Please also see this recent HDOH notice warning the public NOT to use anti-malarial drugs against COVID-19.
DEPARTMENT OF HEALTH
DAVID Y. IGE GOVERNOR
BRUCE S. ANDERSON, Ph.D. DIRECTOR
FOR IMMEDIATE RELEASE
20-024
March 28, 2020
Hawai‘i Department of Health warns of
potential adverse effects of using antimalaria drugs
against COVID-19
HONOLULU – The Hawai‘i Department of Health (DOH) is warning everyone about the hazards and dangers of using non-approved drugs for COVID-19. Antimalarial drugs have been recently reported as
possible treatments against COVID-19, the disease caused by the novel coronavirus.
While
hydroxychloroquine and chloroquine prescription medications have been used for treatment of malaria and certain inflammatory conditions, the efficacy for COVID-19 are unproven and potentially dangerous.
According to the Centers for Disease Control and Prevention (CDC), there is no specific medicine to prevent or treat COVID-19 and a vaccine is not yet
available.
“Hydroxychloroquine and chloroquine can cause severe cardiac toxicity, and in high doses over a
long duration, can cause retinal damage and lead to permanent blindness,” said Dr. Alvin Bronstein, DOH Emergency Medical Services and Injury Prevention System Branch Chief. “Individuals
using these medications without physician supervision run serious risks of side effects and potential overdoses. Other medications are being touted, but nothing has been proven to be effective and may even do more harm than good.”
On March 25, the American Association of Poison Control Centers issued a warning about the dangers of using hydroxychloroquine to treat coronavirus,
stating “While chloroquine/hydroxychloroquine has demonstrated benefits for multiple chronic autoimmune and rheumatologic diseases, the benefit for treatment of COVID-19 has not been definitively established. It is critical that any use of these medications
is coordinated with a treating physician with full understanding of the potential risks and benefits.”
Hydroxychloroquine is used for treatment of rheumatoid arthritis and lupus erythematosus.
Chloroquine has been demonstrated to be effective for malaria, lupus and chronic rheumatoid arthritis, but has significant side effects, including gastrointestinal distress and potential permanent vision damage.
If you or someone you know has taken chloroquine or hydroxychloroquine and are experiencing adverse reactions, call 911, the Hawai‘i Regional
Poison Center (800-222-1222) or seek immediate medical care.
---------- Forwarded message --------- From: Hawaii Department of Health Communications Office<doh.dirclerk@...> Date: Thu, 26 Mar 2020, 14:50 Subject: COVID-19 Community Bulletin Issue #1 To: <lynnbaileyHDOH@...>
Today, we bring you the first issue of our new weekly community bulletin created to keep you informed about topics the DOH is focused on.
The circumstances and impact of COVID-19 (coronavirus) on our residents and communities here in the Hawaiian Islands continue to change every day. Because of this, it’s vital that all of us at the Hawaii Department of Health (DOH) continue to provide useful information to you and our entire Hawaii community in a timely manner, and in a clear, easily understood context.
Today, we bring you the first issue of our new weekly community bulletin created to keep you informed about topics the DOH is focused on, and what you can continue to do to help stop the spread of the virus that causes COVID-19 in our state. Still interested in reading the DOH’s daily COVID-19 update as well? Visit the State of Hawaii’s new COVID-19 website at hawaiicovid19.com.
Warmest Aloha,
Bruce Anderson, Ph. D
Director, Hawaii Department of Health
The Devil is in the Details Inside the COVID-19 case investigation process with
State Epidemiological Specialist Myra Ching-Lee
Myra Ching-Lee
“Tracing the origins of a positive COVID-19 case is much like trying to solve a crime,” says Myra Ching-Lee, one of the Hawaii Department of Health’s (DOH) most experienced epidemiological specialists with more than 25 years on the job.
When the DOH Disease Investigation Branch team receives test results from private labs, the real work for its disease detectives begins, piecing together information about a patient’s case. We asked Ching-Lee to explain some of the tricky, difficult work involved in tracking down the vital details of a person who tests positive for COVID-19. Click here to get the full scoop.
COVID-19: So, Do I Need to Get Tested Right Now?
Here are three self-assessment questions to help you decide whether or not to seek testing for the COVID-19 virus.
Most people should be tested for COVID-19 just in case, right?
No. The bottom line is testing kits are in short supply in Hawaii and nationwide and should be saved for those who are severely ill and our population’s most vulnerable groups:
Kupuna experiencing symptoms, especially those living in group settings
Individuals with other illnesses and weaker immune systems who are experiencing symptoms
First responders and frontline healthcare workers experiencing COVID-19 symptoms
I’m in one of these three groups with COVID-19 symptoms. Should I be tested?
Perhaps. But before you go for a test, consult with your primary care provider who will determine whether you really need to be tested for COVID-19 or other respiratory infections, such as the flu.
I’m in one of the three groups, symptomatic and don’t have a primary care provider. What should I do?
Contact an urgent care clinic or community health center in your area for an assessment. Drive-thru screening sites have also opened recently in Kaneohe and Honolulu on Oahu, Old Kona Airport Park on the island of Hawaii, and at the War Memorial Gym parking lot on Maui. These sites typically require an appointment in advance.
Meet “Clara,” CDC’s COVID-19 Self-Checker Chatbot
Chances are you’ve heard of Siri and Alexa virtual assistants. But did you know the Centers for Disease Control and Prevention (CDC) recently introduced its very own virtual helper that everyone can use for online COVID-19 self-assessment? Its name is “Clara.”
Just fire up your computer or mobile device and say “hi” to Clara on the CDC’s website. Clara is a nifty chatbot offering real-time dialogue via a pop-up box right on the CDC’s web pages. Clara asks the questions, and you enter your responses to learn if you should be tested. Best of all, a consult with Clara is always free.
