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CORONAVIRUS DISEASE 2019 (COVID-19) SITUATIONAL REPORT #126 SEPTEMBER 09, 2020

DAILY HIGHLIGHTS Globally, COVID-19 cases have surpassed 27.48 million with more than 894,000 deaths. The total number of cases in the U.S. increased from 6,287,362 as reported on Tuesday 9/8/2020 to 6,310,663 reported today. The number of deaths in the U.S. increased from 188,688 to 189,147.

The March 2020 CARES Act recognized that tribal governments are confronting extraordinary demands parallel to those faced by state and local governments. As Congress returns from their summer recess to debate additional coronavirus relief packages, the Harvard Kennedy School’s Ash Center and the Harvard Project on American Indian Economic Development will host a diverse panel of Congressional and tribal leaders to look ahead and discuss how Congress might come together on a bipartisan basis to enhance support for Indian Country’s pandemic recovery efforts. This event will take place September 17, 12:00 PM EST. Register for the event HERE.

Legislation took effect 8/31/2020 that protects many Californians who are unable to pay their rent or mortgage because of the COVID-19 pandemic. View new housing relief HERE.

On Monday, August 31, the U.S. Department of Housing and Urban Development (HUD) Secretary Ben Carson announced that HUD has awarded a total of $100 million to Tribes across the Nation as part of HUD’s Indian Community Development Block Grant Imminent Threat program (ICDBG-CARES). This funding helps address problems that pose an imminent threat to public health or safety of Tribal residents and will be used to help Tribes prevent, prepare for, and respond to COVID-19. See list of funding HERE.

UNITED STATES COVID-19: U.S. at a Glance* • Total cases: 6,310,663 • Total deaths: 189,147 • Jurisdictions reporting cases: 55 (50 states, District of Columbia, Guam, Puerto Rico, the Northern Mariana Islands, and the U.S. Virgin Islands)

*As of April 14, 2020, CDC case counts and death counts include both confirmed and probable cases and deaths. This change was made to reflect an interim COVID-19 position statement issued by the Council for State and Territorial Epidemiologists on April 5, 2020. The position statement included a case definition and made COVID-19 a nationally notifiable disease.

A confirmed case or death is defined by meeting confirmatory laboratory evidence for COVID-19.

A probable case or death is defined by: i) meeting clinical criteria AND epidemiologic evidence with no confirmatory laboratory testing performed for COVID-19; or ii) meeting presumptive laboratory evidence AND either clinical criteria OR epidemiologic evidence; or iii) meeting vital records criteria with no confirmatory laboratory testing performed for COVID19. State and local public health departments are now testing and publicly reporting their cases. In the event of a discrepancy between CDC cases and cases reported by state and local public health officials, data reported by states should be considered the most up to date.

National Laboratory Testing Data • Total tests reported: 93,431,083 • Positive tests reported: 7,818,754 1 • Percent of positive tests: 8% CORONAVIRUS DISEASE 2019 (COVID-19) SITUATIONAL REPORT #126 SEPTEMBER 09, 2020

NEGATIVE CASES POSITIVE CASES TESTED

ALASKA 154,017 1,312 154,017 ALBUQUERQUE 39,243 1,732 39,243 BEMIDJI 43,493 1,190 43,493 BILLINGS 52,149 1,692 52,149 10,370 665 10,370 GREAT PLAINS 55,775 2,509 55,775 NASHVILLE 24,653 1,925 24,653 NAVAJO 81,780 11,319 81,780 CITY 137,360 8,886 137,360 PHOENIX 60,368 9,009 60,368 PORTLAND 28,447 2,320 28,447 TUCSON 5,819 580 6,508

*as of 11:59PM EST September 7, 2020 CALIFORNIA As of September 8, 2020, there were a total of 739,527 positive cases and 13,841 deaths in California. Ages of all confirmed positive cases: Gender of all confirmed positive cases: • Age 0-17: 75,382 cases • Female: 373,544 cases • Age 18-49: 443,906 cases • Male: 359,429 cases • Age 50-64: 139,866 cases • Unknown: 6,554 cases • Age 65 and older: 79,476 cases • Unknown/Missing: 897 cases

