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 September 8, 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
September 8, 2020
Report – updated
Friday 9/4/2020. See MAVEN Help to review.
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the goal until that strategy changes/evolves.
you should document your work.
(IHEs) on a process for follow-up among students & staff.
Tuesdays @ 11am
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@mass.gov MDPH Food Protection Program: 617-983-6712 CTC Help Desk: 857-305-2828 COVID19CommunityTracingCollaborativeQuestions@mass.gov * 3
check your workflow and clear out the workflow
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for your jurisdiction. (Confirmed and Probable Cases)
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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not Yes/No (contacts within the past 24 hours)
contact monitoring then select the question as Yes
keep your contacts at your LBOH
completed in the CRM by the CTC.
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management and does not represent a cluster or outbreak of illness. Any Epi Cluster events associated with this school should be linked to this Umbrella Cluster for tracking purposes. Individual COVID cases should not be linked to this Umbrella Cluster event; school association is captured in individual case events through the variable “Education Institution” in the Risk Question Package. Please call (617) 983-6800 with any questions.
to see
recording and slide set now available – please review
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Massachusetts
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These are not editable by users, MAEDSS-12737
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Average daily incidence rate = (Cases on Day1/population + Cases on Day 2/population….+Cases on Day14/population)/14 x 100,000. The 14 days over which the cases are drawn is indicated in the footnotes
8/29/2020.
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jurisdiction
University of Massachusetts Donahue Institute using a modified Hamilton-Perry model (Strate S, et al. Small Area Population Estimates for 2011 through 2020, report, Oct 2016.) 12
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19%20PCR%20and%20Antibody%20Testing%20Public%20Health%20Response%20Recommendations%20for%20LBOH %20Ver4.0_Aug22.pdf
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quarantine period for travelers to MA (including MA residents who traveled outside of MA and are returning).
COVID-19
A bit outdated after the new CDC guidance. We do not yet have an updated State Doc reflecting
this CDC updated guidance for follow-up. More Updated
them out! 15
the 5. Risk Question Package.
group settings.
capture higher education affiliation (and boarding schools).
a patient’s event.
existing clusters, etc.
clusters can also be for other things like Daycares, classrooms, events, etc.
Lots of Tip Sheets are in MAVEN Help Section 16
Check out last Friday’s Webinar on Clusters (MAVEN HELP)
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cluster event in MAVEN
help users when searching for a cluster event
http://www.maventrainingsite.com/maven-help/pdf/Creating%20Cluster%20Events%20in%20MAVEN%20Tip%20Sheet_ver1.0_Sept4.pdf
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existing cases in MAVEN?
two existing events in MAVEN
http://www.maventrainingsite.com/maven-help/pdf/FAQ-%20Link%20Existing%20Cases_April2020.pdf 19
Institutions of Higher Education (IHEs) and Boarding Schools in MAVEN
manage IHEs and Boarding Schools: Umbrella Clusters and Epi Clusters
IHE/Boarding School-associated cases to cluster events
http://www.maventrainingsite.com/maven-help/pdf/MAVEN%20Higher%20Ed%20%20Boarding%20School%20Cluster%20Tip%20Sheet_ver1.0_Sept04.pdf
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(schools, daycares, etc.), we will be talking more about clusters.
already seen them in relation to the work we have been doing for COVID-19 in long term care facilities (LTCFs), nursing homes, rest homes, etc.
move forward this fall.
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where close contact is known or suspected to have taken place among a group of five or more people
and other healthcare facilities, correctional facilities, shelters and daycares.
cluster event only needs to be created if it meets the above definition.
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August 31 and later became cases
wings of the building and they did not overlap in the cafeteria or other shared spaces
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night with 10 guests (while he was infectious).
contacts and link them to your index case.
interviews can lead to identifying a cluster.
cluster event in MAVEN.
help inform our work. 24
constitute a cluster.
a personal training session with a trainer in the morning, and had coffee with the dog walker afterwards. All three people later became cases.
shared group exposure that would make that a cluster. Birthday Boy is just a very social index case with a lot of spread because he’s clearly not observing good social distancing practices.
players, that does not constitute the 2 people needed for the cluster.
after the fact, THAT could be a cluster (2 people with a shared exposure in a setting with 5+ people.)
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primary action.
well as observing outcomes in quarantining contacts.
Program 617-983-6800. We are happy to discuss the scenario and provide recommendations.
Retrospective reviews and cluster identification can be helpful for informing trends and helping to identify risk activities and populations.
quarantine implementation.
not.
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Examples:
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track the number of associated epi clusters by institution
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Example: Clusters at Williams College and Smith College
Williams College Smith College Williams soccer team cluster Williams dorm cluster (Agard House) Note that only epi clusters (not cases) are linked to umbrella clusters. Umbrella clusters Epi clusters Cases
Key
Smith journalism club cluster Smith on-campus party cluster (Parsons House) Abby Smith Jessica Rodriguez Evelyn Pham Sally Tucker Ayana Washington MJ Edwards Stephen Robinson Chip Bublé Eleanor Alvarez
Chip is linked to both clusters as he is on the soccer team and lives in Agard House. MJ is a Williams student who attended the Parsons party while visiting a friend at Smith.
Sarah Goldstein Zhang Wei Dean Jones
Other Williams student cases are not known to be part of any epi clusters and are therefore not linked.
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Massachusetts
convention:
A full excel document of the official lost of IHE Umbrella Clusters is located in MAVEN Help. 30
you can see what Epi clusters are linked.
search.
packages are less applicable for COVID-19 Clusters)
existing events first.
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the Standard Question Package for Affected Town(s).
selected.
different towns, those towns should be added to the “affected town(s)” repeatable fields so those LBOHs can view the cluster event as well. 32
with a few residents connected to an out of state cluster.
by case basis.
for Education Institution for out of state colleges. That variable does not currently list other out of state colleges. 33
there could be a family event that includes people from multiple households and that would be a cluster (like a family reunion, etc.). If several generations of people got together for Grandma’s birthday, and they came from different households, this could be a cluster.
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listed trigger maven to enter the name of the school in maven like it does for higher Ed?
Institution Variable is just for Higher Ed and Boarding Schools, and is populated for schools that are the ordering lab for surveillance testing (larger University testing programs)
information at the point of interview in the upper half of the Risk Question Package under:
group setting? (for example, nursing home, daycare, jail, or school.)
Enter K-12 School
Enter only College/Boarding School here. 35
manage your clusters.
1. Do a search in the search field for a specific cluster or any clusters in your town. (Consult tip sheet for how to do a search) 2. Upcoming Report: There will be a report you can run which will tell you all the open clusters in your town (also gives you the number of linked cases to each one). This report is in the final stages of development. 3. Cluster/Outbreak Linelist Report: This report can be run for a specific cluster and will create a line list with each of the individual events linked to that specific
completed the data in the linked events.
Cluster/Outbreak Linelist Report 36
where close contact is known or suspected to have taken place among a group of five or more people
relevant for higher ed and people who work or attend congregate settings (schools, daycares, jails, etc.). 37
clinics/download
Also available here:
department-of-public-health-immunization-division-advisories-and-alerts (scroll down to bottom)
details/vaccine-administration-and-clinical-guidance (link on the right hand side)
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Emergency, August 19
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