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CDC Corona Virus Disease 2019 Resource Page
Federal health officials issued a blunt message Tuesday: Americans need to start preparing now for the possibility that more aggressive, disruptive measures might be needed to stop the spread of the new coronavirus in the U.S.
"It's not so much a question of if this will happen anymore, but more really a question of when it will happen — and how many people in this country will have severe illness," Dr. Nancy Messonnier of the Centers for Disease Control and Prevention told reporters during a briefing.
"We are asking the American public to work with us to prepare with the expectation that this could be bad," Messonnier said.
Those measures could include school closings, workplace shutdowns and canceling large gatherings and public events, she warned.
She stressed that the current risk remains low.
To increase your chances of staying healthy, avoid crowded settings if possible, especially if you are over 60, or have other chronic health conditions such as diabetes, heart disease, lung disease, or a weakened immune system.
Do not go to the emergency room unless essential. Emergency rooms need to be able to serve those with the most critical needs. If you have symptoms like cough, fever, or other respiratory problems, contact your regular doctor first.
Government of Canada Coronavirus disease (COVID-19): Outbreak update
Outbreaks of novel virus infections among people are always of public health concern. The risk from these outbreaks depends on characteristics of the virus, including how well it spreads between people, the severity of resulting illness, and the medical or other measures available to control the impact of the virus (for example, vaccine or treatment medications). The fact that this disease has caused illness, including illness resulting in death, and sustained person-to-person spread is concerning. These factors meet two of the criteria of a pandemic. As community spread is detected in more and more countries, the world moves closer toward meeting the third criteria, worldwide spread of the new virus.
While there is still much to learn about the unfolding situations in California, Oregon and Washington, preliminary information raises the level of concern about the immediate threat for COVID-19 for certain communities in the United States. The potential public health threat posed by COVID-19 is very high, to the United States and globally.
At this time, however, most people in the United States will have little immediate risk of exposure to this virus. This virus is NOT currently spreading widely in the United States. However, it is important to note that current global circumstances suggest it is likely that this virus will cause a pandemic. This is a rapidly evolving situation and the risk assessment will be updated as needed.
Current risk assessment:
- For the general American public, who are unlikely to be exposed to this virus at this time, the immediate health risk from COVID-19 is considered low.
- People in communities where ongoing community spread with the virus that causes COVID-19 has been reported are at elevated though still relatively low risk of exposure.
- Healthcare workers caring for patients with COVID-19 are at elevated risk of exposure.
- Close contacts of persons with COVID-19 also are at elevated risk of exposure.
- Travelers returning from affected international locations where community spread is occurring also are at elevated risk of exposure.
CDC has developed guidance to help in the risk assessment and management of people with potential exposures to COVID-19.
What May Happen
More cases of COVID-19 are likely to be identified in the coming days, including more cases in the United States. It’s also likely that person-to-person spread will continue to occur, including in communities in the United States. It’s likely that at some point, widespread transmission of COVID-19 in the United States will occur.
Widespread transmission of COVID-19 would translate into large numbers of people needing medical care at the same time. Schools, childcare centers, workplaces, and other places for mass gatherings may experience more absenteeism. Public health and healthcare systems may become overloaded, with elevated rates of hospitalizations and deaths. Other critical infrastructure, such as law enforcement, emergency medical services, and transportation industry may also be affected. Health care providers and hospitals may be overwhelmed. At this time, there is no vaccine to protect against COVID-19 and no medications approved to treat it. Nonpharmaceutical interventions would be the most important response strategy.
In their Journal article, Li and colleagues3 provide a detailed clinical and epidemiologic description of the first 425 cases reported in the epicenter of the outbreak: the city of Wuhan in Hubei province, China. Although this information is critical in informing the appropriate response to this outbreak, as the authors point out, the study faces the limitation associated with reporting in real time the evolution of an emerging pathogen in its earliest stages. Nonetheless, a degree of clarity is emerging from this report.