Lab tests reported statewide: 12,343,797

Twenty-five public health labs in California are testing samples for COVID-19. These labs include the California Department of Public Health’s Laboratory in Richmond, Alameda, Butte, Contra Costa, Fresno, Humboldt, Imperial, Long Beach, Los Angeles, Monterey, Napa-Solano-Yolo-Marin (located in Solano), Orange, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Luis Obispo, San Mateo, Santa Clara, Shasta, Sonoma, Tulare and Ventura County public health laboratories. The Richmond Laboratory will provide diagnostic testing within a 48- hour turnaround time. This means California public health officials will get test results sooner, so that patients will get the best care.

Click HERE to find your nearest testing site.

INDIAN HEALTH SERVICE CALIFORNIA AREA

10,370 Tribal or Urban Indian Health Program patients in the California Area have been tested for COVID-19 as of 9/7/2020. Of these, 665 patients have tested positive for COVID-19 and 8,902 have tested negative for COVID-19.

2 CONFIRMED CASES AND DEATHS BY COUNTY

Counties with most reported cases Los Angeles 249,217 Riverside 54,168 Orange 49,214 San Bernardino 49,034 San Diego 41,079

Counties with most reported deaths Los Angeles 6,036 Riverside 1,075 Orange 1,056 San Bernardino 765 San Diego 709

For an interactive version of this map online, click HERE.

As of 9/9/2020. Source: CDPH 739,527 Cases 13,841 Deaths in California in California New Confirmed Cases in California by Date 12,807

1,616

1-Apr 22-Apr 13-May 3-Jun 24-Jun 15-Jul 5-Aug 26-Aug

New Confirmed Deaths in California by Date 219

83

1-Apr 22-Apr 13-May 3-Jun 24-Jun 15-Jul 5-Aug 26-Aug COVID-19 MAPS: SEPTEMBER 9, 2020 MAPS: SEPTEMBER COVID-19 As of 9/9/2020. Source: CDPH 3 Racial distribution of confirmed COVID-19 cases and deaths in California

American Indians and Natives account for 0.5% percent of the population, 0.2% of COVID-19 cases, and 0.3% of deaths in California. This includes a total of 1,247 cases and 41 deaths among American Indian and Alaska Native people in California.

Latino 39% # Percentage of COVID-19 50% % Cases by Race 45% Race White % Percentage of California 40% 37% Population by Race 35% 303,310 30% 61%

25%

20% Asian 15% 15% African American 10% 84,646 6% 17% Multiracial Native Hawaiian American Indian 5% 2.2% Pacific Islander Alaska Native 27,335 0.3% 0.5% 6% 0% 21,434 4,846 2,778 1,247 4% 1.0% 0.6% 0.2% Latino 50% 39%

45% # Number, Percentage of White % COVID-19 Deaths per 40% 37% Race

Race Percentage of California 35% % Population per Race 30%

25% 6,583 49% 20% Asian 15% 4,019 15% 30% African American 6% 10% Native Hawaiian 1,587 Multiracial American Indian 5% 12% 2.2% Pacific Islander Alaska Native 1,049 0.3% 0.5% 8% 0% 34 59 41 0.7% 0.4% 0.3% Note: 32% of cases and 1% of deaths are of unknown race/ethnicity. As of 9/9/2020. Source: CDPH 4 Two sources for tracking American Indian and Alaska Native (AIAN) cases reported in California

Data from the Indian Health Service (IHS) include Data from California Department of Public positive cases reported by Tribal and Urban Indian Health (CDPH) include all positive cases of AIAN Health Programs. diagnosed in California.

