COVID-19 EOC

April 6, 2020 @1000​hrs

• County COVID-19 cases: Maricopa Co- 1,433 | Pinal Co- 106 | Pima Co- 415​
• Presidential Major Disaster Declaration approved for Arizona . See Here.

April 4, 2020 @ 1100hrs

• County COVID-19 cases: Maricopa Co- 1,171 | Pinal Co- 89 | Pima Co- 326​
• CDC recommends the general public use cloth based masks in public. N95 and surgical masks need to be reserved for health care workers. See here.

​April 3, 2020 @ 1700hrs

• County COVID-19 cases: Maricopa Co- 1,049 | Pinal Co- 77 | Pima Co- 280
• First Responders, front line health care workers and essential public safety workers may qualify for free child care during this declaration of emergency. See Arizona Enrichment Centers for more information. 

April 2, 2020 @ 1800hrs

• County COVID-19 cases: Maricopa Co- 961 | Pinal Co- 69 | Pima Co- 237
• Operation Sleep Safe offers front line medical workers a free place to sleep so they aren't potentially exposing their family
• The State Disaster Medical Advisory Council is expected to change to "Crisis Status" in the near future
• Governor Ducey announced Executive Order: 2020-20, Expanding Access to Pharmacies. Allows for emergency refills and refills up to 180 day supply. 
• Governor Ducey made a request to the US Secretary of State and the USDA to assist Arizona's dairy farmers by finding solutions to restart the international export of products to Mexico. Press release can be found here.
• Starting April 3, Costco will allow up to 2 people per membership card to enter the store.

April 1, 2020 @ 1830hrs

• County COVID-19 cases: Maricopa Co- 871 | Pinal Co- 67 | Pima Co- 217
• Governor Ducey announced Executive Order: 2020-19, Telemedicine for Pets & Animals
• The Arizona Commerce Authority has compiled resources for small businesses and workers facing employment loss. Information can be found on here.
• The Federal Communications Commission has issued consumer warnings related to COVID-19 scams. Detailed information can be found here.

March 31, 2020​

• County COVID-19 cases: Maricopa Co- 788 | Pinal Co- 62 | Pima Co- 202
• ADHS will start using the term physical distance rather than social distancing to aligh with Executive Order 2020-18
• Governor Ducey provided an update on Arizona medical supplies; the press release can be found
  here.​
• Governor Ducey announced a Town Hall Meeting to answer COVID-19 questions. The hour-long
  commercial free broadcast is scheduled for Thursday, April 2, 2020 at 6:00 pm and will be aired on
  PBS Arizona, ABC15, and CW61.
• A standing coordination call between the Pinal County EOC and local jurisdictions response groups is scheduled for Monday through Saturday at 12:30 pm. (Call-in number: 518-734-0082 ; PIN: 132 595#).
• Honeywell announced that it is adding manufacturing capabilities in Phoenix to produce N95 face
  masks in support of the U.S. government’s response to COVID-19. Honeywell anticipates that the
  new mask production line in Phoenix will create more than 500 new jobs in Arizona.

March 30, 2020

• County COVID-19 cases: Maricopa Co- 690 | Pinal Co- 64 | Pima Co- 187
• Governor Ducey initiates a Stay At Home executive order
• Governor Ducey extends school closure through the remainder of the school year.​

March 29, 2020

• County COVID-19 cases: Maricopa Co- 545 | Pinal Co- 51 | Pima Co- 153
• Pinal County is expecting the final 50% SNS shipment this week.
• $2 Trillion Federal Bill (stimulus package) signed into law.
• Bashas’ family of stores are offering First Responder and Hospital Worker shopping hours 30 minutes prior to opening on Tuesdays and Thursdays. 
• CDC created a tool for first responders and health care facilities to identify their PPE burn rate.

