Coronavirus (COVID-19) Update: FDA Issues Emergency Use Authorization to Yale School of Public Health for SalivaDirect, Which Uses a New Method of Saliva Sample Processing Today, the U.S. Food and Drug Administration issued an emergency use authorization (EUA) to Yale School of Public Health for its SalivaDirect COVID-19 diagnostic test, which uses a new method of processing saliva samples when testing for COVID-19 infection. “The SalivaDirect test for rapid detection of SARS-CoV-2 is yet another testing innovation game changer that will reduce the demand for scarce testing resources,” said Assistant Secretary for Health and COVID-19 Testing Coordinator Admiral Brett P. Giroir, M.D. “Our current national expansion of COVID-19 testing is only possible because of FDA’s technical expertise and reduction of regulatory barriers, coupled with the private sector’s ability to innovate and their high motivation to answer complex challenges posed by this pandemic.” “Providing this type of flexibility for processing saliva samples to test for COVID-19 infection is groundbreaking in terms of efficiency and avoiding shortages of crucial test components like reagents,” said FDA Commissioner Stephen M. Hahn, M.D. “Today’s authorization is another example of the FDA working with test developers to bring the most innovative technology to market in an effort to ensure access to testing for all people in America. The FDA encourages test developers to work with the agency to create innovative, effective products to help address the COVID-19 pandemic and to increase capacity and efficiency in testing.” SalivaDirect does not require any special type of swab or collection device; a saliva sample can be collected in any sterile container. This test is also unique because it does not require a separate nucleic acid extraction step. This is significant because the extraction kits used for this step in other tests have been prone to shortages in the past. Being able to perform a test without these kits enhances the capacity for increased testing, while reducing the strain on available resources. Additionally, the SalivaDirect methodology has been validated and authorized for use with different combinations of commonly used reagents and instruments, meaning the test could be used broadly in most high-complexity labs. Yale intends to provide the SalivaDirect protocol to interested laboratories as an “open source” protocol, meaning that designated laboratories could follow the protocol to obtain the required components and perform the test in their lab according to Yale’s instructions for use. Because this test does not rely on any proprietary equipment from Yale and can use a variety of commercially available testing components, it can be assembled and used in high-complexity labs throughout the country, provided they comply with the conditions of authorization in the EUA. This is the fifth test that the FDA has authorized that uses saliva as a sample for testing. Testing saliva eliminates the need for nasopharyngeal swabs, which have also been prone to shortages, and alleviates the patient discomfort associated with these swabs. Since the saliva sample is self-collected under the observation of a healthcare professional, it could also potentially lower the risk posed to healthcare workers responsible for sample collection. While FDA has seen variable performance in tests using saliva, Yale School of Public Health submitted data with its EUA request from which the FDA determined that Yale’s test meets the criteria for emergency authorization when used to test saliva samples for SARS-CoV-2, the virus that causes COVID-19 infection. 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-fda-issues-emergency-use-authorization-yale-school-public-health

38 additional Oahu Community Correctional Center (OCCC) inmates tested positive for COVID-19. The Department of Public Safety (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. 63 inmates were tested Wednesday by the Department of Health. Results were obtained for 40 inmates. 35 came back positive and 5 negative. 5 tests that were conducted on August 11 by OCCC health care staff have also come in. 3 were positive and 2 negative. As previously reported, 110 inmates were tested Tuesday with 70 testing positive and 40 negative. All remaining inmates will be tested in the coming days. Of the 26 staff members tested on August 12, 16 results were obtained and all 16 were negative. The other results are pending. DOH testing is being afforded to ACOs first in the hotspot areas (Annex 1, Module 18 and 19) and then the rest of the staff. Source: Hawai'i State Department of Public Safety

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 seven, and the cumulative total of cases to date is now 54. Today’s new case is an adult resident related to interisland travel. All seven active cases are in isolation. The Department of Health’s contact tracing investigation is ongoing. All identified close contacts are directed to quarantine and offered a test. None of the cases have required hospitalization. As a reminder, all incoming arrivals to Kaua‘i are subject to the Governor’s 14-day mandatory traveler quarantine. There are very limited situations in which modified quarantine permissions are allowed, including people who must travel interisland for critical infrastructure jobs, or those who must travel for medical reasons. Interisland travelers who believe they qualify for a modified quarantine should visit www.kauai.gov/COVID-19 and click on the “Modified Quarantine Request” button at the top of the page. Be prepared to provide travel details and reason for request. Requests should be submitted at least two days prior to the date of travel. Kaua‘i’s most recent case will be reflected in Saturday’s statewide count, which is posted daily at noon at www.hawaiicovid19.com For local updates, visit the Kaua‘i Emergency Management Agency page, www.kauai.gov/COVID-19.

