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Board of Supervisors MONTEREY COUNTY BOARD OF SUPERVISORS LUIS A. ALEJO, District 1 JOHN M. PHILLIPS, District 2 CHRIS M. LOPEZ, District 3 WENDY ROOT ASKEW, Chair, District 4 MARY ADAMS, Vice Chair, District 5 March 8, 2021 Tómas Aragón, M.D., Dr. P.H. Director and State Public Health Officer California Department of Public Health Re: 1/28/21 Monterey County Board of Supervisors Letter on COVID-19 Vaccines, Data and Equity Dear Dr. Aragón: Thank you for your response to our January 28, 2021 letter to Governor Newsom. The County’s letter requested immediate assistance on several critical issues related to the equitable supply and distribution of COVID-19 vaccines to keep our residents safe, especially our farmworker community which has been disproportionately impacted by the pandemic. Response to Monterey County Needs. We would like to express our appreciation for all your efforts to support communities whose makeup may look like ours. Due to the large geographic separation and barriers between our communities and the Central Valley communities referenced in your response letter we would request your insights on how CDPH plans to focus on and address the needs of Monterey County - specifically the Salinas Valley and the Central Coast. Your letter focused on other regions of California in response to Monterey County’s concerns and caused great consternation amongst our residents who remain concerned that they are still unseen and unheard by your department. Immediate Agricultural Season Concerns. Starting this month, the County expects a large influx of seasonal farmworkers coming to the Salinas Valley from the Imperial Valley and Yuma, Arizona. Many of these workers will work in the Salinas Valley before moving on to work in the Central Valley. Because these seasonal workers are not included in the County’s population count there is no vaccine allocation for the 35,000+ seasonal workers – compounded by the problem of not having vaccine for the 30,000+ agricultural workers who reside year-round in the County. Requests for Vaccines for Agricultural Workers. Monterey County has repeatedly sought help from every possible avenue to provide vaccine for our agricultural workforce knowing full well that not doing so severely impacts every sector of our economy, especially our communities of color. We have repeatedly sought the assistance of the Governor, our state and federal elected leaders, CDPH, FEMA, CalOES, CVS Pharmacy, and Bay Area Multi-County Entities. Monterey County as a Leader in Protecting our Agricultural Workforce. The County and local industry have been recognized as leaders in the fight against COVID-19 with local programs that became the model for the State’s Housing for the Harvest Program, Advisory for Agricultural Worker Protection (updated version attached), and more recently adopted Agricultural Advisory Addendum on Testing (attached). Additionally, the County started a pilot Community Health Worker (CHW) Program in partnership with local trusted community based Page 2 of 2 March 8, 2021 organizations in late 2020 which has been expanded with a goal of training and deploying 100 trained CHWs to the HPI lowest quartile census tracts/zip codes and Optum testing sites to support residents impacted with COVID- 19 with accessing resources and services. Data and Transparency. The County is still awaiting response from the State related to our questions on vaccine equity and data transparency. We are extremely concerned that this data will reveal to us that the County has been shortchanged in its vaccine allocation. If an analysis of the data on vaccine allocations between December and March shows this, we hope that the State will provide an additional vaccine allotment to make sure Monterey County receives its fair share. Request for Special Allocation of Vaccine for Agricultural Workers. Monterey County continues to request a special allocation of vaccine for agricultural workers. The County, our hospital and health partners, and industry leaders from agriculture, hospitality and education all agree that it is imperative that we vaccinate the most at- risk for exposure who are our valued farmworkers, quickly and safely, for the wellbeing of the entire community. Ready to Partner with the State. The County stands ready to partner with the State and other local entities to administer COVID-19 vaccines, but in order to do so, we need 1) an adequate vaccine supply; 2) an equitable distribution process across the state; 3) data and transparency about vaccine distributions; and 4) vaccine prioritization for the agricultural workforce. On behalf of the County of Monterey, we appreciate your attention to these requests and look forward to working together to keep our communities safe. Should you have any