Hawaii Resilience Fund Giving Frontline Aid
In their kuleana for the state, the Hawaii Community Foundation (HCF) and Pierre and Pam Omidyar have established the Hawaii Resilience Fund to deploy resources across the Islands to reduce the spread of COVID-19. The fund’s initial $2.5 million seed from HCF, the Omidyar Ohana Fund and other sources is being earmarked to directly support Hawaii’s public health sector and community-based nonprofits. These monies will be used to protect frontline healthcare workers and others who have an essential role in screening or testing people. The fund also supports the expansion of regional test sites and screenings, as well as self-quarantine measures. Want to give to the Hawaii Resilience Fund or learn more about it? Click here.
Hawaii Foodbank Still Hard at Work, Needs Our Support Even More
Good nutrition is essential to staying healthy and building our resistance to illness or to help with recovery. With the threats created by COVID-19, the Hawaii Foodbank is working even harder to make sure everyone in need has access to safe, nutritious food. The Foodbank’s volunteers and staff have packed thousands of emergency boxes filled with non-perishable food items, which allows its food partner agencies and distribution programs to serve people more quickly while practicing social distancing.
Acting as a single statewide ohana, we can all help the Foodbank support members of our communities who rely on them for their meals every day, now more than ever. In addition to its operations on Oahu and Kauai, the Foodbank works closely with the Maui Food Bank, The Food Basket on Hawaii Island and a statewide network of more than 425 food partner agencies across the state. Click here to learn about how you can make a contribution … and a difference.
Got a COVID-19 question, Hawaii? Call 2-1-1
Seeking information or answers to questions about COVID-19? Contact the Aloha United Way public call center by dialing 2-1-1. The center is open to take your call from 7 a.m. to 10 p.m., seven days a week. How to reach out?
First COVID-19 Death Report Undergoing Confirmation
The Dept. of Health continues to investigate the death of an elderly adult on O‘ahu. Irregularities in testing conducted by the State Laboratories Division prompted DOH leadership to order retesting. The State lab initially received an indeterminate test from a private testing lab and late yesterday the state lab reported the test as positive for COVID-19. Retesting is underway now and confirmatory results will be released, possibly this evening.
Statewide Stay-at-Home, Work-at-Home Order
To protect public health and safety during this pandemic Governor David Ige signed a supplementary proclamation Monday, ordering the entire state to stay at home and work from home starting at 12:01 a.m. Wednesday, March 25 through April 30. Essential workers, such as health care professionals and public health workers are exempt.
The state and county orders are implemented to reduce the risk of spread of the COVID-19 virus and to protect the ability of public and private healthcare providers to handle the influx of new patients and to safeguard public health and safety. Many additional closures and restrictions are in place statewide and the Dept. of Health encourages all citizens to stay up-to-date and to practice social distancing protocols at all times.
Reminder of Governor’s Order for Self-Quarantine of All Travelers to Hawai‘i
Effective, Thursday, March 26, 2020, Governor David Ige has ordered that all persons entering the State of Hawai‘i to self-quarantine for 14 days or for the duration of their stay in Hawai‘i, whichever is shorter. Upon arrival, residents are required to quarantine in a designated location in their residence. Visitors will quarantine in their hotel room, rented lodging or in a room if staying at a residence. Quarantined individuals may only leave their designated location for medical emergencies or to seek medical care. Failure to comply with all rules and protocols related to quarantines is punishable by fines of up to $5,000 and/or imprisonment of up to one year.
FDA Guidance on Food Safety
The U.S. Food and Drug Administration has provided guidance on food safety for the COVID-19 pandemic. Currently there is no evidence that the virus has spread from food or food packaging. The FDA is also aggressively monitoring the market for fraudulent COVID-19 testing kits. Complete information on food safety and approved testing can be found at: http://www.afdo.org
The DOH reminds people to be judicious when shopping for food and essential goods so that kūpuna and others in need are able to purchase necessary items.
Who should be tested?
Individuals who are not experiencing systems do not need to be tested. DOH strongly urges public health and healthcare professionals to prioritize testing among three specific groups:
Health care workers and first responders with COVID-19 symptoms.
Older Americans who have symptoms of COVID-19, especially those living in congregate settings.
Individuals who may have other illnesses that would be treated differently if they were infected with COVID-19 and therefore physician judgment is especially important for this population
Other people with mild illness should help protect our most vulnerable and conserve our precious supplies by practicing social distancing measures, monitoring their illness, and calling their healthcare provider if their symptoms worsen or persist.
Guidance and guidelines for public health professionals and healthcare workers: www.cdc.gov/covid19
Social Distancing
COVID-19 recommendations are changing the rules on how much physical distance individuals should keep from each other. Cancelling events that do not allow attendees to be at least six feet apart—the equivalent of two arms-length—and avoiding unnecessary physical meeting with others are proven strategies to mitigate the spread of the virus. The effectiveness of these initiatives largely depends on the cooperation and compliance from the public. The recommendations are intended to protect the most vulnerable populations: kupuna and those who are medically fragile.
14 New Positive Cases on O’ahu and Maui
As of March 24, 2020, there is a total of 90 presumptive or positive COVID-19 cases in Hawai‘I, including one death, reported last night. 70 of these cases involve Hawai‘i residents and the majority (57) are on O‘ahu. Travel or contact with a traveler is the risk factor in 57 cases, and only one case has no travel history. The cause of the virus in 32 cases is unknown. Please note, that as the number of cases rises daily it may take health professionals longer to investigate possible sources of infection for individual cases.
Please note the following: There was one duplicate in a previous case list, so total case count dropped by one. One case was misattributed to Hawai‘i Island when it should have been attributed to Kaua‘i.