Mayor Derek S.K. Kawakami announces that effectively immediately, outdoor gatherings will be limited to 25 people under a recently amended emergency rule authorized by Gov. David Ige. “We have learned that many of the COVID clusters statewide were related to social gatherings – both indoors and outdoors – and often included people who had recently traveled,” stated Mayor Kawakami. “We need to proactively control these types of activities to help prevent a surge in cases here like the one O‘ahu is currently experiencing.” Amended Mayor’s Emergency Rule 13 went into effect upon Gov. Ige’s signature of approval on Thursday. The current rule limits outdoor gatherings of groups to 25 people or less, and keeps indoor gatherings to a maximum of 10 people. “While we discourage group gatherings, for those who must gather, we encourage you to do so outside,” added Mayor Kawakami. All gatherings, indoors and outdoors, are also subject to requirements to maintain physical distancing, wearing face coverings and complying with other requirements of the Centers for Disease Control and Prevention, www.cdc.gov. The CDC says the highest risk category for transmission of COVID-19 is in large in-person gatherings, particularly where it is difficult for individuals to remain at least 6 feet apart and attendees travel from outside the local area. Emergency Rule 13 applies to casual, social gatherings and does not apply to allowable businesses, operations, or activities, pursuant to the Governor’s Emergency Proclamation. Any person violating any rule of the governor or mayor, if convicted, could face a fine of up to $5,000 or serve up to a year in jail. To view the Governor’s proclamations and the Mayor’s emergency rules, please visit the KEMA website, www.kauai.gov/COVID-19.

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 66 and 69, Kaulia Road and South Point Road, on Saturday, August 15, through Friday, August 21, from 8 a.m. to 5 p.m., for landscape maintenance. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). — KUAKINI HIGHWAY (ROUTE 11) — 1) KONA Single lane closure on Kuakini Highway (Route 11) in both directions between mile markers 117 and 119, Walua Road and Kuakini Highway, on Saturday, August 15, through Sunday, August 16, from 8:30 a.m. to 3 p.m., for traffic camera installation and paving work. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). 2) KONA Single lane closure on Kuakini Highway (Route 11) in both directions between mile markers 113 and 118, Hawaii Belt Road and Laaloa Avenue, on Saturday, August 15, through Friday, August 21, from 8 a.m. to 5 p.m., for landscaping work. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). — 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 2 and 5, Kumu Street and Kahoa Place, on Saturday, August 15, through Friday, August 21, from 8 a.m. to 5 p.m., for roadway repairs. 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 38 and 40, between Akasaki Road and Chopper Boulevard, on Saturday, August 15, through Friday, August 21, from 8 a.m. to 5 p.m., for tree trimming work. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). — KAWAIHAE ROAD (ROUTE 19) — 1) KOHALA Right lane closure on Kawaihae Road (Route 19) in both directions between mile markers 63 and 67, Waiula Drive and Queen Kaahumanu Highway, on Saturday, August 15, through Friday, August 21, from 8 a.m. to 5 p.m., for landscape maintenance. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). — QUEEN KAAHUMANU HIGHWAY (ROUTE 19) — 1) KONA Single lane closure on Queen Kaahumanu Highway (Route 19) in both directions between mile markers 90 and 92, Keahole Airport Road and Kekaha Kai State Park, on Saturday, August 15, through Friday, August 21, from 8 a.m. to 5 p.m., for shoulder work. 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, August 15, through Friday, August 21, over a 24-hour period, for construction of the Ainaloa Roundabout. 2) PUNA Single lane closure on Keaau-Pahoa Road (Route 130) in both directions between mile markers 10.8 and 14.1, Kahakai Boulevard and Leilani Avenue, on Saturday, August 15, through Friday, August 21, from 6 a.m. to 4 p.m., for paving work. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). 3) PUNA Single lane closure on Keaau-Pahoa Road (Route 130) in both directions between mile markers 10 and 16, Pahoa Bypass Road and Kamaili Road, on Saturday, August 15, through Friday, August 21, from 8 a.m. to 5 p.m., for landscaping maintenance. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). — HONOKAA-WAIPIO ROAD (ROUTE 240) — 1) HAMAKUA Closure of single lane at a time on Honokaa-Waipio Road (Route 240) in both directions between mile markers 0 and 4, Hawaii Belt Road and Mauka Cane Haul Road, on Saturday, August 15, through Friday, August 21, from 8 a.m. to 5 p.m., for landscape maintenance. Traffic flow in both directions will be maintained through alternating traffic control (contraflow). — AKONI PULE HIGHWAY (ROUTE 270) — 1) NORTH KOHALA Closure of single lane at a time on Akoni Pule Highway (Route 270) in both directions between mile markers 16 and 22, The Ranch at Puakea and Iole Road, on Saturday, August 15, through Friday, August 21, from 8 a.m. to 5 p.m., for striping work. Traffic flow in both directions will be maintained through alternating traffic control (contraflow).

