 for help finding a clinic. They can help you even if you don't have ​ ​ ​ insurance. You can also call the Health Department's Primary Care Clinics at 503-988-5558 to enroll as ​ ​ a new patient.

● The After Testing Guide covers: ​ ​ ​ ○ Information on when to start and/or end isolation and quarantine ○ Resources and services for those who have to isolate or quarantine ○ When/how to tell close contacts and employers ○ Contact information for regional public health help ○ Basic COVID-19 prevention information

Multnomah County Community testing is designed to help provide testing for people without health insurance, and people without a regular health care provider. ● No cost testing by appointment only, for anyone with symptoms or anyone who has had recent close ​ ​ ​ ​ contact with a person with COVID-19. ​ ● You don't need to be a Multnomah County patient or have health insurance. ● You can get tested regardless of your immigration status. We will not share your information with law enforcement or immigration officials. ● We focus on reaching Black, Indigenous, and People of Color communities, ● Please note: We will need to turn away walk-ups without appointments when we reach our maximum ​ ​ capacity. Maximum capacity can be reached early in the day. Therefore, we encourage people to call ​ 503-988-8939 in advance to schedule appointments before arriving. If you are unable to schedule ​ an appointment, we recommend that you arrive in the morning.We have strived to avoid long waits, but wait times are increasing for people without appointments.

Locations and hours ○ East County Health Center (parking lot), 600 NE 8th St., Gresham, Mondays and Thursdays, 9:00 am - 3:45 pm ○ Portland Community College, Cascade Campus (Parking Lot 1), 705 N. Killingsworth St., Portland, Wednesdays, 11 am - 6 pm ○ Immigrant and Refugee Community Organization (IRCO), 10301 NE Glisan St., Portland, Fridays, 12 pm - 6 pm ○ Latino Network, Rockwood Office, 312 SE 165th Ave., Portland, Saturdays, 9:00 am - 3:45 pm

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Epidemiology Data The Communicable Disease Epidemiology Team looks at multiple data sources and emerging science related to COVID-19. The information is evaluated and summarized and combined with an analysis of local, regional, national, and international information. This work informs the County’s COVID-19 response strategies.

Epidemiology Data County level epidemiological data for each metro area county is available on the Regional COVID-19 Data ​ Dashboard. ​ COVID-19 cases and deaths in Multnomah County and in Oregon There were 796 new confirmed and presumptive COVID-19 cases reported in Oregon on January 26. One ​ ​ ​ hundred ninety-five of these new cases are in Multnomah County. Since the pandemic began, there have ​ been a total of 29,403 confirmed and presumptive COVID-19 cases in Multnomah County and 139,355 cases ​ ​ ​ ​ in Oregon. Multnomah County cases make up 21% of the state’s total. The chart below shows cases over the ​ ​ past week.

(Source: Oregon Health Authority) ​ ​

There were 22 new COVID-19 deaths in Oregon reported on January 26. Two of these deaths occurred in ​ ​ ​ ​ ​ ​ Multnomah County. A total of 466 people are known to have died of COVID-19 in Multnomah County since the ​ ​ pandemic began. There have been 1,904 known COVID-19 deaths in Oregon, statewide. Multnomah County ​ ​ deaths make up 24% of the state’s total. The chart below shows deaths over the past week. ​ ​

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(Source: Oregon Health Authority) ​ ​

National and global data about COVID-19 cases and deaths are tracked in the COVID-19 Dashboard, ​ ​ available through Johns Hopkins University’s Coronavirus Resource Center. ​ ​ Race and Ethnicity Impact in Multnomah County Detailed local data, including demographics (race, sex, age, and housing status) are available in the Regional ​ COVID-19 data dashboard hosted by Multnomah County. The dashboard also contains data on case counts, ​ hospitalizations, symptoms and coexisting conditions, and testing. For statewide data on COVID-19 cases in Oregon by sex, age group, race, and ethnicity, consult the Oregon Health Authority’s Demographics and ​ Disease Severity dashboard. National data on racial disparities in the COVID-19 pandemic is updated daily in ​ the COVID-19 Racial Data Tracker, which is a joint project of the COVID-19 Tracking Project at The Atlantic ​ ​ ​ ​ and the Center for Antiracist Research. ​ ​