Hawaii COVID-19 Counts
As of 3/24/2020 at 12:00 Noon
Reported 3/24/2020
Reported since 2/28/2020*
Total Cases
14
90
Residence
HI Residents
10
70
Non-HI Residents
3
14
Unknown
1
6
County of Diagnosis
Honolulu
12
64
Hawaii
1
5
Maui
1
12
Kauai
0
4
Unknown
0
5
Age Group
Adult (>18 yrs)
14
88
Pediatric (0–18 yrs)
0
2
Hospitalizations
Hospitalized
2
6
Not hospitalized
0
25
Unknown
12
59
Deaths
Deaths
1
1
Risk Factors
Travel
5
57
Community
0
1
Unknown
9
32
Definition of Community Spread
Community spread is defined as cases that cannot be traced back to a traveler and have absolutely no travel related or involved connection with travel. We have been informed that there are residents of Hawai‘i who believe all COVID-19 positive cases originate from visitors to the state. Unfortunately, there is stigma developing against visitors in Hawai‘i. We’re asking the media to help people understand that of the 90 positive test results to date, 57 of them are the result of traveling residents. The majority of cases are residents who returned home after traveling. At this time, there may be residents returning home from a school that has closed or from other essential travel. It is important for all travelers to monitor their health for 14 days after traveling and to avoid exposing others and stay at home.
Thank you for your assistance in reducing and preventing stigma and increasing understanding during this rapidly changing situation.
Lab Testing
More than 3,862 tests performed for people in Hawai‘i by private clinical labs to date.
The DOH State Laboratories Division has tested 322 Persons Under Investigation (PUI) and 263 sentinel surveillance samples. The 263 sentinel surveillance tests have all been negative. These are representative samples taken from every county from people with flu-like symptoms who tested negative for influenza.
Private laboratories are receiving steadily increasing numbers of test samples and this has created some delays in the processing of test results. Test results from private laboratories are currently taking approximately a week or more to complete and health care providers and their patients should expect results may take longer as demand continues to increase.
2-1-1 Call Center for Information on COVID-19
The Aloha United Way call center is open daily between 7 a.m. – 10 p.m. For information or questions about COVID-19:
HAWAI‘I COVID-19 JOINT INFORMATION CENTER DAILY NEWS DIGEST
March 25, 2020
Office of the Governor:
Gov. David Ige’s third supplementary proclamationMonday, ordering the entire state to stay at home and work from home started today and continues through April 30, 2020 12:01 a.m. Wednesday, Mar. 25 through Apr. 30. Essential workers are exempt. This order is intended to stop the spread of COVID-19 in our communities.
Gov. Ige’ssecond supplemental emergency proclamationordering all individuals, both residents and visitors, arriving or returning to the State of Hawaiʻi to a mandatory 14-day self-quarantine takes effect after midnight, tonight. The mandate — the first such action in the nation — applies to all arrivals at state airports from the continental U.S. and international destinations and extends to other private and commercial aircrafts. Please see more information below under Dept. of Transportation.
DOH reports the following update on COVID-19 cases as of 12:00 noon on 3-25-20
6 new cases (5 Hawai‘i residents, 1 visitor)
Honolulu (4 new cases, total of 68)
Hawai‘i (0 new cases, total of 5)
Maui (1 new case, total of 13)
Kaua‘i (1 new case, total of 5)
Risk Factors (2 new travel related cases, 59 total)
95 total cases since 2/28/20
DOH is waiving routinetuberculosis clearance requirements for selected groups to support COVID-19 mitigation efforts. The suspension will remain in effect through May 31, 2020. The suspension will support social distancing in the community to protect the public, especially vulnerable seniors and individuals with medical conditions that could increase their risk for COVID-19.
Tomorrow (3-26-20) is the first day of implementation of self-quarantine rules for all incoming passengers (residents and visitors) to Hawai‘i. Arriving passengers should anticipate and allow extra time to deplane. Visitor arrival numbers are dropping drastically already. The percentage drop of arriving passengers is down 87 percent from the same period last year (4,131 arriving passengers as of 3-24-20 compared to 32,330 on the same day in 2019).
In accordance with Governor Ige’s Stay at Home and Work from Home orders and considering the decreased volumes on Hawaii roads, HDOT’s Highways Division suspended operations of the State’s special use lanes this morning.
The Hawaiian Homes Commission has approved an emergency postponement of mortgage payments for DHHL direct loans and loans assigned to DHHL during as the State faces the COVID-19 pandemic. HHC’s approval allows for the deferral of all applicable payments for a period of six months, effective with the April 2020 payment.
The State of Hawaii Department of Human Services (DHS) is taking aggressive actions to protect the health and safety of the individuals and families we serve by maintaining essential services to help the people of Hawaii during this COVID-19 crisis. Department leaders, and community stakeholders are working to ensure all DHS essential services will continue to be provided, but in a modified manner. This means limiting face-to-face contact with the public to protect the health and safety of everyone, especially vulnerable individuals, as well as DHS employees and providers.
Dept. of Education:
DOE has announced school facilities will remain closed to students through April 30, based on the latest guidance and information from health officials and elected leaders. Traditional, in-school instruction is on hold until schools reopen. Nine additional Grab-and-go sites began breakfast and lunch service today. Meals will not be served Thursday, March 26, which is Prince Kuhio Day.
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HONOLULU – An O‘ahu adult is Hawai‘i’s first death from COVID-19, the novel coronavirus.
The Department of Health reports the person passed away on March 20,2020 and suffered from multiple underlying health conditions. The available history for this person suggests they had a potential indirect travel-related exposure.
The person had been tested at a clinical commercial laboratory, and the results were indeterminate. Follow-up testing today, by the State Laboratories Division, confirmed COVID-19.
All of Hawai‘i expresses condolences to the family of the person who died and shares in grieving their loss. Everyone is encouraged to take care of themselves and their loved ones during
these difficult times.
Honolulu Mayor Kirk Caldwell and Maui Mayor Michael Victorino have issued stay-at-home, work-at-home orders for their islands. In the City and County of Honolulu the order takes effect today (March 23, 2020) at 4:30 p.m. and requires all residents to stay and work from home through Thursday, April 30, 2020 at 4:30 p.m. Certain essential activities associated with identified essential businesses and services are not covered by the Mayor’s order.
