One New Case on Maui Brings COVID-19 Hawai‘i Total to 643; 94% Recovered

Maui County’s count increased by one case from yesterday. Of the 118 cases in Maui County, at least 105 have been released from isolation, and 22 have required hospitalization.

The outbreak at Maui Memorial Medical Center in Kahului is now considered closed; however one COVID-19 patient remained at the Maui hospital as of Tuesday afternoon.

To date, there have been 17 COVID-19 related deaths in Hawaiʻi, including 11 on Oʻahu and 6 in Maui County. Lieutenant Governor Josh Green notes that Hawaiʻi has the lowest mortality rate in the US at 1.2 deaths per 100,000.

*Positive cases include presumptive and confirmed cases, and Hawaii residents and non-residents; data are preliminary and subject to change. Note that CDC provides case counts according to states of residence.

^†Includes cases that meet isolation release criteria (Isolation should be maintained until at least 3 days (72 hours) after resolution of fever and myalgia without the use of antipyretics OR at least 10 days have passed since symptom onset, whichever is longer). (The cases that have died and one case that has left the jurisdiction have been removed from these counts).

^‡One case is a Lānaʻi resident whose exposure is on Maui Island and who will be remaining on Maui Island for the interim. 

Maui County now has six COVID-19 related deaths.

• Maui reported its first COVID-19 related death on Monday, April 6, of an adult male over the age of 65 with underlying health conditions and exposure to travelers.
• The second Maui death was announced on Wednesday, April 8, and was an unattended death.
• A third death in Maui County reportedly occurred on April 7, but was reported in the state count on Friday, April 10.  The third case involved an elderly individual who was in the chronic care unit.
• The fourth case was confirmed on April 19, and was an adult male from Washington state in the 40-59-year age group who had no previous medical conditions. State health officials say the man’s exposure history may be travel-related.  The man had been hospitalized for an extended period in serious condition at Maui Memorial Medical Center.
• The fifth Maui case occurred on Monday April 20 and involved a man who had underlying health conditions. He had been in the hospital at Maui Memorial Medical Center since late last year.  This person’s death is considered related to the MMMC cluster.
• The sixth Maui case was reported on May 3, 2020. The case involves a woman, over the age of 60, with underlying medical conditions. She had been in the hospital at Maui Memorial Medical Center since late February. Her infection occurred in mid-April. “COVID-19 is not believed to be the primary cause of death, due to her other serious illnesses, but may have been a contributing factor to her passing,” health officials said.

Maui Memorial Cluster: (Update 5.19.20)

The outbreak at Maui Memorial Medical Center in Kahului is now considered closed as of May 19, 2020. According to Maui Health spokesperson Tracy Dallarda, Maui Health has one positive COVID-19 patient in the hospital (as of 5.19.20) and only one “warm” COVID-19 isolation unit, which will remain in place for any future COVID needs.

According to Dallarda, the cluster of individuals linked to the Maui Health outbreak totaled 52 including 38 health care workers and 14 patients who had tested positive.  This includes 2 travel related and two community acquired cases in workers. The state Department of Health had been investigating up to 60 COVID-19 positive cases as potentially associated with the cluster at the end of April.

DOH had recommended that the facility repeat in-service training for staff on proper PPE use, and other protective measures. DOH officials say “it appears the outbreak may have been driven by a single healthcare worker who was allowed to work while ill.”

Other Highlights for Maui County:

Governor David Ige said lifting the 14-day quarantine for interisland travel “is top-of-mind,” however, he could not pinpoint a target date for making this happen and instead said he hopes to finalize a plan shortly.  In an Instagram video message on May 22, Lt. Gov. Josh Green said to prepare for June 1, 2020.  “What I mean by that is we should be able to do interisland travel.  We’re getting the forms straightened out without quarantines.  So I’m hopeful that that will happen.”

The 14-day quarantine for incoming travelers from out-of-state remains in place through June 30 and is being evaluated on a monthly basis.

Governor David Ige signed his 8th supplemental emergency proclamation on May 18, effectively extending the eviction moratorium and extending the 14 day travel quarantine for both mainland and interisland travel through the end of June. The governor also unveiled his four step Roadmap to Recovery and Resilience Plan.  He said the state is ready to move from Phase 1 of stabilization to Phase 2 of reopening and called the latest phase “Act With Care.”

The County of Maui started allowing passive recreation at beaches effective on Saturday, May 16.  This is for a trial period only of two weeks (from May 16 to 30) and will be reassessed.

The next phase of businesses reopening on Maui includes the following:

• May 22: Drive-in religious services ( Mayor Victorino said that if things go well and churches are ready with social distancing, sanitizing and other aspects of health and safety, Maui County is looking at the following weekend, at the end of the month, as a possible start week for in-building church servicesthroughout the county.)
• May 25: Hair and nail salons
• June 5: Dine-in restaurant services
• Possibly mid-June: Other areas the county will be looking at in the very near future for reopening include fitness classes, estheticians, and other personal services such as massage.

