2019 Novel Coronavirus Information for Healthcare Providers

February 20, 2020

Updated Feb. 17, 2020

 

  • Currently in KY there have been no individuals identified anyone with the right risk factors and symptoms to warrant testing for COVID-19 (PUI).  
  • There are a number of people (< 100) being monitored because of low- or medium-risk exposures overseas, but no tests have been ordered on anyone in Kentucky since the beginning of the response.  
  • If you hear of a case of coronavirus here in Kentucky, please check with LMPHW or KDPH so they can investigate and determine the veracity of that claim. To date, nearly all the “cases” of novel coronavirus in Kentucky have turned out to be the flu or seasonal cold viruses, these being the real risk here in Kentucky.
  • CDC is alerting KDPH of any airline passengers they become aware of who have travel from China in the last 14 days. By Presidential Proclamation (1-31-20), people who have that exposure and are not U.S. citizens or closely related, are prevented from entering the United States until after the 14-day period has expired. Please assure the public that we are doing all that can be reasonably be done to limit introduction of COVID-19 to the U.S. and prevent its spread if cases do arise here. 

Monitoring

People coming into Kentucky who are not sick but have traveled to China in the last 14 days, or who have been exposed to someone who is confirmed to have COVID-19 in the last 14 days are people we want to “monitor” until they pass the 14-day period from their last exposure.  

If a person we plan to monitor has a “High Risk” exposure (which KDPH must assess), we will order a mandatory quarantine.  If they have a “Medium Risk” or “Low Risk” exposure (e.g., travel to mainland China with no known exposure), we are asking for a voluntary agreement to self-quarantine for those 14 days. In other words, we ask the traveler to agree to stay out of public places like church, school or the workplace (if you don’t work by yourself), don’t take public transportation, practice social distancing from others, etc. 

When to contact KDPH

We urge you to contact our COVID-19 Response Team at 502-564-3261 during business hours or at 888-9-REPORT (888-973-7678) evenings and weekends to discuss anyone who might fall into either of these categories. This includes anyone who:

  • Traveled to mainland China in the past 14 days
  • Was directly exposed to someone who is confirmed with COVID-19 in the past 14 days
  • Developed fever or respiratory symptoms within 14 days of traveling from China or being with someone with COVID-19
  • Some local health departments are alerted to travelers from China directly by the traveler or by a local healthcare provider who is seeing the person as a patient.  Please contact our team about these people also so that we can track them along with the other travelers being monitored.
  • For the most current information, visit www.cdc.gov/COVID19

Updated Feb. 17, 2020

Criteria to Guide Evaluation of Persons Under Invistigation (PUI) for COVID-19 (Currently no one in Kentucky meets PUI criteria.)

Here are the CDC's Daily Key Points for February 16 regarding COVID-19 (new name for the novel coronavirus). 

Updated Feb. 11, 2020

Here is the CDC's Daily Key Points for February 10 Guidance regarding the use of facemasks is included. (At this time the CDC does not recommend the use of facemasks are respirators among the general public as the virus is not currently spreading among communities in the U.S.)

Updated Feb. 7, 2020

View the slides from the webinar conducted by the Kentucky Department for Public Health on Feb. 6, 2020. 

Updated Feb. 6, 2020

 

  • As of 7 p.m. 2-5-2020, there were no 2019-nCoV cases in KY.
  • Reports of a 12th case in Wisconsin have not yet reached the CDC website.
  • There are no PUI (persons under investigation) or cases in Louisville. There have been individuals that are self-monitoring after returning from China, thus the potential for individuals to require evaluation should symptoms occur.  Here is a handy flowchart for assessment: https://www.cdc.gov/coronavirus/2019-ncov/hcp/identify-assess-flowchart.html.  As of right now, there are no recommendations for testing of asymptomatic individuals.
  • Provider updates can be found here: https://www.cdc.gov/coronavirus/2019-nCoV/hcp/index.html

 

Please direct questions to our Communicable Disease Team:

(502) 574-6675 M-F 8-5

(502) 574-8200 after hours

Kentucky Department for Public Health Contact for 2019 n-Coronavirus:

Regular hours: 502-564-3261
On call: 888-9-REPORT/888-973-7678

Updated Feb. 5, 2020

Click HERE to fead this week's summary, recommendations, key information for the public and healthcare providers from the CDC.

 

Updates from Dr. Lori Colia, Medical Director, for Monday, Feb. 3, 2020

A Health Alert Network (HAN) Advisory was issued by the CDC on 2-1-2020: https://emergency.cdc.gov/han/han00427.asp?deliveryName=USCDC_511-DM19055.

Checklists are available to ensure your organization is prepared to respond:

Screen your patients for travel to China, particularly if they have symptoms of 2019-nCoV. If someone meets guidelines for home quarantine or self-monitoring for symptoms, please notify us so that we can keep track of these individuals for the duration of monitoring and provide additional education for these individuals should it be necessary.
 

Criteria for a person under investigation (PUI) have changed and can be found here: https://www.cdc.gov/coronavirus/2019-nCoV/hcp/clinical-criteria.html

  • Fever or signs/symptoms of lower respiratory illness (e.g. cough, shortness of breath) AND:
  • Any person who has had close contact with a laboratory-confirmed 2019-nCoV patient within 14 days of symptom onset OR
  • A history of travel from Hubei Province*, China within 14 days of symptom onset OR
  • A history of travel from mainland China within 14 days of symptom onset

*Hubei Province is the location of Wuhan City

 

Interim Infection Prevention and Control Recommendations for 2019-nCoV: https://www.cdc.gov/coronavirus/2019-nCoV/hcp/infection-control.html

If you believe you have a patient that meets the criteria for a 2019-nCoV person under investigation (PUI), please notify us immediately.

The LMPHW Communicable Diseases staff can be reached at:

Regular Hours M-F 8a-5p:  (502) 574-6675
After Hours On Call #: (502) 574-8200—this will page the person on call & allow you to leave a message if they do not answer.

The Kentucky Department for Public Health can be reached at:

Regular hours: 502-564-3261
On call: 888-9-REPORT/888-973-7678

 

Should you identify a person under investigation (PUI), the following guidance is updated regularly from the CDC and includes information to provide patients on how to prevent spread of 2019-novel Coronavirus in their homes and community: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-prevent-spread.html

Guidance for clinicians caring for patients with 2019-nCoV can be found here: https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html

 

January 31, 2020 

Click HERE to view the Jan. 22, 2020 Public Health Advisory from the Kentucky Department for Public Health for healthcare providers.

Click HERE to view the Jan. 28 slides from the webinar hosted by the Kentucky Department for Public Health. 

Click HERE to view CDC guidance for collection, handling, testing of nCoV clinical specimens.

Click HERE to view the 2019-nCoV Kentucky Patient Under Investigation form.

Get up to date information and guidance on nCoV for healthcare professionals from the CDC by clicking HERE.  

 

Contacts for Healthcare Providers

LMPHW Communicable Disease Contact List:

  • (502) 574-6675      Regular Hours M-F 8a-5p:  
  • After Hours On Call #: (502) 574-8200—this will page the person on call & allow you to leave a message if they do not answer.

Kentucky Department for Public Health Contact for 2019 n-Coronavirus:

  • Regular hours: 502-564-3261
  • On call: 888-9-REPORT/888-973-7678