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Page 2 of 6 <br />Revised August 2018 <br />II.Purpose: <br />This Activity is for the Local Health Department to work to prevent, prepare for, and respond to <br />Coronavirus Disease 2019 (COVID-19) by carrying out surveillance, epidemiology, laboratory capacity, <br />infection control, mitigation, communications, and other preparedness and response activities. <br />III.Scope of Work and Deliverables: <br />All of the activities the Local Health Department performs under this Agreement Addenda shall <br />be informed by the NC DHHS COVID-19 Guidance for Health Care Providers and Local Health <br />Departments.1 The Local Health Department (LHD) shall: <br />1.Implement and scale-up laboratory testing and data collection to enable identification and <br />tracking of COVID-19 cases in the community with emphasis placed on priority populations as <br />defined in NC DHHS guidance2 to include health care workers, first responders, persons in high-risk <br />congregate settings, and persons at a higher risk of severe illness, and immediate implementation of <br />real-time reporting to PHP&R. This shall be accomplished by conducting one or more of the <br />following activities: <br />a.Expand testing access in the community with a focus on persons who may expose vulnerable <br />people. <br />b.Conducting surveillance to identify cases, report case data in a timely manner, identify contacts, <br />characterize disease transmission, and track relevant epidemiologic characteristics including <br />hospitalization and death. <br />c.Conducting surveillance to monitor virologic and disease activity in the community and <br />healthcare settings, with emphasis on expanding contact tracing for high risk populations using <br />traditional and non-traditional methods. <br />d.Implementing routine and enhanced surveillance to support the science base that informs public <br />health interventions that mitigate the impact of COVID-19, including understanding of clinical <br />characteristics; infection prevention and control practices; and other mitigation requirements. <br />e.Establishing or enhancing core epidemiological activities to support response such as risk <br />assessment, case classification, analysis, visualization, and reporting. <br />f.Conduct surveillance to monitor disruption in the community caused by COVID-19 and related <br />mitigation activities (e.g., school closures and cancellation of mass gatherings). <br />g.Conduct surveillance to monitor disruption in healthcare systems caused by COVID-19 (e.g., <br />shortages of personal protective equipment). <br />2.Write a brief Updated COVID-19 Community Intervention Implementation Plan and upload it <br />by December 31, 2020 to the COVID-19/Agreement Addendum/County Submissions/CountyName <br />folder at https://ncconnect.sharepoint.com/sites/phpr/SitePages/PCForums.aspx. The naming <br />convention for this Plan shall be, “CountyName-Updated Community Plan” (for example: Wake- <br />Updated Community Plan). <br />This updated plan shall describe how the LHD will achieve the response’s three mitigation goals: 1) <br />Slow transmission of disease, 2) Minimize morbidity and mortality, and 3) Preserve healthcare, <br />1 https://www.ncdhhs.gov/divisions/public-health/covid19/covid-19-guidance#all-guidance-for-health-care-providers-and-local- <br />health-departments <br />2 https://files.nc.gov/ncdhhs/documents/files/covid-19/COVID-19-Provider-Guidance-Final.pdf <br />DocuSign Envelope ID: 5B3129F4-24E8-4B06-8D09-86F5B1AFD15F