Useless: Screeners Let Feverish COVID-Positive Passenger Enter Hawaii, Infect Family

KHON May 13, 2020: (With accuracy-inducing info in parenthesis.) … The traveler who tested positive for COVID-19 at the airport in Honolulu showed no symptoms and told officials that he felt fine. But a temperature check showed that he had a fever. That’s why he was flagged and tested. (But they let him go home.)

Airport officials say because the passenger did not feel sick (except for the fever), he was allowed to go home under quarantine. The State Department of Health now has the task of tracing all the people he may have infected. 

(Related? The Star-Adv today reports a new 7-person cluster developing in the last few days on Oahu, but this is not being openly connected to the failure of airport screening on Saturday May 9, 2020.  UPDATE: DOH claims it confirmed the first case “at least a couple of weeks ago” but the head of the Public Housing Authority said he was first informed Monday.  Honolulu COVID Count 407 on Sat May 9 and 414 Today.  Do the math.)

“He felt fine (except for the fever), he had no symptoms (except for the fever), he had no cough, he had no shortness of breath, and was surprised that we found a fever in him,” said Dr. James Ireland, Aircraft Rescue & Fire Fighting Medical Director.

He says the passenger is a Hawaii resident coming home from Arkansas, and arrived on Saturday in Honolulu. Screening showed he had a temperature of 101 degrees. The threshold for a fever is 100.4 and above. Normally, he would have been taken to a hospital to be tested. 

(No.  Letting him go is ‘normal.’  This is Hawaii.)

“But because he felt fine (except for the fever), he didn’t want to go to the hospital which was reasonable (NOT!). And so per our protocol, the paramedic at the airport contacted the DOH, the department of health, and they asked for a COVID swab at the airport,” said Ireland.  (Admitting the stupidity goes to the top.)

He says this shows that checking for fever is an effective tool.  (We already knew this.) But we need other measures (like actually enforcing the rules) as we move forward and allow visitors to come back.... 

SA May 13, 2020: Hawaii’s 3 latest coronavirus cases came from cluster in Oahu family -- One adult and two minors were infected as part of a cluster of seven cases in one extended family in public housing, he said….

May 3, 2020: DOH apologizes for director’s comments about race and ethnicity  (Marshallese McDonalds workers in Kona McDonalds cluster.  CLUE: Not speaking up about COVID in the Marshallese community hurts the Marshallese.  In this case, political correctness could literally be death.)

read … Arriving passenger who tested positive for COVID-19 showed no symptoms

Number of active cases beginning to creep back up.

Hawai‘i COVID-19 Cases

News Release from Hawaii DoH, May 13, 2020

On 5/13/2020, the Hawai‘i Department of Health reported 3 new positive cases on O‘ahu for a cumulative total of 638 cases statewide (reported since 2/28/2020).

A total of 37,436 individuals have been tested in the state. (391 new tests)

Detailed information and data about COVID-19 cases in Hawai‘i is available at:

Latest Cases in Hawai'i | Current Situation in Hawai'i  | COVID-19 Data Dashboard

LATEST CASES IN HAWAI‘I

MORE DETAILS

Total cases:638 (3 newly reported)

Hawai’i County:75

Honolulu County:414

Kaua’i County:21

Maui County:117†

Pending:0

Residents diagnosed outside of Hawai‘i:11

Required Hospitalization:81‡ (no new hospitalizations)

Hawaii deaths:17 (no new deaths)

Released from Isolation:563§ (none released today)

Cumulative totals as of 12:00pm, May 13, 2020

†One case is a Lanai resident whose exposure is on Maui Island and who will be remaining on Maui Island for the interim.

‡Includes Hawaii residents hospitalized out of state.

§Includes cases that meet isolation release criteria (Isolation should be maintained until at least 3 days (72 hours) after resolution of fever and myalgia without the use of antipyretics OR at least 10 days have passed since symptom onset, whichever is longer). (The cases that have died and one case that has left the jurisdiction have been removed from these counts).

Positive cases includes presumptive and confirmed cases, data are preliminary and subject to change; includes Hawaii residents and non-residents. Note that CDC provides case counts according to states of residence.

  *   *   *   *   *

HAWAI‘I COVID-19 JOINT INFORMATION CENTER

DAILY NEWS DIGEST

May 13, 2020

Governor’s Office:

Safer-at-Home Means Keeping the Curve Flat

This is the second week since Governor Ige issued the Safer-At-Home order and at an afternoon media briefing he said he is pleased the cases reported today continue to remain low. With only three new cases today, Hawai‘I is one of the safest states in the nation in the fight against COVID-19. In addition to the low number of new cases, Hawai’i has achieved some other key metrics, permitting the re-opening of specific sectors of our economy.