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. 2) ANAHOLA (NIGHT WORK) Single lane closure on Kuhio Highway (Route 56) in both directions between mile markers 15.5 and 16.7, Papaa Road and Koolau Road, on Sunday evening, August 16, through Friday morning, August 21, from 6 p.m. to 6 a.m., for installation of rumble strip and striping work. Alternating traffic will be routed through the open lane.

PLEASE NOTE: Lane closure schedules may change at any time without further notice. All projects are weather permitting. --- H-1 FREEWAY --- 1) EWA (WEEKEND/NIGHT WORK) Ramp closures on the H-1 Freeway in both directions in the vicinity of the Kunia Interchange on Sunday night, Aug. 16, through Friday morning, Aug. 21, for repaving work. Left turn lanes closed on the eastbound H-1 Freeway Kunia/Waipahu/Ewa offramp (Exit 5) to Kunia Road in the northbound direction on Sunday night and Monday night, from 7 p.m. to 3:30 a.m. Full closure of the westbound H-1 Freeway Ewa offramp (Exit 5A) on Sunday night through Thursday morning, from 9 p.m. to 5 a.m. Full closure of the eastbound H-1 Freeway Kunia/Waipahu/Ewa offramp (Exit 5) on Sunday night through Thursday morning, from 9 p.m. to 5 a.m. 2) HONOLULU (WEEKEND/NIGHT WORK) Lane closure on the Joint Base PBHH offramp (Exit 15B) from the H-1 Freeway in the westbound direction on Sunday, Aug. 16, through Friday, Aug. 21, from 8 p.m. to 4 a.m., for The Rail project. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. 3) HONOLULU (WEEKEND/NIGHT WORK) Lane closure on the Joint Base PBHH/Nimitz Highway offramp (Exit 15) from the H-1 Freeway in the eastbound direction on Sunday, Aug. 16, through Friday, Aug. 21, from 8 p.m. to 4 a.m., for The Rail project. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. 4) HONOLULU (WEEKEND/NIGHT WORK) Lane closure on the eastbound Airport offramp (Exit 16) to Paiea Street/Aolele Street on Sunday night, Aug. 16, through Friday morning, Aug. 21, from 7 p.m. to 5 a.m., for The Rail project. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. 5) PEARL CITY (WEEKEND/NIGHT WORK) Lane closures on the H-1 Freeway in both directions between the Pearl City Interchange and Halawa Interchange on Friday night, Aug. 14 and Sunday morning, Aug. 16, for pothole repairs. Westbound closures Aug. 14 – Three to four left lanes will be closed from 7:30 p.m. to 10:30 a.m. Aug. 15 – Three to four left lanes will be closed from 6 p.m. to 10:15 a.m. Eastbound closures Aug. 15 – Three to four left lanes will be closed from 6 p.m. to 10:15 a.m. --- H-201 MOANALUA FREEWAY --- 1) MOANALUA (WEEKEND/NIGHT WORK) Right lane closure on the H-201 Moanalua Freeway in both directions in the vicinity of Ala Mahamoe Street and Middle Street on Sunday, Aug. 16, through Monday, Aug. 17, from 9 p.m. to 4 a.m., for lighting work. --- FARRINGTON HIGHWAY (ROUTES 93/930) --- 1) WAIPAHU (WEEKEND/NIGHT WORK) Lanes will be closed as needed on Farrington Highway (Route 7101) in both directions between Fort Weaver Road and the H-1 Freeway Overpass (near Leeward Community College), on Sunday, Aug. 16, through Friday, Aug. 21, over a 24-hour period, for The Rail. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299 --- KAMEHAMEHA HIGHWAY (ROUTES 80/83/99) --- 1) HONOLULU (WEEKEND/NIGHT WORK) Lane closure on Kamehameha Highway in both directions between Middle Street and Laumaka Street on Sunday, Aug. 16, through Friday, Aug. 21, over a 24-hour period, for The Rail. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. 2) HONOLULU (WEEKEND/NIGHT WORK) Lane closure on Kamehameha Highway (Route 99) in both directions between Center Drive and Salt Lake Boulevard on Sunday, Aug. 16, through Friday, Aug. 21, over a 24-hour period, for The Rail project. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299 --- NIMITZ HIGHWAY (ROUTE 92) --- 1) HONOLULU (WEEKEND/NIGHT WORK) Lane closures on Nimitz Highway in both directions between River Street and Richards Street over a 24-hour period, seven days a week. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. 2) HONOLULU (WEEKEND/NIGHT WORK) Lane closures on Nimitz Highway (Route 92) in both directions between Alakea Street and Awa Street on Sunday night, Aug. 16, through Friday morning, Aug. 21, from 8:30 a.m. to 3 p.m., and from 6 p.m. to 5 a.m., for The Rail project. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. 3) HONOLULU (WEEKEND/NIGHT WORK) Right lane closure on Nimitz Highway (Route 92) in the eastbound direction between Aolele Street and Elliott Street on Sunday night, Aug. 16, through Friday morning, Aug. 21, from 8 p.m. to 4 a.m., for The Rail project. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. 4) HONOLULU (WEEKEND/NIGHT WORK) Right lane closure on Nimitz Highway (Route 92) in the eastbound direction in the vicinity of Aolele Street on Sunday night, Aug. 16, through Friday morning, Aug. 21, from 8 p.m. to 4 a.m., for The Rail project. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. 5) HONOLULU (WEEKEND/NIGHT WORK) Lane closures on Nimitz Highway (Route 92) in both directions in the vicinity of the Valkenburgh Street intersection on Sunday night, Aug. 16, through Monday morning, Aug. 17, from 8 p.m. to 4 a.m., for The Rail project. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. 