BOARD OF HEALTH

200 E. Wells Street City of Milwaukee Milwaukee, Wisconsin 53202 Meeting Minutes BOARD OF HEALTH Ruthie Burich-Weatherly, Caroline Gomez-Tom, Bria Grant, Ald. Chantia Lewis, Julia Means, LaNelle Ramey, Ericka Sinclair, and Wujie Zhang Tuesday, June 9, 2020 5:30 PMhttps://global.gotomeeting.com/join/762935533; +1 (408) 650-3123 This is a virtual meeting. Please join from your computer, tablet or smartphone using the link provided below or by calling the number provided. https://global.gotomeeting.com/join/762935533 +1 (408) 650-3123 1 Call to Order 2 Board Members: Ericka Sinclair, Marylyn Ranta, LaNelle Ramey, Ruthie Burich-Weatherly, Wujie Zhang, Caroline Gomez-Tom, Ald. Chantia Lewis, Bria Grant, Julia Means Other: Claire Evers, Lilliann Paine, Griselle Torres, Greg Kruse, Mark Yatchak, Marlaina Jackson, Rocio Serna, Sanjib Bhattacharyya, Marlaina Jackson, Peter Block, Tim Vetscher, Evan Vogel, Nick Tomaro, Michael Stevenson 3 Approval of 05/14/2020 May minutes were approved 4 Guidance on contracting with or partnering with outside organizations and businesses Assistant City Attorney Peter Block provided an overview of “Ethics and The City of Milwaukee’s Ethics Board” along with power point presentation City of Milwaukee Page 1 BOARD OF HEALTH Meeting Minutes June 9, 2020 5 Communication from the Commissioner or designees a. Departmental updates b. COVID-19 response and recovery MHD presented and discussed slides that were also provided at Public Health and Safety Committee Meeting on 05/14/2020 link to presentation: https://milwaukee.legistar.com/MeetingDetail.aspx? ID=723550&GUID=FCBA4B87-6F67-4AD3-A908-D6480340C4FC&Options=info|&Search= i. Phased reopening orders Moved to Phase 3 on 06/04/2020 Talking points to use when sharing updates about the public health and safety order ‘Moving Milwaukee Forward’: All businesses are allowed to be open to some degree. Safe business practices now state that locations can have up to 50% or the total established occupancy limit or 1 person for every 30 square feet. Restaurants and bars are permitted to have seating up to 25% of their occupancy while complying with social distancing and safe business practices Daycare and Youth Summer programs may operate at 50% capacity Gatherings including faith based organizations: Gathering size limits are set at the lesser of: (i) 25% of the total occupancy of the location established by the City of Milwaukee, if any, (ii) one person for every 30 square feet of floor space open to the public, or (iii) 250 people It is important to remind people about the need for physical distancing of 6 feet from others, protective measurement requirements such as mask wearing, and safe business Lastly, the city is following guidelines for phases of safe reopening. It is important for people to understand that in order to move forward, the orders must be followed. ii. Contact tracing and Case Investigation 1. Key Performance Metrics Key Metric Cases: Trend in percent positive COVID+ PCR Tests* Green: 14 day significantly negative trend or percent positive 5% or less for 14 days Yellow: No significant trend Red: 14 day significantly positive trend City of Milwaukee Page 2 BOARD OF HEALTH Meeting Minutes June 9, 2020 *Note these metrics are preliminary and may be improved based on practices for the city of Milwaukee Key Metric Testing: Number of tests performed* and percent positive for PCR tests Green: 2,000 tests per day OR <5% positive for 5 days Yellow: 1,200-2,000 tests per day OR 5-10% positive for 5 days Red: <1,300 tests per day AND >10% positive for 5 days *Note these metrics are preliminary and may be improved based on practices for the city of Milwaukee Key Metric Care: Percentage of hospitals not in crisis care* AND percentage of COVID+ hospital beds Green: 100% not in crisis care AND <10% of hospital patients are COVID+ Yellow: 95-99% not in crisis care AND 10-20% of hospital patients are COVID+ Red: <95% not in crisis care AND >20% of hospital patients are COVID+ *Note these metrics are preliminary and may be improved based on practices for the city of Milwaukee Key Metric Safety: Hospital systems reaching Personal Protective Equipment (PPE) goals* Green: 29+ days of all PPE supply for majority of hospitals Yellow: 8-28 days of all PPE supply for majority of hospitals Red: 0-7 days of all PPE supply for majority of hospitals *Note these metrics are preliminary and may be improved based on practices for the city of Milwaukee Key Metric Tracing: Percentage of COVID+ cases worked by the Milwaukee Health Department that are successfully contacted within 3 contact attempts Green: 95%-100% of COVID+ residents are successfully reached within 3 contact attempts Yellow: 50-95% of COVID+ residents are successfully reached within 3 contact attempts Red: <50% of COVID+ residents are successfully reached within 3 contact attempts 2. Staffing Plan 92 Case Investigators staff – complete case interview; close contacts; entered case in WEDSS 62 Contact Notifications staff – complete contact interviews, identified probable cases, entered contact information in WEDSS iii. CDC field team recommendations Considerations for Community Engagement and Risk communication plan development (COVID-19) City of Milwaukee Page 3 BOARD OF HEALTH Meeting Minutes June 9, 2020 Standardization of testing processes/methodology Develop testing strategies and handling of positive cases Identify logistics of tracking and management of volunteers iv. PPE supply Currently there is adequate PPE available for healthcare personnel, long-term care facilities, and first responders. Please see key performance metrics as noted above. v. Responding to the community – communication, outreach and education 1. You Matter (Athena Communications) Stronger Together Collective Workgroup debriefed about the virtual launch of You Matter Campaign Next Steps: determine how to sustain the campaign 2. ASKMHD Launched on June 3, 2020 to create a more efficient streamed line way of answering COVID-19 related questions 3. Office of Violence Prevention (OVP) ReCAST Program Manager appeared on 04/24/2020 3pm segment of TMJ4 News Distributed PPE to during the protests 4. Hotline Volumes Rise in calls, predominately related to the delay in reporting of test results from the National Guard testing sites, per slide 29 of power point 3,387 (05/18-05/23) followed by a drop to 535 (06/01 –06/09) 5. Role of Board of Health members Advocate for the importance of public health and adequate funding Assist with the creation of toolkits and outreach to businesses and churches that help shape the implementation or phased reopening. vi. Other MHD has received the “first wave” of CARE dollars. The funds will be allocated to contact tracing, testing and emergency response planning. To date, the State has created some training materials, PowerPoints, and scripts--parts of which have been incorporated into our training materials. MHD has a point person with DHS who helps with contact tracing related questions/guidance. This individual has been a great help. MHD received $6,016,846 in a consolidated contract through the State yesterday. - $115,500 for epidemiology and lab capacity City of Milwaukee Page 4 BOARD OF HEALTH Meeting Minutes June 9, 2020 - $756,100 for testing coordination - $30,000 for planning - $5,115,246 for contact tracing Monitoring phase is variable Request for supporting businesses with re-opening Inquiry about universal mask policies Racism is a Public Health Crisis budget support 6 Meeting schedule Will poll board members and key MHD staff regarding regular board meeting schedule 7 Adjournment Persons engaged in lobbying as defined in s. 305-43-4 of the Milwaukee Code of Ordinances are required to register with the City Clerk's Office License Division. Registered lobbyists appearing before a Common Council committee are required to identify themselves as such. More information is available at http://city.milwaukee.gov/Lobbying. City of Milwaukee Page 5