With Mall and Retail Reopening's Governor Encourages Continued Vigilance

On Friday, many retail stores and shopping malls on O‘ahu can reopen under the Safer-At-Home order, joining retailers and malls that have already opened on the neighbor islands. Today, Governor Ige encouraged residents to shop at the newly opened stores and malls, but to please remain vigilant. Ige commented, “Please follow social distancing requirements at malls and stores. Avoid congregating and gathering in large groups. And please wear your face masks. Remember that malls are not places to loiter. Please make your purchases and head home where it is safer.”

Millions in Federal Funding to Hawai‘i for Contact Tracing

Governor Ige is thanking Hawai‘i’s congressional delegation for securing $50 million in federal funding to pay for contact tracing. The governor said, “They have been working tirelessly to help the people of Hawaiʻi in the fight against this pandemic. And this grant will go a long way in covering the cost of training and responding to a future surge.” (See DOH & UH items below) Read the news release from Senator Brian Schatz: https://www.schatz.senate.gov/press-releases/hawaii-receiving-50-million-in-new-federal-funding-to-ramp-up-covid-19-contact-tracing

Lieutenant Governor’s Office:

Lt. Gov. Green Proposes “Travel with Aloha” Program

As the state looks toward the eventual reopening of air travel to and around the state, Lt. Governor Josh Green proposed a program, he’s calling, “Travel with Aloha,” at this afternoon’s media briefing. He believes such a program will help the state mitigate possible importation of coronavirus from traveling visitors and residents. A key component of Green’s proposal is having visitors and returning residents voluntarily getting COVID-19 tests within 72-hours of their departure to the islands. People who decline to get tested would undergo additional testing and screening upon arrival at State airports. Green said, “This could cut several hours from their vacation or return home and they could be required to undergo a possible 14-day mandatory quarantine.” He added, “It’s imperative we do everything we can to safeguard our state from importing coronavirus through travel, while maintaining our community’s aloha for visitors.”

Report on Statewide Hospital Bed Capacity

During today’s COVID-19 news briefing, Lt. Gov. Green also noted a Harvard Global Health Institute study that announced Hawai‘i is among nine states that have exceeded testing minimums necessary for reopening. Supporting this study, he said if there were a large number of positive cases that have not been detected or reported, we would see more COVID-19 positive patients in our healthcare system. “We are still doing great, in terms of our hospital capacity,” Green commented. Across the state, 54% of all hospital beds are in use, 43% of intensive care unit beds are occupied, and ventilator use is only at 12%. He is encouraging people to get medical treatment if needed and to not fear hospitalization. For more on the Harvard/NPR study: https://www.npr.org/sections/health-shots/2020/05/07/851610771/u-s-coronavirus-testing-still-falls-short-hows-your-state-doing

Department of Health:

Three New Cases of COVID-19 Reported

There are three (3) new cases of coronavirus being reported today by the DOH. All of the cases are on O‘ahu, one is an adult and the two others are minors. Both of the minors are members of a family cluster that DOH has been monitoring. The adult case continues to be under investigation.  

Hawai‘i COVID-19 Counts as of 12:00 noon, May 13, 2020

* Includes cases that meet isolation release criteria. Cases that have died and one case that left the jurisdiction have been removed from these counts.

Laboratory* Testing Data

There were 391 additional COVID-19 tests reported via electronic laboratory reporting.

*Electronic Laboratory Reporting  **20 test results were inconclusive.

 For more tables visit: https://health.hawaii.gov/docd/

 Contacting Tracing and Testing Capacity

DOH is working on a plan to rapidly increase testing and contact tracing capacity. As more businesses open back up, this will be necessary to detect and respond to any increase in new cases. An important part of the contact tracing plan is ensuring adequate numbers of people who are well trained. DOH Director Dr. Bruce Anderson has put together a partnership with the University of Hawai‘i for a program which will train 300 more contract tracers who can be mobilized in case of a surge. This is in addition to the more than 80 contract tracers already available. At Wednesday’s news briefing UH President David Lassner provided an update on the university’s role in the contact tracing program. (See item below) 

 DOH Reiterates Continued Need for Vigilance During Safer-at-Home Phase

Complacency is a serious concern as reports of fewer cases inadvertently signals less urgency. Informal gatherings are being observed and people are doing less social distancing and everyone is not wearing a mask. Any success we are seeing now will backslide if everyone in our communities does not comply with stay at home, social distancing, mask-wearing, and other measures to keep the spread of coronavirus controlled. State legislators are urged to remind their constituents that maintaining community efforts and sacrifices will allow us to reopen the state. Not complying will likely create a second wave of COVID-19 and delay reopening businesses and resumption of travel.

