Guidelines, and Testing August 12, 2020 Presented by Ashley - - PowerPoint PPT Presentation

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Guidelines, and Testing August 12, 2020 Presented by Ashley - - PowerPoint PPT Presentation

Oct 24, 2022 273 likes •524 views

COVID-19 Updates, Guidelines, and Testing August 12, 2020 Presented by Ashley Wegner, MPH, CIC Kim Mawby, MSN, RN, CBS Corrie Courtney, MPH, BSN, RN COVID-19 February 11, 2020 the World Health Organization announced an official name

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SLIDE 1

COVID-19 Updates, Guidelines, and Testing

Presented by Ashley Wegner, MPH, CIC Kim Mawby, MSN, RN, CBS Corrie Courtney, MPH, BSN, RN

August 12, 2020

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SLIDE 2

COVID-19

  • February 11, 2020 the World Health Organization announced an official name for disease causing

the 2019 novel coronavirus outbreak.

  • COVID-19
  • "CO" stands for corona
  • "VI" stands for virus
  • "D" stands for disease
  • First identified in Wuhan, China
  • Not the same as the coronaviruses that cause the common cold

https://www.cdc.gov/coronavirus/2019-ncov/faq.html#Symptoms-&-Testing

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

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SLIDE 3

Symptoms

Symptoms may appear 2-14 days after exposure to the virus

Fever or chills Cough Shortness of breath or difficulty breathing Fatigue Muscle or body aches Headache New loss of taste or smell Sore throat Congestion or runny nose Nausea or vomiting Diarrhea

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

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SLIDE 4

Complications

  • Risk of complications or death

increase with age.

  • Certain medical conditions put people

at higher risk for complications or death.

https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/index.html

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

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SLIDE 5

https://www.cdc.gov/flu/symptoms/flu-vs-covid19.htm

COVID-19 vs. Influenza

  • Contagious viral respiratory

illnesses

  • Some similar symptoms
  • Spread person-to-person
  • Mainly spread by droplets,

also by human contact or touching contaminated surface

  • Can be spread by people with
  • r without symptoms
  • SARS-CoV-2
  • Incubation period 2-14

days

  • Possible to spread 2

days before symptom

  • nset (still under

investigation)

  • Contagious 10 days

after symptom onset

  • Vaccine under

development

  • Influenza virus
  • Typical incubation

period 1-4 days

  • Contagious 1 day before

symptom onset

  • Older children and

adults remain contagious 7 days

  • Infants and people with

weakened immune systems contagious longer

  • Can be prevented by

vaccination

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SLIDE 6

Transmission

  • Person-to-Person transmission

Close contact (within about 6 feet) Respiratory droplets: when a person with the infection coughs, sneezes, or talks Possible to spread without symptoms

  • Touching surface or object contaminated with the virus

Not as common mode of transmission

  • Animal-to-person/Person-to-animal transmission
  • We are still learning about how the virus is transmitted

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid-spreads.html

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SLIDE 7

Transmission: Prevention Methods

  • Face Mask/Covering
  • Social Distancing
  • Staying home when

sick

  • Hand Hygiene
  • Avoid touching face
  • Clean/Sanitize

high-touch areas and common areas

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

Important tip:

  • Closely follow the manufacturer

instructions when using disinfectants on a surface

  • Many require contact time of up to 1-5

minutes

https://www.epa.gov/coronavirus/guidance-cleaning-and-disinfecting-public-spaces-workplaces-businesses-schools-and-homes

Make sure you use PPE appropriately

  • N-95 masks must be fit-tested
  • Buddy system for donning/doffing
  • Specific areas for donning/doffing

Fit testing facts: https://www.mhanet.com/mhaimages/COVID-

19/Respiratory%20Protection%20companies.pdf

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SLIDE 8

Why Wear a Face Mask?

https://www.bing.com/videos/search?q=PBS+science+face+mask+video&d

  • cid=608043648289343141&mid=970D582AD467CEB1078A970D582AD46

7CEB1078A&view=detail&FORM=VIRE

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

This Photo by Unknown author is licensed under CC BY-NC.

This Photo by Unknown author is licensed under CC BY-NC-ND.
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SLIDE 9

Why is testing important?