The charts below show the percentage of total cumulative cases, deaths, and hospitalizations by race ​ and ethnicity (in gray), as of January 24. Each chart also shows the proportion of Multnomah County’s ​ ​ total population by race/ethnicity (in orange). Instances where the percentage of cases, deaths, and ​ hospitalizations exceeds the proportion of Multnomah County’s total population by race/ethnicity indicate the communities that are most impacted by health inequity from COVID-19. These differences may reflect the inequitable distribution of the risks of being exposed to COVID-19 and the opportunities to access medical care and COVID-19 testing.

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Data current as of January 24, 2021 (source: Regional COVID-19 Data Dashboard). ​ ​

Data current as of January 24, 2021 (source: Regional COVID-19 Data Dashboard). ​ ​

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Data current as of January 24, 2021 (source: Regional COVID-19 Data Dashboard). ​ ​

Statewide Health System Capacity

Data as of January 24, 2021 (source: Oregon COVID-19 Update). ​ ​

Note from OHA: *Every hospital in Oregon is asked to submit data twice daily to Oregon’s Hospital Capacity Web System (HOSCAP). Data are based on the most recent report from the hospitals, available as of 9:00 am. Hospital staff are asked

page 7 Emergency Operations Center (EOC) to enter bed capacity information, by type, as well as the number of patients with suspected or confirmed COVID-19 illness who are currently hospitalized at the time of data entry. These data may conflict with hospitalization status in Orpheus due to case reporting and investigation lags and temporary discrepancies in case classifications.

Multnomah County Emergency Operations Section Updates

The Multnomah County Emergency Operations Center (EOC) is a temporary incident response framework that operates within the Mission, Vision and Values of Multnomah County. The EOC develops objectives based on ​ ​ guidance and priorities from the Chair and Chief Operating Officer. The EOC provides support to County departments that are operating beyond their normal capacity, and creates surge capability through the incorporation of community volunteers, partner agencies and organizations, as well as staff from across all County departments. The full complement of this combined effort is directed toward helping accomplish the County’s incident objectives.

EOC Section: Public Information ​ The Public Information Section creates and disseminates vital information to the public, assuring accessibility and relevance to communities most impacted by the pandemic.

Multnomah County Novel Coronavirus COVID-19 website ​ ​ ● Updated How the COVID-19 Vaccines Were Developed in Chinese (Simplified), Chinese (Traditional), ​ ​ ​ ​ ​ ​ Russian, Somali, Spanish, and Vietnamese ​ ​ ​ ​ ​ ​ ● Updated Taking Care of Ourselves and Others: A COVID-19 Guide for Youth and Families in Chinese ​ ​ ​ ​ (Simplified), Chinese (Traditional), Russian, Somali, Spanish and Vietnamese ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ● Updated the Novel Coronavirus COVID-19 site landing pages in Amharic, Arabic, Burmese, Chinese ​ ​ ​ ​ ​ ​ ​ ​ ​ (Simplified), Chinese (Traditional), Chuukese, Farsi, French, Japanese, Karen, Korean, Marshallese, ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ Nepali, Palauan, Pohnpeian, Russian, Somali, Spanish, Swahili, Thai, Tigrinya, Tongan, and ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ Vietnamese ● Updated the COVID-19 Vaccine page ​ ​ Social media highlights - PLEASE SHARE! ​ ​ *These updates are designed for you to cut and paste into your social media to help us share widely.*

We share these social media posts to provide the public with accurate, easily-shareable information, and to support the community through the duration of the COVID-19 response. The posts provide guidance to help individuals make informed decisions about their safety, encourage behaviors known to minimize COVID-19 spread, elevate access to resources, and to combat misinformation which erodes trust in public health measures. ● Multnomah County Facebook ○ As prioritized by Oregon’s Phase 1A category, Multnomah County has administered more than 29,000 vaccines to County employees and contractors on the frontlines of public health. Hear ​ what some say about the experience. Visit COVID-19 Vaccine in Oregon for vaccination ​ ​ ​ ​ eligibility information and details on the state’s vaccine distribution plan.

