Partners lay out investment needed to speed up access to COVID-19 diagnostics, vaccines and treatments An economic investment case & financing requirements September 2020 – December 2021 Status Report & Plan September 2020 – December 2021 The ACT-Accelerator is the only global initiative offering a solution to speed up the end of the COVID-19 pandemic. Launched on 24 April 2020, it combines public and private sector expertise and institutions from around the world to accelerate the development, regulatory approval, scale-up, delivery and equitable allocation of COVID-19 tests, treatments and vaccines. The ACT-Accelerator needs US$35 billion to meet the goal of developing new tools and producing and delivering 2 billion vaccine doses, 245 million treatments and 500 million diagnostic tests over the next year. With the largest portfolio of COVID-19 tools in the world, investing in the ACT-Accelerator increases the probability of being able to access the “winning candidate” and hedges the risk that countries that have already entered individual bilateral agreements end up with products that are not viable. The economic rationale for investment is clear: · The global economy is expected to contract by US$7 trillion in 2020 as a result of the pandemic. ACT-Accelerator’s financing gap is US$35 billion. Fully financing the ACT-Accelerator to help shorten the duration of the crisis would pay back this investment in less than 36 hours once global mobility and trade are restored. · ACT-Accelerator total funding needs represent less than 1% of what G20 governments have already committed to domestic economic stimulus packages. While many countries have made significant investments in domestic R&D and on domestic economic stimulus packages, these investments will not on their own address severe COVID-19 disease, the root cause of the crisis, and the key to restarting all aspects of their economies. · A lack of innovation for and sufficient access to effective tests, treatments and vaccines would hold up the recovery for all countries. In just 5 months, the ACT-Accelerator has made significant progress, as evidenced by the status report, published today: · The Diagnostics pillar is evaluating more than 50 diagnostic tests · The Therapeutics pillar is analysing 1,700+ clinical trials for promising treatments and has secured Dexamethasone for up to 4.5 million patients in lower-income countries · COVAX vaccine facility – the largest and most varied portfolio of COVID-19 vaccines globally – currently contains 9 vaccine candidates and a total of 156 economies, representing nearly two-thirds of the global population, are now committed to or eligible to receive vaccines through the Facility Leaders will next meet on 30th September at a high-level side event during the United Nations General Assembly to discuss the work of the ACT-Accelerator, and the financial commitments needed.

The Department of Public Works is announcing that DMK and Associates will be conducting roadwork in Kōloa on weekdays from Oct. 5 to Oct. 16, 2020 from 8 a.m. to 4:30 p.m., weather permitting. Work will be scheduled on Hoolei Street, Maki Street, Ohuohu Street, Olona Street, Tapa Street, Mamaki Street, Palaa Place, and Mamaki Place. The scope of the work includes asphalt crack cleaning and filling, and seal coating the roadways. From Oct. 5 to Oct. 12, there will be no road closures during the asphalt crack cleaning and filling phase of work. There may be short delays in entering and exiting from your road. No parking will be allowed on the road or road shoulders. From Oct. 13 to Oct. 16, there will be road closures during the seal coating phase of work. No parking will be allowed on the road or road shoulders. No vehicle access on the roadway or grassy shoulders. No vehicle entering or exiting until the seal coat is dry and lane reopened. No walking on wet seal coat. The work zone will be coned off to prevent anyone from driving or stepping on wet materials. For all phases of work, exercise caution when driving to ensure the safety of everyone. Please see the map below for specific locations and dates of the road closures. Be on the lookout for “No Parking” and or “Road Closed” barricades and signs. This will be an indication that work is in the area. Vehicle parking will not be allowed in the work zone after 8 a.m. Please make arrangements to accommodate the necessary road work. Any vehicle left on the street or grassy road shoulders within the work zones after 8 a.m. will be towed at the owner’s expense. Work may be extended pending weather conditions. For questions regarding this project, please call DMK and Associates at 246-2003 or visit www.dmkhawaii.com.

