Pray for all the families who have loss loved ones, and who are dealing with this virus/illness. Pray for all the medical personnel who are helping with this.
Novel Coronavirus
Topline Messages
Updated 2/14/2020
Designated “2019 novel coronavirus,” aka COVID-19
Main Messages
·
We know that many people are following the story of novel
coronavirus disease, now known as COVID-19. New illnesses can lead to fear and
concern for some.
·
We know that fear may increase as Americans return home on
commercial and U.S. State Department flights.
·
It’s important to remember that risk of getting the disease
is directly related to exposure to the virus. We still have not seen COVID-19
spreading in communities in the U.S. Based on that information, we believe the
risk to Oregon remains low.
o
Federal, state and local officials are working to detect COVID-19.
They are taking several steps to reduce the risk of exposure here in the U.S. They
include funneling travelers from China through 11 U.S. airports for screening
and education. Those at high risk of exposure are being asked to quarantine
themselves. Public health officials in Oregon and all other states are
monitoring returning travelers for signs of illness. These aggressive steps
being taken to prevent or delay the spread to communities in the US.
o
Self-monitoring or self-quarantine can be inconvenient. Yet,
American travelers coming home from China are willingly complying with public
health recommendations. These include Americans returning home to Oregon.
o
Most people in the U.S. have not been exposed through travel
to China, where the virus is active, or close contact with someone who has COVID-19.
We expect this to remain the case in the near future because returning
travelers are taking steps to protect others.
·
The situation is changing quickly. We continue to reassess
risks to those in Oregon. Updates will be made public if that assessment
changes.
Outbreak Information
·
OHA and local public
health authorities are monitoring American travelers returning home to Oregon.
·
As of February 13,
2020, there are no known cases of COVID-19 in Oregon.
·
The first reported
case of this virus in the United States was January 21, 2020, in Washington
State. The case had recently traveled from Wuhan, China.
·
Cases have been
found in several countries. Most cases have been travelers who visited Wuhan.
·
99% of known
cases have been in Wuhan, a city of 11 million in China. We expect case counts and
fatality rates to change. CDC, WHO and China’s National Health Commission offer
national and international case numbers.
·
The first known
case’s symptoms began on 12/8/2019.
·
This virus probably
originally emerged from an animal source but now seems to be spreading from
person to person. The virus has been spread in the health care setting.
COVID-19 :
Disease Information
·
The new
coronavirus causes mild to severe illness in the lungs.
·
Symptoms: People
who are ill with the virus may have a fever, cough and difficulty breathing.
·
Incubation: We
do not know how long it takes for signs of illness to show up after someone is
exposed to COVID-19. With other coronaviruses, signs of illness usually
show up 2-14 days after a person is exposed to the virus.
·
Level of Risk: About 2% of patients hospitalized with COVID-19 have died. Early information suggests that older adults and people with
underlying health conditions may have a higher risk of severe illness and complications.
·
Transmission: We are still learning about how this new coronavirus
spreads. Other coronaviruses spread from animals or through droplets from the
coughs and sneezes of people who have the illness. Scientists are still working
to find out if individuals without signs of illness can spread the illness.
·
Prevention: The best way to protect yourself is to avoid exposure
to the virus. Currently, this includes avoiding travel to China where the virus
is active. Avoid close contact with individuals who have COVID-19.
o
Everyday
Precautions: There are also everyday
actions you can take to prevent the spread of many types of illness- including
the flu:
§ Cover your coughs and sneezes with a tissue and then
throw the tissue in the trash.
§ Wash your hands often with soap and water for 20
seconds. If soap and water are not readily available, use an alcohol-based hand
sanitizer that contains at least 60% alcohol.
§ Avoid close contact with people who are sick.
§ Avoid touching your eyes, nose and mouth with unwashed
hands.
§
Clean and
disinfect surfaces that are often touched.
o
Masks: CDC does not recommend that healthy people wear a
facemask to protect themselves. Individuals who may have been exposed to the virus
who are ill should wear a surgical mask to prevent the spread of COVID-19 germs to others. Note: Wuhan made it mandatory to
wear surgical masks in public.
·
Treatment:
o
Treatment for
patients with COVID-19 is supportive care only. There are currently no known
disease-specific treatments. There is no vaccine for COVID-19.
Travel Guidance
·
CDC
has issued travel advisories related to the COVID-19 outbreak. The situation is
changing quickly, and CDC’s travel advisories may continue to change. Travelers
should check CDC’s website for travel
information for their destination prior to travel.
·
Currently, CDC recommends that travelers avoid all nonessential travel to
China. For
more information check the CDC travel alert.
·
If you have been
to China within the past 14 days and are ill with fever, cough, or difficulty
breathing, contact your health care provider. They will identify the safest way
to seek care without exposing others.
·
In
response to the outbreak, Chinese officials have closed transport within and
out of Wuhan and other areas in Hubei Province. Restrictions apply to buses,
subways, trains and the international airport.
·
Travelers
arriving from China, including those who have itineraries with connecting
flights, will be funneled through one of several airports. CDC is screening these
passengers at these airports. Portland International Airport is not currently
one of these airports.
·
In a White House
briefing held January 31st, the U.S. Department of Health and Human
Services announced additional steps to detect and prevent the spread of COVID-19. The measures took effect February 2, 2020, and
include:
o
Foreign
nationals, other than immediate family of U.S. citizens and permanent residents,
who have traveled to China within the last 14 days will be denied entry to the
U.S. for this time.
o
Up to 14 days of
mandatory quarantine of U.S. citizens who traveled to Hubei province in the
last 14 days. This is to ensure that they receive proper medical care and
health screening.
o
U.S. travelers
who have traveled to the rest of mainland China within the last 14 days will be
monitored and asked to self-quarantine.