6) HONOLULU (WEEKEND/NIGHT WORK) Two left lane closures on Nimitz Highway in both directions between Puuhale Road and Alakawa Street and on Sunday, Aug. 16, through Friday, Aug. 21, from 6 p.m. to 2 a.m., for sewer work. Two lanes will be closed in the westbound direction and one lane closed in the eastbound direction. --- LAGOON DRIVE --- 1) HONOLULU (WEEKEND/NIGHT WORK) Lane closure on Lagoon Drive in both directions between Aolele Street and Nimitz Highway on Sunday night, Aug. 16, through Friday morning, Aug. 21, from 9 p.m. to 4 a.m., for The Rail work. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299. --- FORT WEAVER ROAD (ROUTE 76) --- 1) EWA (WEEKEND/NIGHT WORK) Alternating two lane closures of Fort Weaver Road in the northbound direction between Farrington Highway and the H-1 Freeway overpass and Laulaunui Street on Sunday night, Aug. 16 through Tuesday morning, Aug. 17, from 7 p.m. to 3:30 a.m., for repaving work. The following ramps will be closed during this time. Left turn lanes closed on the eastbound H-1 Freeway Kunia/Waipahu/Ewa offramp (Exit 5) to Kunia Road in the northbound direction. 2) EWA (WEEKEND/NIGHT WORK) Alternating two lane closures of Fort Weaver Road in the southbound direction between the H-1 Freeway overpass and Laulaunui Street on Sunday night, Aug. 16 through Thursday morning, Aug. 20, from 9 p.m. to 5 a.m., for repaving work. The following ramps will be closed during this time. • Full closure of the westbound H-1 Freeway Ewa offramp (Exit 5A). • Full closure of the eastbound H-1 Freeway Kunia/Waipahu/Ewa offramp (Exit 5). • Full closure of the southbound Fort Weaver Road Kapolei offramp (Exit 6A). • Full closure of the southbound Fort Weaver Road Waipahu offramp (Exit 5). • Full closure of the westbound Farrington Highway onramp to Fort Weaver Road in the southbound direction. --- AOLELE STREET --- 1) HONOLULU (WEEKEND/NIGHT WORK) Full closure of Aolele Street in the eastbound direction in the vicinity of the Airport toll booths on Sunday night, Aug. 16, through Friday morning, Aug. 21, from 7 p.m. to 5 a.m., for The Rail project. Motorists will be detoured to Rodgers Street. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299 2) HONOLULU (WEEKEND/NIGHT WORK) Lane closures on Aolele Street in both directions between Aolewa Place and Lagoon Drive on Sunday night, Aug. 16, through Friday morning, Aug. 21, from 9 p.m. to 4 a.m., for The Rail project. Traffic will be detoured. See HART website (https://www.honolulutransit.org/inform/traffic) for additional information or call the rail hotline (808) 566-2299 — UALENA STREET — 1) HONOLULU (WEEKEND/NIGHT WORK) Full closure of Ualena Street nightly Sunday, Aug. 16, through Friday, Aug. 21, from 8 p.m. to 4 a.m., for The Rail. Motorists and pedestrians will be detoured and on street parking will not be allowed. Intermittent stoppages will take place Monday, Aug. 17, through Friday, Aug. 21, between 8:30 a.m. and 3 p.m. See HART website ( https://www.honolulutransit.org/inform/traffic for additional information or call the rail hotline (808) 566-2299

DAVID Y. IGE GOVERNOR HAWAI‘I COVID-19 JOINT INFORMATION CENTER DAILY NEWS DIGEST August 13, 2020 Office of the Governor: Governor Addresses Recent COVID-19-Related Deaths, Record Number of Infections Gov. David Ige held a news briefing Thursday, to address the recent COVID-19-related deaths and record number of cases reported by DOH. Gov. Ige said, “This is a record number of daily cases and it follows several days of triple digit case numbers. We are saddened by the news that two more of our community members have died from this disease. We are seeing numerous clusters and wide community spread. Clusters are occurring in all areas of the community and common work-place activities like sharing lunch in work rooms and water cooler conversations. These are natural person-to-person contacts that occur every day. We are facing a critical situation that could get out of control very quickly.” He also highlighted some of the clusters the State has been seeing and the efforts to enhance Hawai‘i’s contact tracing capacity (details outlined in DOH section). The governor added that it’s been a week since the State re-instated some of the restrictions and two days since re-starting the inter-island travel quarantine. Gov. Ige said, “We hope that these measures will help control the virus. But if things do not get better, we will have no choice but to look at more restrictions. This could include going back to the stay-at-home orders. It also means that we may have to delay trans-Pacific travel. I know that going backwards will cause further harm to our economy, but we may have no choice. Before we can fix our economy, we need to fix our health. I know you’re frustrated. Everyone wants our lives to return to normal. You have sacrificed so much, and I am asking you to sacrifice even more. Remember that taking personal responsibility is still the best way to fight COVID-19. You all know what to do. Wash your hands, wear your mask, avoid large gatherings and stay home if you feel sick.” Twenty Cases Under Investigation at IHS Shelter At Thursday’s briefing it was also reported that the State and City and County of Honolulu is working with the Institute for Human Services (HIS) Sumner’s Men’s Shelter in Iwilei to isolate and quarantine individuals at the shelter, as 20 cases in connection with the shelter were under investigation by DOH. The Governor’s Coordinator on Homelessness, Scott Morishige, said at the briefing that State, City, and other service providers have been planning for impacts of COVID-19 on the homeless population since early March. Morishige added, “As a result of our planning and