*All openings are subject to health and safety modifications.

Also the 98th Maui Fair, which was scheduled to take place over four days in October, is cancelled for this year due to public health concerns.  Organizers say the event was cancelled at the request of the County and will be held sometime next year.

Under the Governor’s previous “Safer-at-Home” order for phased reopening of businesses in Hawaiʻi, certain retail businesses reopened in parts of the state including Kauaʻi and Hawaiʻi Counties on Thursday, May 7.  Certain retail shops at shopping malls in Maui County opened on Monday, May 11th.

On Tuesday, May 5, Governor David Ige unveiled details of his 7th Supplemental Proclamation, that allows for the next phase includes the reopening to include: non-food agriculture such as landscaping, floral and ornamental; astronomical observatories and support facilities; car washes; and pet grooming services.  This also includes some retail operations.

On Monday, May 4, a patient on Maui who was diagnosed with COVID-19 over a month ago and had been on a ventilator, was greeted with a celebratory exit from hospital staff who lined the halls upon her departure. The single mom of three came into the Maui Memorial Medical Center 36 days prior and had a slow process to recovery, according to a hospital spokesperson.  Also, Maui Health re-opened the Maui East unit as a medical surgical unit and it is no longer serving as a COVID-19 unit.

On Wednesday, April 29, Mayor Victorino identified a short list parks, golf courses and local businesses that quality for limited opening under the first phase of a reopening that began on May 1, 2020.

On Tuesday, April 28, local government leaders visited and toured the outside of Maui Memorial Medical Center in compliance with the hospital’s COVID-19 no-visitor policy, and received an update from Maui Health on response efforts at the facility.

On Tuesday, April 28, officials confirmed that an elderly Lānaʻi woman contracted COVID-19 while she was hospitalized at the Maui Memorial Medical Center.  The woman initially tested negative for COVID-19, but a recent test came back positive.  She will remain on Maui until she is healthy enough to return home to Lānaʻi and she no longer poses a risk of transmitting the virus to others.  The case is documented as a Maui Island case and there are still no confirmed positive cases on the island of Lānaʻi.

Maui Health on Monday, April 27, confirmed that a Maui Medical Group hospitalist who provides care to patients at Maui Memorial Medical Center has tested positive for COVID-19.  The provider was tested for COVID-19 two weeks prior by Maui Medical Group, was asymptomatic, and the results were negative. The provider then became symptomatic and self-quarantined at home.  On Friday April 24, a repeat test was performed and on Sunday April 26, the results returned positive for COVID-19.

A joint statement was released on Wednesday evening, April 22, from Mayor Michael Victorino and Merriman’s Kapalua restaurant confirming the location of the restaurant grouping from March, which consisted of three COVID-19 positive individuals and between 65 and 100 exposed contacts.  Health officials say the grouping does not currently pose a significant risk to the community and refrained from labeling it a “cluster.”

Two individuals from the Ka Hale A Ke Ola Homeless Resource Center on Waiʻale Road in Wailuku on Maui were moved to a Department of Health quarantine facility after one of them tested positive for COVID-19.  The other man who was awaiting test results has since received word that his test came back negative and he was released from quarantine. Monique Yamashita, Executive Director at the facility said 48 individuals including staff and guests were tested on April 24 during a mass testing event.  She provided us with an update on May 1 saying all tests came back negative.  Also the eight staff that had contact with the COVID-19 positive individual were back to work within a week after all tests came back negative. Yamashita said the facility is still being vigilant with the continued use of PPEs, washing hands and taking other precautions to protect staff and guests.

Update: (5.18.20) All Prior Cases of COVID-19 at Hale Makua are Now Negative: Two home health patients with Hale Makua Health Services and a nursing home resident from Hale Makua Kahului are now negative for COVID-19. The asymptomatic resident who had tested positive has since received two consecutive test results showing they are negative for COVID-19. As for the home health cases, one client has been released from isolation and had recovered in April; and the other client has recently received two negative COVID-19 tests so has been released from quarantine as well.

Maui Now learned that a mother who underwent a caesarean section delivery at the Maui Memorial Medical Center in April later tested positive for COVID-19.  The source of infection at this time is unknown however, Maui Health noted that the hospital “has never had an OB patient, provider or employee test positive for COVID-19.” Employees in that department were tested in April, with all results returned as negative.

There was also a confirmed case of a physical therapy worker at the Kula Hospital who tested positive for COVID-19.  A total of 16 individuals who received care were tested and so far, no positive cases have been reported as a result.

The Maui positive count included at least one resident of the rural community of Hāna in East Maui and at least two residents of Molokaʻi.