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● Multnomah County Health Department Facebook ○ Were the COVID-19 vaccines tested on people like you? You might feel concerned about whether COVID-19 vaccines were tested on people with your same racial or ethnic background or your same health concerns. Read more about diversity in the Pfizer and Moderna vaccine studies by downloading our Diversity in COVID-19 Vaccine Studies sheet. ​ ​ ○ Getting vaccinated and following CDC recommendations to protect yourself and others will offer the best protection from COVID-19. Visit How to Protect Yourself and Others for more info. See ​ ​ this infographic from Oregon Health Authority for information about phases and groups eligible ​ ​ ​ ​ ​ for the vaccine in Oregon. ○ What does the COVID-19 vaccine do? • The vaccine teaches your body how to recognize and ​ ​ fight the coronavirus that causes COVID-19. • The Pfizer and Moderna vaccines contain messenger RNA (mRNA), which acts like an instruction manual. • The mRNA teaches your body how to make a harmless protein that looks like a protein on this coronavirus. Your body responds to the protein and creates disease-fighting cells and antibodies that can recognize and fight this coronavirus. • If your body sees this coronavirus in the future, it is ready to protect you. Download How the COVID-19 Vaccines Work for more information. ​ ​

Call Center The EOC Call Center was established to answer a range of questions and concerns from community members related to COVID-19. The Multnomah County emergency response team at the EOC continually updates the Call Center based on the questions received and from community listening sessions.

General Updates from the Call Center ● From January 19 - 25, the Call Center experienced a total of 1,979 calls, which was a 47% increase from the previous week’s total call volume. These included: ○ 1,119 individuals seeking information about COVID-19 vaccine ○ connecting 264 households with wraparound services (which include community health worker referrals, resource navigation, and emergency food assistance ) ○ 143 calls in languages other than English, including Cambodian, Chuukese, French, Haitian Creole, Russian, Somali, Spanish, Swahili, and Vietnamese.

Daily Metrics: The Call Center tracks how many calls and emails it responds to each day. The first chart below ​ shows the number of calls and emails per day for the past week, broken down by topic categories. The second chart shows the total number of calls and emails received each day over the past two weeks.

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Note: The Call Center was closed on January 18 for Martin Luther King, Jr. Day.

211 Calls ● There were 364 calls to 211 on Monday, January 25. ● The most common reason people called was to ask about rent/mortgage assistance. Other frequent inquiries were about COVID-19 vaccine information, utility assistance, and tenant/landlord rights. ● Note: Phones using Voice Over Internet Protocols (VOIP) may be unable to reach 211. In this case, callers can instead use 211’s toll-free number: 866-698-6155.

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Data for January 25, 2021.

Aggregated data: The chart below shows the total number of 211 contacts each day, over the last two weeks. ​

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COVID-19 Physical Distancing Shelter and Voluntary Isolation Motels

The County operates two Voluntary Isolation Motels (VIMos) with a capacity of 120. VIMos are designed to support successful COVID-19 isolation. Multiple County departments and divisions are working together to ensure guests and staff have the resources and support needed. The Joint Office of Homeless Services also operates a Physical Distancing Shelter with a 75 person capacity. This shelter is helping reduce the census at existing shelters to successfully enable safe distancing while maintaining capacity. The Multnomah County Emergency Operations Center provides logistical support to these shelter programs.

Weekly Metrics: During the week of Monday, January 18 through Sunday, January 24, an average of 55 ​ ​ ​ ​ ​ ​ people per night stayed in the County’s Physical Distancing Shelter and 69 people per night stayed in the ​ ​ ​ County’s Voluntary Isolation Motels. The charts below show the number of people housed in these shelters and motels for each day of the past week.