coordinated effort, we have had almost no positive cases in the homeless community for the past five months. When IHS first learned of the positive cases, they notified DOH and worked quickly with them and the City to transition individuals into quarantine and isolation sites. Due to the close coordination and preparation, homeless services in our system can continue while IHS temporarily quarantines its Sumner St. location.” Outreach to homeless individuals to provide access to quarantine, testing and other services will continue. As a precaution, the State will also be temporarily suspending cleanups on State lands that adversely impact or may displace homeless individuals, with the exception of enforcement actions that are necessary to address immediate health and safety concerns. Office of the Lieutenant Governor: Update on Hospital Capacity Lt. Gov. Josh Green addressed the spike in COVID-19 cases Hawai‘i has seen recently, saying, “While our new record daily number of 355 cases is startling, the current trend in new cases and hospitalizations is even more so, particularly for O‘ahu ... Today we have more than 150 currently hospitalized for COVID-19, and 258 cumulative to date. Major and acute care hospitals on O‘ahu are already transferring patients and expanding ICU capacity to accommodate the growing number of COVID-19 positive patients. Many are reaching ICU capacity.” Statistics include: 137 out of 244 ICU beds in use (56%) Of the ICU beds in use, 29 are COVID-19 positive 73 out of 459 ventilators in use (16%) Of the ventilators in use, 22 are COVID-19 positive Lt. Gov Green added, “The biggest takeaway today is that the surge in cases is now seriously threatening to overwhelm our hospitals and it’s coming fast. Individuals and our government need to mobilize now to drastically curb the spread of this virus and save lives.” Department of Health: Two Additional Deaths Reported, COVID-19 Case Count Reaches Record Number Two O‘ahu men, both over 60-years-old are the latest victims of COVID-19. DOH also reported Thursday that there are dozens of newly diagnosed cases of coronavirus, which is part of an existing cluster, at the O‘ahu Community Correctional Facility (OCCC). The total count at the facility now stands at 105. DOH is also continuing its epidemiological investigation into a cluster of cases at Honolulu Hale, which now totals 11 individuals, who may have been infected during gatherings at offices during breaks or social get-togethers, according to employees who have been interviewed. DOH Director Dr. Bruce Anderson said, “With the virus actively being spread throughout the community on O‘ahu, congregate settings like prisons and institutions are at increased risk of introduction and should prepare as PSD and IHS have done. These agencies were ready and stepped into action quickly, working with the DOH on control and prevention measures to protect those at risk and the community. We extend our sincere condolences to the family and friends of the latest people to succumb to this disease.” DOH Deputy Director Danette Wong Tomiyasu also added, “Hawai‘i is at a critical juncture. We are receiving a record number of new positive cases. Clearly, we can do better. Hawai‘i’s people deserve better. There is an urgent need to do things differently. We need to turn the tide to protect the health and wellbeing of Hawaii residents and to reopen our state.” Update on Contact Tracing Program, New Leader DOH recently announced that the new Disease Investigation Branch Chief, Dr. Emily Roberson, would take over contact tracing at DOH. Tomiyasu said, “Dr. Roberson comes to us from Hawai‘i Pacific University, where she served as a professor, instructing public health students in epidemiology and developed the advanced degree programs in public health. She has hit the ground running. We’ve tasked her with making significant upgrades to the contact tracing program within two weeks.” Dr. Sarah Park had previously been leading the contract tracing program. Tomiyasu added “As you can imagine, we are all stretched. Dr. Park is still a part of DOH and will focus on other aspects of the pandemic. There is more than enough to do. We are fortunate that Dr. Park was able to recruit Dr. Roberson to fill this important role.” Tomiyasu also outlined changes to the contact tracing program that Dr. Roberson is helping oversee, which includes automating processes to reduce workload for contact tracers, standing up a call center with support from outside agencies to help with case management, and building in real-time monitoring and rapid-cycle evaluation of procedures and messaging. Other statistics/activities include: • 76 individuals working on contact tracing and investigations • 9 additional staff providing supervision and other support • 15 additional contact tracers and case investigation staff working this week on O‘ahu to investigate cases • 21 additional personnel from the Hawai‘i National Guard providing assistance on O‘ahu • 20 new contact tracers being onboarded from the UH training program, another 20 will begin onboarding process next week • Additional COVID-19 surge staff from other divisions within DOH assisting, including disease investigators, epidemiologists, nurses, etc. • Volunteers also assisting with contact tracing, data analysis, and other disease response activities via the Medical Reserve Corps, university internship programs, medical residency programs, nursing clinical rotations, and community