FAST FACTS: Discuss the progression of COVID-19 Explain COVID-19 - - PDF document

SLIDE 1

6/15/20 1

FAST FACTS: COVERING COVID-19

Presented by Daejahnee Erby, Rebekah Farag, & Destiny Reed, Fourth Y ear PharmD Candidates Under the Supervision of Charlie Colquitt, BS, PharmD, CPh & Selika Stackhouse Sampson, PharmD, CPh

1

OBJECTIVES

• Discuss the progression of COVID-19
• Explain COVID-19
• List CDC recommendations
• Provide resources to stay updated

2

PROGRESSION OF COVID-19

December 2019

• China reports first cases
• f "pneumonia"

January 2020

• China reports first death linked to

SARS-CoV-2

• Thailand, Japan, South Korea, U.S.,

Australia, the Middle East and part

• f Europe report first cases
• World Health Organization (WHO)

declares public health emergency

• f international concern

February 2020

• WHO official names the

coronavirus "COVID-19"

• Twenty vaccines are in

development

March 2020

• COVID-19 is officially declared a

pandemic

• Europe is named the "epicenter"
• f the pandemic
• More than 600,000 cases and

30,000 deaths globally

3

PROGRESSION OF COVID-19

April 2020

• More than 3 million cases of COVID-19

and 200,000 deaths globally

• U.S. has the highest number of cases in

the world while Italy has the second highest

• 90% (~1.5 billion) students are affected

by school closures

• China lifts its lockdown

May 2020

• More than 6 million cases of COVID-

19 globally

• More than 300,000 deaths globally
• Preliminary data indicates vaccine is

safe and well tolerated

June 2020

• More than 7 million cases
• f COVID-19 globally
• More than 400,000

deaths globally

4

WHAT IS COVID-19?

• The Coronavirus is a severe acute respiratory syndrome

(SARS) virus that is spread by person-to-person contact via respiratory droplets in the air. ⚬ Commonly known coronaviruses include Middle Eastern Respiratory syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS)

FAST FACT

The technical name for the coronavirus is SARS-CoV-2!

5

WHERE IS COVID-19?

• The first case of COVID-19 was seen in Wuhan, China.
• The primary source of the virus is believed to be bats.
• Contact between the infected bats and the first patients

now recognized to have COVID has been traced back to a seafood market where live animals were sold

6

SLIDE 2

6/15/20 2

COUNTRIES AFFECTED

Countries not reporting:

• Turkmenistan
• Western Sahara
• North Korea

7

Symptoms can occur within 2-14 days after exposure and may range from mild to severe symptoms

• Fever or chills
• Cough
• Shortness of breath
• Fatigue
• Muscle pain
• Sore throat
• Nausea or vomiting

Some patients have even reported a loss of smell and taste, rash, hives or chicken pox-like lesions. However these are uncommon

siGNS & sYMPTOMS OF covid-19 8

SAFETY MEASURES

Precautions

9

If one is experincing:

• Severe chest pain or pressure
• Trouble breathing
• New onset of confusion
• Inability to wake or stay awake
• Bluish lips and/or skin

CALL 911 Immediately

When Should I Seek Emergency Medical Attention?

10

COVID-19 TESTING

There are two tests currently available:

Viral tests

Reveals if a patient has a current infection Rapid or Non-rapid results

Antibody/ serology tests

Reveals if a patient had a prior infection. It takes roughly 1-3 weeks after infection for the body to make antibodies. Uses a blood sample Thus, it may be ineffective for testing for a current infection

11

NASAL SWAB TEST

Nasopharyngeal specimen is collected with a long nasal swab Procedure is roughly 10-15 seconds

12

SLIDE 3

6/15/20 3

HOW TO GET TESTED

• 1. Contact your primary physician to see if they are offering testing
• 2. Next, find a local testing site
• https://my.castlighthealth.com/corona-virus-testing-sites/
• 3. Complete an online health screening assessment and a healthcare provider will contact you
• If you are not eligible for a test, you may just receive an email

13

COVID-19 TESTING

• Some sites may require a doctors note or an appointment in order to receive a test
• Rules may vary at each testing site.

⚬ Therefore, call your community testing site for updated testing criteria. ⚬ Each site determines if testing is appropriate depending on your symptoms, risk factors and testing availability

• While waiting on test results, please quarantine for at least 14 days, and continue to do so

even after you have received a negative result.

14

WHAT IF I TEST POSITIVE?

15

CDC & WHO RECOMMENDATIONS

16

A b o u t 1 i n 3 a d u l t s u s e d c h e m i c a l s o r d i s i n f e c t a n t s u n s a f e l y w h i l e t r y i n g t o p r o t e c t a g a i n s t C O V I D - 1 9

FAST FACT

17

SOCIAL DISTANCING

Recommendations:

• Staying 6 feet apart
• f other people
• Avoiding crowded

places

• Do not gather in

groups larger than 10 people

18

SLIDE 4

6/15/20 4

MASKS

• The CDC recommends

that everyone wear a cloth face cover when out in public!