·
50% of Oregon
hospitals report the ability to screen for international travel when a patient
arrives at the emergency room or is admitted.
Persons Under Monitoring (PUM), Persons Under Investigation (PUI),
Isolation, and Quarantine
·
Public health experts often use the terms “persons
under monitoring,” “persons under investigation,” “isolation” and “quarantine”
during a disease outbreak.
·
To understand the terms, it is important to pay
attention to whether the person has signs of illness. It is also important to
understand whether the individual or group is being separated from others.
·
Broadly speaking, persons under monitoring
refers to people who do not have signs of illness and may have been exposed to a
disease that can spread to others.
o
Avoid close contact with people who are sick.
o
Avoid touching your eyes, nose and mouth with
unwashed hands.
o
Stay home when you are sick.
o
Cover your cough or sneeze with a tissue, then
throw the tissue in the trash.
o
Clean and disinfect frequently touched objects
and surfaces using a regular household cleaning spray or wipe.
o
Follow CDC’s recommendations for using facemask.
§ CDC does not recommend that people who are well wear facemask to
protect themselves from respiratory viruses, including 2019-nCoV.
o
Wash
your hands often with soap and water for at least 20 seconds, especially
after going to the bathroom; before eating; and after blowing your nose,
coughing, or sneezing.
§ If soap and water are not readily available, use an alcohol-based hand
sanitizer with at least 60% alcohol. Always wash hands with soap and water if
hands are visibly dirty.
·
Quarantine is used to separate and restrict the movement of individuals or
groups who may have been exposed to a disease but not know it, or who may be infected
but not show symptoms. Quarantines are sometimes used when it is not known
whether a disease can be spread before a person has signs of illness.
·
Persons under investigation
(PUIs) are individuals who have been exposed to a
disease and then developed signs of illness. Public health officials worry that
PUIs, too, might have the disease and could spread it to others. Health
officials often want to learn more about these individuals and their illness to
better understand how to prevent further spread of the illness.
o
People
may become exposed to COVID-19 through contact with a sick person,
or travel to an area where the virus is very active.
o
Signs
of illness with COVID-19 include measured fever, cough and
difficulty breathing.
o
These
individuals may be asked to limit their movement and contact with others. In the
case of COVID-19 , individuals will be asked to isolate themselves from others by avoiding
people, public places, and work or school.
o
Health
officials may want to test these people for the disease.
·
Isolation is used to separate people who have an illness from people who are
healthy. Isolation restricts the movement of people who have an illness to
prevent the spread of the disease.
CDC guidance for health care providers
·
Screen all
patients for international travel within the last 14 days. Consider adding questions
that identify patients who have traveled to an area with community transmission
of COVID-19 or had close contact with a confirmed COVID-19 case. Close contact
is defined as being within six feet for 20 or more minutes cumulatively in the
last 14 days.
·
In health care
settings, airborne precautions should be used, along with standard precautions,
contact precautions and eye protection (goggles or face shield). Ensure proper
donning and doffing, along with fit testing of N95 masks.
·
When possible, ask
patients with a history of exposure to COVID-19 to call ahead to inform the
clinic or hospital of their possible exposure
and symptoms.
o
Such patients should wear mask upon entry to
the facility and practice respiratory etiquette.
o
Patients should
also be placed in an airborne infection isolation room, if available.
·
Ensure that frontline
staff have access to interpreter services. Verify that Mandarin- and
Cantonese-speaking interpreters are available if needed.
·
Testing guidance
o
Obtain specimens
if a patient presents with severe respiratory symptoms unexplained by another
known diagnosis; and
§
was in mainland China
in the last 14 days; or
§
had close contact
with known COVID-19 case
o
Collect upper respiratory
specimens (nasopharyngeal and oropharyngeal swabs), lower respiratory
specimens, and serum from any patients who meet the screening criteria.
§
If additional
specimens, such as whole blood, urine, or stool, are collected, health care providers
should retain them.
o
All specimens
will be sent through the Oregon State Public Health Laboratory (OSPHL) to CDC
for testing.
o
CDC turnaround
time for testing reports is 24–48 hours. This is an estimate subject to change.
o
Currently, CDC is
the only laboratory with testing kits. CDC has sent testing kits to state
public health labs, including Oregon’s, but the kits need to be tested at each
location where they’ll be used. OSPHL laboratorians are working to test these
kits. OHA will provide updates as more information becomes available.
OHA Activities to date
o
Activated an Incident Management Team January 21, 2020, to
coordinate response activities.
o
Forwarded CDC HAN alert to local and tribal
health partners, hospitals, infection preventionists and other health partners
Friday, January 17, 2020, and a second HAN alert Thursday, January 23.
o
Reached out to our airport partners to let them
know we are ready to support if needed.
o
Activated a virtual Joint Information Center to
coordinate with county, university, tribal and hospital PIOs.
o
Update website to include a COVID-19 section with
latest Oregon information.
o
Conducted social media in English and Chinese to
alert travelers to the outbreak and CDC travel guidance.
o
Provided related guidance to health partners.
o
Supported Washington state by offering
epidemiological surge capacity.
o
Evaluated capacity to serve as a repatriation and
quarantine location.
o
Reviewed inventory of personal protective
equipment.
o
Began monitoring travelers returning
home to Oregon, in collaboration with the CDC and Oregon’s local public health
authorities.
References
o
Latest updates
o
This site has
very little of substance and points to NHC pages.