Community Center for the Blind and Visually Impaired

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On Saturday, October 23, from 10:00 a.m. to 2:00 p.m., San Joaquin County Public Health Services and the San Joaquin County Opioid Safety Coalition will work with local law enforcement and the U.S. Drug Enforcement Administration (DEA) to provide drop-off locations for old or unwanted drugs. Proper disposal of medications not only hinders theft and misuse but also spares the environment from toxic disposal in the garbage or down sinks and the toilet. The service is free and anonymous, no questions asked. To keep everyone safe, collection sites will follow local COVID-19 guidelines and regulations. Residents can stop by nine drive-through drop-off sites throughout the county:

  • Code 3 Wear, 304 Lincoln Center, Stockton
  • Gianone Park Center, 2885 East Harding Way, Stockton
  • Kennedy Park Center, 2800 South D Street, Stockton
  • Morada Market, 4416 East Hildreth Lane, Stockton
  • Stockton Police Department Operations Building, 22 East Market Street, Stockton
  • Stockton Unified School District Department of Public Safety, 640 North San Joaquin Street
  • Young’s Payless Market, 18980 CA-88, Lockeford
  • Lathrop Senior Center, 15707 5th Street, Lathrop 
  • Financial Services Parking Lot, 310 West Elm Street, Lodi 

Please note: Sites cannot accept needles or sharps.

  • Pills may be brought in loose, in blister packs, or in their original prescription bottles.
  • Liquid products, such as cough syrup, should remain sealed in their original container.
  • Vaping devices and cartridges must have lithium batteries removed.
  • Pet medications are also accepted.

With studies indicating a majority of abused prescription drugs come from family and friends, particularly home medicine cabinets, clearing out unused medicine is essential. Prescription medications often end up in the wrong hands, fueling an epidemic that kills more Americans than car accidents, according to the DEA. “This is an opportune time to help protect our loved ones and community members from drug overdoses and opioid misuse,” says Dr. Maggie Park, San Joaquin County Public Health Officer. “I am inviting everyone to clean out your medicine cabinets and dispose of all your unused or expired medications at one of our Take Back sites. Together, we can reduce medication poisonings and overdoses in our county.” This Drug Take Back Day is the 21st nationwide event since its inception more than10 years ago. This spring, 933 pounds of unused or expired medications were collected at San Joaquin County collection sites during the April 2021 Drug Take Back Day. In addition to DEA’s National Prescription Drug Take Back Day, there are more than 11,000 authorized collectors available year-round. For more information, visit San Joaquin County’s Medication and Sharps Disposal Program’s website or DEA’s year-round collection site locator. For more information about the disposal of prescription drugs or about the October 23 Take Back Day event, go to www.DEATakeBack.com. For questions about the local collaboration, contact Daniel Kim, Supervising Public Health Educator, at 209-468-3842 or dkim@sjcphs.org.

The Board of Directors at the Community Center for the Blind and Visually Impaired (CCBVI) announce the following leadership changes effective October 7, 2021.

The Board has accepted the resignation of CCBVI Executive Director, Michelle Galvan and names Ms. Elsie Hirata, current Director of Client Services for CCBVI as the interim executive director.

“The Board wants to personally thank Michelle Galvan for her excellent leadership as Executive Director these last 7 years. Her contributions to the organization have been consistently outstanding, especially through the COVID19 pandemic. Although the board is sad to see her leave us, we wish her much success and are excited for her new opportunity. Michelle has built a strong and cohesive team at CCBVI including a strong career management program allowing the Board to name Ms. Elsie Hirata, current Director of Client Services as Interim Executive Director. Ms. Hirata’s knowledge of CCBVI operations coupled with her master’s degree and strong business acumen, ensures a smooth transition for CCBVI operations.”

CCBVI’s Board and Ms. Hirata continue to be dedicated to the mission of CCBVI, which is to provide the means by which people who are blind or visually impaired can improve and sustain their capabilities to re-establish purpose and self-esteem in their lives and in society, and while leading independent lives.

For more information on this notice, contact board@communitycenterfortheblind.org.  

