Gov. David Ige today issued a second supplementary emergency proclamation for Kaua‘i, after heavy rains caused flooding and extensive damage on Mar. 27 and 28, 2020. The declaration provides relief for disaster damage, losses and suffering, and serves to protect the health, safety and welfare of Kaua‘i residents. It also implements emergency management functions as allowed by law and authorizes the expenditure of state funds as appropriated for the quick and efficient relief of damage and losses that have resulted from the floods. The governor issued the initial emergency proclamation on April 21, 2020 and a supplementary emergency proclamation on June 20, 2020.

Risk Factors • Yesterday, there were 158 adult cases and 16 children. Today, there are 129 adult cases and 5 children. Child cases are household contacts of adult cases, indicating the virus is spreading within households. • Based on the information available today for today’s new cases, 105 cases were exposed by community spread, 23 are unknown sources, and 7 cases have a travel-related exposure, which means they likely obtained the disease while outside of the state or their county of residence. • Of all cases since March, 93% are Hawaii residents and 2% are non-residents from other states or countries, information is pending for 5%. • Investigations/contact tracing are continuing to identify cases connected to gatherings or “hanging out with close friends” or co-workers. There are also cases of residents who traveled recently or hosted out of state visitors. One of the three cases on Hawaii Island has a history of travel to Oahu. On Maui, there are small clusters arising from activity at a construction site. In another cluster, five Maui residents held a party on Oahu; one case from the party attended another gathering while ill/symptomatic and nine cases were later associated with this party (5 primary, 4 secondary). In another cluster, a healthcare worker went to work while ill. As a result, the facility has 13 positive staff and 11 positive patients. In Honolulu, many cases are new and unassociated with other known positive cases. • 27 pending residence location • 0 nonresidents • 53 in Honolulu and at least 10 in Ewa Beach with smaller numbers scattered in other areas of the island. [Note: DOH receives antibody testing results from clinical laboratories. Individuals with positive antibody results are investigated and advised to undergo PCR testing if they’ve not already been tested previously. If findings suggest a confirmed new case (i.e., PCR positive), that count is added to the reported tables. DOH not receiving antigen or other point of care reports from providers as they are failing to report them.] Honolulu Clusters In Honolulu over the past month: • Circuit gym cluster—4 cases; report of inconsistent masking; investigation ongoing • Preschool cluster in one bubble—teacher (index case; associated with previously confirmed cases in the teacher’s household) and 3 students. • Health plan offices—at least 31 cases; investigation ongoing • Homeless shelter—20 cases; quarantine implemented facility-wide; investigation ongoing • 5 distinct restaurant clusters, each involving multiple employees at a single location; no transmission to customers identified. • City & County office—11 cases; located on 2 floors, potluck gatherings mentioned by employees being investigated as potential transmission source • Strip club worker with potential exposures to coworkers and clientele; clarification of place of work pending. • Oahu Community Correctional Center—287 cases; facility areas in lockdown; additional facility-wide testing continues, conditions challenging. • Automotive cleaning and detailing service location—16 cases; investigation ongoing • 3 fire stations—10 confirmed cases in firefighters; investigation ongoing. • Large funeral cluster—75 confirmed cases linked to a series of funeral events. • Bar clusters involving at least 5 people and 2 bars, Brix & Bones and Arena 808 (period of concern, July 16–26); possibly up to 7 cases downstream of this cluster • Construction company—10 cases; investigation ongoing High-Risk Situations Based on information gathered from disease investigations and contact tracing, the following circumstances are increasing the likelihood of community spread because of inconsistent mask use and inconsistent physical distancing protocols: Multiple household and other clusters associated with social interactions—e.g., house parties, beach parties/gatherings, birthday parties, father’s day and 4th of July gatherings, religious functions, mahjong, spectating a boxing fight (several instances of gathering at a person’s home to watch), co-workers sitting in prolonged (~2hr) meeting and removing masks to drink water, co-workers eating lunch together without distancing, retail establishments, warehouse and delivery personnel, funeral events (multiple gatherings, visitations, etc. without adhering to safe practices), meeting for drinks / socializing at bars (still), and retirement celebrations. These events occurred with inconsistent mask use and inconsistent physical distancing. COVID-19 Cases in Long Term Care Facilities and Community Care Homes in Hawaii (March 1 – present)