Mayor Kirk Caldwell tonight announced that Governor David Ige has approved the City and County of Honolulu’s Emergency Order No. 2020-27 ending the Second Stay at Home / Work from Home Order, as well as approving the first tier of Honolulu’s COVID-19 Recovery Framework. The final executed documents are posted on Honolulu.gov. Starting on Thursday, September 24, the City will operate under this new Recovery Framework. The City will start in Tier 1 and remain there for at least four weeks. Tier 1 includes, but is not limited to, the following changes: • social gatherings will be expanded to up to five people • retail businesses will be able to resume operations with 50% capacity or less *Note that the 50% capacity now applies to all retail businesses even essential ones. Previously essential businesses were not subject to a capacity limit • restaurants will be allowed to reopen to indoor dining for groups no larger than five from the same household/living unit and 50% capacity or less, no liquor sales after 10p.m. • hair salons, barbershops, and nail salons will be allowed to reopen with conditions • public/private pools and golf courses can reopen with conditions • certain indoor and outdoor attractions can resume operations with conditions All essential and designated businesses and operations will still need to comply with Social Distancing Requirements as outlined in the Order. A signed version of Emergency Order No. 2020-27 which further outlines businesses and operations allowed to resume operations on September 24, along with guidance for those businesses and operations, will be posted at Honolulu.gov. Honolulu’s COVID-19 Recovery Framework sets the criteria for loosening and tightening restrictions on businesses and activities on O‘ahu while trying to aggressively reduce coronavirus transmission to protect residents and mitigate the current burden on our local healthcare system. The plan rests on four tiers. Each tier is based on the level of community spread of COVID-19, which is determined by: (1) the number of daily cases reported and (2) the positivity rate, using 7-day averages over a two week period. The full document laying out the framework for business/operation sectors allowed to resume operations in each tier can be viewed on Honolulu.gov. In order to advance to the next tier, the City must: (1) have been in the current tier for at least four consecutive weeks; AND (2) meet the First Metric criteria for that next tier for two consecutive (and most recent) Weekly Assessments; AND (3) meet the Second Metric criteria for that next tier for two consecutive (and most recent) Weekly Assessments. The City may only move forward one tier at a time. If, for two consecutive Weekly Assessments, the data for the First Metric indicates the City should be in a lower tier, the City falls back into that tier. The City may move backward more than one tier at a time. From the start of this pandemic, much has been learned from a scientific standpoint, which has informed and will continue to inform the City’s response efforts. Moreover, experience has uncovered critical areas for improvement, including testing, contact tracing, outreach and support for disproportionately affected communities, and the capacity and ability to quickly isolate/quarantine. The City has worked aggressively on its own and jointly with the State Department of Health to significantly improve in these areas. For example, the City has acquired additional rooms for quarantine and isolation at the Harbor Arms Hotel in ‘Aiea with another property coming on shortly for those that cannot safely isolate or quarantine at their residence. The City has secured a contract with a company for an additional 80 contact tracers with negotiations underway for similar contracts to hire up to 250 additional contact tracers (as needed), in coordination with the State Department of Health. The City is also continuing its efforts to expand testing capacity through its partnership announced in the Spring with the University of Hawai‘i. Lab equipment has been installed and is now going through the verification process at the John A. Burns School of Medicine. Lab staff have been hired and are working full time on site. This new lab is expected to start processing COVID-19 tests by the first week of October, and will boost on-island test processing capacity by 25% as our island economy reopens. If you have any questions on Honolulu’s COVID-19 Recovery Framework or Emergency Order No. 2020-27, the City and County of Honolulu COVID-19 information call center remains open from 8 a.m. to 4:30 p.m., Monday through Friday, except on holidays. O‘ahu residents are encouraged to visit the website, oneoahu.org to get answers to frequently asked questions. If they do not find an answer to their questions on the site, residents can call the 768-CITY (2489) information hotline or email covidresponse@honolulu.gov Honolulu Mayor Caldwell’s new order (Emergency Order No. 2020-27): https://www.honolulu.gov/rep/site/may/may_docs/Emergency_Order_No._2020-27_certified_-_signed.pdf City and County Guidance Memorandum: https://www.honolulu.gov/rep/site/may/may_docs/Emergency_Order_No._2020-27_-_Guidance_Memorandum_certified_-_signed.pdf Along with this Sixth Supplemental Proclamation: https://www.honolulu.gov/rep/site/may/may_docs/6th_Supplemental_Proclamation_certified_-_signed.pdf Recovery Framework: https://www.honolulu.gov/rep/site/may/may_docs/Honolulus_COVID19_Recovery_Framework.pdf