On Maui the Mayor’s order takes effect on Wednesday, March 25, 2020 at 12:01 a.m. and continues until April 30, 2020.
Both orders are implemented to reduce the risk of spread of the COVID-19 virus and to protect the ability of public and private healthcare providers to handle the influx of new patients and to safeguard public health and safety. Many additional closures and restrictions are in place statewide and the Dept. of Health encourages all citizens to stay up-to-date and to practice social distancing protocols at all times.
Governor’s Order for Self-Quarantine of All Travelers to Hawai‘i
Effective, Thursday, March 26, 2020, Governor David Ige has ordered that all persons entering the State of Hawai‘i to self-quarantine for 14 days or for the duration of their stay in Hawai‘i, whichever is shorter. Upon arrival, residents are required to quarantine in a designated location in their residence. Visitors will quarantine in their hotel room, rented lodging or in a room if staying at a residence. Quarantined individuals may only leave their designated location for medical emergencies or to seek medical care. Failure to comply with all rules and protocols related to quarantines is punishable by fines of up to $5,000 and/or imprisonment of up to one year.
FDA Guidance on Food Safety
The U.S. Food and Drug Administration has provided guidance on food safety for the COVID-19 pandemic. Currently there is no evidence that the virus has spread from food or food packaging. The FDA is also aggressively monitoring the market for fraudulent COVID-19 testing kits. Complete information on food safety and approved testing can be found at: http://www.afdo.org
The DOH reminds people to be judicious when shopping for food and essential goods so that kūpuna and others in need are able to purchase necessary items.
Who should be tested?
Individuals who are not experiencing systems do not need to be tested. DOH strongly urges public health and healthcare professionals to prioritize testing among three specific groups:
Health care workers and first responders with COVID-19 symptoms.
Older Americans who have symptoms of COVID-19, especially those living in congregate settings.
Individuals who may have other illnesses that would be treated differently if they were infected with COVID-19 and therefore physician judgment is especially important for this population.
Other people with mild illness should help protect our most vulnerable and conserve our precious supplies by practicing social distancing measures, monitoring their illness, and calling their healthcare provider if their symptoms worsen or persist.
Guidance and guidelines for public health professionals and healthcare workers: www.cdc.gov/covid19
Social Distancing
COVID-19 recommendations are changing the rules on how much physical distance individuals should keep from each other. Cancelling events that do not allow attendees to be at least six feet apart—the equivalent of two arms-length—and avoiding unnecessary physical meeting with others are proven strategies to mitigate the spread of the virus. The effectiveness of these initiatives largely depends on the cooperation and compliance from the public.
21 New Positive Cases on three islands
As of March 23, 2020, there is a total of 77 presumptive or positive COVID-19 cases in Hawai‘i. 61 of these cases involve Hawai‘i residents and the majority (49) are on O‘ahu. Travel or contact with a traveler is the risk factor in 47 cases, and only one case has no travel history. The cause of the virus in 29 cases is unknown. Please note, that as the number of cases rises daily it may take health professionals longer to investigate possible sources for individual cases.
Hawaii COVID-19 Counts
As of 3/22/2020 at 12:00 Noon
Reported 3/22/2020
Reported since 2/28/2020
Total Cases
21
77
Residence
HI Residents
13
61
Non-HI Residents
3
11
Unknown
5
5
County of Diagnosis
Honolulu
12
53
Hawaii
2
5
Maui
2
11
Kauai
0
3
Unknown
5
5
Age Group
Adult (>18 yrs)
21
75
Pediatric (0–18 yrs)
0
2
Hospitalizations
Hospitalized
1
4
Not hospitalized
0
23
Unknown
20
50
Risk Factors
Travel
1
47
Community
0
1
Unknown
20
29
Definition of Community Spread
Community spread is defined as cases that cannot be traced back to a traveler and have absolutely no travel related or involved connection with travel. We have been informed that there are residents of Hawai‘i who believe all COVID-19 positive cases originate from visitors to the state. Unfortunately, there is stigma developing against visitors in Hawai‘i. We’re asking the media to help people understand that of the 77 positive test results to date, 47 of them are the result of traveling residents. The majority of cases are residents who returned home after traveling. At this time, there may be residents returning home from a school that has closed or from other essential travel. It is important for all travelers to monitor their health for 14 days after traveling and to avoid exposing others and stay at home.
Thank you for your assistance in reducing and preventing stigma and increasing understanding during this rapidly changing situation.
Lab Testing
More than 3,300 tests performed for people in Hawai‘i by private clinical labs to date.
The DOH State Laboratories Division has tested 103 Persons Under Investigation (PUI) and 263 sentinel surveillance samples. The 263 sentinel surveillance tests have all been negative. These are representative samples taken from every county from people with flu-like symptoms who tested negative for influenza.
Private laboratories are receiving steadily increasing numbers of test samples and this has created some delays in the processing of test results. Test results from private laboratories are currently taking approximately a week or more to complete and health care providers and their patients should expect results may take longer as demand continues to increase.
Department of Health Transitions to Online/Mail Requests for Vital Records Certificates and Appointment Only for Marriage Licenses
As a precaution against COVID-19, beginning Monday, 3/23/20, DOH will transition to an online/mail procedure for vital records (birth, marriage, death, divorce certificates) requests.
On Sun, Mar 22, 2020 at 4:49 PM wayne kh6in <wgreenhi@...> wrote:
Dates will be April 10 to April 30. They are still putting it together and as mentioned will be a virtual event using computers.
Aloha
Wayne
On Sun, Mar 22, 2020, 16:46 KH6WG Skawamae Kawamae <skawamae@...> wrote:
To: EARC Mailing List
Do we have any volunteers for the Science Fair? It will be a virtual venue, I don't have all the details. Please let me know if interested. Thanks in advance.
