Wood County, Wisconsin

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COVID-19 Response and Recovery

Phases for Continued Reopening / Progression

Both the White House Opening Up American Again guideline and the Wisconsin Department of Health Services plan outline a three-phased approach to relaxing community mitigation measures currently in place to limit transmission of COVID-19. The purpose of the phases is to outline a path to re-opening the economy while mitigating the risk of resurgence in COVID-19 illnesses and protecting vulnerable populations. The guidelines propose indicators (based on symptoms, based on cases, and for hospitals) to assess when to move through three community mitigation phases (Phase 1, Phase 2, Phase 3).

Decisions to move between the phases will be informed by identified metrics (see Metrics below). Special consideration will be given to infections identified in populations and setting such as healthcare personnel, patients in healthcare facilities (e.g. nursing homes, dialysis centers, long-term care facilities), and residents of congregate living settings (e.g. prisons, youth homes, shelters, recreational camps), underserved populations, and people at higher risk of disease. Incidence and trajectory of COVID-19 illnesses in the surrounding region will also be considered.

The following data metrics will be assessed to move through reopening phases:

  • If all metrics are at least yellow, move to Phase 1.
  • Assess at 14 days after implementation of Phase 1.
    • If more than half of metrics are green and epidemiology criteria is not red, move to Phase 2.
    • If criteria are not met after 14 days, assess regularly until criteria are met.
  • Assess at 28 days after implementation of Phase 2.
    • If more than half the metrics in Wood County are green, and no metrics in Wood County or the Northern Region are red, move to Phase 3.
    • If criteria are not met after 28 days, assess regularly until criteria are met.
  • Continue in Phase 3 until widespread protections are available.

Goals and Objectives

GOAL: To reduce morbidity and mortality related to novel coronavirus (COVID-19) and its economic impacts among all residents of our respective county.

  • Objective 1: To prevent cases of COVID-19 (primary prevention).
  • Objective 2: To identify and isolate cases early while quarantining close contacts to prevent further disease transmission (secondary prevention).
  • Objective 3: To improve outcomes for those who do contract COVID-19 (tertiary prevention).
  • Process Objective: To maximize economic functions within the County.

Wood County Recovery and Metrics Status

Updated Thursday, October 15, 2020.

Wood County Recovery Phase

Phase 1

Please see Guidance Based on Phases for Phase 1 below.

Wood County Gating Metrics

Personal Protective Equipment (PPE)

Adequate PPE available for all health care and public health personnel as measured by WHA and Emergency Management (EM)

Disease Control

All positive cases and their contacts can be contacted quickly to facilitate rapid isolation and quarantine for disease control.

Cases

Downward trajectory of positive tests as a percent of total tests within a 14-day period.

Disease Activity

Reviewing the Disease Burden Map from DHS to understand the current disease activity level of COVID-19

Hospitals: Treatment Capabilities

Understanding the treatment capabilities among the local Health Systems within Wood County.

Hospitals: Staffing

Understanding the staffing capabilities among the local Health Systems within Wood County.

Healthcare Worker Cases

Downward trend of COVID-19 cases among health care workers calculated weekly.

Testing

Testing supplies and staff facilitate adequate testing for disease control and surveillance.

Surveillance: Influenza-Like Illness

Observe reduction in influenza-like illnesses (ILI) reported within a 14-day period

Surveillance: COVID-19-Like Illness

Observe reduction in COVID-19-like illnesses reported within a 14-day period

Hospital Capacity

Hospitals have ICU bed capacity and sufficient ventilators to care for all hospitalized critical patients.

Status Symbols
= Green Status
= Yellow Status
= Red Status

Metrics and Phase-Specific Strategy Considerations

While we may progress sequentially through the reopening phases, there is the possibility of resurgence in the community. Given the potential for a rebound in the number of cases or level of community transmission, a low threshold for reinstating more stringent mitigation standards will be essential. Active monitoring of real-time data-based metrics is critical. If metrics are not being met, mitigation strategies may be needed at the local level, or an even smaller scale (municipality or business) to address an identified hotspot. The following table (Table 1) describes these indicators based on accessible or assessable data for the health department and its essential governmental bodies to provide strategies of “tightening” or “loosening” of the items in (Table 2).

Note: Measures and thresholds may be modified as COVID-19 response evolves.

Guidance Based on Phases

For current best practice guidance see http://www.co.wood.wi.us/Departments/Health/CovidHub.aspx

Guidance for Everyone in Wood County

Phase 1 and Phase 2 Best Practices
  • Wash hands often
  • Cover coughs, sneezes
  • Stay home when sick
  • Wear a face mask when in public
  • Frequent cleaning of surfaces
  • Isolation of positive cases
  • Quarantine of close contacts of positive cases
  • Physical distancing of 6 feet whenever possible
  • Visitor restrictions in place for nursing homes, congregate facilities, hospitals, and schools
Phase 3 Best Practices
  • Wash hands often
  • Cover coughs, sneezes
  • Stay home when sick
  • Wear a face mask when in public
  • Frequent cleaning of surfaces
  • Isolation of positive cases
  • Quarantine of close contacts of positive cases

Guidance for Specific Settings and Activities in Wood County

Please refer to our Wood County Reopening Phases Guidance by Activity document for specific guidance based on the setting or activity.

More Resources

Please refer to our Wood County Reopening Resource Guide for more information on reopening locally and nationwide.