About Community Center for the Blind and Visually Impaired

Community Center for the Blind and Visually Impaired (CCBVI) has provided services to the community for more than 72 years. Mrs. Myrtle Stephens Clark, a San Joaquin County welfare worker for the blind, planted the seeds around 1944. She realized most people with visual impairments had nothing to do. Families and friends often waited on those who lived with them and smothered them with kindness; those who resided in boarding houses or hotels just seemed to mark time. Rehabilitation of younger people who became blind as adults was difficult due to few employment opportunities. The filed set of by-laws and Articles of Incorporation for the nonprofit became active on May 13, 1949.

Today, CCBVI is the only agency in San Joaquin County that provides specialized services to people of all ages whose vision impairments impede their ability to perform tasks of daily living. The California Department of Rehabilitation (DOR) certified CCBVI as a Community Rehabilitation Program (CRP) provider in 1978; CCBVI has passed the rigorous biennial audits to maintain certification since then.

Today, public health and medical experts from the U.S. Department of Health and Human Services (HHS) released the following statement on the Administration’s plan for COVID-19 booster shots for the American people.

The statement is attributable to Dr. Rochelle Walensky, Director of the Centers for Disease Control and Prevention (CDC); Dr. Janet Woodcock, Acting Commissioner, Food and Drug Administration (FDA); Dr. Vivek Murthy, U.S. Surgeon General; Dr. Francis Collins, Director of the National Institutes of Health (NIH); Dr. Anthony Fauci, Chief Medical Advisor to President Joe Biden and Director of the National Institute of Allergy and Infectious Diseases (NIAID); Dr. Rachel Levine, Assistant Secretary for Health; Dr. David Kessler, Chief Science Officer for the COVID-19 Response; and Dr. Marcella Nunez-Smith, Chair of the COVID-19 Health Equity Task Force:

“The COVID-19 vaccines authorized in the United States continue to be remarkably effective in reducing risk of severe disease, hospitalization, and death, even against the widely circulating Delta variant. Recognizing that many vaccines are associated with a reduction in protection over time, and acknowledging that additional vaccine doses could be needed to provide long lasting protection, we have been analyzing the scientific data closely from the United States and around the world to understand how long this protection will last and how we might maximize this protection. The available data make very clear that protection against SARS-CoV-2 infection begins to decrease over time following the initial doses of vaccination, and in association with the dominance of the Delta variant, we are starting to see evidence of reduced protection against mild and moderate disease. Based on our latest assessment, the current protection against severe disease, hospitalization, and death could diminish in the months ahead, especially among those who are at higher risk or were vaccinated during the earlier phases of the vaccination rollout. For that reason, we conclude that a booster shot will be needed to maximize vaccine-induced protection and prolong its durability.

“We have developed a plan to begin offering these booster shots this fall subject to FDA conducting an independent evaluation and determination of the safety and effectiveness of a third dose of the Pfizer and Moderna mRNA vaccines and CDC’s Advisory Committee on Immunization Practices (ACIP) issuing booster dose recommendations based on a thorough review of the evidence. We are prepared to offer booster shots for all Americans beginning the week of September 20 and starting 8 months after an individual’s second dose. At that time, the individuals who were fully vaccinated earliest in the vaccination rollout, including many health care providers, nursing home residents, and other seniors, will likely be eligible for a booster. We would also begin efforts to deliver booster shots directly to residents of long-term care facilities at that time, given the distribution of vaccines to this population early in the vaccine rollout and the continued increased risk that COVID-19 poses to them.

“We also anticipate booster shots will likely be needed for people who received the Johnson & Johnson (J&J) vaccine. Administration of the J&J vaccine did not begin in the U.S. until March 2021, and we expect more data on J&J in the next few weeks. With those data in hand, we will keep the public informed with a timely plan for J&J booster shots as well.

“Our top priority remains staying ahead of the virus and protecting the American people from COVID-19 with safe, effective, and long-lasting vaccines especially in the context of a constantly changing virus and epidemiologic landscape. We will continue to follow the science on a daily basis, and we are prepared to modify this plan should new data emerge that requires it.

“We also want to emphasize the ongoing urgency of vaccinating the unvaccinated in the U.S. and around the world. Nearly all the cases of severe disease, hospitalization, and death continue to occur among those not yet vaccinated at all. We will continue to ramp up efforts to increase vaccinations here at home and to ensure people have accurate information about vaccines from trusted sources. We will also continue to expand our efforts to increase the supply of vaccines for other countries, building further on the more than 600 million doses we have already committed to donate globally.”

