STATE REPORT 09,20,2020 MONTANA SUMMARY Nontanais in he red zone for cases, ndcating 101 or more new cases pe 10,000 population last week, withthe 18% highest raten the county, Montana'sin the orange zone or test post, indenting arate between 8.0% and IO.0%, with the Tih highest ateinthe county Nontana nas seen an increase in new cases and stability in est postvty over the ast week Thefollowing thee counts had te highest numberof neavcases ver the ast 3 weeks. Yellowstone County, 2. Rosebud Coury, and 3. cascade County These counties rereset 8 9% of new casein Montano. Bozernn (Montana State Univesity) and issula (Unversity of Montana) have had increases in cases and test posit, Suggesting increasing vansmssion 2750 al counties n Montana ave moderate or high levels of community transmission (yellow, orange, or fe zones, with Sschaving high levels of community transmission (ted zone) During he week of ep 7- Sep 13, Sof nursinghomes hada least one new resident COVID-19 case, Lb had at east one ew sa COMD-19 cate, and 23% had at least one new resident COVD-19 death, Nontana had 105 ner ces pe 100,000 population nthe last week, compared to anationa average of 5 per 10,000 Curent a delay rom te federal goverment a assets to support the stat espone ar: 39 support operations Sctviles from FEMA, 13 to support medical aces rom ASPR Lo support operations activites fam ASPRG Sto support épiceriology activites am COG ard3to suppor operations activites omc Between Sep 12- Sep 18, on average, 1 patients wth confirmed COMD-19and20 patents with suspected COVID-19 were Feported as eniy admited exch dy to hospitals n Wortana, An average of 2 of hospital reported ether new Confirmed or new suspected COMID patients each day during this period therefore this moy bean underestimate of the Sctual otal numberof COMD related hospitalizations Unceteporting may ead toa lower allocation of tea supa RECOMMENDATIONS + Testngis critical to epidemic control andrecentincreasesin testing wll help guide efforts areas with inceasngtest post ncontet of inereased testing suggest increasing transmision, Consider fines for volatin of face mask mandates Inigh transmission communis Non tor hospitalizations and ensure hospital and EMS capacity remain sufclent and clinical staff are tained on latest care rtepes. intent public health messaging, promating personal an socal responsibilty fr socal itancing an face coverings, Largeting young adult populations; counsel young adults to avoid lose contac with elderly or vulnerable peopefamily in fons to reduce transmission Feature testing hospitalization, and mortality data on state webste. Continue all efforts to expand testing capacity, utlizing every PCR platform n the state and conducting poled testing to expand survellance efor Recruit ane rain college and unversty studentsto expand contac racing capac ‘ALcolleges and universities, ensure capacity to conduct urge testngo"50100%%o the student body over days and ensure adequate isolation so that students do na return home and transmit to ther famies. Conduct survellance testing ‘hereafter a ieny resurgence consider using foused wastewater suvellance to detect outareaks ay and to det tlagrostic testing and public health interverion®. Require strong mdgationefosson campus, including mask and social itancng: de densification of residences and classrooms; maximumventlationadustmentein al buldngs creation of steered outside study and dining areas, reasonable, and proactive and adaptive limits on bar patronage and student gatherings on and of campus. Ensure long term cre facies (LTCFS) follow CMS testing requirements. For L7CFsinBllings, Bozeman, or Missoula, increase testing even further to prevent spread. mmediately ensre that inspection surveys have been conducted in all LTcEs with an tial cae or 30% more canes nthe last week and ensure prompt corrective actions were taken routine suvellance at alerowded indoor work enronments fg, meatpacking plants to identi outbreaks, Implement a plan for increased surveillance using the Abbott BinaxNOW o other antigen tests. Develop weekty surveillance among critical populations to monitor degree of commurity spread among: K-12 teachers, staff ‘working at LTCFs, prison staff, public transportation workers, and fist responders, as capacity allows. Intensify focus on Tribal Nations: s inte-tribal community events resume and epidemic fatigue sets in, develop specific ‘messaging with tribal communities to promote social cistancing and mask recommendations. Ensure widely available ‘testing with quick turnaround of results (48 hours), provide immediate housing and food for quarantine and isolation while Fesults are pending. and conduct contact interviews within 48 hours of test results, Recruit and train contact tracers from ‘within the community Specific, detailed guidance on community mitigation measures can be found on the COC website, he pre of th rpart deep a shared eran ofthe cron stata of he ade he national, etna, ate ond Foal eas We nso tht data ete tert mayer fom tht aie ote fled eel Our ect i as came! shea scares id methods tha ali for comparison to made aves latex. We ppc our card xport eing dk ‘erases and improving ata comptes an shar crates He ah oranda yar dba covip-19