University of Hawai‘i

Leveraging Expertise for Contract Tracing

As Governor Ige announced, a one-year, $2.5 million program, forged as a partnership between the DOH Disease Outbreak Control Division and UH’s UHealthy Hawaiʻi Initiative will leverage UH faculty expertise and existing courses across the 10-campus system to quickly develop content for contact tracing training. The plan is to then train the approximately 300 contact tracers in two to three days, or two to three months, depending on their educational backgrounds, as well as increase the universityʻs capacity to graduate 100 community health workers each year. DOH can then hire the trained individuals as needed, including as emergency hires, in the event of a surge in COVID-19 cases. The university will offer two tracks for contact tracing training: a course for clinical professionals (approximately two to three days to complete for those with at least an undergraduate degree and a clinical health background) and an intensive contact tracing program (approximately two to three months for those with undergraduate degrees, health sciences preferred). All training content and materials will be approved by the DOH.

The UH Community Colleges will add capacity in the community health worker programs and update curricula so that community health worker graduates will be prepared to be part of COVID-19 contact tracing teams as needed. In an effort to increase enrollment, $1,000 scholarships will be available to UH Community College health worker students once they complete the program. They are a critical component to the contract tracing teams with their special community-based training and ties to work effectively with identified high-risk populations. Learn more about the UHealthy Hawai‘i Initiative: https://www.hawaii.edu/news/2019/08/20/uhealthy-hawaii/

Hawai‘i Tourism Authority:

852 Passengers Arrive in Hawai‘i

Yesterday, 852 people arrived in Hawai‘i including 264 visitors and 321 residents. The following table shows passenger numbers coming into the state. The table in the DBEDT section shows interisland travel.

AIRPORT ARRIVALS FOR MONDAY, MAY 12, 2020

*Visitors are people who do not have a Hawai‘i ID, including essential healthcare workers, essential federal workers, former residents like mainland college students coming to stay with family, military on temporary assignment and leisure travelers.

https://www.hawaiitourismauthority.org/media/4582/051320-passenger-count-press-release.pdf

Department of Business, Economic Development and Tourism

INTERISLAND AIRPORT ARRIVALS AND DEPARTURES FOR MAY 9, 2020

https://dbedt.hawaii.gov/economic/covid19/

Hawai‘i House of Representatives:

House Awaits $5.1 Billion Capital Improvement Project Budget from the Senate

The Senate Ways and Means Conference Committee agreed Wednesday on the Capital Improvement Project (CIP) budget for Fiscal Years 2020 and 2021, totaling more than $5.1 billion. Some of the funding would address statewide needs that have become apparent due to the coronavirus pandemic, such as upgrades to outdated Department of Labor and Industrial Relations unemployment computer systems and modernizing the Department of Accounting and General Services finance systems. The CIP budget also includes funding for many “shovel ready” construction projects that can begin work quickly providing much-needed jobs to help resuscitate the economy. The bill now moves to the full Senate for a second reading. To read more about the proposed budget: https://www.hawaiihousedemocrats.com/post/house-awaits-5-1-billion-cip-budget-from-the-senate

Department of Land and Natural Resources

Kaua‘i Temporarily Adds Hunting Days for Covid-19 Response

Kaua‘i hunters are invited to apply for special use permits to hunt goats, pigs, and deer on closed hunting days in State Forest Reserves, Natural Area Reserves, and Game Management Areas.Usually, most hunting areas on Kaua‘i are open only weekends (Friday-Monday). Beginning on Monday, May 18, people who want to hunt on closed days can submit online applications. “Hunters have asked us to increase open hunting days to help them feed our community,” said Sheri S. Mann, Kaua‘i Branch Manager for the DLNR Division of Forestry and Wildlife (DOFAW). “With so many people out of work, and concerns about national meat shortages, it is likely many folks are interested in hunting during the middle of the week.  We want hunters to practice social distancing recommendations. Opening up daily hunting should spread hunting trips out and reduce the likelihood of overlaps.” Applicants must have a current hunters license and permits will be issued for a one-month period, with opportunity to reapply for future months after submitting harvest data. Permits will be processed several times a week.

For more information: www.KauaiForestUsers.com or 808-274-3433.

Read the full news release here: https://dlnr.hawaii.gov/blog/2020/05/13/nr20-062/