On today’s update of COVID-19, the number of new active cases, on Hawaii Island, reported and monitored by the Department of Health is five (5). At this date, for Hawaii Island, seventeen (17) are hospitalized. The Hilo Medical Center reports a total of twenty-eight (28) deaths for Hawaii Island. Twenty-six are from the Yukio Okutsu Veterans Home. Our sincere gratitude for their service to the country and prayers and condolences to their families. To support efforts at the Veterans Home, an eighteen person team from the Veterans Administration is at the facility to support operations. Bi-weekly testing continues as officials work to contain the spread of the virus in the home. A grateful thank you to the Veterans Administration for their assistance and response to the Veterans Home. For your information, a Coronavirus drive-up testing is scheduled for today in Kau at the Kahuku Park in Ocean View Estates. Hours are from 10 this morning ‘til 2 this afternoon. Remember the purpose of testing is to identify positive cases as early as possible; your participation is encouraged and in this way you can help stop the spread of the virus. An `Ohana food service is also scheduled at the Old Kona Airport Gym in Kailua-Kona. Distribution begins at 10:00 this morning. Only together, can we stop the spread of the virus to keep our family, friends, and community safe. Please accept this kuleana to make Hawaii Safe. Thank you for listening and have a safe day. This is your Hawaii County Civil Defense Agency.

PLEASE NOTE: Lane closure schedules may change at any time without further notice. All projects are weather permitting. — KUHIO HIGHWAY (ROUTE 56) — 1) KAPAA (24-HOUR WORK) Traffic on Kuhio Highway (Route 56) near mile marker 10 is shifted to the temporary Kapaa Stream Bridge 24-hours a day, seven days a week until further notice. For safety during the shift to the temporary bridge, right turns off Kuhio Highway onto Mailihuna Road are not permitted. Access to Kapahi is recommended via the Kawaihau Road or Hauala Road detours.

PLEASE NOTE: Lane closure schedules may change at any time without further notice. All projects are weather permitting. — MAMALAHOA HIGHWAY (ROUTE 11) — 1) KAU Single lane closure on Mamalahoa Highway (Route 11) in both directions between mile markers 45.5 and 47.5, near Kapapala Ranch Road, on Saturday, Sept. 26, through Friday, October 2, from 8 a.m. to 5 p.m., for landscape maintenance. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). 2) KAU Single lane closure on Mamalahoa Highway (Route 11) in both directions between mile markers 88 and 92, Lani Kona Road and Ohia Malu Road, on Saturday, Sept. 26, through Friday, October 2, from 8 a.m. to 11 a.m., for landscape maintenance. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). — VOLCANO ROAD (ROUTE 11) — 1) HILO Closure of single lane at a time on Volcano Road (Route 11) in both directions between mile markers 5 and 7, Ikaika Street and Keaau Loop, on Saturday, September 26, through Friday, October 2, from 8:30 a.m. to 5 p.m., for landscape maintenance. — HAWAII BELT ROAD (ROUTE 19) — 1) HILO Closure of single lane at a time on Hawaii Belt Road (Route 19) in both directions between mile markers 4 and 9, between Kulana Kea Drive and Onohi Loop, on Saturday, September 26, through Friday, October 2, from 8 a.m. to 5 p.m., for landscape maintenance. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). 2) HAMAKUA Closure of single lane at a time on Hawaii Belt Road (Route 19) in both directions between mile markers 28 and 30, between Stevens Road and Old Mamalahoa Highway, on Saturday, September 26, through Friday, October 2, from 8 a.m. to 11 a.m., for tree trimming work. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). — QUEEN KAAHUMANU HIGHWAY (ROUTE 19) — 1) KONA Closure of single lane at a time on Queen Kaahumanu Highway (Route 19) in both directions between mile markers 96 and 99.5, between Ala Nui Kaloko and Palani Road, on Saturday, September 26, through Friday, October 2, from 8 a.m. to 11 a.m., for landscape maintenance. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). — KEAAU-PAHOA ROAD (ROUTE 130) — 1) PUNA (24-HOUR WORK) Lane shift on Keaau-Pahoa Road (Route 130) in both directions between mile markers 7.5 and 7.9, Ilima Street and Ainaloa Boulevard, on Saturday, September 26, through Friday, October 2, over a 24-hour period, for construction of the Ainaloa Roundabout. — AKONI PULE HIGHWAY (ROUTE 270) — 1) NORTH KOHALA Single lane closure on Akoni Pule Highway (Route 270) in both directions between mile markers 23 and 24, near Pratt Road and Akana Place, on Saturday, September 26, through Friday, October 2, from 8 a.m. to 11 a.m., for tree trimming work. Traffic flow in both directions will be maintained through alternating traffic control (contraflow).