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EOC Section: Logistics ​ The Logistics Section supports the response actions of all other EOC sections. Logistics focuses on procedures for activating, dispatching, distributing, prioritizing, allocating, tracking, and demobilizing resources needed for emergency and disaster operations in service of partners from: government, non-governmental organizations/non-profit, and private industry. For Multnomah County’s COVID-19 response, important

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Logistics functions include, but are not limited to supporting the EOC and Voluntary Isolation Motels (VIMOs), processing resource requests, and the coordination of donated supplies. Throughout the duration of this incident, the Logistics Section has worked diligently to address emergencies that are exacerbated by COVID-19, including: wildfires, smoke and air quality issues, Shigella, Legionnaires Outbreak, and is currently supporting response readiness for winter weather.

General Updates from the Logistics Section ● Working with a diverse team to implement improvements to the semi-permanent structures installed at the East County test site to provide increased protection from inclement weather for staff and members ​ ​ ​ of the public. During this reporting period, staff were fully trained on operation of a generator which will provide power and heat for the teams and public and this site. Portland General Electric continues the work of planning extensive power installation for this site. ● A full team effort has been made and is ongoing to support vaccine clinics held by the County for specific Phase 1a populations. This work includes shopping for supplies, receiving, delivery, setup, staffing the event, working with other departments on needs and participating in planning for future events. ● The EOC Logistics team received tremendous support from Multnomah County Transportation Division, ​ ​ ​ particularly Roads and Bridges, the Department of County Assets, in particular Facilities, as well as ​ ​ ​ ​ ​ ​ ​ ​ local HVAC specialists, to install the heating system in the county’s first ever open-air severe weather shelter, which will be located in a two-floor, parking garage with ducted heating system to serve people experiencing houselessness during severe weather conditions. ● The County’s Facilities team supported Logistics in Severe Weather Shelter set up, bringing appliances and installing partition walls at the Arbor Lodge location. ● Groups of volunteers and Disaster Resource Center staff worked with the Logistics team to move ​ ​ materials into place for outreach and support at the newest Severe Weather Shelter.

Community Resources Unit The Community Resources Unit works to minimize the impacts and spread of COVID-19, decrease severe ​ illness, and prevent deaths among the entire community by strategically prioritizing communities with the greatest needs, using race/ethnicity disparity research, community voice and wisdom, and public health best practice. The Community Resource Unit works collaboratively with many County departments and teams to inform this work, such as Multnomah County Health Department’s: Racial and Ethnic Approaches to ​ Community Health (REACH), Community Partnerships & Capacity Building, Public Health Officer program, ​ ​ ​ ​ ​ Office of Diversity and Equity, Department of County Human Services, and Emergency Management. ​ ​ ​ ​ ​

In support of its mission, the Community Resources Unit serves three main sectors in the COVID-19 response: congregate and medical facilities doing COVID-19 care, County departments and partner organizations providing essential services, and community-based organizations serving the County’s diverse community, which includes non-profit service organizations, faith groups, and businesses that work directly with the communities most impacted by the COVID-19 pandemic.

Community distribution aims to mitigate disproportionate risk to BIPOC communities stemming from systemic inequities. The Community Resource Unit builds partnerships with organizations that have deep ties to the

page 14 Emergency Operations Center (EOC) community and uses a “hub and spoke” model to concentrate the County’s distribution of personal protective equipment (PPE) on larger organizations, which reach community members through existing direct client relationships and partnerships with smaller organizations to further focus resource distribution.

Development of the Community Resource Unit’s “hub and spoke” project is ongoing. Partnerships are actively sought with organizations that can, directly or indirectly, reach 50 or more households in one or more BIPOC or immigrant/refugee communities. These partner organizations would receive cloth or disposable face coverings and/or hand sanitizer to redistribute into the community. Partners serving Latinx, Native American and Alaskan Native, Pacific Islander, Southeast Asian, Slavic, and Middle Eastern communities are currently most needed. Interested organizations can contact the Community Resource team by calling 503-988-8940, emailing [email protected], or by visiting the Need Resources? Multnomah County Resource ​ ​ Request Forms page. ​

Daily Metrics: The Resource Request Unit tracks how many requests for resources it receives each day. The ​ chart below shows the number of daily requests over the past two weeks.

Note: The Community Resource Unit processes requests Mondays-Saturdays.