On the basis of a case definition requiring a diagnosis of pneumonia, the currently reported case fatality rate is approximately 2%.4 In another article in the Journal, Guan et al.5 report mortality of 1.4% among 1099 patients with laboratory-confirmed Covid-19; these patients had a wide spectrum of disease severity. If one assumes that the number of asymptomatic or minimally symptomatic cases is several times as high as the number of reported cases, the case fatality rate may be considerably less than 1%. This suggests that the overall clinical consequences of Covid-19 may ultimately be more akin to those of a severe seasonal influenza (which has a case fatality rate of approximately 0.1%) or a pandemic influenza (similar to those in 1957 and 1968) rather than a disease similar to SARS or MERS, which have had case fatality rates of 9 to 10% and 36%, respectively.2
The efficiency of transmission for any respiratory virus has important implications for containment and mitigation strategies. The current study indicates an estimated basic reproduction number (R0) of 2.2, which means that, on average, each infected person spreads the infection to an additional two persons. As the authors note, until this number falls below 1.0, it is likely that the outbreak will continue to spread. Recent reports of high titers of virus in the oropharynx early in the course of disease arouse concern about increased infectivity during the period of minimal symptoms.6,7
More at www.cdc.gov/coronavirus/2019-ncov/specif...siness-response.html
Recommended strategies for employers to use now:
Additional Measures in Response to Currently Occurring Sporadic Importations of the COVID-19:
- Actively encourage sick employees to stay home
- Separate sick employees
- Emphasize staying home when sick, respiratory etiquette and hand hygiene by all employees
- Perform routine environmental cleaning
- Advise employees before traveling to take certain steps
- Employees who are well but who have a sick family member at home with COVID-19 should notify their supervisor and refer to CDC guidance for how to conduct a risk assessment of their potential exposure.
- If an employee is confirmed to have COVID-19, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace but maintain confidentiality as required by the Americans with Disabilities Act (ADA). Employees exposed to a co-worker with confirmed COVID-19 should refer to CDC guidance for how to conduct a risk assessment of their potential exposure.
Want to learn about Coronavirus (COVID-19) and what Jefferson County is doing to be prepared? Check out the Q&A with the Lakewood Sentinel.
How has Jeffco prepared for a major outbreak?
Even though there have been no cases of COVID-19 in Jefferson County or Colorado, and though the immediate risk to most people is low, Jefferson County Public Health, the Colorado Department of Public Health and Environment (CDPHE) and our health and medical partners are prepared. Jefferson County Public Health has conducted all-hazards planning for nearly two decades, and we are highly trained to respond to emerging threats just like this.
Since the start of the outbreak, we have been taking a proactive approach working closely with CDC, CDPHE and other partners to:
• Provide timely information about the outbreak to our community.
• Share guidance with health care providers so they know how to safely care for people with possible COVID-19 infection.
• Support local hospitals and other health and medical partners with requests for information and logistics.
• Actively monitor the situation and refine our response and recovery plans.
We have also activated our Jefferson County Public Health Emergency Operations Plan and are using the incident command system to allow for enhanced and coordinated response efforts. Basically, this allows us to secure the resources we need and utilize the full breadth of subject matter expertise that we have across our workforce to prepare. This structure also allows us to align efforts with other response partners.
FRISCO — A patient at St. Anthony Summit Medical Center in Frisco is being tested for coronavirus, according to a representative with the hospital.
The patient, who has a recent history of travel to Italy, came into the hospital’s emergency department Wednesday afternoon with a possible respiratory illness, according to a statement from hospital spokesman Brent Boyer. The hospital is investigating the possible case of novel coronavirus in collaboration with the Colorado Department of Public Health and Environment. Results of a test from the Centers for Disease Control and Prevention are expected back within 24 hours.
The state laboratory at the Colorado Department of Public Health and Environment is now equipped to test for cases of coronavirus, according to state officials.
Before now, testing for COVID-19 had been conducted only by the Centers for Disease Control and Prevention. With new capacities for testing at the state level, officials are hoping to be more nimble in responding to and controlling the disease if it is found in Colorado.