questions, please feel free to contact Monterey County’s Director of Health Services, Elsa Jimenez at (831) 755-4526 or [email protected] for more information. Sincerely, Wendy Root Askew Chair, Board of Supervisors Attachments CC: Governor Gavin Newsom Senator Anna Caballero Senator John Laird Assemblymember Robert Rivas Assemblymember Mark Stone Congressman Jimmy Panetta U.S. Senator Dianne Feinstein U.S. Senator Alex Padilla California State Association of Counties (CSAC) Rural Counties Representative of California (RCRC) 2021 ADVISORY FOR AGRICULTURAL WORKER PROTECTION DURING COVID-19 PANDEMIC ON THE CENTRAL COAST OF CALIFORNIA Testing Addendum Although most cases of COVID-19 are spread in residential and social situations in Monterey County, businesses and employers play a crucial role in preventing and slowing the spread both in the workplace and community. Until there is enough natural and vaccine-induced immunity in the country, testing remains essential to County of Monterey combat the virus. Per CDC recommendations, implement testing of employees for COVID-19 into workplace preparedness, response, and control plans. For more detail, refer to: https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html Testing Approaches Include: Monterey County o Initial testing of all workers before entering a workplace Agricultural Commissioner o Periodic testing of workers at regular intervals o Targeted testing of new workers or those returning from a prolonged absence such as medical leave, furlough, or working in another location o Some combination of approaches Monterey County Farm Bureau Several factors may help determine the intervals for periodic testing, including the availability of testing supplies, results of the previous testing, and community transmission levels. Free Testing Sites: The County and State offer free testing at sites throughout the community available to all. Find a list on-line at https://www.co.monterey.ca.us/government/departments-a- Grower-Shipper h/administrative-office/office-of-emergency-services/response/covid-19. Association of Central California Other Testing Models: As an employer, you can also arrange for private testing for your staff. Below are businesses that local Ag employers have partnered with to provide testing for their workers. Monterey County Vintners & Growers o On-Site Testing (locally available; there may be other providers): Association ▪ Virus Geeks : https://virusgeeks.com/about ▪ Lifeline Health: https://wearelifelinehealth.com/ ▪ ArcPoint Labs: www.arcpointlabs.com/montereybay o Bulk-Purchase and Agreements with local health clinics (there may be others): ▪ Pinnacle Healthcare: 831-422-5555 ▪ Doctors on Duty: 831-422-7777 Coastal Growers ▪ Clinica de Salud: 831-757-6480 Association COVID-19 Information and Resources: The Agriculture trade associations and partners have established a website with information and resources to help Ag and other frontline employers more easily navigate employee California Strawberry Commission COVID education, testing, and vaccination: MontereyFrontlineCovidVaccine.com. REVISED 2/23/2021 2021 ADVISORY FOR AGRICULTURAL WORKER PROTECTION DURING COVID-19 PANDEMIC ON THE CENTRAL COAST OF CALIFORNIA Continuing to maintain a safe and healthy work environment for our Agricultural workers and their family members, as well as the community in general, remains a priority in the Agricultural community. While we all wait for broader distribution of vaccines, Agricultural employers strive to prevent, decrease and lower the impact of COVID-19 in our fields, workplaces, homes, and community. Food production and maintaining our national food supply chain are essential while protecting the health of County of Monterey our workers and the broader community. These practices are based on reviews of our existing, stringent practices this group put in place early in the pandemic, aligned with the best practices offered by the Center for Disease Control (CDC), CA Department of Public Health (CDPH), World Health Organization, and public health departments. Through this Advisory, all listed organizations support and encourage the Agricultural Monterey County Agricultural community to expeditiously implement these protective measures at their Commissioner worksites. The objectives communicated here are: preventing and reducing transmission among Agricultural workers and their families; protecting people who are at higher risk for adverse health complications; maintaining business operations; Monterey County and, minimizing adverse effects on other entities in their supply chains, and Farm Bureau community. TESTING • Although most cases of COVID-19 are spread in residential and social situations in Monterey County, businesses and employers play a
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