Weekly Metrics: During the week of Saturday, January 16 through Friday, January 22, the Resource ​ ​ ​ ​ ​ Request Unit processed 13 requests from groups that met the county’s priorities to dedicate resources to the ​ ​ populations most impacted by COVID-19. Requests were received from priority groups as indicated in the graph below:

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Note: In the above chart, healthcare providers and congregate housing sites include those that may specifically serve communities of color or people ages 65+. In other words, if a healthcare provider organization or congregate housing site specifically serves communities of color or people ages 65+, they are categorized as healthcare providers or congregate housing sites and not counted as an organization serving communities of color or as an organization serving people 65+.

Resource Deliveries The Logistics Section provides transportation for numerous response functions, including delivering supplies to community partners. The chart below shows the number of daily trips delivering resources to community organizations, County-run Voluntary Isolation Motels (VIMo), and emergency shelters run by the City of Portland and Multnomah County’s Joint Office of Homeless Services. The chart does not represent the quantity of supplies included in these deliveries, so a single delivery could include small or large quantities of resources.

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Note: Logistics operates Monday-Saturday, with on-call deliveries made on Sundays.

Weekly metrics: Each week, the Logistics Section tracks the number of items that it delivers and picks up. The ​ table below shows these deliveries by week for the current month.

EOC Section: Administration ​ The Administration Section provides targeted support to create an inclusive, positive, productive and healthy work environment across all response operations, that is responsive to the changing conditions of the ​ COVID-19 response. Functions include the recruitment, training and onboarding of staff and volunteers; equity and inclusion support; and human resources and labor relations consultation.

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General Updates from the Administration Section

● Multnomah County has spent recent weeks building its capacity to open and operate winter weather shelters; one component of this effort is the recruitment of site staff and management. With COVID-19 limiting participation for a majority of our shelter cadre, the County has worked to recruit and train additional general staff and site coordinator positions. Two training sessions were held on-site during this reporting period to train 13 additional site coordinators who come from both employee and volunteer backgrounds. ● The Volunteer Unit recruited and scheduled volunteers for all shifts needed to support COVID-19 ​ vaccine events at the Oregon Convention Center on January 19 and January 22. ​ ● The Volunteer Unit is collaborating with EOC Recruitment to continue to refine volunteer placement processes for roles within the EOC.

Volunteers The Volunteer Program of Multnomah County’s COVID-19 emergency response works to recruit, screen, onboard and support volunteers, with a current focus on recruiting and onboarding volunteers to staff Severe Weather Shelters, as well as vacancies in the Emergency Operations Center. The Volunteer Program bolsters and sustains the community response to COVID-19 in Multnomah County through promoting, organizing, and supporting safe volunteer activities and works closely with other County Departments to prioritize support for historically underserved communities.

As of January 24, 2021, a total of 167 people have volunteered their time with the EOC during the COVID-19 ​ ​ response, and active volunteers have worked a total of 9,094.20 hours. Using the County’s job class ​ ​ compensation guide as a metric, the value represented by this donated labor is $214,834.60. ​ ​ EOC Section: Liaisons The Liaison Officers support 19 sector representatives across 17 sectors. Their work fosters community ​ ​ connection and information sharing, offering spaces to problem solve, share resources, and discuss community experiences. A critical component of this work is the maintenance of a close connection with the County’s Communicable Disease team to ensure this outreach is data driven. The Liaison Officers identify and track trends within the sectors and elevate these trends to the County’s Emergency Response leadership team. This interconnectivity informs outreach efforts, public messaging, and policy development.

The Sector Representatives use their subject-matter expertise to act as a critical link between the County’s COVID-19 Emergency Response mission and the County’s diverse communities. They answer sector-specific questions, ensure understanding of local and state guidelines as it pertains to their sector, and manage communication and information sharing between sector organizations and the Multnomah County Emergency Operations Center. More than 8,500 people actively participate in the liaison program and help spread accurate information throughout our community and beyond.