Match 27, 2020

• County COVID-19 cases: Maricopa Co- 399 | Pinal Co- 36 | Pima Co- 102
• Arizona community spread changed to “widespread transmission”
• Governor Ducey announced Executive Order: 2020-16, Increasing Hospital Capacity
• Governor Ducey announced Executive Order: 2020-17, Continuity of Work
• Governor Ducey announced cooperative agreement with the state’s largest electric utilities. News release.
• US Department of Health & Human Services on COVID-19 & HIPAA. See here.
• US Department of Health & Human Services on Priorities for Testing Patients w/Suspected COVID-19 Infection.
• Pinal County received the second 25% SNS shipment on 03/26. The EOC is working to break down the shipment with deliveries expected Friday and Monday.
• March 24, ADHS guidance for personal protective equipment preservation and testing prioritization was approved in accordance in accordance with the Crisis Standards of Care Plan. 

March 26, 2020

• County COVID-19 cases: Pinal Co- 35 | Maricopa Co- 299
• CDC releases “Coronavirus Self-Checker” to help people decide if they need to seek care
• The Arizona National Guard Task Force Logistics has been activated. Nearly 1000 members have been activated to assist retail grocers with transport and stocking of groceries.

March 25, 2020

• Pinal County COVID-19 cases stand at 22
• The Arizona National Guard Task Force Logistics has been activated. Over 700 members have been placed on missions to assist retail grocers with transport and stocking of groceries.
• Several retailers have announced special shopping hours for the elderly and vulnerable populations. Phoenix area | Tucson area
• Governor Ducey announces partnership to offer childcare for the children of first responders, critical health care workers and essential public sector workers. See announcement here.

• Governor Ducey today announced a new partnership between the state of Arizona, the BSTRONG Initiative partnering with the Global Empowerment Mission, and the Verstandig. Foundation to secure up to 1 million N-95 masks and other equipment for Arizona health care professionals. See announcement here. 

March 20, 2020

• Arizona extends schools closures through April 10
• Arizona announces its first death due to COVID-19 

March 16, 2020

• CDC makes recommendation of gatherings no more than 10 people
• The White House issues guidelines to help protect America

March 15, 2020

• CDC publishes guidelines on public gatherings (under 50 people)
• Arizona closes all schools through March 27

March 13, 2020

• United States declares the outbreak as a National Emergency

March 11, 2020

• Arizona declares the outbreak as a health emergency
• World Health Organization (WHO) classifies the outbreak as a pandemic

January 31, 2020

• US Health & Human Services declares a health emergency due to the spread of coronavirus

April 6, 2020 @ 1200hrs

• Joint Information Center (JIC) Updates
  • Flyers updated and published for the April 6 Food Distribution
  • GRIC Execute Order 6 Issued
• Food Distribution occurring in the Community and for urban members. See flyer here.
• GRHC Leadership/IMT will be meeting at the Red Tail Hawk Facility to devise a field hospital plan to treat lower acuity patients should a surge occur at HHK.
• Enterprise businesses should be following the same employee screening process as the Community departments
• ​Hand sanitizer has been ordered in 50 gal drums. As it arrives it will be distributed to key areas
• MIS is working with GRTI and OEM on developing community push notifications.

April 4, 2020 @ 1100hrs

• Joint Information Center (JIC) Updates
  • Flyers updated and published for the April 6 Food Distribution
• GRIC Execute Order 6 Issued
  • ​Stay At Home Order 
  • Essential Activities
  • Exempt Departments
  • Communicable Disease Ordinance 
  • ​Unsafe residence exemption
• Saturday Clinics have closed until further notice (except surgical services and the Life Center)

April 3, 2020 @ 1700hrs

• Joint Information Center (JIC) Updates
  • Flyers developed and published for the April 6-7 Food Distribution
  • Developing subject Matter Expert (SME) videos with Q&A
  • Messaging will occur around the expected surge in cases
  • Governor Lewis requested a Filter be designed for social media
  • GRHC launched first leadership video
  • Messaging published about Post Office visit safety
  • Message needed about safe park usage practices
• Enterprise Liaison update: following up on resource capacity based on 04/02 conversation. Requested direction regarding whether or not employee screening was mandatory for the businesses. Governor Lewis suggested that legal council be brought in on this. 
• Logistics update: PPE orders are consistently being delayed due to the possibility of federal agencies receiving supplies first. OEM is tracking expenditures. ​Received a small supply of PPE from the county which is the last of the SNS supplies. 
• ESF #8 GRHC update: conversations are occurring between GRHC and Dignity Health regarding the sharing of plans and resources, including pharmaceuticals and specialty Physicians (via mobile platforms). Dignity Health is expecting patient surges to occur as early as 04/10, be at full capacity by 04/18 and by 04/22 be critical on PPE supplies. 