⚬ Mask should be warn even if you do not feel sick.

19

TYPES OF MASK

Face masks meant for healthcare workers should NOT be worn by the general public.

20 21 22 23

MEDICATIONS

• Acetaminophen (Tylenol) is the preferred drug
• Ibuprofen (Advil) can be used at lowest effective doses if needed

⚬ Continue aspirin if taken daily

• When possible, avoid using a nebulizer.

⚬ Instead, use a metered dose inhaler

• Avoid corticosteroids unless you need treatment for an acute

exacerbation of Asthma or COPD

• Continue taking:

⚬ Blood pressure medication ⚬ Cholesterol medications

24

SLIDE 5

6/15/20 5 TREATMENT OPTIONS

• There is NO definite treatment
• Treatment is dependent on severity of illness
• Patients with non-severe disease or no laboratory features:

⚬ Referral to clinical trial

• Hospitalized patients with severe disease:

⚬ Remdesivir

• Hospitalized patients with severe disease or laboratory features:

⚬ Referral to clinical trial ⚬ Convalescent plasma ⚬ Hydroxychloroquine ⚬ IL-6 inhibitors ⚬ Immunomodulator agents

25

• After the tragic killing of George Floyd, there has been an
• ngoing series of protests in each of the 50 states in the US,

as well as in other countries.

• Although individuals are protesting for a great cause, we must

remember that there is still a current pandemic and COVID-19 has not gone away.

• Safety precautions must still occur

WHAT'S GOING ON IN THE US?

26

• During these protests police may release tear gas potentially harming protesters
• Studies have shown that tear gas may cause damage to the lungs, making individuals more

susceptible to a respiratory illness (in a research conducted by the U.S. Army in the summer of 2012, the cohort had a substantial high risk of having an acute respiratory illness in the days after exposure)

• The tear gas may also incite an immediate response of coughing. Coughing is one of the

primary ways the virus can spread

• Long term effects of tear gas may also develop such as chronic bronchitis, further putting the

individual at risk for contracting COVID-19

• This tear gas may also exacerbate an underlying condition such as Asthma and COPD.

TEAR GAS MAY INCREASE THE RISK OF COVID-19 TRANSMISSION

27

• Although it may be hard to remain separated by six feet, please continue to:

⚬ Wear mask ⚬ Wear gloves ⚬ Wear googles

• If you are experiencing any respiratory symptoms such as coughing, sneezing, or if you

have a fever, please stay home. Do not protest. ⚬ You may be putting others at risk.

PROTESTING SAFELY

28

• The medical masks do NOT cause carbon dioxide intoxication
• Drinking alcohol and smoking marijuana does NOT protect you from the virus
• Currently, there are no licensed drugs to treat or prevent COVID-19, despite President Trump

revealing that he was prophylactically taking Hydroxychloroquine

• Drinking methanol, ethanol or bleach does not protect you from the virus
• 5G mobile towers do not spread the virus
• Being able to hold your breath for 10 seconds without coughing does not mean that you are

COVID-19 free

• COVID-19 can be transmitted during any climate, including hot and humid weather
• Rinsing your nose with saline does not prevent infection

DEBUNKING MYTHS

29

REOPENING IN FLORIDA

Initial & Full Phase I - Effective May 4 & 18, 2020

• Restaurants & Food Establishments & Retail

Stores: ⚬ Initial: ￭ Indoor Capacity - 25% ￭ Outdoor seating ⚬ Full: ￭ Indoor Capacity - 50% ￭ Outdoor seating

• Gyms:

⚬ Initial: Closed ⚬ Full: Operate at 50% capacity

• Amusement Parks:

⚬ Re-opening plans

• Organized Youth Activities
• Barber Shops & Salons:

⚬ Safety Protocols

• Schools:

⚬ Distance Learning

• Long-Term Care Facilities:

⚬ Visitations prohibitied

30

SLIDE 6

6/15/20 6

REOPENING IN FLORIDA

Phase 2 - Effective June 5, 2020

• Restaurants, Bars, Pubs & Taverns:

⚬ Indoor Capacity - 50% ⚬ Outdoor seating

• Retail Stores & Gyms:

⚬ Operate at FULL capacity

• Amusement Parks:

⚬ Re-open

• Entertainment Businesses:

⚬ Operate at 50% capacity

• Schools:

⚬ Distance Learning

• Long-Term Care Facilities:

⚬ Visitations prohibitied

31

REOPENING IMPACT ON THE US

32

RESOURCES

C O R O N AV I R U S - I N T E R N AT I O N A L & N AT I O N A L S TAT I S T I C S

https://coronavirus.jhu.edu/us-m ap

C O R O N AV I R U S - F LO R I DA S TAT I S T I C S

https://experience.arcgis.com /experience/96dd742462124fa0b38ddedb9b25e429

F LO R I DA R E - O P E N I N G P L A N

https://floridahealthcovid19.gov/plan-for-floridas-recovery/

C D C R E C O M M E N DAT I O N S O N H O W T O P R O T E C T YO U R S E L F

https://w w w .cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.htm l

C D C I N S T R U C T I O N S F O R H O M E M A D E C LO T H FAC E C OV E R I N G S

https://w w w .cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how -to-m ake-cloth-face-covering.htm l