1400 1400

1247 1200 1200 1123 1000 1000

800 800

600 600

400 400

200 200

0 0 1-Apr 29-Apr 27-May 24-Jun 22-Jul 19-Aug 1-Apr 29-Apr 27-May 24-Jun 22-Jul 19-Aug

As of 9/9/2020. Source: IHS. As of 9/9/2020. Source: CDPH Positive Cases by Age Group Positive Cases by Gender among all California cases among all California cases

0-17 10%

Female Male: 18-49 60% 50% 49%

50-64 19%

65+ 11% Unknown: 1% As of 9/9/2020. Source: CDPH

In California: Case and death disparities:

• For all adults ages 18+, Latinos and African 0.4% of confirmed cases are hospitalized Americans are dying at disproportionately high rates. The proportion of COVID-19 deaths in Latinos is more than 1.3 times their 0.1% of confirmed cases are in the Intensive Care Unit population representation across all adult age categories. 1.9% of cases have died • More males (58%) are dying from COVID-19 than females (42%). As of 9/9/2020. Source: CDPH 5 American Indian and Alaska Native (AIAN) data reported by California to the Centers for Disease Control and Prevention (CDC)

Positive COVID-19 cases among AIAN COVID-19 deaths among AIAN people in California by Age Group and people in California by Age Group Gender and Gender

0 to 9 114 0 to 9

10 to 19 238 10 to 19

20 to 29 552 20 to 29 30 to 39 30 to 39 472 2 40 to 49 4 40 to 49 440 50 to 59 6 50 to 59 341 60 to 69 8 60 to 69 216 70 to 79 24 70 to 79 93 80 + 28 80 + 54

Unknown 1%

Male Female Male Female 45% 54% 50% 50%

CDC data show that AIAN in California are testing positive for COVID-19 at rates lower than their proportion of California’s population and dying at rates that are higher. This includes a total of 2,521 cases and 72 deaths.

0.8% Deaths 0.6% Cases 0.6% 0.4%

0.4%

0.2%

0.0% 0.5% 0.5% As of 8/27/2020. Source: CDC 6 COVID-19 testing information from patients seen at a Tribal or Urban Indian Health Program in California

Note: This map shows patients by the regional location of the clinic where they were test- ed and NOT by the residence of the patients.

Number of positive cases identified by region

NORTH COAST AND CASCADES Positive: 346 346 Negative: 8,408

DELTA AND GOLD COUNTRY Positive: 87 Negative: 1,768 87 California Rural Indian Health Board, Inc. California Consortium for 57 Indian Health Service, California Area Office Urban Indian Health INLAND DESERT SAN FRANCISCO BAY AREA Positive: 208 Positive: 57 Negative: 1,511 Negative: 185 169 CENTRAL COAST 234 Positive: 234 Negative: 2,551 208

CENTRAL VALLEY 22 Positive: 169 Negative: 1,425

GREATER LOS ANGELES Positive: 22 Negative: 399

As of 9/9/2020. Source: IHS 7 American Indian and Alaska Native (AIAN) COVID-19 cases reported by local public health departments in selected California counties

Los Angeles County* AIAN Cases 211 AIAN Deaths 10 AIAN Tested 1,278

*Note: Data do not include the Cities of Long Beach and Pasadena. San Bernardino County AIAN Cases 150 AIAN Deaths 6

San Diego County AIAN Cases 148 AIAN Deaths 0 AIAN Tested 2,240

Riverside County AIAN Cases 96 AIAN Deaths 6

Sacramento AIAN Cases 51 AIAN Deaths na

San Francisco AIAN Cases 34 AIAN Deaths na

Alameda AIAN Cases 33 AIAN Deaths na

As of 9/9/2020. Source: County of Los Angeles Public Health, San Bernardino County Department of Public Health, San Diego County Communicable Disease Registry, Riverside University Health System-Public Health, Sacramento County Public Health, DataSF, and Alameda County Department of Public Health. 8 TRIBAL STATE OF EMERGENCY AND SHELTER IN PLACE DECLARATIONS

Tribes do not need to issue a state of emergency to access FEMA resources.