  • Provides us with the understanding of the burden of

disease on our community

  • Who is getting sick?
  • Why are they getting sick?
  • Where are they getting sick?
  • When are they getting sick?
  • How are they getting sick?
  • Important part of Clay County's Community Recovery Plan
  • By monitoring the cases in the county we can better protect our community and

establish best practice guidelines

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

This Photo by Unknown Author is licensed under CC BY-NC-ND
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SLIDE 10

Local Guidelines and Community Recovery

  • Overarching goal: not to return to a stay-at-home order
  • Clay County Recovery Plan created to guide businesses, organizations,

and individuals to best protect against impact of the COVID-19 virus

  • Clay County is currently in Phase 2, Step 2 of the Recovery Plan
  • Detailed guidance on the Clay County Public Health Center Website

https://www.clayhealth.com/286/Community-Recovery

  • Informed by local data and CDC recommendations –

Data from testing drives the decisions that impact the recovery of our community

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

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SLIDE 11

Testing: There are currently two types of tests for COVID-19 19

  • Diagnostic, viral test that typically uses a nasal or oral/throat swab
  • This includes PCR and antigen test
  • Active infection
  • Does not indicate if a person has had past infection
  • Nasal passageway, oral/throat, saliva
  • Some are completed as a self-test via nasal/oral swab
  • Point of Care tests or Rapid Tests
  • Typically take less than an hour for results
  • If negative, may require a confirmatory PCR test
  • Specific genes from the SARS-COV-2 virus, COVID-19

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/testing.html

This Photo by Unknown Author is licensed under CC BY-SA
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SLIDE 12

Testing: two types of tests (CONT'D)

  • Antibody test, serology test
  • Identifies past infection
  • Blood sample
  • Takes 1-3 weeks for the body to develop antibodies
  • Proteins that provide evidence of the body's immune response to the virus
  • Positive Test Result: What does this mean?
  • Antibodies are present.
  • There are no infection control measures needed.
  • Not used as a basis for return to work or school status
  • Should not be used for staffing or infection control decisions
  • Presence of antibodies does not indicate the status of immunity

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/testing.html

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SLIDE 13

Accuracy of Diagnostic Tests

  • Molecular test/PCR test
  • FDA approved
  • Detects genetic material of COVID-19 virus using PCR technique
  • Considered "very accurate" when performed properly.
  • Rapid test, more likely for false-negatives
  • Nasopharyngeal (NP) Test Swab has been shown to have a sensitivity rate of 89%
  • Antigen test
  • FDA approved
  • Rapidly detects certain proteins part of the COVID-19 virus
  • Faster/less expensive
  • Positive test "very accurate"
  • Increased chance of false-negative results
  • Not as sensitive as molecular test
  • Health care providers may recommend molecular test to confirm negative antigen test

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

https://www.mayoclinic.org//covid-19-diagnostic-test/about/pac-20488900 tests-procedures

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SLIDE 14

What does testing tell us?

  • A positive or detected test result tells us there is active viral infection
  • Helps us prevent the spread of virus to others, providing awareness to the presence of Illness
  • High risk individuals should SEEK testing if they become symptomatic.
  • Allows us to catch the infection early - prevention of more severe, poor outcomes

Those individuals exhibiting symptoms should get tested Important to remember, a viral test is a snapshot, a photograph of a moment in time

Testing does NOT tell us if we have contracted the illness after performing the test.

  • Can lead to a false sense of security

Ask yourself, why am I being tested?

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

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SLIDE 15

Who needs testing?

  • People exhibiting signs and symptoms
  • f COVID-19
  • Outbreak Investigations
  • Persons

with known exposure to a positive case who develop symptoms within 14 days after the last date of exposure

  • People over the age of 65
  • Those with underlying health concerns
  • Those hospitalized or having a medical

procedure

  • Pregnancy
  • Those living in group homes, group

living conditions

  • Senior Living Facilities
  • Multi-families, Homeless Population
  • Prisons
  • Those with disabilities
  • People who cannot always social-

distance

  • First Responders
  • Healthcare workers
  • Mass transit workers
  • Grocery store employees

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

https://health.ucdavis.edu/coronavirus/coronavirus-testing.htmlhttps://www.cdc.gov/coronavirus/2019- ncov/need-extra-precautions/index.html https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-increased-risk.html

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SLIDE 16

COVID-19 Data Resources

  • Clay County: Clay County Public Health Center
  • Kansas City Region: Mid-America Regional Council (MARC)
  • Missouri: Missouri Department of Health and Senior Services

(MODHSS)

  • Missouri Projections: IHME
  • United States: Centers for Disease Control (CDC)
  • World: Johns Hopkins

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

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SLIDE 17

COVID 19 Case Reporting

  • Ordering Providers AND Laboratories are required to report positive

COVID test results to the Missouri Department of Health and Senior Services (MODHSS) immediately.

  • Electronic COVID-19 Case Reporting Now Available:
  • All entities currently required to complete a Communicable Disease Case Report (CD-1) should begin

reporting positive COVID-19 cases via the new system*. This system will replace the paper CD-1 process and allow for more timely, appropriate, and accurate data for COVID-19 case reporting.

