Coronavirus (COVID-19)

Updated: May 22

A Pandemic is declared by the World Health Organization (WHO).


FIRST: A special Thank you to Doctor Li Wenliang who saw something, and said something.


- ------------------Data below this line changes frequently: ------------------

SITUATION: (Last Update 5/22/2020 at 9:32 am)


In the United States, there is a large divide in what to do about the current lock down status, some states are lifting restrictions, some are doing a partial lift, while others are slowly lifting restrictions and doing a "wait and see" approach, ready to dial back if cases increase.


Here in Washington State, Governor Inslee has implemented a data driven plan to re-open the state. Certain counties are being given leeway to open further ahead of others.


*Wearing masks or face coverings is the current recommendation whenever leaving your home.

(All the other precautions still apply; Masks are simply an added layer of protection.)

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html


Symptoms to be watching for: Coughing, Fever, Tiredness, and Difficulty Breathing.


The Centers for Disease Control has updated its official list of coronavirus symptoms, which can range from mild to severe.

New COVID-19 symptoms include:

  • Chills

  • Repeated shaking with chills

  • Muscle pain

  • Headache

  • Sore throat

  • New loss of taste or smell

Previously, the only official symptoms of coronavirus were fever, cough and shortness of breath. The CDC updated their original symptom "shortness of breath" to "shortness of breath or difficulty breathing."


If you develop emergency warning signs for COVID-19 get medical attention immediately.


Emergency warning signs include*:

  • Difficulty breathing or shortness of breath

  • Persistent pain or pressure in the chest

  • New confusion or inability to arouse

  • Bluish lips or face


*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.



Situation in U.S.

A pandemic is a global outbreak of disease. Pandemics happen when a new virus emerges to infect people and can spread between people sustainably. Because there is little to no existing immunity against the new virus, it spreads worldwide.


The virus that causes COVID-19 is infecting people and spreading easily from person-to-person. Cases have been detected in almost all of the countries worldwide and community spread is being detected in a growing number of countries.


This is still a rapidly evolving situation and information is updated as it becomes available.


The US is divided on opening back up, with individual governors making independent decisions.


Situation in Washington State

Gov. Jay Inslee issued a Stay Home — Stay Healthy order which remain until the end of May.


Washington State is looking at a 4 phase approach to re-opening.


Each phases will be based on data, which Governor Inslee has made available through a series of dials.





RECOMMENDATIONS:


Updates from our network:


King County Public Health

www.kingcounty.gov/covid


HOTLINES:

King County Public Health: 1-206-477-3977

Washington State Department of Health: 1-800-525-0127

If you are having a medical emergency, Dial 9-1-1



RESOURCES:


Non Profit / Business Financial Support

https://docs.google.com/spreadsheets/d/1wcd6g0sUYQI0bGB9HexAu8aI3LRkF2Sr1yj3dH75-FA/edit#gid=1705997640


VIDEOS:

CDC Video on Washing Hands:

https://www.youtube.com/watch?v=d914EnpU4Fo


LINKS:

Centers for Disease Control (CDC) Updates:

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


World Health Organization (WHO) Updates:

https://www.who.int/emergencies/diseases/novel-coronavirus-2019


Washington State Department of Health Updates:

https://www.doh.wa.gov/Emergencies/Coronavirus


King County Public Health Updates:

www.kingcounty.gov/covid


Coronavirus Pandemic Guide (King County):

https://www.kingcounty.gov/~/media/depts/health/communicable-diseases/documents/planning-for-coronavirus-pandemic-web.ashx?la=en


Public Health Insider:

https://publichealthinsider.com/category/novel-coronavirus/


CDC School Guidance:

https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/guidance-for-schools.html



TRENDS / DATA:

A History of what has been happening, and map data since early March for the US:

(Source Maps and Data Tools below)

Log / History of updates to the GIS DATA Map: (United States Overview)

03/04/2020, 148 Cases, 11 deaths.

03/06/2020, 273 Cases, 14 deaths.

03/08/2020, 437 Cases, 17 deaths.

03/09/2020, 607 Cases, 22 deaths.

03/10/2020, 972 Cases, 28 deaths.

03/11/2020, 1,110 Cases, 30 deaths.

03/13/2020, 1,268 Cases, 33 deaths.

03/16/2020, 4,442 Cases, 77 deaths.

03/17/2020, 5,613 Cases, 94 deaths.

03/18/2020, 9,345 Cases, 150 deaths.

03/20/2020, 16,638 Cases, 216 deaths.

03/22/2020, 27,004 Cases, 347 deaths.

03/23/2020, 43,963 Cases, 560 deaths.

03/24/2020, 55,148 Cases, 796 deaths.