LO CAT I N G A C OV I D - 1 9 T E S T I N G S I T E

https://m y.castlighthealth.com /corona-virus-testing-sites/

N AT I O N A L A L L I A N C E O N M E N TA L I L L N E S S

https://nam iflorida.org

S U B S TA N C E A B U S E A N D M E N TA L H E A LT H S E R V I C E S A D M I N I S T R AT I O N

https://store.sam hsa.gov/product/sam hsa-disaster

F O R M Y T H B U S T E R S

h t t p s : / / w w w . w h o . i n t / e m e r g e n c i e s / d i s e a s e s / n o v e l - c o r o n a v i r u s - 2 0 1 9 / a d v i c e - f o r - p u b l i c / m y t h - b u s t e r s

33

FAST FACTS SUMMARY

• Currently, there are more than 7 million cases reported and 400,000 deaths globally .
• The technical name for the coronavirus is SARS-CoV-2!
• About 1 in 3 adults used chemicals or disinfectants unsafely while trying to protect against COVID-19.
• By wearing a mask in public, you are preventing the spread of the virus to others.
• Washing your hands with soap and warm water is MORE effective than using hand sanitizer. Hand sanitizer should
• nly be used if you are unable to wash your hands .
• It is safe and recommended to continue taking maintenance medications such as baby aspirin, ACE Inhibitors, ARBs

and statin medications as well as acetaminophen (Tylenol)

• 23 states have seen an increase in New COVID-19 cases following state reopening, including Florida.

34

THANK YOU FOR ATTENDING!

Daejahnee Erby, Fourth Y ear Doctor of Pharmacy Candidate Destiny Reed, Fourth Y ear Doctor of Pharmacy Candidate Rebekah Farag, Fourth Y ear Doctor of Pharmacy Candidate

35

REFERENCES

• International Locations with Confirmed COVID-19 Cases. Centers for Disease Control and Prevention.

https://www.cdc.gov/coronavirus/2019-ncov/global-covid-19/world-map.html. Published 2020. Accessed June 11, 2020.

• FULL PHASE 1. Flgov.com. https://www.flgov.com/wp-content/uploads/covid19/Full%20Phase%201%20-

%205-26-20.pdf. Published 2020. Accessed June 11, 2020.

• FULL PHASE 2. Flgov.com. https://www.flgov.com/wp-content/uploads/covid19/Phase%202.jpg. Published
• 2020. Accessed June 11, 2020.
• The Unusual COVID-19 Symptoms Y
• u Can Miss. Healthline. https://www.healthline.com/health-news/the-

covid-19-symptoms-most- people-could-miss#Rash,-hives,-or-chickenpox-like-lesions\. Published 2020. Accessed June 11, 2020.

• Coronavirus Disease 2019 (COVID-19) – Symptoms. Centers for Disease Control and Prevention.

https://www.cdc.gov/coronavirus/2019- ncov/symptoms-testing/symptoms.html. Published 2020. Accessed June 11, 2020.Coronavirus Disease 2019 (COVID-19). Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019- ncov/testing/index.html. Published 2020. Accessed June 11, 2020.

36

SLIDE 7

6/15/20 7 REFERENCES

• Advice on the use of masks in the community, during home care and in healthcare settings in the context
• f the novel coronavirus (COVID- 19) outbreak. World Health Organization.

https://www.who.int/publications/i/item/advice-on-the-use-of-masks-in-the-community- during-home- care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak. Published June 5, 2020. Accessed June 8, 2020

• Coronavirus disease advice for the public: When and how to use masks. World Health Organization.

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/when-and-how- to-use-masks. Accessed June 8, 2020.

• McIntosh K. Coronavirus disease 2019 (COVID-19): Epidemiology, virology, and prevention. UpToDate.

https://www.uptodate.com/contents/coronavirus-disease-2019-covid-19-epidemiology-virology-and- prevention?sectionName=Personal preventive measures&topicRef=8357&anchor=H1466934285&source=see_link. Published May 2020. Accessed June 8, 2020.

• Social Distancing, Quarantine, and Isolation. Centers for Disease Control and Prevention.

https://www.cdc.gov/coronavirus/2019- ncov/prevent-getting-sick/social-distancing.html. Published May 6, 2020. Accessed June 8, 2020.

• Fry E, Rapp N. 7 states see coronavirus cases rise significantly after reopening. Fortune.

https://fortune.com/2020/06/12/coronavirus-cases-us-covid-19-arizona-florida-alabama-california- texas-utah-north-south-carolina-states/. Published 2020. Accessed June 15, 2020.

37