April 2, 2020 @ 1800hrs​

• Joint Information Center (JIC) Updates
  • ​Developing a Q&A piece
  • Developing scrolling messages for Gila River Broadcast channels
  • Developing numerous educational and informational messages
• ESF #2 MIS is working with GRTI on identifying community alerting/texting options for informational and emergency messaging. Also working with THD an setting up a community hot line for not health related questions.
• ESF #4 GRFD updates: suspending annual/follow up inspections, conducting weekly PPE inventories, reviewing staffing contingencies, changing cleaning practices to preserve medical gloves.
• ESF #5 EOC is working out the logistical plans for the food distribution on Friday
• ESF #8 EMS received new COVID-19 guidelines from ADHS that are an attempt to reduce the spread of the virus during certain procedures that are high risk. Continued accountability for PPE is occurring through a stop-loss plan and burn rate projections.
• ESF #8 GRHC updates: Public Health Nursing (PHN) are expanding services to 7 days/week. COVID-19 testing turn around remains at 2-3 days. EMS Division Chief Patrick Peterson has assumed the Incident Commander role for the GRHC Incident Management Team. Continuing to develop plans, hire personnel and purchase equipment to increase level of care capabilities and capacities. 1 Bio Fire testing machine in en route but the testing cards are still 3-12 weeks out. Ventilators have been ordered and are 3-8 weeks out. There is a current stock of 1200 swab type tests. Developing surge plans and partnerships. Pharmacy is now offering drive-up pharmacy pick-up.
• ESF #13 GRPD continues to perform Elder welfare checks. Staff screening forms were disseminated to all supervisors for use. 
• Unified Command will be scheduling a coordinating meeting with the Community Services Department to express the thankfulness to each of the District Service Center employees and volunteers and to share how important their role in the community is.
• Enterprises updates: identifying assets, supplies, resources, staffing, space, facilities and storage that may be useful to the community. May be able to assist in future food distribution planning, logistics and operations.​

April 1, 2020​ @ 1830hrs

• Community Council Meeting occurred. A leadership and attendee screening plan was developed and put into place (see plans below).
• Joint Information Center Update:
  • ​Working w/CSD to get feedback on a color coded communications system for Elders in the community to identify needs, various social media campaigns, a new door hanger and an Elder resource guide
• GRPD started a new daily screening process for their Officers

March 31, 2020

• Joint Information Center (JIC) Updates:
  • Food Distribution video published via the social media outlets
  • Community Emergency Fund Payment Q&A published
• Gila River Health Care updates: EMS Division Chief Patrick Peterson is assuming Command of the GRHC Incident Management Team. Continued focus on PPE accountability. In the manufacturers delivery que for the Bio Fire analyzers and ventilators. Continuing to identify additional testing options. Increasing Tele Medicine capabilities. Identifying and decreasing non-essential staff and services at facilities. Discussing hazard pay to maintain essential staff. Adding uniform laundering options to minimize virus spread.

March 30, 2020

• Joint Information Center (JIC) Updates:
  • Governor Lewis is in process of approving the community COVID-19 safety message branding 
• GRTI created an open FREE wifi spot from the parking lot of the GRTI building for those that need acees to free wifi. Name: GilaRiverTel Free Wifi
• ​Gila River Hotels & Casinos extends closure until April 30. See release here.

​March 29, 2020

• Joint Information Center (JIC) Updates:
  • Gila River Health Care (in progress internal & external communications plan)
  • Community Public Affairs Office (a print communications plan can be provided)
    • Working with Gila River Broadcasting on a series of COVID-19 content videos, reporting and scrolling information
    • Working on additional educational and informational messages
• First Responder departments continue to review and update their processes and protocols
• Gila River Health Care continues on its objectives of 1) Provide care to all patients as a result of the COVID-19 event. 2) Provide for the safety of GRHC staff. 3) Conduct initial and ongoing communications with internal and external response partners. 4) Conduct screening for all patients and visitors at main entry points of each facility