volunteering partnerships • Additional space has been procured and equipped. Overtime is being compensated Laboratory Testing Services Update While contact tracing is a key component of tracking and preventing future COVID-19 cases in the State, DOH points out it’s just one tool the department uses. Another key component is testing. The Hawai‘i State Laboratories Division and private labs currently have a combined capacity of 8,000 tests each day. Tomiyasu said, “Hawai‘i has excellent laboratory services and good testing capacity; however, any nationwide shortages of testing supplies can be a looming threat to our local laboratory capacity. Delays in laboratory reporting can also affect our ability to investigate and trace cases.” DOH says it continues to investigate new and alternative testing procedures that meet national standards and accuracy requirements. In addition, DOH conducts routine laboratory surveys of state and private capacity to monitor this situation and plan for contingencies. www.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 Joint Information Center: Inter-Island Quarantine Information and Enforcement Gov. Ige announced the partial reinstatement of the inter-island quarantine effective Aug. 11, 2020. The 14-day quarantine requirement applies to any person traveling to the counties of Kaua‘i, Hawai‘i, Maui and Kalawao (Moloka‘i) as stated in the 11th supplementary emergency proclamation. Inter-island passengers arriving on O‘ahu are not required to quarantine. Inter-island passengers may submit a limited quarantine request with the applicable county. Those who receive approval for the partial exemption should note they are still required to self-quarantine when they are not performing their approved essential functions. This means they may only break self-quarantine to perform their critical infrastructure and not for grocery shopping, outdoor exercise, or anything else outside their self-quarantine location. Arrangements can be made to have food and groceries delivered. A list of delivery services operating in Hawaii can be found by clicking here. People traveling inter-island can find additional information and the inter-island limited quarantine request by visiting the following county webpages: Kaua‘i County Kauai COVID-19 webpage: https://www.kauai.gov/COVID-19 Modified quarantine request form: https://survey123.arcgis.com/share/94ea5e6a72dc4818a9927724fff03152 Maui County Maui County mandatory travel declaration form and request for limited quarantine form: https://www.mauicounty.gov/travel Hawai‘i County Hawaii County COVID-19 webpage: https://coronavirus-response-county-of-hawaii-hawaiicountygis.hub.arcgis.com/ Critical infrastructure and medical travel request: https://survey123.arcgis.com/share/e2f4ce19aa854964a8fd60bec7fbe78c City & County of Honolulu Interisland passengers arriving on Oahu are not subject to the mandatory quarantine. To report violators, contact local law enforcement by utilizing the following resources: On O‘ahu, call 808-723-3900 or email HPDcovidenforce@honolulu.gov Maui County’s non-emergency line is (808) 244-6400 or email mpdquarantine@mpd.net Hawai‘i County’s non-emergency line is (808) 935-3311 Kaua‘i County offers online reporting at https://www.kauai.gov/KPD-Online-Reporting Department of Public Safety: Additional Inmates, Adult Corrections Officers, Test Positive for COVID-19 Seventy (70) additional OCCC inmates and seven (7) adult corrections officers (ACOs) tested positive for COVID-19. The results were announced Thursday. PSD coordinated with DOH to conduct mass testing of all OCCC inmates in each of the 19 individual housing units there. Two housing units were tested on Tuesday and Wednesday. One housing unit is being tested today. The remaining units will be tested in the coming days. A total of 105 positive cases have been identified through the testing, including 86 inmates and 19 staff members. Five housing units are now on lockdown due to COVID-19 related measures. PSD Director Nolan Espinda said, “As the mass testing continues, we expect to see more positive cases. We appreciate how fast the DOH and National Guard are moving to coordinate the testing of identified staff and inmates. quarantine these individuals. We will continue to be vigilant in our efforts to mitigate the spread of this virus.” In the meantime, court transports have been suspended through Friday. PSD will continue to take individuals the courts send and place them in an automatic intake quarantine. Video hearings will still be accommodated to the extent possible and legally permissible. If an inmate begins to show symptoms consistent with COVID-19, PSD health staff will perform a full evaluation, including testing for COVID-19 and infectious respiratory illnesses, such as the flu. Upon receipt of test results, positive cases are placed in medical isolation. Negative cases continue to quarantine until cleared by the medical director. OCCC operations/maintenance staff and work lines have increased cleaning of all housing and intake modules. A deep cleaning vendor is scheduled to perform professional sanitation services as had previously been done in the Sheriff Division when there was a confirmed exposure. Hawai‘i State Judiciary: Second O‘ahu Family Court Employee Tests Positive for COVID-19 An O‘ahu Family Court employee has tested positive for COVID-19. The announcement was made Thursday afternoon. It’s the second confirmed positive case of an O‘ahu Family Court