COVID-19 cases and the highly infectious Delta variant are on the rise in San Joaquin County.

San Joaquin County Public Health Services (PHS) first reported cases of the Delta variant in May 2021, and the current number of confirmed cases has more than doubled since last week. Additionally, the County has reported its first Delta-Plus variant called AY.2; much is still unknown about this specific variant.

The number of people hospitalized with COVID-19 in the County has more than doubled from 25 on July 1, 2021, to 56 as of July 20, 2021. Case rates are also steeply rising from 4.9 on July 1, 2021 to 8.0 per 100,000 currently. Only 48% of eligible San Joaquin County residents aged 12 years and older are fully vaccinated, leaving many adults and youth unprotected and at risk for COVID-19.

The current California Department of Public Health (CDPH) masking mandate requires individuals that are not vaccinated to wear face coverings in indoor settings. In addition, face coverings are required for everyone in healthcare settings, jails, public transportation, and schools. With this highly transmissible Delta variant spreading quickly, fully vaccinated people are strongly encouraged to take the extra precaution of wearing a mask indoors.

San Joaquin County Public Health Officer Dr. Maggie Park advises, “The best protection we have against COVID-19 is vaccination. Masking provides an additional layer of protection for both the wearer and those around them. We know fully vaccinated people are well protected even from the Delta variant and are unlikely to experience severe disease, but they can still get and transmit COVID. Out of an abundance of caution, we are recommending the wearing of masks indoors for everyone in settings like grocery stores, retail shops, and theaters.”

Unvaccinated residents are urged to get the vaccine as soon as possible. Anyone who has not received their second dose of the Pfizer or Moderna vaccine should do so to optimize protection.

Vaccines are free to all individuals ages 12 and over regardless of immigration status. Visit MyTurn.ca.gov or call 1-833-422-4255 to schedule an appointment. For more information on COVID-19, visit the San Joaquin County Public Health Services website at www.sjcphs.org.

The OIB-TAC provides training and technical assistance activities to state program staff that serve older people with vision loss.  Among other services, they offer continuing education courses that address aging and vision loss related topics. Additionally, they’re also part of the Aging and Vision Loss National Coalition, whose mission is to bring about equal access and quality of life for older Americans with vision loss. One of the critical goals of the Coalition is improve public awareness of services for older people with vision loss. To that end, the OIB-TAC has just launched Time To Be Bold, a national public service campaign.

The Time To Be Bold campaign is designed to educate, engage, and empower people who are 55+ with low vision to maintain or regain their independence by utilizing the free or low-cost services provided by the OIB programs.

Did you know…?

  • Over 3 million Americans 55 and older have difficulty seeing even when wearing glasses. 
  • Almost 1 in 10 individuals age 75 or older reports difficulty seeing, even when wearing glasses. 
  • Each U.S. state and territory offers free or low-cost services to help individuals adjust to vision loss.
  • It is estimated that less than 5% of individuals with vision loss, who are eligible for services seek them each year.
  • It can be challenging to find services, a major reason for this campaign.

Go to timetobebold.org to locate free or low-cost services in your state that will give you the tools, technology, training, and support you need to live your bold, best life.

Both the OIB-TAC program and the TIME TO BE BOLD campaign are funded by the Department of Education Rehabilitation Services Administration. The Department also funds services and training for individuals with visual impairments, including vocational rehabilitation (VR) and the Independent Living Older Individuals who are Blind (OIB) programs nationally.

Guidance for the Use of Face Coverings (Takes Effect June 15, 2021)

Note: This guidance takes effect on June 15, 2021 and will supersede all prior face coverings guidance.

Background

The COVID-19 vaccines are effective in preventing infection, disease, and spread. Unvaccinated persons are more likely to get infected and spread the virus which is transmitted through the air and concentrates indoors. About 15% of our population remains without the option for vaccination (children under 12 years old are not yet eligible) and risk for COVID-19 exposure and infection will remain until we reach full community immunity.

The purpose of this guidance is to align with CDC recommendations and provide information about higher risk settings where masks are required or recommended to prevent transmission to persons with higher risk of infection (e.g., unvaccinated or immunocompromised persons), to persons with prolonged, cumulative exposures (e.g., workers), or to persons whose vaccination status is unknown. When people who are not fully vaccinated wear a mask correctly, they protect others as well as themselves. Consistent and correct mask use by people who are not fully vaccinated is especially important indoors.

