Colorado Governor Polis #DoingMyPartCO Presentation - 03-27-2020

Brad Feld
Brad FeldManaging director at Foundry Group
Colorado Governor Polis #DoingMyPartCO Presentation - 03-27-2020
COLORADO CASES
R NAUGHT VALUES (RO)
a.k.a. The number of people your positive neighbor is likely
to infect
•For example: one person spreads a virus to two people,
two people spread it to 4 people, and so on
•Estimated Colorado RO is between 3 & 4
•One Coloradan spreads the virus to three to four people
Our goal is to knock down the effective RO value as hard as
we can and as quickly as we can
COLORADO R NAUGHT VALUES (RO3)
EXPOSURE
MEASURE TIME
Exposure to symptom onset 4-5 days
Symptomatic to CO report date 8 days
Onset to ICU admission 10-12 days
Onset to death 2+ weeks
Average ICU length of stay 8 days
ESTIMATES OF SOCIAL DISTANCING LEVELS
25-40% 40-60% Approx 80%
Statewide closure:
➢ Schools
➢ Restaurants
➢ Bars
➢ Theaters
➢ Casinos
➢ Ski areas
➢ prohibition of in person
gatherings of >10 people
Statewide closure of:
➢ Schools
➢ Restaurants
➢ Bars
➢ Theaters
➢ Casinos
➢ Ski areas
➢ Prohibition of in person
gatherings AND 50%
reduction of in person
workforces in non-essential
businesses or critical
government functions
➢
Statewide Stay-at-Home
order exempting critical
services
CO CALENDAR OF SOCIAL DISTANCING ACTIONS
SOCIAL DISTANCING STRATEGY IMPLEMENTATION DATE OBSERVED IMPACT DATE
(exposure + report date = 12 days)
Stay in Place March 26, 2020 April 7, 2020
50% Workplace reduction March 24, 2020 April 5, 2020
Colorado School Closure March 23, 2020 April 4, 2020
Prohibition of 10+ gatherings March 19, 2020 March 31, 2020
DPS School Closure March 16, 2020 March 28, 2020
Closure of Bars, Restaurants, etc. March 16, 2020 March 28, 2020
Cancellation of 250+ gatherings March 13, 2020 March 25, 2020
The Impact of Social Distancing on R0
• To understand this data the RO value is how contagious we think the
virus is at the beginning of the epidemic. In these models, we
assume 1 person infects 3 or 4 people with no social distancing.
• Our scientist’s best understanding is that in CO the RO value started
between 3-4 under normal social circumstances.
• When social distancing is introduced we arrive at a reduced
effective RO.
ICU BED DEMAND
ICU BED DEMAND-RO4 ESTIMATES
CO MODELING DATA DEATH ESTIMATES (RO4)
ICU BED DEMAND-RO3 ESTIMATES
CO MODELING DATA DEATH ESTIMATES (R03)
ICU BED DEMAND-RO3 & RO4 ESTIMATES
STAY AT HOME
WHAT SUCCESS LOOKS LIKE
• Our hospital systems have the capacity at the point in time needed to treat
our patients
• We do not have a catastrophic breach of our healthcare system
• We have planned for hospital surge capacity, testing, PPE
• Quickest possible return to work, productivity, and social and economic
normalcy
WHAT SUCCESS LOOKS LIKE
“If we look back on this time and wonder if it was an overreaction, it
will be proof that Polis did the right thing.”
March 26, 2020
Emergency Operations Center Org Chart
WE ARE IN THIS TOGETHER
1 of 19

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Colorado Governor Polis #DoingMyPartCO Presentation - 03-27-2020

  • 3. R NAUGHT VALUES (RO) a.k.a. The number of people your positive neighbor is likely to infect •For example: one person spreads a virus to two people, two people spread it to 4 people, and so on •Estimated Colorado RO is between 3 & 4 •One Coloradan spreads the virus to three to four people Our goal is to knock down the effective RO value as hard as we can and as quickly as we can
  • 4. COLORADO R NAUGHT VALUES (RO3)
  • 5. EXPOSURE MEASURE TIME Exposure to symptom onset 4-5 days Symptomatic to CO report date 8 days Onset to ICU admission 10-12 days Onset to death 2+ weeks Average ICU length of stay 8 days
  • 6. ESTIMATES OF SOCIAL DISTANCING LEVELS 25-40% 40-60% Approx 80% Statewide closure: ➢ Schools ➢ Restaurants ➢ Bars ➢ Theaters ➢ Casinos ➢ Ski areas ➢ prohibition of in person gatherings of >10 people Statewide closure of: ➢ Schools ➢ Restaurants ➢ Bars ➢ Theaters ➢ Casinos ➢ Ski areas ➢ Prohibition of in person gatherings AND 50% reduction of in person workforces in non-essential businesses or critical government functions ➢ Statewide Stay-at-Home order exempting critical services
  • 7. CO CALENDAR OF SOCIAL DISTANCING ACTIONS SOCIAL DISTANCING STRATEGY IMPLEMENTATION DATE OBSERVED IMPACT DATE (exposure + report date = 12 days) Stay in Place March 26, 2020 April 7, 2020 50% Workplace reduction March 24, 2020 April 5, 2020 Colorado School Closure March 23, 2020 April 4, 2020 Prohibition of 10+ gatherings March 19, 2020 March 31, 2020 DPS School Closure March 16, 2020 March 28, 2020 Closure of Bars, Restaurants, etc. March 16, 2020 March 28, 2020 Cancellation of 250+ gatherings March 13, 2020 March 25, 2020
  • 8. The Impact of Social Distancing on R0 • To understand this data the RO value is how contagious we think the virus is at the beginning of the epidemic. In these models, we assume 1 person infects 3 or 4 people with no social distancing. • Our scientist’s best understanding is that in CO the RO value started between 3-4 under normal social circumstances. • When social distancing is introduced we arrive at a reduced effective RO.
  • 10. ICU BED DEMAND-RO4 ESTIMATES
  • 11. CO MODELING DATA DEATH ESTIMATES (RO4)
  • 12. ICU BED DEMAND-RO3 ESTIMATES
  • 13. CO MODELING DATA DEATH ESTIMATES (R03)
  • 14. ICU BED DEMAND-RO3 & RO4 ESTIMATES
  • 16. WHAT SUCCESS LOOKS LIKE • Our hospital systems have the capacity at the point in time needed to treat our patients • We do not have a catastrophic breach of our healthcare system • We have planned for hospital surge capacity, testing, PPE • Quickest possible return to work, productivity, and social and economic normalcy
  • 17. WHAT SUCCESS LOOKS LIKE “If we look back on this time and wonder if it was an overreaction, it will be proof that Polis did the right thing.” March 26, 2020
  • 19. WE ARE IN THIS TOGETHER