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��Public Health Update

for the Marin County School Community

Tuesday, August 17, 2021

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Context

We know how to do this!

100% of Schools offered in-person instruction in 2020-21

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Health Defined

“A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.“

WHO Constitution (1948)

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COVID -19 Cases: Marin County

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Marin County COVID-19 Hospitalizations

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Vaccination Rates: Marin County

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Data accessed 8/17/2021

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Proportion of 12+ Population who Completed

COVID-19 Vaccination Series by CA County

Data Source: CDPH

Data accessed 8/16/2021

*California Counties with population > 50,000 included

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Daily New Confirmed Cases

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Data accessed 8/13/2021

Jan. 29^th – 29 hospitalizations

Aug. 11th – 10 hospitalizations

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Disease versus infection: Vaccination

Compared to vaccinated residents, unvaccinated Marin residents are:

5 times more likely to be infected with COVID-19

50 times more likely to be hospitalized with COVID-19

186 of 187 Marin County COVID-19 deaths has been in unvaccinated residents

More breakthrough cases are occurring with Delta surge; milder symptoms

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Disease versus infection: Children

Age 0-18

20% of popn, 18% of cases, 1% of hospitalizations, 0% of deaths

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Prevalence of variants in Marin: 95% Delta

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Data accessed 8/16/2021

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California Prevalence of Variants

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Most common lineages in CA (past 60 days)

Data Source: outbreak.info

Data accessed 8/16/2021

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Looking Back on School Data�

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Date	Tier	Student days	Suspected In-School�Transmission
October 8, 2020	Red	62,934	0
November 10, 2020	Orange	265,625	0
December 3, 2020	Red	401,032	1
January 15, 2021	Purple	739,883	7
February 12, 2021	Purple	1,075,862	11
March 10, 20221	Red	1,332,358	11
April 16, 2021	Orange	1,842,838	12
May 14, 2021	Orange	2,345,748	12
June 11, 2021	Yellow	2,805,650	19

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Looking Back on Public Health Guidelines�

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First Public Health Guidelines initially issued June 18, 2020 for the Fall of 2020

Expectation that evolving nature of COVID-19 would result in changing guidelines

Guidelines revised on August 12, 2020 –> December 8, 2020 –> March 23, 2021

Marin Schools proved guidelines to be effective, and that schools remain the safest place for students – structured – supervised – protected environment

Today’s update reflects the fourth version of guidelines

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Looking Ahead

on Public Health Guidelines�

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Expectation is that COVID-19 will continue to evolve, and guidelines will continue to change over time

Some guidelines are currently listed as not currently applicable (eg. routes into campus, and schedules for arrivals)

Mitigation strategies may shift (eg. masking indoors or masking indoors & outdoors)

Vaccination rates among adults and students may impact where a particular school lands on a continuum of mitigation strategies

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COVID-19 Vaccines – Everyone get Vaccinated!�Marin Vaccine Finder (HHS Website)

Many Options Available!

Health Care Providers
Hospitals
Clinics
Public Health
Pop-Up Clinics

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Pop-Up Clinics check the HHS Website:

https://coronavirus.marinhhs.org/vaccine

Vaccine Finder | Marin County Coronavirus Information (marinhhs.org)

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Student and

Staff Vaccination�Verification� �(and required weekly testing for staff who are not fully vaccinated)�

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Most importantly supports Health and Safety of all students and staff

Follows CDC July 9, 2021 Vaccine Verification Recommendations and CDPH July 29, 2021 Vaccine Record Guidelines and Standards

Follows August 11, 2021 Order of the State Public Health Officer Vaccine Verification for Workers in Schools

Provides families and Public Health with important information that may impact recommended mitigation strategies

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Student and Staff Vaccination�Verification – Guideline #30� �

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All eligible students and staff should get vaccinated as soon as possible and are required to verify their vaccination status. Staff that are not fully vaccinated are required to be tested weekly. Staff and student vaccination rate data (the percentage of staff and students who are fully vaccinated) should be published and posted on the school website no later than October 1, 2021, and will be updated no less than on a monthly basis. Vaccination status of individual students and staff will not be made public.

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COVID-19 Testing – Many options are available!�(HHS Website)

Health Care Provider
Curative (🡪)
Logistics Health Incorporated

San Rafael (West America Bank Parking Lot)
Novato (Margaret Todd Senior Center)
Marin City (St. Andrew’s Presbyterian Church)

Commercial Pharmacies
Urgent Care Centers

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COVID-19 Testing | Marin County Coronavirus Information (marinhhs.org)

Curative Schedule

Armory "Jury Duty" Parking Lot - NEW SCHEDULE �Sun, Tue, Thu, 8am to 3pm; Mon, Wed, 8am to 2pm
Downtown parking lot #2 - Wednesdays, 10am to 4pm
Marin Health and Wellness Campus - Mondays, 10am to 4pm
North Marin Community Services - Wednesdays, 8am to 3 pm
Novato Library - Fridays, 10am to 4pm
Piper Park - Thursdays, 10am to 4pm
San Rafael Community Center - Tuesdays / Thursdays, 8am to 3pm

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Face Masks and COVID-19 Risk

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Masks and face coverings | Marin County Coronavirus Information (marinhhs.org)

Wearing a mask reduced individual risk for infection with SARS-CoV-2-like viruses by nearly 70%

CDC summary evidence:

Cloth masks offer both individual protection and source control

Individual benefits from mask wearing increase with increasing community mask use

Wearing masks by both the infected and uninfected person gives the uninfected person the most protection

Source: Centers for Disease Control and Prevention; Chu et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. The Lancet. 395: 10242; P1973-1987. JUN 2020. DOI: https://doi.org/10.1016/S0140-6736(20)31142-9

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Updated CDC Guidance and Marin Mandate

Unvaccinated students should get tested for COVID-19 5 days after travel (domestic or international) and follow CDPH modified quarantine guidance. They may attend school for in-person instruction if they are asymptomatic. They should quarantine for from all extracurricular activities at school, including sports, and activities within the community setting.
Vaccinated persons should get tested 3 – 5 days after return from international travel and monitor for symptoms for 14 days.
Universal indoor masking for all teachers, staff, students, and visitors to schools, regardless of vaccination status (CDC).
All individuals must wear face coverings when indoors in workplaces and public settings, with limited exemptions (Marin)
If known exposure to COVID-19, vaccinated and unvaccinated persons should be tested 3-5 days after exposure.

Interim Public Health Recommendations for Fully Vaccinated People | CDC

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Updated Guidance

August 4, 2021 ~ 32 Point Plan

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What’s next?

August 17,2021 (1:00PM) Public Health Update �for the School Community
Monthly Public Health Updates - 9/14, 10/12, 11/9, 12/7
Public Health Liaison weekly meetings, �Thursdays at 4:00 PM starting 8/19
Meeting with Labor Leaders - Today
All Schools Update SSSPP’s / CSP’s (Template available)
Rethinking Schools Web Site https://bit.ly/MCOERethinkingSchools
Rethinking Schools Task Force: rapidresponse@marinschools.org
Public Health COVID Schools Team: COVID19Schools@marincounty.org

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Thank you��

Questions?

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