Governor Cuomo Announces Winter Plan to Combat COVID-19 Surge

December 01, 2020   09:30 a.m.
    Press Release from Governor Cuomo's Office (November 30, 2020):

    Governor Cuomo Announces Winter Plan to Combat COVID-19 Surge in
    New York State

    5 Targeted Strategies to Manage and Mitigate the Spread of COVID-19

    Strategy 1: Manage Hospital Capacity to Enhance and Equalize Care

    Strategy 2: Increase and Balance Testing Resources and Availability

    Strategy 3: Keep Schools Open Safely

    Strategy 4: Prevent Viral Spread from Small Gatherings

    Strategy 5: Operationalize an Equitable and Safe Vaccination Program

    Governor Andrew M. Cuomo today announced New York's plan for combating
    COVID-19 this winter. Over the past week, Governor Cuomo and the state's
    COVID Task Force has worked in consultation with global public health experts,
    local governments and other stakeholders to ensure that the plan builds off the
    lessons learned during the past nine months to anticipate and prepare for an
    expected increase in COVID cases and hospitalizations over the Holiday season.

    Specifically, the winter plan consists of five targeted strategies focused on
    mitigating the spread of the virus and bolstering New York State hospital
    preparedness including:

  • Continue and Strengthen New York's Targeted Micro-Cluster Strategy while
    Managing Hospital Capacity to Enhance and Equalize Care;
  • Increase and Balance Testing Resources and Availability;
  • Keep Schools Open Safely;
  • Prevent Viral Spread from Small Gatherings; and
  • Operationalize an Equitable and Safe Vaccination Program

    "While the holiday season often brings joy to many, the increase in social activity
    and mobility will also bring an increase of viral transmission. We understand the
    cause and effect, and the effect is dramatic," Governor Cuomo said. "We must
    adapt to this reality and have a plan in place that specifically addresses the
    challenges that come with it. We've been through the worst, and while we're not
    done yet, we are moving forward with the lessons we learned in the spring to
    come through this together."

    Strategy 1 - Continue and Strengthen New York's Targeted Micro-Cluster
    Strategy while Managing Hospital Capacity to Enhance and Equalize Care

    Since Governor Cuomo first launched New York's micro-cluster strategy in mid-
    October, it has proved effective in identifying targeted areas with high infection
    rates and implementing additional restrictions to reduce viral spread in the micro-
    cluster area. This approach has allowed state and local health officials to target
    resources, has encouraged community members to take greater action to reduce
    viral spread, and helped prevent the need for larger, regional shutdowns which
    impact all aspects of life and the economy.

    Under New York's Winter COVID-19 Plan, this strategy will be strengthened
    through the utilization of additional, hospital-related metrics to provide a clearer
    picture of where a particular zone stands in the fight against COVID and how
    each neighborhood, municipality, and other geographic area contributes to daily
    hospital admissions due to COVID. Under this improved strategy, the New York
    State Department of Health will include factors such as regional hospital bed
    capacity, ICU capacity, staffing ratios, and daily hospital admissions as part of
    the analysis and metrics used to determine which geographic areas qualify as
    micro-cluster zones. In addition to the 3 existing micro-cluster zone levels (Yellow
    Precautionary, Orange Warning and Red), New York will also add a new
    'Emergency Stop' level, which will effectively put that area under the NY Pause
    guidelines, if needed to preserve hospital capacity. Hospital metrics associated
    with these zones will be identified in the next week to 10 days, once data from
    the Thanksgiving holiday is received and analyzed.

    Additionally, the Department of Health today began to initiate emergency hospital
    measures to prepare the state's hospital system for an expected surge in new
    admissions over the upcoming weeks. Specifically, these measures include:

  1. Hospital systems must begin to identify retired nurses and doctors to bolster
    staff;
  2. Hospital systems in Erie County must suspend elective surgeries to create
    new bed capacity for COVID patients;
  3. Hospital systems must begin balancing patient loads across their individual
    hospital facilities;
  4. Prepare plans to utilize emergency field hospitals;
  5. Prepare plans to increase hospital bed capacity by 50 percent;
  6. Prepare plans to implement statewide 'Surge and Flex' operations (similar to
    load balancing, but patient shifts would occur across all hospital systems, as
    opposed to within individual hospital systems)
  7. Prepare plans to staff emergency field hospitals; and
  8. Confirm availability of resources in existing stockpiles.

    The Department of Health will also be launching a new, statewide hospital metric
    tracking system.

    Strategy 2 - Increase and Balance Testing Resources and Availability

    Under the Winter Plan, New York state will take steps to increase the amount of
    testing available statewide, but do so in a way that ensures distribution is
    balanced with testing sufficient across different segments of the population,
    including:

  • Healthcare workers;
  • Nursing homes;
  • Schools;
  • Essential workers;
  • Business professionals;
  • Personal services testing; and
  • General population, returning students and travelers, etc.

    Strategy 3 - Keep Schools Open Safely

    One of the most critical aspects of managing the COVID-19 pandemic for
    governments and parents alike has been answering the question of how and
    when schools should remain open. On that point, experts from around the globe
    have determined that as long as a school's infection rate is under control and
    remains under the infection rate of the community at large, schools should remain
    open, particularly for students in K-8. Not only does school provide parents with
    support in terms of childcare, it provides a regularity to life which has been
    missing for so many children throughout this pandemic.

    Under New York's Winter Plan, efforts will be focused on keeping K-8 and
    Special Education schools are kept open as long as it can be done safely. The
    first step will be to establish sustainable, ongoing testing in schools so that they
    can continue operating in the long term. As part of this, schools located in
    Orange and Red micro-cluster zones will be required to conduct weekly testing.
    Schools in Orange Zones will be required to test 20% of in person students,
    faculty, and staff over the course of a month and schools in Red Zones will be
    required to test 30% of in person students, faculty, and staff over a month. Pool
    testing will be allowed as well.

    These protocols represent the minimum standard required for schools to stay
    open and the state may adjust requirements for specific districts based on any
    special circumstances which may arise. While local districts are able to close at
    levels under the state's mandatory closure rule, they are urged to keep K-8
    schools open whenever it is safe.

    Strategy 4 - Prevent Viral Spread from Small Gatherings

    Small gatherings have now been identified as the number one spreader of
    COVID-19, with at least 65 percent of all cases coming from these settings. Now
    that we are in holiday season, behavioral shifts must be observed by New
    Yorkers to mitigate the spread. Sixteen states, including New York, have already
    instituted gatherings limits of less than 10 people, with Kentucky recently moving
    to gathering limits to 8 or less. While government's ability to monitor small
    gatherings is limited, public education on the safety concerns of small gatherings
    is crucial. As New York State did with public campaigns urging mask compliance,
    New York State will be launching a public education campaign to highlight how
    small gatherings can lead to the spread of COVID-19 in the community.

    Strategy 5 - Operationalize an Equitable and Safe Vaccination Program

    While a vaccine is expected to be released in the coming weeks, it will be months
    before a critical mass of available vaccinations for the general public will be
    available. As the state builds its plan to distribute vaccinations, it will be founded
    on three main pillars:

  • Fairness;
  • Equity; and
  • Safety.

    These pillars, as well as outreach to the Black and Brown communities with poor
    health outcomes who have been hit hardest by the pandemic, are critical to
    ensuring a fair distribution of the vaccine.
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