2019 NOVEL CORONAVIRUS COVID-19 - CORONAVIRUS PREPAREDNESS MEETING MARCH 6, 2020 MILTON HEALTH DEPARTMENT - Town of Milton

2019 NOVEL CORONAVIRUS
               COVID-19
          CORONAVIRUS PREPAREDNESS MEETING
                             MARCH 6, 2020
                 MILTON HEALTH DEPARTMENT

COVID-19 PRESENTATION

• This Coronavirus preparedness presentation was intended for department heads, and Milton
  community leaders.
• The statistics in the slides are subject to daily changes as new statistics are updated regularly by CDC,
  WHO, and MDPH.

BACKGROUND: WHAT WE KNOW

• Coronaviruses are a large family of viruses that are common in
  people and many different animal species. This virus is in the same
  family as Middle East Respiratory Syndrome (MERS) and Severe
  Respiratory Syndrome (SARS).
• This new Coronavirus has originated in bats and was detected in
  Wuhan China in December 2019 and was initially related to
  exposure at a seafood and live animal market.

HOW IS THE VIRUS SPREAD?
• Person to Person close contact, via respiratory droplets, coughing, or
  sneezing
• Touching of the face, eyes, mouth, and nose, contaminating
  surfaces. The virus lives on surfaces for multiple days
• Symptoms are fever, cough, shortness of breath, which could lead to
  pneumonia and death in severe cases
• Incubation period 2-14 days after exposure to the virus.

WHO IS GETTING SICK?

• 81% of the population will have very mild, symptoms
• 14% of the population will have severe symptoms which may or
  may not require hospitalization
• 5% of the population will be in critical condition
• People who are having severe symptoms include people who are
  immunocompromised, auto -immune, have an underlying
  condition, are middle aged or elderly.

2019 NOVEL CORONA VIRUS STATISTICS

Death rate: Multiple credible sources are reporting differing data, ranging from
2.3%-3.4% of the population. Data is still being collected and is subject to
change.
Good news is the infants and pregnant moms have fared well through the virus

SPREAD OF THE VIRUS AS OF 3/6/2020

• The coronavirus has infected more than 100,000 people globally in 70 Countries including the United States
• Deaths in China: 3,042
• In the US 233 Confirmed cases
• In the US 14 deaths
• In Massachusetts we have had 4 confirmed cases so far (3 existing, 1 recovered)
• The State lab started testing on February 28, 2020. There is strict criteria for official testing.
• The State is contacting Local Health Departments to inform us of any residents who have traveled to China,
  or to a Level 3 country who will then be self quarantined for 14 days and the Health Department will
  monitor their temperature remotely twice a day. Currently 249 people are undergoing monitoring/under
  voluntary quarantine in the State.
• Milton is not currently actively monitoring any residents right now however, surrounding towns have dealt
  with many self quarantines

• To slow the spread of coronavirus disease 2019 (COVID-19) into
TRAVELERS FROM COUNTRIES                           the United States, CDC is working with state and local public
WITH WIDESPREAD SUSTAINED                          health partners to implement after-travel health precautions.
(ONGOING) TRANSMISSION                           • Depending on your travel history, you will be asked to stay home
ARRIVING IN THE UNITED STATES                      for a period of 14 days from the time you left an area with
                                                   widespread or ongoing community spread (Level 3 Travel Health
                                                   Notice).
Health Notice Levels
                                                 • Countries that have a Level 3 Travel Health Notice (widespread,
Warning - Level 3, Avoid Nonessential Travel       ongoing transmission):
Alert - Level 2, Practice Enhanced Precautions   • China (Level 3 Travel Health Notice)
Watch - Level 1, Practice Usual Precautions
                                                 • Iran (Level 3 Travel Health Notice)
                                                 • Italy (Level 3 Travel Health Notice)
                                                 • South Korea (Level 3 Travel Health Notice)

NONPHARMACEUTICAL INTERVENTIONS FOR
PERSONAL AND COMMUNITY PREPAREDNESS
•   Personal Protective measures : Respiratory etiquette, hand hygiene, social distancing 6ft., Voluntary home quarantining /
    isolation ( be fever free for 24hrs before returning to work, school, etc.)

•   Community:
•   Temporary, preemptive, coordinated dismissals of childcare facilities, and schools
•   Distance learning via the internet, local television
•   Telecommuting and remote-meeting options in workplaces
•   Mass gathering modifications, postponements or cancellations

•   Environmental: Cleaning of frequently touched surfaces
•   Emergency Preparedness: Supply of food, and medications. Know, plan, prepare!

COMMUNICATION

• A clear and uniform message must be delivered to Milton residents and staff. The
  CDC and the State will be giving guidance and the State may be called 24/7 with any
  questions. 1-617-983-6800.
• Encourage residents to sign up for Alert system SMART911
  https://www.smart911.com/
• IT- Emergency Operation Center at the Police Station
• All town employees currently can check email from home via the website www.office.com, by signing in with
  their work email and password
• Update the uniform message every 24 or 48 hours
• Dedicate a phone line updating the narrative, potentially an automated system

CREDIBLE RESOURCES

• https://www.cdc.gov/coronavirus/2019-ncov/index.html
• https://www.who.int/health-topics/coronavirus
• https://www.mass.gov/resource/information-on-the-outbreak-of-coronavirus-disease-2019-covid-19

ENVIRONMENTAL

• Milton’s Public Buildings are being disinfected in high use areas, doorknobs, elevator
  buttons, countertops
• In the Milton Public Schools, detail conscious cleaning of high use areas and
  desktops. Custodians are wiping down all desks after school.
• Best defense and preferred method is handwashing with soap and hot water, hand
  sanitizer is also available, but is not considered a primary method of prevention
• The Good News is that the Milton Public Schools have over 450 sinks throughout the
  District

THE CORONAVIRUS HAS THE POTENTIAL TO DISRUPT ALL
MUNICIPAL DEPARTMENTS/SCHOOLS AND IMPACT ALL
RESIDENTS

• Fire and Police are working closely with Fallon Ambulance
• BID Hospital –Milton has Incident Command Management
  Structure with daily updates
• Health Department is working closely with MDPH and town
  stakeholders and leaders

KEY MESSAGES TO TRY TO SLOW TRANSMISSION OF
     THE VIRUS IN THE COMMUNITY
•   Wash your hands
•   Hygiene Etiquette
•   Social distancing
•   Shelter in Place, self quarantine
•   Prepare and Plan (Food and Medicine)
•   Communicate information from credible sources
•   Use common sense

• Share information
• Questions

CORONA VIRUS MAPPER IN REAL-TIME

    https://systems.jhu.edu/research/public-health/ncov/