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Coronavirus Disease 2019 (COVID-19)

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Informational presentation on coronavirus (COVID-19) from the Brunswick County Health Services Department

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Coronavirus Disease 2019 (COVID-19)

  1. 1. Coronavirus Disease 2019 (COVID-19) Brunswick County Health Services
  2. 2. What You Need To Know The 2019 novel coronavirus (COVID-19) is a new virus that causes respiratory illness in people and can spread from person-to- person. This virus was first identified during an investigation into an outbreak in Wuhan, China. This is a rapidly evolving situation and recommendations will change.
  3. 3. Overview What It Is And How It Spreads Current Cases Clinical Symptoms and Spread What You Can Do What Brunswick County Is Doing
  4. 4. What It Is And How It Spreads
  5. 5. There are 7 types of coronaviruses that infect humans  4 are common and cause mild to moderate illness  3 have recently emerged and can cause severe illness  MERS-CoV (Middle East Respiratory Syndrome)  SARS-CoV (Severe Acute Respiratory Syndrome)  COVID-19 (Coronavirus Disease)- highly transmissible
  6. 6. Most COVID-19 cases are in mainland China More than 124,000 cases globally (over 4,500 deaths) More than 43,900 cases outside of mainland China (over 1,400 deaths) 1,135 cases in the United States (32 deaths) 7 cases in North Carolina *Numbers current as of 3/11/2020 *Most up-to-date numbers can be found at: Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU)
  7. 7. COVID-19 has been declared a Public Health Emergency WHO Global Public Health Emergency An extraordinary event that constitutes a public health risk to other States through the international spread of disease AND potentially requires a coordinated international response Previous declarations 2019 for Ebola 2016 for Zika 2014 for Ebola US Public Health Emergency A disease or disorder presents a public health emergency OR That a public health emergency, including significant outbreaks of infectious disease or bioterrorist attacks, otherwise exists Previous declarations Natural disasters Opioid crisis Zika
  8. 8. COVID-19 has a lower mortality rate than SARS or MERS *Numbers current as of 3/6/2020 *Most up-to-date numbers can be found at: CDC Coronavirus Disease 2019 (COVID-19) Situation Summary
  9. 9. Current U.S. Cases CDC Coronavirus Disease 2019 (COVID-19) Situation Summary Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU)
  10. 10. Clinical Symptoms and Spread
  11. 11. Signs and Symptoms Do Not Go Out if you have these symptoms, unless to a medical facility Call ahead so they know you are coming Seek medical advice if you have:  SYMPTOMS  CONTACT WITH A KNOWN CASE OF COVID-19 Good news: 80% of cases have been mild
  12. 12. COVID-19 Testing  Individuals experiencing fever and/or respiratory symptoms, in addition to contact with a confirmed case or travel to an affected geographic area, should be considered for testing.  Clinicians are able to test for COVID-19 at their discretion through private clinical laboratories performing tests authorized by FDA under an emergency use authorization.  COVID-19 testing is also still available at the NC State Laboratory of Public Health with prior approval by NC DHHS Epidemiologist.
  13. 13. How it Spreads Person-to Person (main way) Respiratory Droplets - cough or sneeze within 6 feet Contact With Infected Surface or Object Touching nose, eyes, mouth *Lasts up to 6 days on surfaces *Seems to spread easily
  14. 14. What You Can do if Sick  Drink plenty of fluids  Control fever for comfort  Stay at home  Cover cough and sneezes  Clean surfaces frequently  Wash hands for at least 20 seconds -After blowing nose -Going to bathroom -Before food prep
  15. 15. Preventive Measures AVOID CONTACT WITH PEOPLE WHO ARE SICK WASH YOUR HANDS OFTEN WITH SOAP AND WATER FOR AT LEAST 20 SECONDS AVOID TOUCHING YOUR EYES, NOSE, AND MOUTH WITH UNWASHED HANDS. KEEP HAND SANITIZER ON HAND, > 60% ALCOHOL FACE MASKS HAVE NOT BEEN SHOWN TO PREVENT EXPOSURE
  16. 16. Bottom Line
  17. 17. Who is at Higher Risk ELDERLY (65 AND OLDER) IMMUNOCOMPROMISED PEOPLE WHO HAVE SERIOUS CHRONIC MEDICAL CONDITIONS: •HEART DISEASE •DIABETES •LUNG DISEASE PRE-EXISTING CONDITIONS