On Sun, Mar 22, 2020, 16:46 KH6WG Skawamae Kawamae <skawamae@...> wrote:
To: EARC Mailing List
Do we have any volunteers for the Science Fair? It will be a virtual venue, I don't have all the details. Please let me know if interested. Thanks in advance.
Do we have any volunteers for the Science Fair? It will be a virtual venue, I don't have all the details. Please let me know if interested. Thanks in advance.
The DOH reminds the public to be judicious when shopping for food and essential goods so that kūpuna and others in need are able to purchase necessary items. The Hawai‘i Department of Transportation (HDOT) Harbors Division continues to manage Hawai‘i’s commercial ports–the lifeline for Hawai‘i communities for food, medical supplies, clothing, household goods and more. There have been no interruptions to the supply chain as a result of COVID-19.
Who should be tested?
Most people who are sick do not need to be tested. There is no specific medicine to treat COVID-19, so whether you test positive or negative, management of your illness will be the same.
Individuals who are not sick should not be tested even if they have been exposed to COVID-19.
Individuals who are sick with respiratory illness (e.g., fever and cough or shortness of breath) AND who are at a higher risk for severe respiratory infections (e.g., older people, those with chronic medical conditions including immunosuppression) should call their usual source of healthcare to discuss whether they should be tested for COVID-19 and/or other infections such as influenza.
A provider’s referral is required to receive testing.
If you do not have a provider, call an urgent care center or community clinic in your area.
Anyone having difficulty breathing should seek medical care immediately. If possible, call your healthcare provider first so they are prepared to receive you.
Other people with mild illness should help protect our most vulnerable and conserve our precious supplies by practicing social distancing measures, monitoring their illness, and calling their healthcare provider if their symptoms worsen or persist.
Social Distancing
COVID-19 recommendations are changing the rules on how much physical distance individuals should keep from each other. Cancelling events that do not allow attendees to be at least six feet apart—the equivalent of two arms-length—and avoiding unnecessary physical meeting with others are proven strategies to mitigate the spread of the virus. The effectiveness of these initiatives largely depends on the cooperation and compliance from the public.
11 New Positive Cases on three islands
As of March 21, 2020, noon, there is a total of 48 confirmed or presumptive positive cases of COVID-19 in Hawai‘i. New positive results were received today for elevenindividuals on three islands. Nine are Hawai‘i residents and two are non-residents. One person is hospitalized in intensive care, another person required a brief one-day hospitalization. Five people have a history of travel and six are pending investigation. In total, 41 cases are residents and 7 are non-residents.
COVID-19 Summary of Numbers as of March 21, 2020 at 12:00 p.m. HST
Total Number of Positive Cases Statewide 48
City & County of Honolulu 35
County of Maui 7
County of Kaua‘i 3
County of Hawai‘i 3
Definition of Community Spread
Community spread is defined as cases that cannot be traced back to a traveler and have absolutely no travel related or involved connection with travel. We have been informed that there are residents of Hawai‘i who believe all COVID-19 positive cases originate from visitors to the state. Unfortunately, there is stigma developing against visitors in Hawai‘i. We’re asking the media to help people understand that of the 48 positive test results to date, 37 of them are the result of traveling residents. The majority of cases are residents who returned home after traveling. At this time, there may be residents returning home from a school that has closed or from other essential travel. It is important for all travelers to monitor their health for 14 days after traveling and to avoid exposing others and stay at home.
Thank you for your assistance in reducing and preventing stigma and increasing understanding during this rapidly changing situation.
Lab Testing
More than 2,200 tests performed for people in Hawai‘i by private clinical labs to date.
The DOH State Laboratories Division has tested 48 Persons Under Investigation (PUI) and 263 sentinel surveillance samples. The 263 sentinel surveillance tests have all been negative. These are representative samples taken from every county from people with flu-like symptoms who tested negative for influenza.
2-1-1 Call Center for Information on COVID-19
The Aloha United Way call center is open daily between 7 a.m. – 10 p.m. For information or questions about COVID-19:
Counties Roll Out Plans to Mitigate the Spread of COVID-19
Following the State of Hawai‘i’s plan for “15-Days to Slow the Spread” of COVID-19, Hawai‘i’s mayors have recently implemented county plans that are geared to their island residents. Department of Health supports everyone’s efforts to keep the community safe and healthy.
“We can be more effective in mitigating the spread of COVID-19 if everyone takes these aggressive actions seriously,” said Bruce Anderson, director of the Hawai‘i Department of Health. “The response to the Governor and County directives has been positive so far and there are many, such as food establishments, which have identified alternative ways to serve the public with drive-through and take-out service to maintain their operations.”
The City and County of Honolulu hasmandatedthe closure of restaurants, parks and nightclubs for indoor service beginning 8:30 a.m. on Friday, March 20. Restaurant take-out, curb-side pick-up and delivery will be allowed.
The County of Kaua‘i issued an islandwide nighttime curfew beginning Friday, March 20. The curfew will be in effect from 9 p.m. through 5 a.m. daily until further notice. Individuals must remain in their residence during these specified hours, with a few exceptions.
The County of Maui announced rules that will be in effect beginning 7:45 a.m. on Friday, March 20, limiting the gathering of groups of people and curtailing vehicular transportation except for essential activities or operation of essential business or government functions. Restaurants and cafes that serve food within the premises are required to close; however, take-out and delivery service may continue.
Hawai‘i County issued guidance that restaurants, bars and places of worship may make their own decisions to open or close, and consider ways to minimize risk to customers and employees.
Please visit the county websites for more information.
Be Considerate When Purchasing Food and Supplies The DOH reminds the public to be judicious when shopping for food and essential goods so that kūpuna and others in need are able to purchase necessary items. The Hawai‘i Department of Transportation (HDOT) Harbors Division continues to manage Hawai‘i’s commercial ports–the lifeline for Hawai‘i’s communities for food, medical supplies, clothing, household goods and more. There have been no interruptions to the supply chain as a result of COVID-19.