0 Tribes Issuing Shelter in Place Order 28. Hoopa Valley Tribe 68. Tule River Tribe 74.

♦ Emergency Declarations (n= 76)

I. Agua Caliente Bond of Cohuillo Indians 25. Fort Independence Indian Community of Poiute Indians of the 51. Romona Bond of Cohuillo 2. Augustine Bond of Cohuillo Indians Fort Independence Reservotion 52. Redding Roncherio 3. Barona Bond of Mission Indians 26. FortMojave Indian Tribe 53. Resighini Roncherio 4. Bear River Bond of Romerville Roncherio 27. Hobemotolel Pomo of Upper Lake Tribe 54. Rincon Bond of Luiseno Indians 5. Berry Creek Roncherio of Moidu Indians of California 28. Hoopo Volley Tribe 55. Robinson Roncherio 6. Big Lagoon Roncherio 29. lipoy Nation of Santo Ysobel 56. Son Manuel Bond of Mission Indians 7. Big Pine Poiute Tribe 30. Jomul Indian Village 57. Son Pasqual Bond of Mission Indians 8. Big Volley Bond of Pomo Indians 31. Keshia Bond of Pomo Indians of the Stewarts Point Roncherio 58. Santa Ynez Bond of Chumash Indians 9. Bishop Poiute Tribe 32. Lo Jolla Bond of Luiseno Indians 59. ScottsVolley Bond of Pomo Indians 10. Blue Lake Roncherio 33. Lone Pine Paiute-ShoshoneTribe 60. Shingle Springs Bond of Miwcl< Indians 1 I. Bueno Vista Roncherio 34. Los Coyotes Bond of Cohuillo and Cupeiio Indians 61. Sobobo Bond of Luiseno Indians 12. Cobozon Bond of Mission Indians 35. Kall

Casino Closures (n=1)

1. Redwood Hotel Casino

Casino Openings (n=65)

1. Agua Caliente Casino Palm Springs 23. Garcia River Casino 44. Red Earth Casino 2. Agua Caliente Resort Casino Spa Rancho Mirage 24. Gold Country Casino and Hotel 45. Red Fox Casino 3. Augustine Casino 25. Golden Acorn Casino 46. Redhawk Casino 4. Barona Valley Ranch Resort and Casino 26. Graton Resort & Casino 47. River Rock Casino 5. Bear River Casino 27. Hard Rock Hotel & Casino Sacramento at Fire 48. Robinson Rancheria Resort and Casino 6. Black Oak Casino Mountain 49. Rolling Hills Casino 7. Blue Lake Casino 28. Harrah’s Northern California 50. Running Creek Casino 8. Cache Creek Casino Resort 29. Harrah’s Resort Southern California 51. San Manuel Indian Bingo and Casino 9. Cahuilla Casino 30. Havasu Landing Resort and Casino 52. San Pablo Lytton Casino 10. Casino Pauma 31. Jackson Rancheria Casino 53. Sherwood Valley Casino 11. Cher-Ae Heights Bingo and Casino 32. Jamul Casino 54. Soboba Casino 12. Chicken Ranch Bingo and Casino 33. Konocti Vista Casino and Bingo 55. Spotlight 29 Casino 13. Chukchansi Gold Resort & Casino 34. Lucky 7 Casino 56. Sycuan Resort and Casino 14. Chumash Casino Resort 35. Lucky Bear Casino 57. Table Mountain Casino 15. Colusa Casino Resort 36. Mono Wind Casino 58. Tachi Palace Hotel and Casino 16. Coyote Valley Casino 37. Morongo Casino, Resort & Spa 59. Thunder Valley Casino Resort 17. Desert Rose Casino 38. Paiute Palace Casino 60. Tortoise Rock Casino 18. Diamond Mountain Casino 39. Pala Casino Resort and Spa 61. Twin Pine Casino 19. Eagle Mountain Casino 40. Pechanga Resort and Casino 62. Valley View Casino 20. Elk Valley Casino 41. Pit River Casino 63. Viejas Casino 42. Quechan Resort Casino 21. Fantasy Springs Resort and Casino 64. Win-River Casino 10 22. Feather Falls Casino 43. Rain Rock Casino 65. Winnedumah Winn’s Casino Updated 08/31/2020 Beginning in early September 2020, some Tribal early childhood education programs, such as Head Start, will begin reopening either in person, virtually, or in combination of both (i.e. hybrid program). Please check with local school districts, Tribes, or Lead Agencies for start dates.

If you have any questions or concerns please contact: Vanesscia Cresci at [email protected] or Aurimar Ayala at [email protected]

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