Loading...
200508- CITY COMMISSION REOPENING 505PM▪Practical Considerations for Reopening ▪Gating Criteria Data and Updates from the Health Advisory Team ▪Miami Beach Draft Reopening Plan and Guidelines TODAY’S PURPOSE 2 PRACTICAL CONSIDERATIONS FOR REOPENING 1.We cannot open before the County. We must wait for them to act. 2.We can be stricter than the County, but not more lenient. 3.There is great risk if we are the first to act. Part of what happened with South Pointe Park is that the other major cities in the County (e.g. Miami, Hialeah, Miami Gardens, North Miami) did not open their parks. SPP drew large crowds from the mainland. 4.We have unique venues that are very challenging for social distancing (e.g. Lincoln Road, Ocean Drive, the beach, Espanola Way). One size approach does not fit Miami Beach.3 The reopening strategy that is recommended by most medical and public health professionals consists of three critical pieces: 1.The healthcare system can safely care for all patients, including providing appropriate personal protective equipment for healthcare workers. Capacity must exist to deal with future cases. 2.Evidence that the virus has reached manageable levels. Based on discussions with our Health Advisory Team, two important indicators are highlighted: •Downward trajectory of positive tests as a % of total tests within a 14-day period •Downward trajectory of numbers of new COVID19 admissions to Miami -Dade hospitals (combined data)/day 3.A robust and properly staffed surveillance testing and contact tracing system for all new COVID-19 cases and their close contacts, with quarantining. Gating Criteria is applicable to enter both phase 1 and to then enter phase 2 GATING CRITERIA 4 We find that enforcing strict social distancing followed by a policy based on a robust level of testing, contact -tracing and household quarantining, could keep the disease at a level that does not exceed the capacity of the health care system. Assuming the identification of 50% of the symptomatic infections, and the tracing of 40% of their contacts and households, which corresponds to about 9% of individuals quarantined, the ensuing reduction in transmission allows the reopening of economic activities while attaining a manageable impact on the health care system. Our results show that a response system based on enhanced testing and contact tracing can play a major role in relaxing social distancing interventions in the absence of herd immunity against SARS-CoV-2. Aleta et al, with co-authors from the University of Florida Emerging Pathogens Institute “ “ 5 IMPACT OF CONTACT TRACING 6https://epi.ufl.edu/covid-19-models/covid-19-model-updated-v2.html “Modeling the impact of social distancing, testing, contact tracing and household quarantine on second-wave scenarios of the COVID-10 epidemic” Aleta et al, with co-authors from the University of Florida Emerging Pathogens Institute COVID-19 KEY INDICATORS DATA THROUGH 5/7 7 40.75%41.59%42.29% 39.12%40.17%40.12% 49.86% 36.92%35.92%36.66%38.59%39.93%40.46% 38.19%36.00%35.24%34.78% 58.29% 54.58% 57.10% 52.58% 55.41%53.91%55.01% 51.16%49.58%50.85%52.58% 49.75%49.01%48.84%48.75%48.83%47.08% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% Miami Dade County and Mount Sinai Hospital Capacity Agency for Health Care Administration (AHCA) Countywide Capacity Mount Sinai Capacity COVID-19 KEY INDICATORS DATA THROUGH 5/7 8 44 30 48 32 54 47 44 47 56 51 83 69 63 61 97 103 66 0 20 40 60 80 100 120 New COVID-19 Patient Hospital Admissions Hospital self-reported data per Miami Dade County Emergency Order 18-20 Reports were required twice daily through 4/24. After that, hospitals were required to submit reports once a day. COVID-19 KEY INDICATORS DATA THROUGH 5/6 9 356 347 377 208 302 95 123 329 243 148 296 156 172 165 0 50 100 150 200 250 300 350 400 Miami-Dade County COVID-19 Number of Daily Cases Florida Department of Health (FDOH) COVID-19 KEY INDICATORS DATA THROUGH 5/6 10 *Positive tests are lower than previously reported due to a change in FDOH’s methodology. This methodology counts unique positive tests rather than all positive tests. 