Thirty-four (34) additional Oahu Community Correctional Center (OCCC) inmates and 4 staff tested positive for COVID-19. PSD coordinated with the Department of Health (DOH) to conduct mass testing of all OCCC inmates in each of the 19 individual housing units there. 116 more inmate test results were received today. 34 were positive and 82 negative. All remaining inmates will be tested in the coming days. 16 OCCC staff test results have also been reported. Four (4) were positive, 11 negative and 1 inconclusive. Total PSD positive COVID-19 test results as of 8/18/20 * Numbers are subject to change as pending results are received. PSD will continue to closely monitor the spread of COVID-19 and make additional operational and preventative decisions as the situation evolves. 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/

Governor’s Office: Governor Approves Honolulu Modified Restrictions, Trans-Pacific Travel Delayed Governor Ige approved Honolulu Mayor Kirk Caldwell’s latest emergency orders that returns O‘ahu to the Act Now Honolulu-No Social Gatherings, from the Act with Care phase to try and flatten the recent surge in COVID-19 cases on the island. The governor also announced a delay in the resumption of trans-Pacific travel and said it will be delayed from a Sept. 1 start to at least Oct.1, at the earliest. He said the reopening, along with pre-travel testing protocols will be announced well in advance to allow businesses to prepare for the return of visitors. Governor Ige said that Neighbor island 14-day quarantine remains in place. He says the State is carefully monitoring the healthcare system as it is experiencing some stress, but remains well positioned to respond to the coronavirus cases being seen currently. Mayor Caldwell Outlines Act Now Honolulu-No Social Gatherings Order Mayor Caldwell said at the news briefing that county and state leaders discussed the modified restrictions for O‘ahu over the past five days, trying to decide whether to use a scalpel or a hammer. “We’ve chosen a scalpel,” Caldwell said. Key changes from the previous restrictions, going into effect at midnight tomorrow (Wednesday) include: No indoor or outdoor gatherings for the next 28 days No parties larger than 5 people Face coverings required at all shopping malls Face coverings required at all in-person spiritual services, no singing, no wind instruments No groups larger than 5 at restaurants (down from 10) Outdoor attractions, recreational and commercial boating-no groups larger than 5 No social gatherings are permitted in businesses Businesses encouraged to reduce employee numbers on-site by encouraging tele-commuting or staggered work schedules. No groups larger than 5 at museums and movie theatres Bars, beaches, parks, trails, remained closed Governor Ige, Mayor Caldwell, and Health Director Dr. Bruce Anderson all say they feel these modified restrictions will lead to a steady decline in the number of cases on O‘ahu over the next few weeks. Department of Health: 134 New Cases Show Possible Flattening of Curve One Additional Death Brings Total to 41 An O‘ahu man, 40-59 years-old, with underlying health conditions is the 41st COVID-19 death since the start of the pandemic. DOH extends its sympathies, along with all of Hawai‘i, to the family and friends of the latest coronavirus victim. DOH reports 134 new positive cases. This is the second lowest daily case count since August 2 and DOH cautions, this is only one day and may not be a trend. DOH continues to track cases and will report progress. Increasing  everyone’s use of safe practices – physical distancing, wearing masks, and staying home if sick, will reduce the spread of the virus and bring the state closer to rebuilding the economy. Hawai‘i COVID-19 Counts as of 12:00 noon, August 18, 2020 Hawaiicovid19.com For more tables, charts and visualizations visit the DOH Disease Outbreak Control Division: https://health.hawaii.gov/coronavirusdisease2019/what-you-should-know/current-situation-in-hawaii Health Director Discusses Absence State Health Director Dr. Bruce Anderson discussed media reports about his absence at today’s news briefing. He said, “I know many of you have been asking about the brief rest break I took last week for a few days. Let me explain that I needed some time to rest and rejuvenate, and I appreciate the Governor granting me that brief time to