Follow-up for Positive COVID-19 Cases and their Close Contacts - - PowerPoint PPT Presentation
Follow-up for Positive COVID-19 Cases and their Close Contacts Tools for LBOHs July 14, 2020 Hillary Johnson, MHS, Infectious Disease Epidemiologist Scott Troppy, MPH, PMP, CIC, Surveillance Epidemiologist Bureau of Infectious Disease and
Hillary Johnson, MHS, Infectious Disease Epidemiologist Scott Troppy, MPH, PMP, CIC, Surveillance Epidemiologist Bureau of Infectious Disease and Laboratory Sciences MA Department of Public Health
July 14, 2020
MDPH Epi Program’s HAI Team (Healthcare Associated Infections)
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the goal until that strategy changes/evolves.
you should document your work.
Facility
your help.
Tuesdays @ 11am will continue in July
MAVEN Help has Guidance Documents and Previous Webinars: http://www.maventrainingsite.com/maven-help/toc.html
MDPH Epi Program: 617-983-6800 MDPH MAVEN Help Desk: isishelp@state.ma.us MDPH Food Protection Program: 617-983-6712 CTC Help Desk: 857-305-2828 COVID19CommunityTracingCollaborativeQuestions@mass.gov 3
Scott Troppy, MPH, PMP, CIC, Surveillance Epidemiologist Bureau of Infectious Disease and Laboratory Sciences MA Department of Public Health
As of 7/14/2020
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for your jurisdiction.
your Step 1- LBOH Notification to “Yes” to clear out this workflow.
(Investigation Started) & 3 (LBOH Investigator (name, lboh, phone number)
(Final Review)
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contacts quarantined. Serology positive but no recent symptoms do not require further public health follow-up at this time.
COVID‐19 Cases
https://www.mass.gov/doc/covid-19-testing-guidance/download https://www.mass.gov/doc/notification-to-test-contacts-regardless-of-symptoms-0/download
http://www.maventrainingsite.com/maven-help/pdf/Serology%20Interpretation%20for%20LBOH_ver3.0_June1.pdf https://www.mass.gov/doc/healthcare-personnel-occupational-exposure-return-to-work- guidance/download https://www.mass.gov/doc/non-healthcare-workers-occupational-exposure-return-to-work-guidance/download
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questions on how daycares can safely return to operations in the current pandemic.
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are and will be continually revised as appropriate or further clarification is needed.
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and you're going to say, this is it. This is how I end. Now you can either accept that, or you can get to work. That's all it is. You just begin. You do the math. You solve one problem... and you solve the next one... and then the next. And If you solve enough problems, you get to come home. All right, questions?”
For Schools and Daycares: Take a step back and assess the details. The proper next steps may be obvious if you can clearly define the problem.
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measures in the daycare setting following an exposure?
contact for guidance on control measures, answering questions on exposures, and determining appropriate isolation and quarantine guidance:
programs must notify the following parties. (1) Employees and families about exposure but maintain confidentiality. (2) Local board of health if a child or staff is COVID-19 positive. (3) Funding and licensing agencies if a child or staff member has tested positive.
children and staff and what additional precautions will be needed to ensure the program space is safe for continued child care services.
individual resides. 14
COVID-19 case, please consult with your local Board of Health. If you are unable to reach your local Health Board for any reason, please consult with your licensor for more information.
dedicated epidemiologist for child care: Dr. Katherine Hsu at Katherine.hsu@massmail.state.ma.us or 617-983-6948.
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discussions with daycare facilities.
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exposes others.
Exposed individuals later develop COVID-19 as well.
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exposures in a daycare setting.
not looking at a full facility for exposure.
best practices in the facility will help to reduce the risk of spread.
response.
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Remember that an individual (child or staff) that is identified as a CONTACT, must become a case themselves before we would consider THEIR contacts exposed.
Monday night that they had been exposed to a confirmed case over the previous weekend.
exposure has passed (and they did not develop symptoms or test positive themselves).
daycare.
were infectious while in the daycare.
recovery.
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Known exposures are much more clear cut in terms of follow-up.
from daycare for their full quarantine period.
they are not able to completely separate from the confirmed case(s) in their household.
must still complete their full 14 day quarantine even if they tested negative earlier in that 2 weeks.
asymptomatic and have no indication of infection, they may return to daycare at the completion of their quarantine period. 20
Follow-up procedures following an exposure in a daycare for COVID-19 are similar to
quarantine or anyone who might not have been identified for quarantine).
facility.
known exposures) do not need a cluster event created at this time.
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admitted (so hopefully there isn’t a daycare exposure).
should be sent home immediately. The daycare does not have to report to the LBOH unless the daycare is notified that the child has COVID-19 and/or has been exposed to COVID-19.
information as possible. A child who has COVID-19 symptoms should see a provider (who may order a test if appropriate). Refer to EEC documents or MDPH for further guidance if needed for more complicated scenarios.
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guidance to the daycare.
jurisdictions.
confirming a situation/case for possible exposure.
events, but this is particularly important as we navigate this new daycare landscape and may need to share events across jurisdictions.
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We do not yet know the extent to which children transmit to other children
inform this very critical data gap.
create cluster events if there is an actual exposure in a daycare. 617-983-6800.
NOT result in an actual exposure at a daycare.
that fact.
Obtain more information on the contact (Are they symptomatic? Can they be tested themselves?). This will help inform possible next steps for the daycare.
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Is the contact information for your local board of health in the city or town clearly located? Is there a point person that can be contacted for daycare or school related matters?
6800 or Dr. Kathy Hsu Katherine.Hsu@massmail.state.ma.us or 617-983-6948.
daycares in more depth.
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Massachusetts Child and Youth Serving Programs Reopen Approach
Reopening: Higher Education
Initial Fall School Reopening Guidance Safety Standards and Control Plan: Occupational Schools and Testing Centers
plan-template-occupational-schools-and- testing-centers/download 26
Executive Office of Energy and Environmental Affairs (EEA) COVID-19 Guidance Documents
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Reopening: Sector-specific protocols and best practices
July 6th]
6th]
Outdoor Recreation Reopening Phase III, Step I
Tours [Phase III, Step 1, J…
July 6th]
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Reopening: Mandatory Safety Standards for Workplaces
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