employee, and the third employee statewide. A South Kohala District Court employee on Hawai‘i Island tested positive last week. The O‘ahu employee last worked at the courthouse on Tuesday, was asymptomatic, and was tested as a precaution. A positive test result was confirmed Thursday morning. Out of an abundance of caution, the Judiciary is closing the fourth floor at the Kapolei Courthouse for deep cleaning and disinfecting. Employees with close prolonged contact with the affected individual have been identified and directed to leave the facility. They have been advised to seek guidance from their medical providers and will return to work when medically appropriate to do so. Partner agencies have also been informed of the situation. The Judiciary continues to confer with DOH regarding any additional actions needed. The Kapolei Judiciary Complex will remain open; however, most Kapolei Family Court proceedings will be rescheduled. For more details: https://www.courts.state.hi.us/news_and_reports/2020/08/second-oahu-family-court-employee-tests-positive-for-covid-19 Department of Labor and Industrial Relations: State Issues $2.7 Billion in Unemployment Benefits Since March DLIR announced updated unemployment insurance claims information Thursday, including paying $2,733,150,415 since the onset of the COVID-19 Pandemic on March 1, 2020. Acting DLIR Director Anne Perreira-Eustaquio said, “We are still experiencing a significant increase of workers still attached to an employer being fully released from employment. These individuals will need to report the separation when filing a weekly claim certification. After filing a weekly claim certification, these individuals then reactivate their claim and select ‘Report Separation from an Employer’ in the online portal at huiclaims.gov/#/.” Perreira-Eustaquio also added, “The department has worked to hone and refine Pandemic Unemployment Assistance (PUA) data to more strategically target those with pending claims as well as to evolve processing operations. We have released nearly 8,700 PUA claims for payment in the last two weeks by using predictive analytics to auto clear identity verification issues.” To view more: https://labor.hawaii.gov/blog/main/state-releases-updated-unemployment-insurance-information-9/ Hawai‘i Tourism Authority: 2,023 Passengers Arrive on Wednesday Today marks 20 weeks since the State’s mandatory 14-day self-quarantine started for all passengers arriving in Hawai‘i from out-of-state. Yesterday, a total of 2,023 people arrived in Hawai‘i including 526 visitors and 583 returning residents. There was a total of 29 arriving flights. This table shows the number of people who arrived by air from out of state yesterday but does not show interisland travel.

Today marks 20 weeks since the state’s mandatory 14-day self-quarantine started for all passengers arriving in Hawai'i from out of state. Yesterday, 2,023 people arrived in Hawai'i. During this same time last year approximately 36,000 passengers arrived in Hawai'i daily, including residents and visitors. 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 Hawai'i Department of Transportation’s (DOT) Mandatory Travel Declaration Form. For Hawaii Tourism Authority and state updates regarding COVID-19 visit: https://www.hawaiitourismauthority.org/news/alerts/covid-19-novel-coronavirus/

Iwilei homeless shelter to be temporary isolation and quarantine site as part of Behavioral Health and Homeless Statewide Unified Response Group As a way to step up efforts to stop the spread of COVID-19 and lower the number of rising cases, the Behavioral Health and Homeless Statewide Unified Response Group, composed of state, city, and nonprofit agencies, is taking swift, decisive action to intervene. I.H.S, The Institute for Human Services Sumner Men’s Shelter in Iwilei is being temporarily established as a quarantine and isolation facility after 7 new cases were identified through the latest round of testing. The Hawai‘i Department of Health (DOH), the Governor’s Coordinator on Homelessness, the City and County of Honolulu and the Institute of Human Services (IHS) will be continuing to partner together to contain the community spread of COVID-19 in this elevated strategy for disease management by having shelter guests remain in place and complete their isolation or quarantine requirements without moving to another location. Over the last several days IHS, the City and County, and the State had been systematically relocating guests identified in contact tracing who had tested positive to quarantine offsite. But the latest cluster of cases indicated community spread had occurred within and the safest and most efficient path to suppressing the current outbreak is to transition into a quarantine facility. “At this juncture, isolating the positive cases at the shelter and providing quarantine beds and wrap-around services for the other occupants to stay in place is the best strategy for preventing the spread of the virus,” said Eddie Mersereau, DOH deputy director of the Behavioral Health Administration. “We are working with IHS, the City and County, and community partners to provide the necessary services to support the men affected by this need to quarantine, many of whom are employed and who are choosing to do so for the greater good of our community. I am extremely proud of the proactive response of the partners and the residents in the effort to do our part in managing the wider issue of community spread of