rest, since we have all been at this non-stop since the pandemic began. Let me reassure you that I am at work, directing the Department of Health’s response and Dr. Sarah Park is at work continuing to guide our disease outbreak control measures. We all need a break periodically to keep working at our optimum level and to be effective.” Anderson added that while the high number of cases is concerning, Hawai‘i is seeing a leveling or plateauing of the numbers and they do not appear to be rising or increasing at this time. He calls this a hopeful development but reminded everyone that case numbers can increase quite quickly. He said, “When we all work together to reduce the spread of the virus, we will see a decrease in the number of new positive cases. City & County of Honolulu restrictions and enhanced enforcement will also help, and it may be a few weeks before we see the results of those actions.” Anderson concluded that there is no amount of contact tracing that can reduce the number of cases if, first, people continue to spread the disease by gathering and not using masks or physical distancing. Many of the cases being investigated now are people who attended multiple large gatherings and then proceeded to work while ill. They folks let their guard down and spread the virus throughout O‘ahu. Anderson said, “Together, we can bring the numbers down by not gathering and avoiding close contact with others. Businesses who control their customer interaction will help to control the spread. Now workplaces and office spaces must also support their employees in keeping their guard up especially during rest times, breaks, and socializing.” DOH continues to work with the counties to conduct outreach and other measures to support those who are affected at a higher rate by COVID-19 in Hawai‘i such as Pacific Islanders and large families who live in crowded conditions. Department of Public Safety: COVID-19 Update for 8/18/20 Thirty-four (34) additional Oahu Community Correctional Center (OCCC) inmates and 4 staff tested positive for COVID-19. PSD coordinated with the Department of Health (DOH) to conduct mass testing of all OCCC inmates in each of 19 individual housing units. 116 more inmate test results were received today. 34 were positive and 82 were negative. All remaining inmates will be tested in the coming days. 16 OCCC staff test results have also been reported. Four (4) were positive, 11 negative and 1 inconclusive. Total PSD positive COVID-19 test results as of 8/18/20 http://dps.hawaii.gov/blog/2020/03/17/coronavirus-covid-19-information-and-resources/ Hawai‘i Tourism Authority: 2,305 Passengers Arrive on Monday Yesterday, a total of 2,305 people arrived in Hawai‘i including 543 visitors and 748 returning residents. There was a total of 31 arriving flights. This table shows the number of people who arrived by air from out of state yesterday but does not show interisland travel. AIRPORT ARRIVALS FOR MONDAY, AUGUST 17, 2020 Department of Transportation: HDOT Moves: New Podcast Features Transportation Related Topics DOT is launching a new podcast about the systems moving and connecting our island communities. The podcast is called HDOT Moves and will feature discussions on topics relating to transportation and will be uploaded on a monthly basis. The first episode focuses on public transportation and pandemics and can be found at https://anchor.fm/hidot “With the number of cars on the road still tracking roughly 20-percent below typical volumes and classrooms opening virtually we wanted to take a different approach to the start of the school year,” said DOT Deputy Director for Highways Ed Sniffen. “We’re lucky to have two extremely knowledgeable guests, Dr. Brian Wu from HMSA and Jon Nouchi, Deputy Director of the City and County of Honolulu Department of Transportation Services, for our first podcast. Dr. Wu and Jon share how to reduce risks while using public transportation.” In consideration of continued lower than normal traffic volumes and distance learning models being applied around the state, DOT will not suspend road work on O‘ahu for the first week of school as it has traditionally done for Beat the School Jam. Instead, crews will continue construction related road closures to improve the highway facilities. To see scheduled road work for state routes, visit https://hidot.hawaii.gov/highways/roadwork/