9.4% 11.4% 8.8% 7.9% 10.4% 6.9%7.3% 8.1% 6.3% 6.3% 9.2% 3.8% 7.1%6.6% 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% Daily Percentage of Positive Tests Miami Dade County* Florida Department of Health (FDOH) UPDATE ON TESTING AND CONTACT TRACING •City has partnered with the Florida Department of Health and the Florida National Guard to open a hybrid testing center at MBCC •Center will offer both walk-up and drive through testing, free of charge •No appointments necessary (Consistent with the State’s desire to remove all barriers to testing) •Testing available from 9:00 am –5:00 pm to anyone, 18 and older regardless of symptoms •400 tests per day 11 PHASE 1A BEST PRACTICE GUIDELINES •Face coverings for employees & customers •25% reduced capacity •6 ft distancing rule in store with markers for cashier •Hand sanitizer near entrance •Social distancing and hygiene signage near entrance •Dressing rooms closed •Employer cleaning and sanitizing plan •Employer plans for employee health monitoring and sick employees stay home •Employer commitment to referring symptomatic employees for testing and contact tracing •Disposal plan for contaminated material •Limit capacity in employee common areas like offices and stock rooms •Encourage curbside pickup •Encourage contactless payments •Employer policies to reduce touching of merchandise •Entry and exit for one-way traffic •Elevator limits •Plexiglass shields •Entry doors automatic or attended by employee •Staggered work shifts •Educate public/employees on measures •Increase air flow from the outside •Flush plumbing prior to reopening •Clean/ sanitize air ducts prior to reopening RETAIL -DRAFT REOPENING PLAN (PENDING COUNTY REQUIREMENTS) 12 (PENDING COUNTY REQUIREMENTS) PHASE 1A BEST PRACTICE GUIDELINES •Face coverings for employees and customers within 6 feet •Minimum on-site staff, continue telework •Maximize social distance •Hand sanitizing stations •Employer cleaning and sanitizing plan •Employer plans for employee health monitoring and sick employees stay home •Employer commitment to referring symptomatic employees for testing and contact tracing •Disposal plan for contaminated material •Limit capacity in employee common areas like offices and stock rooms •Encourage contactless payments •Encourage phone/ virtual meetings •Employer policies to reduce touching of materials •Entry and exit for one-way traffic •Elevator limits •Plexiglass shields •Entry doors automatic or attended by employee •Staggered work shifts •Educate public/employees on measures •Increase air flow from the outside •Flush plumbing prior to reopening •Clean/ sanitize air ducts prior to reopening OFFICE SPACE-DRAFT REOPENING PLAN 13 MUSEUMS--DRAFT REOPENING PLAN PHASE 1A BEST PRACTICE GUIDELINES •Face coverings employees and customers •Social distancing and hygiene signage near entrance •Hand sanitizer stations •Employer cleaning and sanitizing plan, specialized for common spaces and rooms •Employer plans for employee health monitoring and sick employees stay home •Employer commitment to referring symptomatic employees for testing and contact tracing •Disposal plan for contaminated material •Limit capacity in employee common areas •No group tours •Restrict visitors to scheduled entry/exit windows •Staggered work shifts •Educate public/employees on measures •Increase air flow from the outside •Flush plumbing prior to reopening •Clean/ sanitize air ducts prior to reopening 14 (PENDING COUNTY REQUIREMENTS) (PENDING COUNTY REQUIREMENTS) PHASE 1A •Recreational amenities allow to reopen with certain restrictions •Phase 1A –pools-chaise lounges 6 feet apart, sanitation after use, signage near entrance, hand sanitizing station •Phase 2 –gyms-hand sanitizer, hygiene signage near entrance, sanitizing of equipment customers and equipment 6 feet apart (commercial gyms addressed later) RECREATIONAL AMENITIES IN RESIDENTIAL BUILDINGS -DRAFT REOPENING PLAN 15 (PENDING COUNTY REQUIREMENTS) RESTAURANTS -DRAFT REOPENING PLAN PHASE 1B*BEST PRACTICE GUIDELINES •Face coverings employees and customers (except at tables) •Reduced capacity 25% •Reduced capacity with 6 feet between tables •Table-only seating •Possible use expansion of outdoor seating •Bar area closed •Hand sanitizer, and social distancing, hygiene signage near entrance •Employer cleaning and sanitizing plan, to include employee hand washing, host stations, tables, daily deep cleaning •Employer plans for employee health