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COVID-19 Pandemic in Lexington
Fayette County Public School Board
September 25, 2020
COVID-19 in Young People• Less than 10% of Lexington’s COVID cases in children 5-17 years• Symptoms in children are similar to adults, but usually milder• Hospitalizations and deaths are uncommon in children (about 1% of
Lexington’s COVID hospitalizations; no deaths in children in Lexington)• Children with COVID are likely to produce about the same amount of virus as
adults• Spreading can occur among young people, though children and youth are not
currently felt to be as key to the spread of COVID as they are in the spread of influenza
• COVID is spread more efficiently than influenza• Physical distancing, mask wearing and handwashing all help curb the spread of
COVID
• 8,093 total cases reported
• KY DPH is reporting 5,803 cases for Fayette County
• 2,099 (26%) of all Fayette cases are college or university students
*as of 9/23/2020
• 616 total cases 5-17 years of age, <5 were hospitalized
• Represents 8% of total cases and <1% of hospitalizations in Fayette County
• 69 total cases in childcare workers at >40 sites
• 516 total cases have required hospitalization
• 19% of hospitalized are residents of a long-term care facility
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COVID-19Re s p o n s e
Lance PostonCo-Project Director, UK Health Corps
Bob DiPaolaDean, UK College of MedicineTeam Lead, UK START Team
About UK Health Corps
● At the guidance of our team of public health experts and in partnership with our world-class academic medical center, the university built a modern public health infrastructure for the fall 2020 semester.
● UK Health Corps serves as a support hub for students, faculty and staff to access services, information and referrals related to COVID-19.
● Seven days a week, our contact tracing team coordinates with university data analysts to detect trends, implement interventions and provide tailored support to members of the university community.
● Our efforts are informed by the required daily screening, baseline testing, wastewater testing and data-driven retesting.
Contact Tracer
Wellness Connector
Academic Coordinator
Facility Coordinators
UK Health Corps Operations Roles
UK Health Corps Operations
Screening Mobile App
Daily Screening Reminder
Survey Results
Screening / Test Results& Tracing Operations
(Health Cloud CRM)
Compliance Reminders
Automated & UK Staff Driven Support
High Symptom Screening
Positive Results
Testing High Exposure Contact Tracing
START Team Guiding Principles and Vision Statement
Guiding Principle● To return to a safe and healthy campus, as quickly as possible, that
sets the institution on a transition course to thrive.
Vision Statement● Our plans are to use available evidence and expertise to support a
safe and reinvented normal return to campus. This is our duty to the students, patients, faculty and staff. We must cultivate a renewed trajectory of excellence in instruction, research, patient care and engagement for the campus, the Commonwealth, and the world.
UK START Team Members
Bob DiPaola, MDTeam Lead
Donna Arnett, PhD Jennifer Rose
Susanne Arnold, MD Richard Chapman Colleen Swartz, NDP
C. Darrell Jennings, MD Jill Kolesar, PharmD Matthew Sanger
Ian McClure, JD Brian Nichols Lauren Greathouse
Evan Ramsay Frank Romanelli, PharmD Jay Blanton
Tyler Gayheart, PhD Lance Poston, PhD Cliff Iler, JD
Erin McMahon Pam Woods Chief Joe Monroe
Scott Berry, PhD Gail Brion, PhD David Hibbard
James Keck, MD, MPH Mary Vosevich Vaneet Arora, MD, MPH
Ad-Hoc Wastewater Testing Group
START Team Strategies
● Testing○ Students
■ Asymptomatic (Wild Health)■ Symptomatic (University Health Service)
○ Employees○ Fraternity and Sorority Life○ Wastewater testing○ Random testing
● PPE and distancing● Contact tracing, isolation, quarantine● Monitoring scientific evidence from the CDC, state, local and federal
guidelines
Guidance to the Emergency Operations CenterTopic Date RespondedSEC Contact Tracing Recommendations September 17, 2020
SEC Medical Guidance Update September 17, 2020
Requested Feedback Following Ambassador Birx Visit September 16, 2020
Resumption of Research Working Group Request, Phase III September 10, 2020
Possible Academic Calendar for Spring 2021 September 9, 2020
UK Athletics Return to Events August 28, 2020
“C.D.C. Now Says People Without Covid-19 Symptoms Do Not Need Testing” August 26, 2020
Plexiglas Along with Masks or Shields August 21, 2020
Face Shields II August 21, 2020
Health Care College Student Policy Regarding Quarantine Following Exposure August 17, 2020
Testing at Satellite Campus August 5, 2020
JAMA “Assessment of SARS-CoV-2 Screening Strategies to Permit the Safe Reopening of College Campuses in the United States” August 4, 2020
UK International Center – Revision July 22, 2020
UK International Center - International Arrivals July 20, 2020
Airborne Coronavirus What You Should Do Now – New York Times July 10, 2020
Housing Room Diagram July 9, 2020
Daily Wellness Symptom Survey July 8, 2020
JAMA Dual Epidemics Potential July 7, 2020
CDC Interim Considerations for IHE for SARS-CoV-2 Testing July 2, 2020
Face Shields June 30, 2020
START Team Next Steps
● Continuation of wastewater testing and random testing● START Trial – quarantine study
○ Testing strategy to determine if quarantine can be shortened
Exposure and Contact Tracing
● The number of exposures among members outside of the university community (not UK students or employees) who live in Fayette County represents only 5.5% of total exposures in our system.
● More than 31,000 tests have been conducted○ ~1,300 positive test results (since July)○ More than 30,000 negative results (since July)
● More than 1,200 students have recovered● There are less than 500 active cases, among the ~25,000 students physically
coming to campus.● The seven-day new case average for the week of Sept. 14 is lower than the
previous week.● The current active positive case count is similar to the prior week of Aug. 31.● The current campus isolation occupancy is 31%.
Fayette County Board of Education Meeting
September 25, 20208 a.m.
Monday, September 14
New State
Guidance
• K-12 Schools COVID-19 Mode of Instruction Metrics
• K-12 Schools COVID-19 Reporting Regulation
• K-12 Schools COVID-19 Reporting Instructions
K-12 Schools COVID-19 Mode of Instruction Metrics
Two Steps:1)State Positivity Rate < 6 percent2)County Incidence Rate Color
Orange GuidanceMultiple factors such as:• Importance of in person education to the social, emotional, and
academic growth and well-being of students;• Current level and rising/falling trend of community COVID-19
activity;• Identification of cases among students and staff;• Other public health indicators used to assess community
COVID-19 impact; and• Effective implementation of student and staff cohorting that
enables quarantining cohorts, rather closing the entire school.