Today is the 100th Anniversary of the ratification of the 19th amendment which states: “The right of citizens of the United States to vote shall not be denied or abridged by the United States or by any State on account of sex.” This year, we celebrate how far women have come in this country from not having the right to vote to being in leadership positions and serving as role models for women across the state of Hawai‘i. The Women’s Legislative Caucus are proud to be a part of a legacy of the women who led the Women’s Suffrage movement. Their sacrifice and dedication created opportunities for all of us and all future generations of women to come. Senator Roz Baker, Chair, Senate Committee on Consumer Protection & Health & Senate Co-Convener, Hawaii Women's Legislative Caucus Representative Linda Ichiyama, House Co-Convener, Hawaii Women's Legislative Caucus Representative Lauren Matsumoto, Minority Floor Leader & House Co-Convener, Hawaii Women's Legislative Caucus Representative Della Au Belatti, House Majority Leader Representative Sylvia Luke, Chair, House Committee on Finance Representative Dee Morikawa, House Majority Floor Leader Representative Nadine Nakamura, Vice Chair, House Committee on Human Services and Homelessness

Three recent graduates of the DLNR Division of Conservation and Resources Enforcement’s (DOCARE) first law enforcement academy program for rookies, cited eight men Saturday night (August 15, 2020) for spear fishing in an off-limits area. During shoreline patrols of the Waikīkī Marine Life Conservation District (MLCD) and the Fisheries Management Area (FMA), one of the officers alerted his Field Training Officer (FTO) after seeing lights in the water just off of MākāleiBeach Park. Two other officers and another FTO responded and determined there were two groups of divers in the area. When the first group of two divers came to shore, officers found they were in possession of spears, goggles, fins and a long string of approximately 50 fish. While conducting their investigation, DOCARE officers report the second group of six divers came to shore and were contacted. One of them attempted to conceal his spear in the reef, but it was recovered. This group had approximately 100 fish in their possession. There are specific rules for various fisheries management areas around the state. For the Waikīkī FMA, recreational fishing is allowed in even-numbered years, but is prohibited between 6:00 p.m. and 6:00 a.m. The use of spears is prohibited during those hours and all types of take methods are prohibited in closed years, with the next one beginning on Jan. 1, 2021. All of the diver’s gear was taken into evidence and all of the fish were returned to the ocean. All of the divers were educated on Hawai‘i Administrative Rules regarding fishing in the MLCD and FMA. All of the divers were cited for numerous violations, including prohibited activities, not displaying a dive flag, and having undersized fish in their possession. They have court dates in September and could face fines and/or jail time. Anyone who sees what they believe to be illegal activity is encouraged to contact the DOCARE hotline at 643-DLNR or use the free DLNRTip app to report directly to officers.