  18. 18. Recommendations for High Risk Populations If you are at higher risk of getting very sick from COVID-19, the CDC recommends:  Stock up on supplies  Take everyday precautions to keep space between yourself and others  When you go out in public, keep away from others who are sick, limit close contact and wash your hands often  Avoid crowds as much as possible  If a COVID-19 outbreak occurs in your community, stay home as much as possible
  19. 19. Travel Recommendations https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html
  20. 20. Travel Recommendations As of March 4, 2020 Level 3: China, Iran, South Korea, Italy Level 2: Japan Check the CDC website for all countries with travel recommendations
  21. 21. There are no restrictions indicated for domestic travel.
  22. 22. Quarantine vs Isolation
  23. 23. Strategies may change based on the evolving situation • Monitor specific individuals for symptoms • Contain the virus through isolation and quarantine procedures • Conduct contact tracing • Might not prevent spread of disease, but delays spread providing valuable time to prepare Containment Mitigation • Provide guidance on personal, environmental, and community measures • Provide guidance to providers on risk assessment • Provide guidance on limiting the spread of illness While we continue to practice containment in the state of NC, mitigation preparation should begin. Additionally, these strategies do not occur in isolation and elements of containment and mitigation may occur simultaneously. NC Department Health and Human Services Coronavirus Disease (COVID-19) 3/4/2020
  24. 24. What Brunswick County is Doing to Prepare  Brunswick County is working in coordination with the North Carolina Department of Health and Human Services (NCDHHS) AT ALL LEVELS  Brunswick County has been monitoring the novel coronavirus (COVID-19) over the last two months with state and local partners. We are taking proactive steps to be prepared for potential impacts in our community.  Brunswick County Practices All Hazards Emergency Planning, and regularly exercises response plans for emerging infectious diseases, points of dispensing and other scenarios.  The framework to respond to COVID-19, should we need to, is in place. We are actively working with partners such as local hospitals, Emergency Management, Brunswick County Schools, and Brunswick Sheriff's office to modify plans specific to COVID-19 in case we need it in the future.  In the event of a confirmed case in Brunswick County, we will have a partial activation of our Emergency Operations Center and Joint Information Center in order to monitor, respond to questions, and share real-time updates with the community.  In the event of many cases and/or community transmission of COVID-19, we would exercise authority available to us regarding social distancing and other mitigation measures to prevent further spread.
  25. 25. What else are we doing?  Blast Faxing Provider Memos from NC DHHS to local providers and hospitals.  Answering local provider’s questions and concerns regarding patient’s with symptoms or history of travel. Brunswick County Health Services acts as a liaison between local providers and the North Carolina Epidemiologist on Call as needed to evaluate these patients.  Updating website with Coronavirus information and hotline to call with general non-urgent questions.  Weekly Call-in Updates with the NC CD Branch.  Activation of Brunswick County Health Services Epi Team. Meetings are held daily and as needed to respond to new guidance and preparedness recommendations.  Preparedness meetings with Brunswick County Senior Resources and we are “training the trainers” with BRSI staff to provide guidance to seniors.  Guidance sent to private/charter schools, public schools, childcare facilities, long term care facilities. Conference call was held with long term care facilities.  Reviewing monitoring documents and policies for monitoring of return travelers or a contact to a confirmed case.
  26. 26. Keep Updated  CDC COVID-19 Website  NCDHHS COVID-19 Website  Brunswick County Health Services COVID-19 Website  News from Brunswick County Government  Sign up for email updates on emergency situation news releases  Brunswick County Social Media  Emergency Alert Notifications (phone calls, text, and/or emails)

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