March 27, 2020

• Joint Information Center (JIC) Updates:
  • Gila River Health Care (in progress internal & external communications plan)
  • Community Public Affairs Office (a print communications plan can be provided)
    • An informational door hanger was produced, printed and delivered to the District Service Centers. Delivery is in progress with CPOA and GRPD assistance
    • Working with Gila River Broadcasting on a series of COVID-19 content videos, reporting and scrolling information
    • Governor Lewis requested on 3/26 a GRIC COVID-19 Response brand be created that would be consistent in sharing a common safety message. GRHC PR has created this and is awaiting final approval
  • 03/27 Community Press Release regarding relief payment to community members
• District 1 confirmed case has been on self-quarantine and has been receiving regular visits from Public Health Nursing (PHN) and Tribal Health Disease Surveillance (DS)
  • PHN and DS has visited with the residents in the area to share information about prevention
  • On 03/27 PHN and DS assessed the patient and convinced the patient to seek medical attention. Gila River EMS transported the patient to an outside hospital for care.
• Emergency Operations Center continues to procure and distribute personal protective equipment and essentials throughout the community (a separate report on specifics can be made available)
• The Emergency Operations Center received a milk and egg delivery through the Gila River Casinos vendors 03/27 at 0800. Pride Group organized and pre-package the food into household bags and delivered it in refrigerated trailers to the District Service Centers for distribution to members between 1pm-4pm.
  • GRPD conducted periodic welfare checks during the distributions

March 26, 2020

• Joint Information Center Updates
  • Gila River Health Care (in progress internal & external communications plan)
  • Community Public Affairs Office (a print communications plan can be provided)
    • Community and Employee Information Flow Chart has been approved (see reference section)
    • An informational door hanger was produced, printed and delivered to the District Service Centers for delivery
    • Governor Lewis and Dr Santiago continue with their daily video briefings to the communityWorking with Gila River Broadcasting on a series of COVID-19 content videos, reporting and scrolling information.
    • Governor Lewis requested on 3/26 a GRIC COVID-19 Response brand be created that would be consistent in sharing a common safety message. GRHC PR has created this and is awaiting final approval
• Gila River Sand & Gravel is open full-time as a designated essential service
• GRTI and subsidiaries are at 65% work from home status. Critical functions are being provided to the Community
• Per Executive Order the GRIC VITA program is closed until April 23
• First Responder departments continue to review and update their processes and protocols
• The EMS department is looking into applying for the AZDHS Treat & Refer program that will potentially give the department additional ability to be more fluid in treatment protocols
• Gila River Health Care continues on its objectives of 1) Provide care to all patients as a result of the COVID-19 event. 2) Provide for the safety of GRHC staff. 3) Conduct initial and ongoing communications with internal and external response partners. 4) Conduct screening for all patients and visitors at main entry points of each facility.
• HHKM Emergency Department admittance procedures for patients arriving by ambulances and police vehicles has been updated for safer entry. EMS and Police departments have been advised.
• GRHC has a signed contract with the equipment manufacturer for COVID-19 testing. No delivery date has been specified.​
• The Emergency Operations Center will be receiving a food delivery from the Gila River Casinos vendors tomorrow by 0800. Pride Group will organize and pre-package the food into household bags and deliver in refrigerated trailers to the District Service Centers where the Service Centers will organize and offer drive-up delivery for members.

March 25, 2020

• Joint Information Center Updates
  • Gila River Health Care (in progress internal & external communications plan)
  • Community Public Affairs Office (a print communications plan can be provided)
    • Governor Lewis produces the first of his daily video briefings to the community
    • Lt Governor Stone video briefing to the community
    • Development of a Community and Employee Information Flow Chart
    • Community Informational Door Hanger is in print
• The Family in District 1 who is on self-quarantine due to a COVID-19 positive result, is receiving regular visits from Public Health Nursing and Tribal Health. The EOC is working on obtaining a temporary phone solution for the family. 
• The EMS department updated their response plan to placing a mask on every patient they encounter and donning a mask for every call for service. This is in effort to slow the spread.
• The EMS department is adopting guidelines to minimize any procedures that may aerosolize the virus
• The Police Department continues its effort to conduct regular welfare checks at the Elderly Complexes
• The Police Department has a working response plan that continues to be updated as guidelines change
• The Fire Department developed work order updating their response plan
• Gila River Health Care continues on its objectives of 1) Provide care to all patients as a result of the COVID-19 event. 2) Provide for the safety of GRHC staff. 3) Conduct initial and ongoing communications with internal and external response partners. 4) Conduct screening for all patients and visitors at main entry points of each facility.
• Community Court has postponed all jury trials until further notice
• Emergency Operations Center continues to procure and distribute personal protective equipment and daily essentials throughout the community (a separate report on specifics can be made available)
• The Community Services Department and Emergency Operations Center are finalizing a distribution plan for food and essentials procured through Gila River Casinos

