Table 1

Overview of principal measures

CategoryMeasuresMonth initiated
Emergency response coordinationActivation of the Hopi Emergency Response TeamMarch
Establishment of Hopi Incident Management AuthorityAugust
Community mitigation and infection prevention and control (IPC)Standardised entry symptom screening for staff and patients at Hopi Health Care CenterMay
IPC training with the National Guard, for health facility and tribal government staffMay
COVID-19 mitigation guidelines for ceremonies and burialsJune
Development of and training on COVID-19 readiness checklists for safe reopening of businesses, schools and other facilitiesMay
Referrals of ambulatory patients with COVID-19 to an outside isolation facilityJune
Development of COVID-19 cleaning and disinfection protocols for facilities reporting a case of COVID-19June
Epidemiology and SurveillanceDaily reporting of case information from Hopi Health Care Center to Hopi TribeMarch
Public reporting of COVID-19 case numbersMay
Weekly surveillance reporting from health facilities to Hopi TribeJuly
CommunicationsCOVID-19 HotlineMarch
Toolkits for village leadersMarch
COVID-19 radio show (Hopi Health Care Center)March
Enhanced multimedia communications: radio, Facebook and printMarch (intensified in May)
Public health town hallsApril and August
Communications plan and strategy developedMay–June
Community outreach programme (CHAC)June
  • CHAC, Community Outreach, Health Education, Assessment for COVID-19, Connection to Testing and Care.