Definition of Community Spread Community spread is defined as cases that cannot be traced back to a traveler and have absolutely no travel related or involved connection with travel. As of noon today, March 19, all cases who tested positive in Hawaiʻi are travel related or involved with visitors on a daily basis.
Who should be tested for COVID-19?
Most people who are sickdo notneed to be tested. There is no specific medicine to treat COVID-19, so whether you test positive or negative, management of your illness will be the same.
Individuals whoare not sickshouldnotbe tested even if they have been exposed to COVID-19.
Individuals whoare sickwith respiratory illness (e.g., feverandcough or shortness of breath)ANDwho are at a higher risk for severe respiratory infections (e.g., older people, those with chronic medical conditions including immunosuppression) should call their usual source of healthcare to discuss whether they should be tested for COVID-19 and/or other infections such as influenza.
A provider’s referral is required to receive testing.
If you do not have a provider, call an urgent care center or community clinic in your area.
Anyone having difficulty breathing should seek medical care immediately. If possible, call your healthcare provider first so they are prepared to receive you.
Other people with mild illness should help protect our most vulnerable and conserve our precious supplies by practicing social distancing measures, monitoring their illness, and calling their healthcare provider if their symptoms worsen or persist.
State Launches New, Dedicated COVID-19 Website The State of Hawai‘i unveiled a new website for the public to access the latest information on COVID-19 in Hawai‘i. The website,hawaiicovid19.com, is an inter-agency collaborative effort to keep the community safe and healthy. It provides timely information and resources on the coronavirus, including guidance on how to prevent and mitigate community spread, common symptoms of COVID-19, and frequently asked questions.
Social Distancing COVID-19 recommendations are changing the rules on how much physical distance individuals should keep from each other. Cancelling events that do not allow attendees to be at least six feet apart—the equivalent of two arms length—and avoiding unnecessary physical meeting with others are proven strategies to mitigate the spread of the virus. The effectiveness of these initiatives largely depends on the cooperation and compliance from the public.
“One of the best ways to show aloha for each other at this critical time is to refrain from being in large gatherings and to keep a safe, healthy distance from each other,” said Health Director Bruce Anderson. “You may be healthy, but others around you may not be as fortunate. By practicing social distancing, you’re limiting the potential for exposure to any illness in your household and protecting everyone in our community. We all need to consider the health and wellbeing of others, especially seniors, those with preexisting health conditions and others whose health may be compromised."
Anderson noted that technology enables us to have social distance without sacrificing emotional connection. “When feasible, we should use tools available for virtual meetings by phone, tablet or computer as a way to maintain contact with loved ones, especially kupuna in care homes given Gov. Ige’s directive to refrain from visiting nursing homes, retirement or long-term care facilities at this time.”
Ten New Positive Cases on O‘ahu and Maui As of March 19, 2020, noon, there is a total of 26 confirmed or presumptive positive cases of COVID-19 in Hawai‘i. New positive results were announced today for eight individuals on O‘ahu and two individuals on Maui. All cases who tested positive in Hawaiʻi are travel related.
The Department of Health will be confirming case numbers daily at noon. The situation is fluid with constant changes. Any additional case information received after noon will be reported the following day.
COVID-19 Summary of Numbers as of March 19, 2020 at 12:00 p.m. HST
(updated as new information becomes available)
Number of Total Positive Case(s)* Statewide26
Honolulu18
Maui County5
Kaua‘i2
Hawai‘i Island1
*Includes confirmed and presumptive cases.
Confirmed:Meets CDC criteria and positive test result received from a certified laboratory such as the DOH State Laboratories Division.
Presumptive Positive:Positive test results from a private laboratory requiring confirmation by a state public health laboratory.
Sentinel Surveillance Testing Results
The DOH has received 124 negative results from test samples selected from sites statewide with the goal of identifying possible community transmission of COVID-19. There were 62 negative test results received last week and 62 negative test results received this week.
2-1-1 Call Center for Information on COVID-19
The Aloha United Way call center is open daily between 7 a.m. – 10 p.m. For information or questions about COVID-19:
Today, the Hawai‘i Department of Health (DOH) unveiled a new website for the public to access the latest information on COVID-19 in Hawai‘i. The State of Hawai‘i has mobilized an inter-agency collaborative effort to keep the community safe and healthy. The website, hawaiicovid19.com will go live at 3pm. The website provides timely information and resources on the coronavirus, including guidance on how to prevent and mitigate community spread, common symptoms of COVID-19, and frequently asked questions. Please read and share the information.
By providing our family and friends, our neighbors and our visitors with accurate information, we keep our community healthy and we keep Hawaiʻi a welcoming place to live and visit. Don’t spread the virus. Don’t spread misinformation. And let’s prepare together. Always share aloha.
Sign up to receive updates at health.hawaii.gov/updates.
Social Distancing: A New Way of Expressing Aloha In Hawai‘i’s close-knit communities, federal, state and county mandates for social distancing can be a difficult message to accept. Island residents are accustomed to gathering together for social and public events and expressing their support and aloha for each other with hugs and other signs of affection.
COVID-19 recommendations are changing the rules on how much physical distance individuals should keep from each other, but the aloha spirit prevails in the islands. Social distancing is a new way of expressing aloha. Cancelling events that do not allow attendees to be at least six feet apart—the equivalent of two arms length—and avoiding unnecessary physical meeting with others are proven strategies to mitigate the spread of the virus. However, the effectiveness of these initiatives largely depends on the cooperation and compliance from the public.