03/25/2020, 69,018 Cases, 1,042 deaths.

03/27/2020, 100,717 Cases, 1,544 deaths.

03/28/2020, 124,665 Cases, 2,191 deaths. * slow/missing data start

03/30/2020, 143,532 Cases, 2,572 deaths. *

04/01/2020, 190,000 Cases, 4,102 deaths.

04/02/2020, 226,374 Cases, 5,316 deaths.

04/06/2020, 337,971 Cases, 9,654 deaths. [ 7,984 Washington Cases, with 338 deaths]

04/08/2020, 401,166 Cases, 12,936 deaths. [ 8,682 Washington Cases, with 394 deaths]

04/13/2020, 558,526 Cases, 22,146 deaths. [10,411 Washington Cases, with 508 deaths]

04/17/2020, 683,786 Cases, 34,575 deaths. [11,152 Washington Cases, with 583 deaths]

04/21/2020, 788,920 Cases, 42,458 deaths. [12,085 Washington Cases, with 652 deaths]

04/23/2020, 856,209 Cases, 47,272 deaths. [12,494 Washington Cases, with 692 deaths]

04/27/2020, 968,203 Cases, 54,938 deaths. [13,521 Washington Cases, with 749 deaths]

[04/30/2020] 1,056,203 Cases, 61,867 dead. [14,070 Washington Cases, with 801 deaths]

[05/04/2020] 1,161,346 Cases, 67,781 dead. [15,185 Washington Cases, with 834 deaths]

[05/11/2020] 1,332,609 Cases, 79.607 dead. [16,891 Washington Cases, with 931 deaths]

[05/18/2020] 1,491,547 Cases, 89,666 dead. [18,433 Washington Cases, with 1,001 deaths]

[05/22/2020] 1,588,322 Cases, 95,276 dead. [19,117 Washington Cases, with 1,044 deaths]


Note:

Washington State's figures starting on 3/28 have been slow to report into overall system.

Latest Washington figures can be found here: https://www.doh.wa.gov/emergencies/coronavirus

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Interactive Maps & Data on the Corona Virus outbreak:

(Map Tools for tracking the Virus)

CDC/John Hopkins (CDC): GIS Map DATA

World Health Organization (WHO): GIS Map DATA

Washington State EOC Dashboard: GIS MAP DATA

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EQUIPMENT:

Personal Protective Equipment (PPE): (Proper use is Very Important)

https://www.cdc.gov/niosh/topics/emres/ppe.html

Masks:

https://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/default.html

How to use Masks:

https://www.cdc.gov/coronavirus/2019-ncov/downloads/DIY-cloth-face-covering-instructions.pdf

Hand Hygiene:

https://www.cdc.gov/handhygiene/providers/index.html



DEFINITIONS:

Symptoms compatible with COVID-19, for the purpose of these recommendations, include subjective or measured fever, cough, or difficulty breathing.

Self-observation means people should remain alert for subjective fever, cough, or difficulty breathing. If they feel feverish or develop cough or difficulty breathing during the self-observation period, they should take their temperature, self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider or their local health department to determine whether medical evaluation is needed.

Self-monitoring means people should monitor themselves for fever by taking their temperatures twice a day and remain alert for cough or difficulty breathing. If they feel feverish or develop measured fever, cough, or difficulty breathing during the self-monitoring period, they should self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider or their local health department to determine whether medical evaluation is needed.

Self-monitoring with delegated supervision means, for certain occupational groups (e.g., some healthcare or laboratory personnel, airline crew members), self-monitoring with oversight by the appropriate occupational health or infection control program in coordination with the health department of jurisdiction. The occupational health or infection control personnel for the employing organization should establish points of contact between the organization, the self-monitoring personnel, and the local or state health departments with jurisdiction for the location where personnel will be during the self-monitoring period. This communication should result in agreement on a plan for medical evaluation of personnel who develop fever, cough, or difficulty breathing during the self-monitoring period. The plan should include instructions for notifying occupational health and the local public health authority, and transportation arrangements to a pre-designated hospital, if medically necessary, with advance notice if fever, cough, or difficulty breathing occur. The supervising organization should remain in contact with personnel through the self-monitoring period to oversee self-monitoring activities.

Self-monitoring with public health supervision means public health authorities assume the responsibility for oversight of self-monitoring for certain groups of people. The ability of jurisdictions to initiate or provide continued oversight will depend on other competing priorities (e.g., contact tracing, implementation of community mitigation strategies). Depending on local priorities, CDC recommends that health departments consider establishing initial communication with these people, provide a plan for self-monitoring and clear instructions for notifying the health department before the person seeks health care if they develop fever, cough, or difficulty breathing. As resources allow, health authorities may also check in intermittently with these people over the course of the self-monitoring period. If travelers for whom public health supervision is recommended are identified at a US port of entry, CDC will notify state and territorial health departments with jurisdiction for the travelers’ final destinations.