In workplaces, employers are subject to the Cal/OSHA COVID-19 Emergency Temporary Standards (ETS) or in some workplaces the CalOSHA Aerosol Transmissible Diseases Standard, and should consult those regulations for additional applicable requirements. 

Guidance for Individuals 

Masks are not required for fully vaccinated individuals, except in the following settings where masks are required for everyone, regardless of vaccination status:

Additionally, masks are required** for unvaccinated individuals in indoor public settings and businesses (examples: retail, restaurants, theaters, family entertainment centers, meetings, state and local government offices serving the public).

For additional information, individuals should refer to CDC Recommendations for Safer Activities (see CDPH Masking Guidance Frequently Asked Questions for more information). 

**Guidance for Businesses, Venue Operators or Hosts 

In settings where masks are required only for unvaccinated individuals, businesses, venue operators or hosts may choose to:

  • Provide information to all patrons, guests and attendees regarding vaccination requirements and allow vaccinated individuals to self-attest that they are in compliance prior to entry.
  • Implement vaccine verification to determine whether individuals are required to wear a mask. 
  • Require all patrons to wear masks.

No person can be prevented from wearing a mask as a condition of participation in an activity or entry into a business.

Exemptions to masks requirements

The following individuals are exempt from wearing masks at all times:

  • Persons younger than two years old. Very young children must not wear a mask because of the risk of suffocation.
  • Persons with a medical condition, mental health condition, or disability that prevents wearing a mask. This includes persons with a medical condition for whom wearing a mask could obstruct breathing or who are unconscious, incapacitated, or otherwise unable to remove a mask without assistance.
  • Persons who are hearing impaired, or communicating with a person who is hearing impaired, where the ability to see the mouth is essential for communication.
  • Persons for whom wearing a mask would create a risk to the person related to their work, as determined by local, state, or federal regulators or workplace safety guidelines.

[1] CDC Requirement for Face Masks on Public Transportation Conveyances and at Transportation Hubs

[2] CDC Operational Strategy for K-12 Schools through Phased Prevention

[3] CDC Guidance for Operating Child Care Programs during COVID-19

[4] CDC Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination

[5] CDC Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes

[6] CDC Interim Guidance on Management of Coronavirus Disease 2019 (COVID-19) in Correctional and Detention Facilities

[7] CDC Interim Guidance for Homeless Service Providers to Plan and Respond to Coronavirus Disease 2019 (COVID-19)

[8] CDC Interim Guidance for General Population Disaster Shelters During the COVID-19 Pandemic

[9] CDC Interim guidance to reduce the risk of introducing and transmitting SARS COV-2 in cooling centers.

Related Materials:

Beyond the Blueprint Q&A | What Will California Look Like After June 15? Flyer 

When California fully reopens the economy, the state will move beyond the Blueprint for a Safer Economy. Beginning June 15, all sectors listed in the current Blueprint Activities and Business Tiers Chart may return to usual operations (with the limited exceptions noted below for Mega Events) based on the following general public health recommendations:

Restrictions Applying to Indoor and Outdoor Settings
Vaccine Verification/Negative Testing Required for Indoor mega events
Recommended for Outdoor mega events
Capacity Limitations No restrictions
Physical Distancing No restrictions for attendees, customers and guests
Masking Follow current CDPH Guidance for Face Coverings
Travelers Follow CDC recommendations and CDPH Travel Advisory

Limited Exceptions for Mega Events:Employers are subject to the Cal/OSHA COVID-19 Prevention Emergency Temporary Standards (ETS), if applicable to them.

Mega Events are characterized by large crowds greater than 5,000 (indoors) and 10,000 (outdoors) attendees.  Mega Events may have either assigned or unassigned seating, and may be either general admission or gated, ticketed and permitted events.  

Mega Events are considered higher risk for COVID transmission because:

    • Participants and attendees are spending extensive periods of time physically close to large numbers of people they don't usually interact with.

    • The frequency and total duration of close contact between attendees is increased, thereby increasing the risk that respiratory particles will be transmitted between attendees and participants.

    • They draw from beyond the nearby community and will often draw attendees and participants from other states and countries who may be infected with more infectious COVID variants.