March 24, 2020

• Community Court Memorandum on reduced functions and hours

March 23, 2020

• Gila River Indian Community Executive Orders;
  • Those who price gauge will have a revocation of their business license
  • Community schools will remain closed through April 10
  • Utility workers conducting work with GRIC including GRICUA and GRTI will be designated First Responders.
  • Closure of all Community government departments and offices through April 22 (see exclusions). Those affected shall continue to receive salary and benefits and those that can work remotely shall do so. This order does not affect Gila River Health Care.
• Gila River Indian Community Office of Emergency Management receives personal protective equipment for first responders and health care workers from the Strategic National Stockpile (SNS). This PPE is being pushed to the departments in need
• COVID-19 Task Force Joint Information Center (JIC) assisted in the Press Release and Video Release identifying the first positive cases tied to the Community.

March 20, 2020

• Gila River EMS and Gila River Fire instituted daily screening of employees
• Gila River Indian Community Executive Orders;
  • Schools to close until March 27, school lunch programs will still be provided for the student
  • Suspension of public gathering of more than 10 people with some exceptions
  • No public meals will be provided at service centers

March 19, 2020

• Gila River Indian Community Gaming donates $60,000 in perishables, 20 pallets of water and 96 cases of toilet paper. Community Services Department tasked with managing and distribution to the Districts.

March 18, 2020

• Gila River Indian Community Gaming Facilities Close for two weeks

March 16, 2020

• Suspension of visitation to the Thwajik Ki Residential Treatment Center
• Dialysis Center visitation limited to 1 person in the lobby
• Screening to occur at all GRHC facilities before entry (w/restricted points of access)

March 13, 2020

• GRIC Executive Order declares a Public Health State of Emergency

March 12, 2020

• Gila River Indian Community Executive Orders;
  • Restriction of community employee travel for 30 days
  • Reallocation of IHS funds up to $750,000 to stockpile medical resources
  • Limiting community and government meetings and gatherings to 100 people or less for 30 days
• Suspension of visitation to The Caring House

March 05, 2020

• Gila River Health Care publishes prevention guidelines, webpage and a hotline number

March 02, 2020

• Office of Emergency Management’s Emergency Operations Center activated

February 05, 2020

• OEM distributes educational material, posters and sanitizer to high traffic areas such as the Governance Center, Courts, District Service Centers, Caring House, Schools, Youth Programs, etc

January 29, 2020

• Governor Lewis creates a COVID-19 Task Force made up of the Office of Emergency Management, the Tribal Health Department and Gila River Health Care

[under development]

For the latest Community related COVID-19 updates visit MyGilaRiver.com

• Executive Orders
• Memorandums
• Releases
• Videos

• Gila River Indian Community Updates
• My Gila River
• Gila River Health Care Updates
• Gila River Health Care Resources
• Gila River Health Care Coronavirus Hotline: 520-550-6079
• Grocery Store Hours for Elderly and Vulnerable Populations: Phoenix area | Tucson area
• Arizona Resources
• Arizona Executive Orders
• White House on Coronavirus
• Center for Disease Control & Prevention
• Arizona Department of Health services
• World Health Organization

The Governor’s COVID-19 Task Force and the Gila River Indian Community’s Emergency Operations Center is tasked with the following directives;
​

• Provide public health and health care related technical guidance to the Community’s Leadership, Departments, Organizations and Enterprises
• Provide information and messaging to the Community through the development of a Joint Information Center (JIC)
• Provide logistical and resource assistance to the Community Services Department who is the lead department in identifying and providing for the community district needs

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