“It may feel counterintuitive, but one of the best ways to show aloha for each other at this critical time is to refrain from being in large gatherings and to keep a safe, healthy distance from each other,” said Bruce Anderson, director of the Hawai‘i Department of Health. “These unprecedented times require a new way of thinking. You may be healthy, but others around you may not be as fortunate. By practicing social distancing, you’re limiting the potential for exposure to any illness in your household and protecting everyone in our community. We all need to consider the health and wellbeing of others, especially seniors, those with preexisting health conditions and others whose health may be compromised.
Anderson noted that technology enables us to have social distance without sacrificing emotional connection. “When feasible, we should use tools available for virtual meetings by phone, tablet or computer as a way to maintain contact with loved ones, especially kupuna in care homes given Gov. Ige’s directive to refrain from visiting nursing homes, retirement or long-term care facilities at this time.”
Compliance with Governor’s Directives The Hawai‘i Department of Health is fully endorsing Gov. David Ige’s directives to close establishments that typically attract large numbers of people, and to limit employees in the workplace to minimize exposure. While these are not mandates with consequences for non-compliance, these directives require the cooperation of businesses, organizations and individuals to be effective from a public health perspective.
“We can be more effective in mitigating the spread of COVID-19 if everyone takes these aggressive actions seriously,” Anderson said. “The response to the Governor’s directives has been positive so far and there are many, such as food establishments, which have identified alternative ways to serve the public with drive-through and take-out service to maintain their operations.”
Criteria for Screening Sites There are limited supplies of COVID-19 testing in Hawai‘i, and this makes prudent use of these resources a priority. Many who are well or experiencing only mild flu-like symptoms may want a COVID-19 test for peace of mind, but this is not a good use of the testing resources. The DOH wants to underscore the criteria for testing and how to properly use the screening sites so that only those who critically need the tests, including older adults and those with existing health conditions, can have access when they need them.
The public should heed the following steps:
First, contact your healthcare provider in advance to determine if you need to have an in-person visit with your provider. If you do not have a healthcare provider, call the nearest healthcare provider to see if you should come in or remain at home.
Your provider will determine over the phone whether you meet the criteria for COVID-19 testing.
If your provider directs you to come in for a screening, bring a photo ID and your provider’s order.
Your provider will take a swab for testing.
The specimen will be sent to a private or state lab for the results. During this time, you are expected to self-quarantine at home until the test results are available, which could be up to 3 to 4 days.
If you are healthy or experiencing mild to moderate flu-like symptoms, DOH urges you to stay at home and avoid an unnecessary visit to a screening site. The screening sites are only for those who are severely ill with COVID-19 symptoms.
Two New Positive Cases on Oahu As of March 18, 2020, noon, there is a total of 16 confirmed or presumptive positive cases of COVID-19 in Hawai‘i. New positive results were announced today for two O‘ahu residents who traveled outside Hawai‘i. The Department of Health (DOH) is monitoring these individuals and supervising their isolation as well as the self-quarantine of their family members.
One of the O‘ahu cases announced this past Monday, March 16, was a Kualoa tour operator who had not traveled, but was exposed to travelers daily. Three family members from the individual’s household were tested with negative results. All cases who tested positive in Hawaiʻi are travel related. There is no evidence of community spread in Hawai‘i at this time.
COVID-19 Summary of Numbers as of March 18, 2020 at noon
(updated as new information becomes available)
Number of Confirmed or Presumptive Positive Case(s)*16
Number of Persons Under Investigation (current, testing pending)9
Confirmed: Meets CDC criteria and positive test result received from a certified laboratory such as the DOH State Laboratories Division.
*The CDC has advised states that respiratory samples positive for SARS-CoV2 in a state and public-health laboratory will be considered “positive” with no need for further testing.
Presumptive Positive: Positive test results from a private laboratory requiring confirmation by a state public health laboratory.
Persons Under Investigation (PUI): Meets CDC criteria for investigation and testing pending.
2-1-1 Call Center for Information on COVID-19
The Aloha United Way call center is open daily between 7 a.m. – 10 p.m. For information or questions about COVID-19:
It's normal to feel anxious, stressed, and even depressed right now. As "social distancing" increases, some people may begin to feel more isolated. Here are some resources and tips from Mental Health of America (MHA):
With the cases of COVID-19 steadily increasing, we find ourselves in a unique and challenging time. As we struggle to address this health crisis, we are also faced with mental health challenges, including increased stress and anxiety. We would like to offer
a few resources and recommendations that we hope will be helpful, during this difficult time.
The Disaster Distress Helpline, 1-800-985-5990 or text “TalkWithUs” to 66746, provides crisis counseling and support to anyone in the U.S. experiencing distress from natural or human-caused disasters and public health emergencies.
The National Suicide Prevention Lifeline can be reached at 1-800-273-TALK (8255). Veterans Crisis Line is 1-800-273-8255 (Press 1). Text ALOHA to 741-741 for the Crisis Text Line. The Trevor Helpline is 1-866-4U-TREVOR (488-7386). The Crisis Line
of Hawai‘I is 808-832-3100 (Oahu) and 1-800-753-6879 for neighbor islands.
SAMHSA has tip sheets available: Coping During Infectious Disease Outbreaks
http://bit.ly/2ThfO2X & Tips for Social Distancing, Quarantine, and Isolation During an Infectious Disease Outbreak
http://bit.ly/2xpbCXQ.
When asked to socially distance and self-isolate, it can be difficult for those experiencing depression or who are in need of emotional support. We can all help by reaching out through text, calling, or video to our social circles and those around
us to ensure that they feel part of the community and still have connection to others. Remember to check-in with your kupuna.
If you are home, it is important to focus on practicing self-care, managing stress, and not engaging in unhealthy coping skills.
It is important to stay up-to-date with information regarding COVID-19 but over checking can lead to an increase in anxiety and a feeling of loss of control. Schedule a time to check-in during the day and stick to it.
Remember that this too will pass and to focus on the future that is ahead of us all. Spread Aloha through your thoughts, words, and behaviors.