    • Effective contact tracing may be difficult given the number of potential uncontrolled mixing between groups and attendees and the nature of the events.

  • For Indoor Mega Events (example: conventions/conferences/expos/sporting events and concerts):
    • In addition to the general public health recommendations:

      • Verification of fully vaccinated status** or pre-entry negative test* result is required of all attendees.

      • Information will be prominently placed on all communications, including the reservation and ticketing systems, to ensure guests are aware of testing and vaccination requirements (including acceptable modes of verification).

      • Attendees must follow CDPH Guidance for Face Coverings.

  • For Outdoor Mega Events (example: music or food festivals/car shows/large endurance events and marathons/parades/sporting events and concerts):

    • In addition to the general public health recommendations:

      • Verification of fully vaccinated status or pre-entry negative test result is strongly recommended for all attendees. Attendees who do not verify vaccination status should be asked to wear face coverings. 

      • Attendees must follow CDPH Guidance for Face Coverings. 

      • Information will be prominently placed on all communications, including the reservation and ticketing systems, to ensure guests are aware that the State strongly recommends  that they be fully vaccinated, obtain a negative COVID-19 test prior to attending the event, or wear a face covering. 

      • Venues are required to make available masks for all attendees.

  • Additional recommendations for sponsors of Mega Events:
    • Encourage everyone to get vaccinated when eligible.

    • Facilitate increased ventilation of indoor spaces (i.e., open all windows and doors to increase natural air flow), following current CDPH and CalOSHA guidance.

    • Encourage everyone to sign up for CA Notify as an added layer of protection for themselves and the community to receive alerts when they have been in close contact with someone who tests positive for COVID-19.

    • Convey the risk of attending large crowded events where the vaccine status of others in attendance may be unknown to the individuals. 

    • Convey the risk of attending large crowded events for populations that may not currently be eligible for vaccination, or may be immunocompromised and whose vaccine protection may be incomplete.

    • Encourage all venues along any parade or event route to provide outdoor spaces for eating/drinking/congregating to reduce the risk of transmission in indoor settings.

The requirements and recommendations for negative testings / vaccine verification will be in place effective June 15, 2021 through October 1, 2021. The state will assess conditions by September 1, 2021, to determine whether updated requirements or recommendations are needed beyond October 1, 2021.

CDPH will continue to provide updated guidance for youth, healthcare and high-risk congregate settings.      

*Pre-entry negative testing

  1. Definition: Testing must be conducted within 72 hours before event start time (both PCR and antigen are acceptable). Results of the test must be available prior to entry into the event or venue.
     
  2. Verification: The following are acceptable as proof of a negative COVID-19 test result: printed document (from the test provider or laboratory) OR an email or text message displayed on a phone from the test provider or laboratory. The information should include person's name, type of test performed, and negative test result (date of test must be within prior 72 hours). Businesses and venue operators may also utilize self-attestation at point of registration, during ticket purchase or on the day of the event prior to entry into the venue.

**Fully vaccinated

  1. Definition: See current CDPH Guidance for Fully Vaccinated Persons for definitions, acceptable vaccines, and updates on additional vaccines as they are approved. 
     
  2. Verification: The following are acceptable as proof of full vaccination: Vaccination card (which includes name of person vaccinated, type of vaccine provided and date last dose administered) OR a photo of a vaccination card as a separate document OR a photo of the attendee's vaccine card stored on a phone or electronic device OR documentation of vaccination from a healthcare provider.  Businesses and venue operators may also utilize self-attestation at point of registration, during ticket purchase or on the day of the event prior to entry into the venue.

 

Originally Published on May 21, 2021
 

California Department of Public Health
PO Box, 997377, MS 0500, Sacramento, CA 95899-7377
Department Website (cdph.ca.gov)

 

 

Potential Scams Should be Reported to rumors@cdph.ca.gov or 1-833-993-3873  

SACRAMENTO – The California Department of Public Health (CDPH) is asking Californians to be aware of and to quickly report any indications of possible fraudulent or other questionable activities by individuals attempting to take advantage of the state's recently announced COVID-19 vaccination incentive programs.

The first cash prize drawing of $116.5 million Vax for the Win incentives program kicked off on June 4 to motivate residents to get vaccinated before the state's reopening on June 15. Following the drawing, members of the public notified the state of scammers impersonating state officials through calls, email, text, and direct messages on social media.