monitoring and sick employees stay home •Employer commitment to referring symptomatic employees for testing and contact tracing •Disposal plan for contaminated material •Limit capacity in employee common areas •Special hours for vulnerable populations •Customer hand washing before seating •Straws for drinks •Single-use menus •Buffets not allowed •Use of phone app technology for orders/payment •Sick employees need to stay home •Reservations-only for occupancy management •Staggered work shifts •Staff training •Customer education •Fixed table assignments for staff to prevent cross- contamination of tables •Increase air flow from the outside *Need more time to implement requirements and for City staff to inspect prior to opening 16 PHASE 2 BEST PRACTICE GUIDELINES •Minimum on-site staff •Face coverings employees and customers •Gloves for employees •6 feet between workstations •Hand sanitizer, and social distancing, hygiene signage near entrance •Employer plans for employee and customer health monitoring •Employer cleaning and sanitizing plan (sanitize between each customer) •Employer plans for employee health monitoring and sick employees stay home •Employer commitment to referring symptomatic employees for testing and contact tracing •Disposal plan for contaminated material •Limit capacity in employee common areas •Plexiglass shields •Encourage contactless payments •By appointment-only; 1-on-1 service •Encourage customers to bring their own supplies (PENDING COUNTY REQUIREMENTS) PERSONAL SERVICES (HAIR, NAILS, SPAS) DRAFT REOPENING PLAN 17 (PENDING COUNTY REQUIREMENTS) GYMS COMMERCIAL -DRAFT REOPENING PLAN PHASE 2 BEST PRACTICE GUIDELINES •Face coverings employees •Hand sanitizer, and social distancing, hygiene signage •near entrance •Customers and equipment 6 feet apart •Hand sanitizing stations •No group classes •Limited equipment •Social distancing markers at membership desks •Staff on floor sanitizing •Members required to sanitize •Employer plans for employee health monitoring and sick employees stay home •Employer commitment to referring symptomatic employees for testing and contact tracing •Disposal plan for contaminated material •Limit capacity in employee common areas •Bring your own equipment (yoga mats, boxing gloves, etc.) •Reserved gym access times •Use outdoor space for group classes in 18Draft for Discussion (PENDING COUNTY REQUIREMENTS) HOTELS-DRAFT REOPENING PLAN PHASE 2 BEST PRACTICE GUIDELINES •Arrival and check in procedures for physical distancing 6 feet with physical markers •Face coverings for employees and guests •Limited access to shared amenity space •Limited event offerings with limited capacities •Hand sanitizing stations •Social distancing and hygiene signage near entrance •EMPLOYER cleaning and sanitizing plan, specialized for common spaces and rooms •Employer plans for employee health monitoring and sick employees stay home •Employer commitment to referring symptomatic employees for testing and contact tracing •Disposal plan for contaminated material •Limit capacity in employee common areas •Phased in capacity for meeting and convention spaces •Phased in approach to operations •Encourage contactless payments •Entry and exit for one-way traffic •Elevator limits •Plexiglass shields •Entry doors automatic or attended by employee •Staggered work shifts •Educate public/employees on measures •Increase air flow from the outside •Flush plumbing prior to reopening •Clean/ sanitize air ducts prior to reopening •Valet and baggage staff to wear masks, gloves •Use of phone app technology for check-ins, valet car requests, concierge services •Signage •Staff training on how to prevent transmission 19Draft for Discussion Purposes (PENDING COUNTY REQUIREMENTS) BEACHES-DRAFT REOPENING PLAN PHASE 2 BEST PRACTICE GUIDELINES •Limited capacity to groups less than 10 •6 foot social distancing •Social distancing and hygiene signage near entrance •Hand sanitizing stations •Limit parking •Limit number of people entering beach 20Draft for Discussion Purposes HIGH RISK VENUES-DRAFT REOPENING PLAN VENUES PHASE 1 PHASE 2 THEATERS BARS CLUBS LARGE VENUES (Concert, Halls, Auditoriums, Convention Center) SPECIAL EVENTS Closed Closed Closed Closed Closed Open with restrictions Closed Closed 21Draft for Discussion Purposes