COVID-19 EOC/Public Health

Branch Response Update

Presented by: Dawn Emerick, Ed.D,
Metro Health Director

April 21, 2020

COVID-19 Surveillance
COVID-19 Key Indicators
 Clinical Symptoms and Comorbidities

Percentage of Common Symptoms (n=965) 1

Fever 71%
• The most commonly reported symptoms
Cough 67% continue to be fever and cough
Fever & Cough 53% • Half of the cases report having a headache
Headache 51% • Symptoms are non-discrete
Muscle Aches 46%
• 8% of cases have no signs or symptoms
Chills 42%
Diarrhea 38%
Shortness of Breath 31%
Asymptomatic 10%

0% 10% 20% 30% 40% 50% 60% 70% 80%

Percent of Cases with Comorbidities (n=415)1
Immunocompromised 7%

• 465 of all cases have at least 1 comorbid Chronic Kidney Disease 7%

condition
Chronic Pulmonary Disease 18%
• The most frequently reported comorbidity is
hypertension (55%) followed by diabetes Hypertension 55%

(40%) Diabetes 40%

0% 10% 20% 30% 40% 50% 60%

4/19/2020 San Antonio Metropolitan Health District

1 Based on completed data as of 4/18/2020 at 8:00 PM; additional cases are under review. 4
 Testing Epidemiological Process

Register

Test Sites

Labs
Self-Screening
400
MH Hotline

(pos and neg results)

MedCom
Patient

STRAC Hotline
10
911/Hospital
10
Primary/Urgent Care
MIH 40 Case Management

Assign Case
Investigator
EPI Assign

Nurse Call
Contact Management Positive Index Recovered
Symptomatic EPI Quarantine Monitoring Hospitalized
No Symptoms Death
Monitor Analytics Investigate Common 14-Day +7
Determine Platform Outbound Calls
Close Contact MIH Intervention (if needed)
Close Contact(s)
14 Day Monitoring Hospitalization (if needed)
Dashboards
If symptoms develop, call hotline Nursing Home Testing
and Reports

Analysis and Reporting

Testing Site Coverage
Overlay
by Zip Code
Specimen Collection Capacity (What’s possible)

Hospitals (500+) 1,250+

Specimens a
FQHC’s (50+) Day
Private Providers (32% of all positives)
Pre-Approved Freeman (400 + UHS and MH)
Urgent Care (100+)
Pending Drive Thru Activities

• Pre-Approved Freeman Expansion

• Texas Med Clinic Urgent Care
• Walmart Drive Thru
• Texas Military Drive Thru
Thank you!