COVID-19.” “With widespread disease transmission throughout Honolulu, we knew this might be an eventuality and we planned and prepared for it,” said IHS Director Connie Mitchell. “As part of the Behavioral Health and Homeless Statewide Unified Response Group, we will be working with our State and City and County partners to meet the needs of the individuals we have sheltered here as they responsibly quarantine to prevent any further spread of the virus. It’s a sacrifice that many in our community are being called upon to emulate.” The Sumner shelter provides rest and respite services for up to 112 adult men each night since social distancing had already reduced their capacity. On Aug. 5, the shelter learned of its first positive case. On Aug. 7, Project Vision Hawai‘i began testing guests identified as most at risk based on contact tracing and first positive test results were received on Aug. 8. The shelter will be temporarily closed to new admissions for reorganization and thorough cleaning as individuals in isolation and quarantine complete their stay there for at least 14 days. IHS is working with DOH on case investigation, outreach, and testing to determine when the shelter may reopen and resume normal services and the City and County are assisting with support. “Time is of the essence as we work to control the spread of COVID-19 in our community. We will continue to work with our partners at the Department of Health, and the IHS Men’s shelter, to support the quarantine and isolation effort at IHS, and to adapt to further needs in this very vulnerable population,” said Marc Alexander, Executive Director of the Mayor’s Office of Housing. “With the current level of community spread occurring on O‘ahu, it’s going to take all levels of government, as well as the public to effectively curb the spread of this virus.” All necessary resources will be leveraged to provide services at the shelter as we wrap the shelter, its staff and the residents with medical, meals, counseling and other services. The partners welcome any support that other organizations or the community are interested in offering. Organizations interested in providing support may contact IHS Community Relations Officer Jill Wright. Increased outreach services for individuals who are homeless in the community served by the Sumner shelter are being planned and will be conducted in coordination with Partners in Care and the Governor’s Coordinator on Homelessness.

The Salvation Army Adult Rehabilitation Center (ARC) will be accepting donations for its monthly donation event on Friday, Aug. 28, at the Kaua‘i Resource Center (KRC) located at 3460 Ahukini Road in Līhu‘e, from 8 a.m. to 3 p.m. Residents, businesses, and other organizations can bring in unwanted or unneeded items including clothing, small furniture, children’s toys, books, and shoes. Clothing and textiles do not need to be in good condition. Torn or stained clothing is okay. Please do not bring eWaste, chemicals, appliances, or broken items. While acceptable items will be taken at the event, the county’s Solid Waste Office requests that everyone check with their local thrift stores before bringing items to the KRC. Customers are requested to maintain social distancing, wear a mask, and follow all directions from ARC and county staff while on site. For more information please contact the Solid Waste Office at 241-4841, email solidwaste@kauai.gov, or visit www.kauai.gov/reuse for updates. Source: County of Kaua'i

The Kaua‘i District Health Office today reported two new positive cases of COVID-19. This brings Kaua‘i’s total number of active cases to six, and the cumulative total of cases to date is now 53. One new case is a minor resident who is a household contact of a current active case. The second new case is a visiting adult who recently traveled to Kaua‘i from out of state and has been in quarantine since arrival, pursuant to the Governor’s mandatory traveler quarantine. All six active cases are in isolation. The Department of Health’s contact tracing investigation is ongoing. All identified close contacts are directed to quarantine and offered a test. None of the cases have required hospitalization. “Our recent cases show that the mandatory traveler quarantine is an important tool in protecting our island from spreading disease here,” stated Mayor Derek S.K. Kawakami. “I can only hope that the 355 new cases reported across the state today serves as a wake-up call for both our visitors and residents that now is simply not the time for leisurely travel.” As a reminder, all incoming arrivals to Kaua‘i are subject to the Governor’s 14-day mandatory traveler quarantine. There are very limited situations in which modified quarantine permissions are allowed, including people who must travel interisland for critical infrastructure jobs, or those who must travel for medical reasons. Interisland travelers who believe they qualify for a modified quarantine should visit www.kauai.gov/COVID-19 and click on the “Modified Quarantine Request” button at the top of the page. Be prepared to provide travel details and reason for request. Requests should be submitted at least two days prior to the date of travel. One of today’s new cases will be reflected on the state’s COVID-19 website at hawaiicovid19.com. The second case is expected to be part of Friday’s statewide count. The count is updated at noon every day. For local updates, visit the Kaua‘i Emergency Management Agency page, www.kauai.gov/COVID-19.