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COVID-19 Updated Guidance for Clinicians March 9, 2020
SUMMARY: Please review this health alert for:
SITUATION UPDATE (as of 11 a.m. March 9) Total confirmed, presumptive positive, or probable cases: 41Deaths: 1Hospitalized: 12
Cases have been diagnosed among residents from Bothell and Lynnwood in the south up through Everett and Marysville to the north and to Monroe and Sultan in the east.
Modeling estimates of transmission in the Snohomish-King County region:
LABORATORY TESTING COVID-19 Testing Information for Healthcare Providers (DOH): https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/Interim-2019NovelCoronavirusQuicksheetProviders.pdf
There are currently no restrictions on who can be tested for COVID-19 and commercial testing is becoming widely available. Healthcare providers may test any patient with symptoms consistent with COVID-19 (e.g., fever, cough, shortness of breath).
The following patients with COVID-19 symptoms are considered at highest priority for testing:
In general, healthcare providers should send specimens for COVID-19 testing to commercial laboratories.
Note that we would like to be notified by the facility/provider regarding the following types of suspected cases upon collection of specimens, even if the testing is going through a private lab:
Testing for these and for uninsured patients is available through the Washington State Public Health Laboratories with prior approval from SHD, noting that turnaround time may be subject to specimen prioritization.
INFECTION PREVENTION FOR OUTPATIENT SETTINGS Please refer to Washington State Department of Health guidance document: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/OutpatientGuidance-COVID19.pdf
DIRECTIONS FOR PATIENTS Directions for test-positive COVID-19 cases. https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/COVIDcasepositive.pdf SHD should be notified by the lab and be reaching out to these folks, too, but please give them this handout if in your presence.
HEALTH CARE WORKER EXPOSURE CLASSIFICATION-AND-MANAGEMENT
TELEPHONE TRIAGE AND TELE-HEALTH
VIABILITY OF SARS-CoV-2 ON FOMITES
Sources: https://www.hindawi.com/journals/av/2011/734690/ and https://www.journalofhospitalinfection.com/article/S0195-6701(20)30046-3/fulltext
CERTIFICATION OF COVID-19 DEATHS In the interest of maintaining surveillance for COVID-19 deaths, please note that the CDC is developing guidance to certifiers on reporting deaths due to COVID-19. For the present, please follow the instructions below and, if you have questions, contact the Center for Health Statistics, Washington State Department of Health at 1-855-562-1928.