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Updates from the Liaison Section ● The Liaison Team continues to be inundated with requests for COVID-19 vaccine information. The resources used to answer these requests include the following: ○ COVID-19 Vaccine (Multnomah County) ​ ○ COVID-19 Vaccine in Oregon (Oregon Health Authority) ​ ○ COVID-19 Vaccination (Centers for Disease Control and Prevention) ​ ● On January 20, Oregon Health Authority (OHA) hosted a facebook live event answering questions from the public about COVID-19 vaccine. OHA’s expert panel included Chief Medical Officer Dr. Dana Hargunani and Dr. Rachel Banks, Public Health Division Director. ● Travel Oregon announced the launch of the Destination Ready Program. Awards of $10,000 - $50,000 ​ ​ will be made for eligible projects. The deadline for application is February 3, at 12:00 pm. ​ ​ ​ ​ Local Updates Media and Announcements ● On January 26, regional Health Officers held a press availability to discuss vaccine supply and ​ ​ ​ availability. Presenters included Multnomah County Public Health Director Jessica Guernsey, Regional ​ ​ Health Officer Dr. Jennifer Vines, Clackamas County Health Officer Dr. Sarah Present, and Washington County Health Officer Dr. Christina Baumann.

State of Oregon and Regional Updates Media and Announcements ● On January 22, OPB reported, “A group of medically vulnerable Oregon prison inmates has asked a ​ ​ ​ federal judge to grant them immediate access to COVID-19 vaccines, according to court documents.” ● On January 23, OPB reported on the impact of revised COVID-19 vaccine timelines on Oregon’s ​ ​ elderly population. ● On January 25, OPB reported, “Oregon should shift the focus of its COVID-19 vaccination strategy to ​ ​ ​ essential workers and other vulnerable people, according to a letter drafted by Oregon state lawmakers ​ ​ of color and sent Monday to the Vaccine Advisory Committee.” ● On January 26, Governor Kate Brown announced updates to the County Risk Levels, effective January ​ ​ 29. ○ Multnomah County and surrounding counties (Clackamas, Columbia, Hood River, and Washington) remain in the Extreme Risk category.

National and International Updates Media and Announcements ● On January 22, the New York Times reported, “President Joseph R. Biden Jr. on Thursday revealed a ​ ​ ​ ​ ​ ​ slate of new executive orders and presidential directives intended to speed up production of Covid-19

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supplies, increase testing capacity and require mask wearing during interstate travel — part of a sprawling 200-page national pandemic strategy . . .” ​ ​ ● On January 22, the Centers for Disease Control released audience-specific COVID-19 Vaccination ​ Toolkits: ​ ○ Medical Centers, Pharmacies, and Clinicians ○ Recipient Education ○ Long-Term Care Facilities ○ Essential Workers ○ Community-Based Organizations ● On January 25, the Associated Press reported, “With a mass vaccination campaign underway, the U.S. ​ ​ is facing a moral dilemma as officials from California to New Jersey decide who gets the shots first. Everyone from the elderly and those with chronic medical conditions to communities of color and front-line workers are clamoring for the scarce vaccine — and each group has a compelling argument for why they should get priority.”

Stay Informed, Get Involved

COVID-19 Response ● Local response: the Multnomah County COVID-19 website is regularly updated with new information ​ ​ ​ and guidance. Topics covered include: ○ Daily Living ― includes information on face coverings, safer gatherings, tips for coping with the ​ pandemic, and more ■ The Youth and Families Toolkit provides general COVID-19 information and resources to ​ ​ help students and youth with peer pressure, coping, and more ○ Symptoms, Testing & Care ― for information on testing, what to do if you’ve been around ​ someone with COVID-19, telling your close contacts, and help with isolation and quarantine ■ The After Testing Guide has everything you need to know about testing, isolation and ​ ​ quarantine, and access to support ○ Guidance for Businesses and Organizations ― sector-specific guidance, economic resources, ​ what to do if an employee tests positive, and more ■ The Workplace Outbreak Guide contains resources and protocols if you have positive ​ ​ covid-19 cases in your workplace ○ Outbreak Summary, which includes the Regional COVID-19 Data Dashboard ​ ​ ○ Get or Give Help During COVID-19 ― community resources, how to donate or volunteer, and ​ resources for domestic and sexual violence ○ Discrimination, stigma and COVID-19 ● State response: Oregon Health Authority COVID-19 website ​ ​ ● National response: CDC website ​ ​

