Fire Chiefs Briefing August 4 2020 Numbers as

Fire Chief’s Briefing August 4, 2020

Numbers as of 08/03/2020 • GC Positives = 5, 254; last week was 4, 789 • NC Positives = 126, 532: last week 114, 338 • NC Deaths = 1, 982; last week 1, 790 • GC Deaths = 147; last week 139 • NC Counties with a case = 100 • US Positives = 4, 717, 716 https: //coronavirus. jhu. edu/map. html https: //covid 19. ncdhhs. gov/dashboard

Metrics

https: //coronavirus. jhu. edu /data/new-cases-50 -states

COVID-19 Symptom Checker • https: //www. cdc. gov/coronavirus/2019 ncov/symptoms-testing/symptoms. html • https: //www. hopkinsmedicine. org/coron avirus/covid-19 -self-checker. html • https: //www. apple. com/covid 19/ • https: //ncdhhs-covid 19 dtra. powerappsportals. us/

https: //www. cdc. gov/coronavirus/2019 ncov/downloads/hcp/fs-ten-clinical-tips. pdf

Key Changes to EMS Guidance (July 15, 2020) https: //www. cdc. gov/coronavirus/2019 -ncov/hcp/guidance-for-ems. html

Key Changes to EMS Guidance (July 15, 2020)

Update items • Stay engaged…. • Web. EOC for request PLEASE • EOC is staffed daily (336 -641 -2278) • Information (internal and external access…. ) • Information repository is up • (http: //covid 19 info. Guilford-es. com) • Added a FAQ’s section • Email covid 19 faq@guilford-es. com • Medical Caution vs Universal Precautions • Consider everyone a PUI, including co-workers

Return to Work Criteria (CDC Changes July 17, 2020) • With NO documented exposure or low risk exposure, providers can continue to work • Symptomatic: • If symptomatic, Public Safety should be tested • With no testing, employee can return to work once afebrile for 72 hours, but potentially infectious • If negative test, can return to work after 24 hours afebrile without meds • If positive test, 10 days after symptom onset, symptoms improved, and 24 hours afebrile without meds • should wear a facemask for source control until symptoms totally resolved • Asymptomatic positives are excluded for 10 days, unless they develop S/S • If they develop S/S, then the time resets • https: //www. cdc. gov/coronavirus/20 19 -ncov/hcp/disposition-in-homepatients. html

Testing procedure • For public safety personnel ONLY • Fire, Police, and EMS v e R d e is • Does NOT require symptoms (effective June 2, 2020) • Under most circumstances, employee is excluded from work until test results are returned • Requires scheduling • Email to GCES Medical Directors (GCESMD@guilford-es. com) • Webform autoreply • Complete webform • Will be authorized by DPH and testing location/time specified • GCDPH will obtain sample • Effective in the next week or two, the GCDPH lab will process samples with 48 hour turnaround. Current improvement in Quest turnaround

Hospital Discharge https: //www. cdc. gov/coronavirus/2019 -ncov/hcp/disposition-hospitalized-patients. html • Clearance has been 2 options: • Testing based strategy with 2 negative test in 24 hours • Time based strategy • Most circumstances are now time based • For patients with severe to critical illness or who are severely immunocompromised 1, the recommended duration for Transmission-Based Precautions was extended to 20 days after symptom onset (or, for asymptomatic severely immunocompromised 1 patients, 20 days after their initial positive SARSCo. V-2 diagnostic test)

Guilford County Testing Locations • https: //covid 19. ncdhhs. gov/about-covid-19/testing/find-my-testing-place July 1 July 6 – 10 (Monday, Tuesday, Friday) July 13 – 17 (Monday, Wed, Friday) NC A&T Craft Rec (GSO) July 20 – 24 (Monday, Wednesday, Friday) July 27 – July 31 (Monday, Wednesday, Friday Griffin Rec (GSO) Morehead Rec (HP) High Point University Community Center

Congregate Living Outbreaks • https: //covid 19. ncdhhs. gov/dashbo ard/outbreaks-and-clusters

https: //www. cdc. gov/coronavirus/2019 -ncov/hcp/testingoverview. html? CDC_AA_ref. Val=https%3 A%2 F%2 Fwww. cdc. gov%2 Fcoro navirus%2 F 2019 -ncov%2 Fhcp%2 Fclinical-criteria. html