By standing together, we can move forward. Stand strong Hawai‘i.
Proper Use of COVID-19 Tests Imperative There is a current shortage of hand sanitizers and toilet paper in Hawai‘i in part because of the public’s over-reaction to COVID-19. The Hawai‘i Department of Health (DOH) wants to avoid having the same shortage of COVID-19 test resources by making sure the public understands how to properly utilize the newly established screening sites.
If people who are well or experiencing mild flu-like symptoms go to the screening sites, there potentially may be insufficient testing supplies for those who critically need the tests, including older adults and those with existing health conditions.
The public should heed the following steps:
First, contact your healthcare provider in advance to determine if you need to have an in-person visit with your provider.
Your provider will determine over the phone whether you meet the criteria for COVID-19 testing.
If your provider directs you to come in for a screening, bring a photo ID and insurance card.
Your provider will take a swab for testing.
The specimen will be sent to a private or state lab for the results. During this time, you are expected to self-quarantine at home until the test results are available, which could be up to 3 to 4 days.
If you are healthy or experiencing mild to moderate flu-like symptoms, DOH urges you to stay at home and avoid an unnecessary visit to a screening site. The screening sites are only for those who are severely ill with COVID-19 symptoms.
Postpone or Cancel In-Person Events
The Hawai‘i Department of Health recommends postponing or canceling in-person events involving 50 or more people for the next eight weeks. Consider using technology to hold virtual meetings or other means when feasible.
It is important to note these are recommendations to encourage best practices for social distancing; not mandates. Businesses and organizations have the option to hold group events and meetings at their own discretion, keeping in mind that attendees should be two-arms-length or six feet apart when possible. Seniors and those with underlying health conditions who are at a greater risk for COVID-19 or respiratory illnesses should avoid attending public gatherings altogether.
Cruise Ship Being Rerouted
The Hawai‘i Department of Transportation (HDOT) Harbors Division and the U.S. Coast Guard are continuing coordination with Holland America Line’s Maasdam cruise ship, which is on its way to Hawai‘i. Initially, the Maasdam had a port call for Hilo, however that reservation has been canceled. HDOT is currently working to direct the ship to Honolulu Harbor so that disembarking passengers will have various flight options for departure out of Daniel K. Inouye International Airport (HNL). To date, there have been no positive cases of COVID-19 associated with the ship. It is important to note that the Maasdam will have been at sea longer than the 14-day incubation period prior to arriving in the Hawaiian Islands. Prior to port, all ships are required to call in advance with information on any symptomatic passengers. If there are concerns about passengers who are ill, the ship will be held out of port.
2-1-1 Call Center for Information on COVID-19
The Aloha United Way call center is open daily between 7 a.m. – 10 p.m. For information or questions about COVID-19:
Four New Cases of COVID-19 Identified on O‘ahu and Hawai‘i Island
As of 2:00 p.m. on March 17, 2020 there is a total of 14 confirmed or presumptive positive cases of COVID-19 in Hawai‘i. Four new confirmed cases of COVID-19 were identified: Two on O‘ahu, one on Hawai‘i Island and one on Maui. DOH is gathering more information on these cases.
COVID-19 Summary of Numbers as of March 17, 2020 at 2:00 pm
(updated as new information becomes available)
Number of Confirmed or Presumptive Positive Case(s)*14
Number of Persons Under Investigation (current, testing pending)12
Number of Negative Test Results93
Number of Person Self-Monitoring with DOH supervision9
The 9 individuals who are self-monitoring with public health supervision are all on O‘ahu. These numbers fluctuate often as travelers arrive, depart, or begin and end their self-monitoring with supervision by DOH.
Confirmed: Meets CDC criteria and positive test result received from a certified laboratory such as the DOH State Laboratories Division.
*The CDC has advised states that respiratory samples positive for SARS-CoV2 in a state and public-health laboratory will be considered “positive” with no need for further testing.
Presumptive Positive: Positive test results from a private laboratory requiring confirmation by a state public health laboratory.
Persons Under Investigation (PUI): Meets CDC criteria for investigation and testing pending.
Monitoring: Individuals voluntarily remain at home and refrain from work, school, gathering places, and public transit. They communicate daily with Department of Health staff.
As Steve KH6WG emailed earlier today, the March 2020 General Membership meeting has been cancelled. This email will be in place of the oral report I normally give.
Treasurer Report
Balances as of 29 Feb 2020:
General fund: $12,420.13
Savings: $10,439.38
Total spendable: $22,859.51
KH6IJ Scholarship Fund: $3,885.77
Paypal to be deposited: $1,690.07
Cash/checks to be deposited: $308.00
Cash flow for this month $176.99 positive. About $784.00 in antenna sales for February, $300.00 in membership dues. Expenditures for February include rental for the EARC for 2020, office box rental, and reimbursement to Wayne KH6IN for the wireless internet services for the EARC repeaters.
Club finances continue to be in solid shape. Upcoming expenditures include Field Day and reimbursement to Peter KH6DK for materials for the antenna project.
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Membership: Renewal season continues. As of today 3/15/2020, 92 paid members. Goal continues to be 100 by the end of the month. I can address any questions you have on your membership and whether you have renewed or not. New members can also apply on the earchi.org website. You can also mail dues to the club PO Box (PO Box 30315, Honolulu, HI 96820).
If you have any questions please let me know. To all of our members, stay safe and well.
On Sun, Mar 15, 2020 at 3:30 PM WH7O Russell Houlton <russell.houlton@...> wrote:
Talk about 5 minutes late.... :-/
On Sun, Mar 15, 2020 at 3:28 PM WH7O Russell Houlton via Groups.Io <russell.houlton=gmail.com@groups.io> wrote:
I will probably skip this meeting for the simple reason that I don't want to be the first one sick in my small office, or introduce it to my big customers - that would be a major deal.
I am interested in the topic, so if someone can video it and make it available, it would be appreciated.