The Kaua‘i District Health Office today reported one new positive case of COVID-19. This brings Kaua‘i’s total number of active cases to one, and the cumulative total of cases to date is now 58. The new case is a female resident who is currently in isolation. The source of her infection appears to be related to mainland travel, and the case has been in travel quarantine since her return to Kaua‘i. The Department of Health completed its contact tracing investigation and all close contacts have been directed to quarantine and offered a test. As a reminder, this virus is widespread in our state and it continues to be important for everyone to be careful on Kaua‘i – wear your masks, keep your distance, and avoid large gatherings. Kaua‘i’s most recent case will be reflected tomorrow in the statewide count, which is posted daily at noon at hawaiicovid19.com. For local updates, visit the Kaua‘i Emergency Management Agency page, www.kauai.gov/COVID-19.

The Hawaii Department of Public Safety (PSD) Health Care Division is working with the Hawaii Department of Health (DOH) to conduct mass testing for COVID-19 at all correctional facilities statewide. The broad-based inmate testing being administered by PSD health care, mental health and security staff at Halawa Correctional Facility (HCF) is complete. The second batch of test results have come in for 276 additional inmates. All 276 were negative. 250 results came back negative yesterday. The testing at Kulani Correctional Facility (KCF) on Hawaii Island was completed yesterday for 164 inmates. The first batch of test results for 78 inmates were all negative. The order of the facilities next in line for testing is being worked out. PSD is also working with DOH and the Hawaii National Guard to coordinate the testing of correctional officers and staff. Halawa Correctional Facility notified PSD of a positive test result for 1 employee who pursued outside testing and self-reported the result to the facility today. The employee last worked on 9/21/20. The department is working with DOH on contact tracing. The outbreak at the Oahu Community Correctional Center (OCCC) is under control. There was 1 new positive inmate result reported today. There are currently no inmates hospitalized. Over 96% of all inmates who tested positive have recovered. There was also 1 new staff case reported today. Total PSD staff recoveries increased to 79. For more information on PSD’s planning and response to COVID-19, inmate testing data, and information detailing the efforts made to safeguard the inmates, staff and public, visit our webpage at: http://dps.hawaii.gov/blog/2020/03/17/coronavirus-covid-19-information-and-resources/

Through the month of October, the Kaua‘i County Committee on the Status of Women (KCCSW) will illuminate the Historic County Building in pink lights for Breast Cancer Awareness Month. In previous years, the KCCSW hosted a community walk to honor this important cause. This year, due to the COVID-19 pandemic, Breast Cancer Awareness Month will be promoted with pink lights and banners placed around the Līhu‘e Civic Center. The public is encouraged to wear pink throughout the month of October to show support for those affected by breast cancer and to remind women of the importance of early detection. The KCCSW encourages regular mammograms and monthly self-exams as early detection of breast cancer saves lives. “Building an awareness is important, but taking action is essential,” said KCCSW Vice Chair Regina Carvalho. “Breast cancer affects us all – primarily in women and rare in men – but it does happen. Do your part, discuss this in your family, do monthly self-breast exams and yearly screenings. Early detection is key and may save a life.” The KCCSW is part of the Hawai‘i State Commission on the Status of Women, which strives to advance the status of women and girls by acting as a catalyst for positive change through advocacy, education, collaboration and program development. For more information, visit their website at www.kauai.gov/kccsw or contact Sandra Muragin at the Office of Boards and Commissions at 241-4919 or via email smuragin@kauai.gov.