Attachment 4 - VHA COVID-19 101 for NON Clinical Staff-Others.pdf

COVID-19 Essentials for Non-Clinical Staff

EMCC

COVID ESSENTIALS

• What is COVID-19?

• How might it affect

Veterans?

• How can we protect

Veterans and staff?

• How will the Strategic

Plan help?

What is COVID-19?

• New virus, Coronavirus family

– Includes viruses that cause a common cold; and the viruses that cause SARS and MERS

• Usually causes headache, fatigue, runny nose, cough, sore throat, muscle pains.

• Can also cause fever, trouble breathing, pneumonia, shut down of body systems, and death.

For more information, visit CDC

WHAT IS COVID-19?

https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html

How does it spread?

• This virus can spread from person-to-person.

• Like flu, it mainly spreads in droplets in the air from breathing, coughing, or sneezing.

These droplets are easy to inhale and infect anyone nearby.

• When the droplets land on a surface it can spread when you touch the surface then touch your mouth, eyes, or nose or someone else.

• Some people may spread the virus before they have symptoms that are noticeable.

WHAT IS COVID-19?

Why is COVID-19 worrisome?

• For most, COVID-19 will cause mild or moderate disease

• For some, it can cause very severe disease and death

• People with mild symptoms can later develop severe disease, particularly in the second week they are ill

WHAT IS COVID-19?

https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf

COVID-19: HOW MIGHT IT AFFECT VETERANS?

In FY19

• 1,636,293 with Diabetes

• 672,213 with COPD

• 3,161,948 with Hypertension

• 519,397 w Chronic Kidney

Disease

In FY19

• 1,663,290 Veterans aged 70-79

• 597,945 Veterans 80 and older

Study of 72,314 patients with

COVID-19

Overall Case Fatality rate 2.3%

Persons 70-79 years 8% Persons 80 years & older 14.8% Cardiovascular disease 10.5% Diabetes 7.3% Chronic Respiratory Disease 6.3% Hypertension 6% Cancer 5.6%

Wu Z. and McGoogan JM. Characteristics of and Important Lessons from the Coronavirus disease 2019 (COVID-19) Outbreak in China Summary of a Report of 72,314 Cases from the Chinese Centers for Disease Control and Prevention. JAMA Feb 21 2020:E1-E5

COVID-19: HOW CAN WE PROTECT VETERANS AND STAFF?

Protecting Veterans and Staff In the Community

9https://www.cdc.gov/coronavirus/2019-ncov/about/steps-when-sick.html https://www.cdc.gov/coronavirus/2019-ncov/about/steps-when-sick.html

10https://www.cdc.gov/coronavirus/2019-ncov/about/steps-when-sick.html

11https://www.cdc.gov/coronavirus/2019-ncov/about/steps-when-sick.html

ISOLATION:

• Is for people with symptoms, and confirmed or suspected COVID-19

• Separates people with a contagious disease from those who are healthy

• Restricts movement of people with a contagious disease to stop spread

• Lets people who have a contagious disease get care in their homes, in hospitals, or in a designated facility

• Is usually voluntary; but governments may enforce to protect the public

QUARANTINE:

• Is for someone who is not sick, but has been exposed to a very contagious disease, such as COVID-19, and who may be able to spread it to others

• Involves monitoring, separation and restriction of movement

• Is usually decided by state health departments and state leaders

SOCIAL DISTANCING:

• Is limiting close contact between people, regardless of symptoms.

• Is good practice for everyone during a pandemic

• May include actions by local leaders, such as:

– School dismissals

– Cancellation of public gatherings

– Business closures

– Recommendations for telecommuting

Protecting Veterans and Staff In Hospitals, Clinics, and Clinical Spaces https://www.cdc.gov/niosh/topics/hierarchy/default.html 16

What is the BEST protection?

Masks, gowns, gloves, goggles

Airborne Isolation

No contact https://www.cdc.gov/niosh/topics/hierarchy/default.html

Personal Protective Equipment

• For the most current CDC recommendations on Personal Protective Equipment, visit:

https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html

• For CDC guidance on donning (putting on) and doffing (taking off) PPE safely:

https://www.cdc.gov/hai/prevent/ppe.html

COVID-19: HOW CAN WE PROTECT VETERANS AND STAFF?

Note: PPE recommendations may differ by location and type of contact.

https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html https://www.cdc.gov/hai/prevent/ppe.html

COVID-19: HOW WILL THE STRATEGIC PLAN HELP?

How will the VHA National Strategic Plan Help?

• Phase 1 – Contingency Planning/Training

– Prepare before it arrives

• Phase 2 – Widespread Outbreak

– Responding and adapting to an outbreak

• Phase 3 – Establish alternate sites of care

– High case load requiring use of alternative care sites

• Phase 4 – Operations

– Maintaining day-to-day operations (i.e., pre-COVID-19) plus COVID-19

Goals:

• Care for all Veterans needing care.

• Protect uninfected from infected persons.

• Manage large influx of patients.

Methods:

• Maximize virtual care.

• Control entry points and screen for symptoms.

• Separate patients with confirmed or suspected COVID-19 from those without.

Home Quarantine

Isolation

Standard

Standard Ward

CLC

SCI

COVID

Quarantine

Isolation

Q https://dvagov.sharepoint.com/sites/VACOVHAPublicHealth/HCI/SitePages/Home.aspx https://tinyurl.com/VHA-HCI https://dvagov.sharepoint.com/sites/VACOVHAPublicHealth/HCI/SitePages/Home.aspx https://tinyurl.com/VHA-HCI

COVID-19 Resource Links

• VHA High Consequence Infection (HCI) SharePoint (COVID-19 info):

https://dvagov.sharepoint.com/sites/VACOVHAPublicHealth/HCI/Site Pages/Home.aspx

• VHA Coronavirus Internet Site: https://www.publichealth.va.gov/n-coronavirus/index.asp

• VHA posters & factsheets that can be used for Coronavirus on the IDPIO SharePoint Site

• VHA Employee Occupational Health (EOH) Guidance Toolkit on the EOH SharePoint Site

• Email address for questions: VHAHCIGenerall@va.gov

• CDC – main Coronavirus internet page:

https://www.cdc.gov/coronavirus/2019-ncov/index.html https://dvagov.sharepoint.com/sites/VACOVHAPublicHealth/HCI/SitePages/Home.aspx https://www.publichealth.va.gov/n-coronavirus/index.asp https://dvagov.sharepoint.com/sites/VACOVHAPublicHealth/handhygiene/New%20Posters%20%20Resources/Forms/AllItems.aspx?id=%2Fsites%2FVACOVHAPublicHealth%2Fhandhygiene%2FNew%20Posters%20%20Resources%2FCoronavirus%20Posters%20%26%20Factsheets&viewid=bb0b47f6-77a7-42f7-bf0c-7802f9b4feba&viewpath=%2Fsites%2FVACOVHAPublicHealth%2Fhandhygiene%2FNew%20Posters%20%20Resources%2FForms%2FAllItems.aspx https://vaww.portal2.va.gov/sites/COH/Lists/Infectious%20Disease%20Prevention%20and%20Management/AllItems.aspx?RootFolder=%2Fsites%2Fcoh%2FLists%2FInfectious%20Disease%20Prevention%20and%20Management%2FNovel%20Coronavirus%20Disease%20%282019%2DnCoV%29&FolderCTID= mailto:VHAHCIGenerall@va.gov https://www.cdc.gov/coronavirus/2019-ncov/index.html

Images in this presentation were provided by the CDC.