  • The Electronic COVID-19 Case Reporting System can be found on DHSS’ main COVID-19 webpage:

www.health.mo.gov/coronavirus. Please do not enter lab result information unless you are a reporting laboratory or you are entering on behalf of the laboratory.

  • The new system also fulfills the requirement for residential congregate facilities to report COVID-19 cases

under the May 18th Congregate Facility Reporting Order. Congregate facilities will no longer need to enter positive case information into the former system, which has been taken down.

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SLIDE 18

Case and Contact Investigations

  • Local Public Health Agencies
  • Clay County staff performs contact tracing
  • Anyone who is identified as a close contact to an active case, will be:
  • Called by public health
  • Notified of their potential exposure
  • Asked to monitor symptoms
  • Provided with guidance and support

https://www.clayhealth.com/288/Local-Data

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

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SLIDE 19

What is Close Contact

  • Within 6 feet of someone who has the COVID-19 virus for 15 minutes or

longer

  • You provided care to someone who has the COVID-19 virus
  • Direct physical contact with someone who has the COVID-19 virus
  • Hugging
  • Kissing
  • Shared food, drinking or eating utensils
  • Someone who has the COVID-19 virus coughed or sneezed, and droplets

came in contact with you

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html

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SLIDE 20

Quarantine vs Isolation

  • Quarantine
  • Keeping someone who may have

been exposed to the COVID-19 virus separated from others.

  • Prevents the spread of the virus to
  • thers, before symptoms appear

and the individual becomes sick.

  • Stay home
  • Separate from others
  • Monitor health
  • Isolation
  • Keeping someone who is sick with

the COVID-19 virus separated from

  • thers.
  • This includes:
  • People who have symptoms and can

recover safely in their home

  • People who have NO symptoms, but

have tested positive for the COVID- 19 virus

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/isolation.html

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SLIDE 21

Return to Work Guidelines

Current CDC Recommendations are to remain in self-isolation for 10 days from the first day of symptom onset

  • AND you have been fever free for at least 24 hours, without the aid of over the

counter medications

  • AND you are no longer experiencing significant signs and symptoms of illness
  • A test-based strategy is no longer recommended for return to work
  • In general, the more closely you interact with others and the longer that

interaction, the higher the risk of COVID-19 spread.

  • When returning to work, continue to protect yourself by practicing

everyday preventive actions. (social distancing, face mask, hand hygiene)

  • Keep these items on hand when returning to work: a mask, tissues, and

hand sanitizer with at least 60% alcohol, if possible.

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.htmlt

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SLIDE 22

Retesting Positive Cases

  • A symptom-based strategy is recommended for ending isolation
  • Current CDC Recommendations are to remain in self-isolation for 10 days from the first day
  • f symptom onset
  • AND you have been fever-free for at least 24 hours, without the aid of over the counter

medications

  • AND you are no longer experiencing significant signs and symptoms of illness
  • Test-based strategy is no longer recommended
  • A test-based strategy may be considered for persons who are severely

immunocompromised, in consultation with infectious disease experts

  • For persons diagnosed with COVID-19 who remain asymptomatic after recovery,

retesting is not recommended within 3 months after the date of onset of the initial COVID-19 infection.

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200

https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html

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SLIDE 23

References

  • https://coronavirus.jhu.edu/downloads/JHU_Facts_About_COVID-19_tests.pdf
  • https://www.epa.gov/coronavirus/guidance-cleaning-and-disinfecting-public-spaces-

workplaces-businesses-schools-and-homes

  • https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/testing.html
  • https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/returning-to-work.html
  • https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/index.html
  • https://www.cdc.gov/flu/symptoms/flu-vs-covid19.htm
  • https://www.mayoclinic.org/tests-procedures/covid-19-diagnostic-test/about/pac-

20488900

  • Jamal, A.J., Mozafarihashjin, M., Coomes, E., Powis, J., Li, A. X., Paterson, A., Anceva-Sami,

S., Barati, S., Crowl, G., Faheem, A., Farooqi, L., Khan, S., Prost, K., Poutanen, S., Taylor, M. Yip, L., Zhong, X. Z., McGeer, A. J., Mubareka, S. (2020, June 25). Sensitivity of nasopharyngeal swabs and saliva for the detection of severe acute respiratory symdrome coronavirus 2. Clinical Infectious Diseases. DOI: https://doi.org/10.1093/cid/ciaa848

800 Haines Dr., Liberty, MO 64068 | clayhealth.com | 816.595.4200