Page 21 - Hawaii State Reopening Guidelines
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COVID-19 Health-based Community Response






         IMPACT                                                                HEALTH DETERMINANTS                                                                        RESPONSE


                                                   DISEASE ACTIVITY                                                       CAPACITY

                                          Severity                  Prevalence             Healthcare Supply           Contact Tracing         Diagnostic Testing
                                                                                                                                                                        • Safe Practices
                                                                                                                      Max capacity of contact
                                                               Median number of new        Surge/crisis plans                                  Max capacity of testing   • Essential activities
   STAY AT HOME                    Number of new hospital      cases per day per week      deployed and               tracing is below the     is below the number of      and their support
                                                                                                                      number of new
                                   cases threatens hospital
   (MAJOR DISRUPTION)              capacity                    indicates uncontrolled      hospital capacity          cases/close contacts     new cases/close             services
                                                               community spread            maxed out                                           contacts per day         • Prepare to resume
                                                                                                                      per day
                                                                                                                                                                           low-risk activities
                                                                                                                      80-100% of max           80-100% of max           • Continue above
                                                                                           Surge/crisis plans
                                    Number of new hospital    Median number of new         considered and             capacity of contact      capacity of testing      • Resume low-risk
  SAFER AT HOME                     cases requires            cases per day per week       hospitals can              tracing would be         would be reached at         activities
  (MODERATE DISRUPTION)             consideration of hospital   indicates controlled       increase capacity by at    reached at current rate   current rate of         • Prepare to resume
                                                                                                                      of new cases/close
                                                                                                                                               new cases/close
                                                                                                                                                                           medium to high-risk
                                    surge/crisis plans
                                                              community spread
                                                                                           least 10% within 5 days
                                                                                                                      contacts per day
                                                                                                                                                                           activities
                                                                                                                                               contacts per day
                                                                                                                      50-80% of max             50-80% of max
                                                                                           Surge/crisis plans in                                                         •  Continue above
                                    Number of new hospital    Median number of new                                    capacity of contact       capacity of testing      •  Start with medium-
  ACT WITH CARE                     cases requires            cases per day per week       preparation and            tracing would be          would be reached at        risk activities; then
                                                                                           hospitals can increase
  (MINOR DISTRUPTION)               preparation of hospital   indicates local, controlled   capacity by at least 25%   reached at current rate   current rate of new       move to high-risk
                                                                                                                                                                           activities
                                    surge/crisis plans        clusters                                                of new cases/close        cases/close contacts
                                                                                           within 5 days                                                                 •  Prepare to resume
                                                                                                                      contacts per day          per day                    highest risk activities
                                                                                                                      <50% of max capacity
                                                                                           Surge/crisis plans in      of contact tracing        <50% of max capacity
  RECOVERY                          Number of new hospital     Median number of new        place and hospitals can    would be reached at       of testing would be     • Continue above
                                                               cases per day per week
                                                                                                                                                reached at current rate
                                    cases is managed within
                                                                                                                                                                        • Resume highest-risk
  (MINIMAL DISRUPTION)              normal hospital capacity   indicates sporadic activity  increase capacity by at   current rate of new       of new cases/close         activities
                                                                                                                      cases/close contacts
                                                                                           least 50% within 5 days
                                                                                                                      per day                   contacts per day
  NEW NORMAL                                                                                                                                                             • Continue above
                                                                                                                                                                         • Adjust Safe Practices
  (NO DISRUPTION)                                                                                                                                                          to new normal
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