The Hawai‘i Department of Health (DOH) launched the first phase of a new statewide educational campaign today as part of a comprehensive, multi-pronged solution to address the sustained number of COVID-19 cases in Hawai‘i. The “Not Taking Chances” campaign, developed with research, creative and production support from Anthology Marketing Group, aims to change social norms by modeling attitudes and behaviors to underscore the importance of wearing facial masks and avoiding groups and social gatherings. “Prevention is key to bringing the number of cases down,” said Health Director Bruce Anderson, noting that disease investigation, contact tracing, testing and other aspects of the pandemic response are also key priorities. Since most of the positive cases have been on O‘ahu, Anderson noted: “We believe our efforts dovetail with the City & County of Honolulu’s ‘One O‘ahu’ campaign that is already underway and will create a powerful, cumulative effect throughout the island.” “Research has shown that the majority of Hawai‘i residents know what to do, but aren’t adhering to the guidance,” he said. “Social norm campaigns have proven to be effective in changing health behaviors relating to drunk driving, substance use, smoking, and wearing seat belts and we believe this will be another important way to lower the number of cases in Hawai‘i.” As part the campaign’s first phase, the ads will be seen on broadcast and cable television, radio, print, digital, social, and streaming platforms through the end of September. The second phase of the campaign is planned for October through the end of the year. The “Not Taking Chances” campaign was developed based on survey data collected in mid-April and June 2020 among adults in Hawai‘i. Survey respondents stated that the most convincing messages that would motivate them to adhere to infection control recommendations were “protecting our kupuna” and “protecting those who are most vulnerable in our communities.” When asked to choose only one reason, “the call for Hawai‘i to come together” received the most votes in May. In June, the reason for compliance was split between “the call for Hawai‘i to come together” among O‘ahu residents and the need “to get back to work” among neighbor island residents. The survey results also demonstrated high awareness of COVID-19 prevention messages and showed that individuals who could recall messages from the DOH are more likely to follow current recommendations. Both baseline and follow-up surveys validate that the DOH reached a majority, or 95 percent, of Hawai‘i residents with its messages related to COVID-19 prevention practices in the early response to the pandemic. In the June follow-up survey, awareness of COVID-19 guidelines increased, with more than 90 percent of respondents recalling 12 of 18 recommended prevention guidelines when prompted. A third survey is currently in the field and will serve as the baseline to track the effectiveness of the current campaign, and two subsequent surveys will track progress through the end of the year. Focus groups with young adults, parents, older adults—as well as interviews with Pacific Islanders—are also being conducted virtually over the next two weeks to better understand motivators and barriers to behavior change among these segments and to inform the development of phase two of the campaign. “Research-based messages are the most effective at reaching pockets of the population such as young adults, Pacific Islanders, and those who work in service industries,” said DOH Communications Director Janice Okubo. “Research on awareness, behaviors, and perceptions is the basis for effective public health communication and is the nationally accepted standard for all health education and outreach efforts.” The $250,000 Anthology contract includes the development, research, and evaluation of phases one and two of the “Not Taking Chances” campaign including creative and production support for television, radio and digital placements, surveys, focus groups, and interviews. View the campaign phase one advertisements here: “I Wear a Mask” and “I Avoid Social Gatherings.” For the latest information about coronavirus and how to protect yourself and others, visit www.HawaiiCOVID19.com.

One (1) Halawa Correctional Facility (HCF) inmate, 11 additional Oahu Community Correctional Center (OCCC) inmates and 1 Women’s Community Correctional Center (WCCC) staff tested positive for COVID-19. The HCF inmate was a new intake who was already in mandatory intake quarantine. The inmate had a cellmate who tested negative.  The positive inmate was placed in medical isolation. The WCCC employee sought out private testing on 8/13/20.  The result was reported to PSD today.  The employee last worked on 8/13/20.  The department is working with DOH on contact tracing at both facilities. PSD coordinated with the Department of Health (DOH) to conduct mass testing of all OCCC inmates in each of the 19 individual housing units there.  49 more inmate test results returned today. 11 were positive and 36 negative. All remaining inmates will be tested in the coming days. 10 OCCC staff test results have also been received. All 10 were negative. OCCC operations/maintenance staff and work lines increased cleaning of all housing and intake modules. A deep cleaning vendor has begun performing professional sanitation services. All transports to court from all Oahu facilities are suspended through Friday, August 21. Video hearings will still be accommodated to the extent possible and as legally permissible. PSD is in constant contact with the Judiciary to assure the safety of all staff and inmates involved. PSD will continue to closely monitor the spread of COVID-19 and make additional operational and preventative decisions as the situation evolves. 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  http://dps.hawaii.gov/blog/2020/03/17/coronavirus-covid-19-information-and-resources/

Yesterday, 2,173 people arrived in Hawaii. During this same time last year approximately 36,000 passengers arrived in Hawaii daily, including residents and visitors. The state’s mandatory 14-day self-quarantine started on March 26th for all passengers arriving in Hawaii from out of state. This table shows the number of people who arrived by air from out of state yesterday and does not include interisland travel. This data was collected from the Hawaii Department of Transportation’s (DOT) Mandatory Travel Declaration Form.