Active monitoring means that the state or local public health authority assumes responsibility for establishing regular communication with potentially exposed people to assess for the presence of fever, cough, or difficulty breathing. For people with high-risk exposures, CDC recommends this communication occurs at least once each day. The mode of communication can be determined by the state or local public health authority and may include telephone calls or any electronic or internet-based means of communication.

Close contact is defined as:

a) being within approximately 6 feet (2 meters) of a COVID-19 case for a prolonged period of time; close contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or room with a COVID-19 case

– or –

b) having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on)

Public health orders are legally enforceable directives issued under the authority of a relevant federal, state, or local entity that, when applied to a person or group, may place restrictions on the activities undertaken by that person or group, potentially including movement restrictions or a requirement for monitoring by a public health authority, for the purposes of protecting the public’s health. Federal, state, or local public health orders may be issued to enforce isolation, quarantine or conditional release. The list of quarantinable communicable diseases for which federal public health orders are authorized is defined by Executive Order and includes “severe acute respiratory syndromes.” COVID-19 meets the definition for “severe acute respiratory syndromes” as set forth in Executive Order 13295, as amended by Executive Order 13375 and 13674, and, therefore, is a federally quarantinable communicable disease.

Isolation means the separation of a person or group of people known or reasonably believed to be infected with a communicable disease and potentially infectious from those who are not infected to prevent spread of the communicable disease. Isolation for public health purposes may be voluntary or compelled by federal, state, or local public health order.

Quarantine in general means the separation of a person or group of people reasonably believed to have been exposed to a communicable disease but not yet symptomatic, from others who have not been so exposed, to prevent the possible spread of the communicable disease.

Conditional release defines a set of legally enforceable conditions under which a person may be released from more stringent public health movement restrictions, such as quarantine in a secure facility. These conditions may include public health supervision through in-person visits by a health official or designee, telephone, or any electronic or internet-based means of communication as determined by the CDC Director or state or local health authority. A conditional release order may also place limits on travel or require restriction of a person’s movement outside their home.

Controlled travel involves exclusion from long-distance commercial conveyances (e.g., aircraft, ship, train, bus). For people subject to active monitoring, any long-distance travel should be coordinated with public health authorities to ensure uninterrupted monitoring. Air travel is not allowed by commercial flight but may occur via approved noncommercial air transport. CDC may use public health orders or federal public health travel restrictions to enforce controlled travel. CDC also has the authority to issue travel permits to define the conditions of interstate travel within the United States for people under certain public health orders or if other conditions are met.

Congregate settings are crowded public places where close contact with others may occur, such as shopping centers, movie theaters, stadiums.

Social distancing means remaining out of congregate settings, avoiding mass gatherings, and maintaining distance (approximately 6 feet or 2 meters) from others when possible.



Underlying medical conditions that may increase the risk of serious COVID-19 for individuals of any age.

• Blood disorders (e.g., sickle cell disease or on blood thinners)

• Chronic kidney disease as defined by your doctor. Patient has been told to avoid or reduce the dose of medications because kidney disease, or is under treatment for kidney disease, including receiving dialysis

• Chronic liver disease as defined by your doctor. (e.g., cirrhosis, chronic hepatitis) Patient has been told to avoid or reduce the dose of medications because liver disease or is under treatment for liver disease.

• Compromised immune system (immunosuppression) (e.g., seeing a doctor for cancer and treatment such as chemotherapy or radiation, received an organ or bone marrow transplant, taking high doses of corticosteroids or other immunosuppressant medications, HIV or AIDS)

• Current or recent pregnancy in the last two weeks

• Endocrine disorders (e.g., diabetes mellitus)

• Metabolic disorders (such as inherited metabolic disorders and mitochondrial disorders)

• Heart disease (such as congenital heart disease, congestive heart failure and coronary artery disease)

• Lung disease including asthma or chronic obstructive pulmonary disease (chronic bronchitis or emphysema) or other chronic conditions associated with impaired lung function or that require home oxygen

• Neurological and neurologic and neurodevelopment conditions [including disorders of the brain, spinal cord, peripheral nerve, and muscle such as cerebral palsy, epilepsy (seizure disorders), stroke, intellectual disability, moderate to severe developmental delay, muscular dystrophy, or spinal cord injury].

Source:

https://www.cdc.gov/coronavirus/2019-ncov/downloads/community-mitigation-strategy.pdf




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