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Media For media inquiries related to COVID-19 please contact Julie Sullivan-Springhetti, Multnomah County ​ ​ Public Information Media Coordinator at: 503-502-2741. ​ ​

Check out our list of trusted sources for current regional and national COVID-19 information. ​ ​ Activated Call Centers

Call Center Phone Number Email Hours 211 Call Center 211 or 866-698-6155 [email protected] Seven days a week, 8:00 am - 11:00 pm Behavioral Health Call 503-988-4888 Open 24 hours a day, seven days Center Toll-free: 800-716-9769 a week TTY: 711 Aging & Disabilities 503-988-3646 [email protected] Information and assistance to older Resource Connection people, people with disabilities, and caregivers, open 24 hours a day, seven days a week City County Information 503-823-4000 Mondays-Fridays, 8:00 am - 5:00 and Referral pm

Help and Resources ● Having symptoms? ○ C19Oregon.com is an online triage tool that helps public health officials track COVID-19 cases ​ and allows community members to check their symptoms and receive guidance.

More questions? ● Consult Multnomah County Novel Coronavirus COVID-19. ​ ​ ● Contact 211, Monday - Friday 8 am - 6 pm: Call 2-1-1, visit 211info, or text your zip code to 899211 ​ ​ ​ ​ (standard message and data rates may apply)

Document Development Information Prepared By (Name & Position) Michelle Bullock and Melissa Walker, Situation Unit Approved By (Name & Position) Alice Busch, Deputy Unified Command Date; Time Approved 1/27/21; 11:58 hours Date of Next Situation Report Wednesday, 2/3/21

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Articles & Reports Cited Announcements and Featured Media

● “Ready Schools, Safe Learners: Guidance for School Year 2020-21 (Version 5.5.0),” Oregon Department of Education, 19 January 2021, https://www.oregon.gov/ode/students-and-family/healthsafety/documents/ready%20schools%20safe%20learners %202020-21%20guidance.pdf ● “Gov. Brown clarifies vaccination timeline, doubles down on priority for teachers,” by Erin Ross, OPB, 22 January 2021, https://www.opb.org/article/2021/01/22/oregon-gov-brown-covid-19-vaccine-rollout/ ​ ● “Portland metro counties close Phase 1A survey due to limited COVID-19 vaccine supply [Video],” MultcoPresents, https://www.youtube.com/watch?v=8vNrFOTQtlw ​ Local Updates

● “Portland metro counties close Phase 1A survey due to limited COVID-19 vaccine supply [Video],” MultcoPresents, https://www.youtube.com/watch?v=8vNrFOTQtlw ​ State of Oregon and Regional Updates

● “In lawsuit, Oregon inmates ask for immediate access to COVID-19 vaccine,” by Conrad Wilson, OPB, 22 January 2021, https://www.opb.org/article/2021/01/22/oergon-prisons-lawsuit-covid-19-vaccine/ ​ ● “What older Oregonians need to know on the long road to vaccination,” by John Notarianni, OPB, 23 January 2021, https://www.opb.org/article/2021/01/23/oregon-coronavirus-vaccine-plan-older-adults-priority-groups/ ​ ● “Vaccinate communities of color by vaccinating essential workers, write Oregon legislators of color,” by Erin Ross, OPB, 25 January 2021, https://www.opb.org/article/2021/01/26/oregon-legislators-vaccinations-essential-workers/

National and International Updates

● “Here’s What’s in Biden’s Executive Orders Aimed at Curbing the Pandemic,” by Noah Weiland, New York Times, ​ ​ 22 January 2021, https://www.nytimes.com/2021/01/21/us/politics/biden-executive-orders-coronavirus.html ​ ● “Who goes first? Vaccine rollout forces stark moral choices,” by Gillian Flaccus and Sara Cline, Associated Press, 25 January 2021, https://apnews.com/article/race-and-ethnicity-kate-brown-oregon-coronavirus-pandemic-22d0fd1905aa1d6011b32 8fa448f5db3

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