The U.S. Food and Drug Administration today announced the following actions taken in its ongoing response effort to the COVID-19 pandemic: The FDA is providing a device shortage list as part of the implementation of section 506J of the Federal Food, Drug, and Cosmetic Act (FD&C Act). The device shortage list reflects the categories of devices that the FDA has determined to be in shortage at this time, and will be updated as the COVID-19 pandemic evolves. In addition, the FDA is providing a list of medical devices for which manufacturing has been permanently discontinued. Under section 506J, manufacturers of certain devices must notify the FDA of an interruption or permanent discontinuance in manufacturing. The publication of these lists allows for transparency to the public and stakeholders about devices shortages and manufacturing that has been permanently discontinued. The FDA issued an updated FDA COVID-19 Response At-A-Glance Summary that provides a quick look at facts, figures, and highlights of the agency's response efforts. The FDA issued an Emergency Use Authorization (EUA) for the emergency use of Baxter Healthcare Corporation’s REGIOCIT for adult patients being treated with continuous renal replacement therapy (CRRT) and for whom regional citrate anticoagulation is appropriate. The use of this product under the EUA is limited to critical care settings. CRRT is a “dialysis” treatment that provides renal support for critically ill patients with acute kidney injury. Baxter Healthcare Corporation’s REGIOCIT is available for use only in healthcare facilities that the company has qualified for receiving this product. Testing updates: To date, the FDA has currently authorized 213 tests under EUAs; these include 174 molecular tests, 37 antibody tests, and 2 antigen tests. The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products. Source: https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-daily-roundup-august-14-2020

This resource page provides weekly updates to the public on confirmed COVID-19 cases in the HIDOE system. Throughout the COVID-19 pandemic, the health and safety of our students, employees and school communities remains one of our highest priorities. Along with internal guidelines, the Department's Health & Safety Handbook provides overall direction to schools and offices, including guidance on safety protocols, cleaning and sanitation procedures, and notification steps. This resource page provides weekly updates to the public on confirmed COVID-19 cases in the HIDOE system. Case counts will be reported weekly by complex area (groups of adjacent high schools and their feeder elementary and middle schools), along with a running statewide total. Cases for the week of Aug. 8-14, 2020 Cases below have been confirmed. In some situations, cases are reported to the Department by an individual, pending documentation of the positive result. This does not stop HIDOE's response, and notification may go out to the school community out of an abundance of caution before the confirmation is received. Cases currently being investigated are not included in the count. Positive cases for the week of Aug. 8-14 include six employees at six schools. All campuses were sanitized and notification went out to staff in all cases. In two of the recent cases, parent notification went out as well in anticipation of school visits from families to pick up materials.

Mayor Michael Victorino addressed today rumors and misinformation spreading on social media about resort bubbles and public beach access. “I would like to set the record straight and let the public know the facts,” Mayor Victorino said. “Discussions to establish resort bubbles are in the very early stages. A lot of work still needs to be done, and we still have concerns that need to be addressed. Also, there has never been any consideration to privatize beaches. All beach parks, beaches and public access to beaches are open and will remain open.” “The resort bubble concept is being considered to make progress toward getting our residents back to work. But, in everything that we do, our first priority is for the health and safety of our residents. The hotel workers’ unions must be consulted by the visitor industry before any plans move forward.” “We need everyone’s help in limiting the spread of COVID-19. I remind everyone to practice safe habits, including wearing your face mask in public, practicing physical distancing of at least 6 to 10 feet, staying home when you’re feeling ill, avoiding groups of more than 10 people and washing your hands frequently. Everyone needs to do their part to keep Maui County strong.” See video link: https://drive.google.com/file/d/1V0MxzyhCdRYnQGgVLJQOlQcVvqtWiv1X/view?usp=sharing