If you encounter a possible vaccine incentive scam, please email rumors@cdph.ca.gov or call the Vax for the Win incentives hotline at 1-833-993-3873.    

Here are the facts about the state's program:

  • There is no process for entry in the Vax for the Win program. All vaccinated individuals are automatically entered.

  • Winners can decline the prize and/or remain anonymous. The privacy of winners is protected. Only CDPH knows the identity of the person associated with the random number drawn.   

  • Winners will be notified by CDPH officials through an official "State of CA CDPH" caller and text ID, a CDPH email address, or in person by CDPH staff.  

  • Winners will not be asked to pay any fees associated with verifying eligibility for the cash prize.

  • Winners will not be asked to provide their bank information. 

  • CDPH will email winners an official state government form to be awarded their winnings. A check will be mailed to the winner by the State Controller's Office.

For reliable information and details of the Vax for the Win program, please visit covid19.ca.gov/vax-for-the-winClick here to view the Terms and Conditions of the program. 

As part of the Next Gen study outreach effort, San Joaquin Regional Transit District (RTD) is inviting all community members in San Joaquin County to register for a Virtual Open House on June 2, 2021 from 5:00 p.m. to 6:30 p.m.

RTD aims to gain an understanding of the transit needs for community members living within the rural and unincorporated areas of San Joaquin County. 

“Through this virtual outreach process, we want to ensure that residents who live in more rural regions can share how they want to travel on public transit in the future,” said Service Development Manager Damaris Galvan, who also serves as the project manager of RTD Next Gen. “The San Joaquin County region is changing, and RTD will adjust to meet the community’s needs.” 

 “We are in the process of collecting critical feedback and data on the community’s travel patterns,” said Paul Jewel of Fehr & Peers, who also serves as the project manager of RTD Next Gen study. “It is critical that any improvements included in the service plan reflect the region’s travel behavior and also enhance the travel experience for all riders.” 

Community members who are interested in learning more about the RTD Next Gen study can visit the website at www.RTDNextGen.com to sign up for email updates and the Virtual Open House at bit.ly/FutureTransit21.

San Joaquin Regional Transit District (RTD) is the regional transit provider for San Joaquin County.  RTD's mission is to provide a safe, reliable, and efficient transportation system for the region.  For more information, visit sjRTD.com, follow RTD on Facebook and Twitter, or call (209) 943-1111.

 

The Emergency Broadband Benefit is a new Federal Communications Commission (FCC) program.  The temporary benefit will help to lower the cost of broadband service for eligible households during the on-going COVID-19 pandemic.

The $3.2 billion Emergency Broadband Benefit program provides a discount of up to a $50 per month toward broadband service for eligible households and up to $75 per month for qualifying households on qualifying Tribal lands.  The benefit also provides up to a $100 per household discount toward a one-time purchase of a computer, laptop, or tablet if the household contributes more than $10 and less than $50 toward the purchase through a participating broadband provider.

A household is eligible if one member of the household meets at least one of the criteria below: 

  • Has an income that is at or below 135% of the Federal Poverty Guidelines or participates in certain assistance programs, such as SNAP, Medicaid or the FCC’s Lifeline program;
  • Approved to receive benefits under the free and reduced-price school lunch program or the school breakfast program, including through the USDA Community Eligibility Provision, in the 2019-2020 or 2020-2021 school year;
  • Received a Federal Pell Grant during the current award year;
  • Experienced a substantial loss of income through job loss or furlough since February 29, 2020 and the household had a total income in 2020 at or below $99,000 for single filers and $198,000 for joint filers; or
  • Meets the eligibility criteria for a participating provider’s existing low-income or COVID-19 program.

Emergency Broadband Benefit enrollment opens on May 12, 2021. Eligible households can enroll through a participating broadband provider or directly with the Universal Service Administrative Company (USAC) using an online or mail-in application.  Additional information about the Emergency Broadband Benefit is available at  www.fcc.gov/broadbandbenefit, or by calling 833-511-0311 between 9 a.m. and 9 p.m. any day of the week. The program will end when either all funds are expended or six months after U.S. Department of Health and Human Services declares the end of the pandemic, whichever occurs first.