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Page 2 of 5 <br />Revised June 2019 <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 Addendum 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 identify and address one or more of the <br />allowable activities from the list of five activities below, with an emphasis on testing and tracing: <br />1. Testing and Tracing: Establish or enhance ability to aggressively identify cases, conduct <br />contact tracing and follow up, as well as implement recommended containment measures. <br />a. Enhanced testing and contact tracing including contact elicitation/identification, contact <br />notification, and contact follow-up. Activities could include traditional contact tracing methods <br />as well as healthcare-specific and other proximity/location-based methods. <br />2. Surveillance: Improve morbidity and mortality surveillance, including: <br />a. Establish or enhance community-based surveillance i.e., surveillance of populations and <br />individuals without severe illness, travel to high-risk locations, or contacts to known cases. <br />b. Provide accurate accounting of COVID-19 associated deaths. Maintain electronic death reporting <br />using the North Carolina Electronic Disease Surveillance System (NCEDSS). <br />3. Lab Capacity: Enhance laboratory testing and reporting capacity: <br />a. Establish or expand capacity to test all symptomatic individuals, and secondarily expand <br />capacity to achieve community-based surveillance. <br />4. Infection Control: Prevent and control COVID-19 in healthcare settings and protect other <br />vulnerable or high-risk populations: <br />a. Assess and monitor infections in healthcare workers across the healthcare spectrum. <br />b. Monitor and help implement mitigation strategies for COVID-19 in all high-risk healthcare <br />facilities (e.g., hospitals, dialysis clinics, cancer clinics, nursing homes, other long-term care <br />facilities). <br />c. Monitor and help implement mitigation strategies for other high-risk employment settings (e.g., <br />meat processing facilities), and congregate living settings (e.g., prisons, youth homes, shelters). <br />5. Community Risk Assessment: Improve understanding of jurisdictional communities with <br />respect to COVID-19 risk: <br />a. Build understanding of population density and high-risk population density (i.e., population of <br />>65 years, proportion of population with underlying conditions, households with limited English <br />fluency, healthcare seeking behavior, populations without insurance and below poverty level). <br /> <br /> <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 />DocuSign Envelope ID: 7198D781-BEA6-4795-A20A-3948F519ECD6