Coalition Bulletin

May 4, 2020 @ 12:00pm

Volume 1, Number 9

In This Issue Purpose of the

Coalition

Bulletin

Coronavirus

Disease 2019 –

Situational

Update

COVID

Numbers at a

Glance

LaSalle County

COVID-19 Test

Results

Governor’s

Extension of

Stay at Home

Order - Updates

PPE Burn Rate

Calculator

Communicating

about COVID-

19 in

Congregate

Settings (Long-

Term Care

Facilities)IDPH

Issues New

Testing

Guidance

IDPH Face

Coverings Do’s

and Don’ts

COVID-19 Web Link Resources

John Hopkins GIS

Map

Symptoms

Purpose of the Coalition Bulletin Publishing a regular newsletter -- weekly, in this case – will help keep our LaSalle

County Healthcare Coalition in regular contact with up-to-date information between

meetings. Maintaining regular contact is important since we have long gaps between

our meetings.

Any submission to the Bulletin needs to be sent in by 2:00pm on Thursday’s to be put

in the following Monday addition. Please email your submission to

balbrecht@lasallecounty.org or fax your submission into 815-433-1636.

Coronavirus Disease 2019 Situational Update

As cases in the US continue to rise, individual states are responding differently to the crisis.

Some are extending stay at home orders while others are re-opening their states. Since

March 31, 2020, Illinois has seen an increase of 46,929 cases. Additionally, Illinois is

reporting numerous outbreaks in Long Term Care facilities, correctional facilities and in

many essential workplaces, including food manufacturers. On May 1, 2020, all Illinoisans

are required to wear face coverings in public places and places of employment.

Infographic

Resources for

Healthcare

Facilities

Preventing

Community

Spread

Information for

Law Enforcement

Personnel

Interim Guidance

for Emergency

Medical Services

Interim Guidance

for School and

Childcare

Environmental

Cleaning and

Disinfection

Recommendations

Interim Guidance

for Management

of Coronavirus in

Correctional

Facilities

Guidance for Pets

and Animals if

you have COVID-

19

COVID-19 Web Links to PDF Resources

Checklist for

Healthcare

Facilities:

Strategies for

Optimizing the

Supply of N95

Respirators

during the

COVID-19

Response

ASPR COVID-19

Healthcare

Planning

Checklist

Cover Your

COVID Numbers at a Glance

4.26.2020 @ 2pm 5.3.2020 @ 2pm

LaSalle County COVID-19 Test Results 4.26.20 5.03.20

As of April 8, 2020, the LaSalle County Health Department will no longer be reporting numbers related to “Total Residents Tested”, “Pending Tests” and “Not Tested.” The Illinois Department of Public Health (IDPH) no longer requires authorization for COVID-19 testing at the IDPH Public Health Laboratories. Due to this change the LaSalle County Health Department will no longer have accurate numbers to provide in these categories. The Health Department will continue to provide numbers of confirmed cases, negatives, recovered individuals, and deaths. Testing through commercial labs is not required to be reported to LCHD, however, we will still be notified of any positive cases from IDPH State Lab or commercial labs.

Information will be updated on the website HERE daily by 3:30 pm

Governor’s Extension of Stay at Home Order - Updates

On April 30, 2020 Governor JB Pritzker, officially extended the Illinois Stay at Home Order

until May 30, 2020. The order has several modifications from the previous order.

Cases Deaths

Worldwide 3,462,682 244,911

US 1,138,690 66,570

Illinois 61,499 2618

LaSalle County

67 1

Cases Deaths

Worldwide 2,954,106 205,398

US 956,292 54,175

Illinois 43,903 1933

LaSalle County

44 1

Cough Poster

Proper

Handwashing

Poster

COVID-19

Poster: Stop the

Spread of

Germs

Guide for Faith-

Based

Community

Guide for

Homeless

Shelters

Workplace

Guidance

Interim

Guidance for

Implementing

Safety Practices

for Critical

Infrastructure

Workers Who

May Have Had

Exposure to a

Person with

Suspected or

Confirmed

COVID-19

Public Health Requirements for Individuals Leaving Home and for Businesses

1. Wearing a face covering in public places or when working. Any individual who is

over age two and able to medically tolerate a face-covering (a mask or cloth face

covering) shall be required to cover their nose and mouth with a face-covering when

in a public place and unable to maintain a six-foot social distance. Face-coverings

are required in public indoor spaces such as stores.

2. Requirements for essential stores. Retail stores (including, but not limited to,

stores that sell groceries and medicine, hardware stores, and greenhouses, garden

centers, and nurseries) designated as Essential Businesses and Operations under this

Order shall to the greatest extent possible:

provide face coverings to all employees who are not able to maintain a minimum

six-foot social distance at all times;

cap occupancy at 50 percent of store capacity, or, alternatively, at the occupancy

limits based on store square footage set by the Department of Commerce and

Economic Opportunity;

set up store aisles to be one-way where practical to maximize spacing between

customers and identify the one-way aisles with conspicuous signage and/or floor

markings;

communicate with customers through in-store signage, and public service

announcements and advertisements, about the social distancing requirements set

forth in this Order (Social Distancing Requirements); and discontinue use of

reusable bags.

Households must limit the number of members who enter stores to the minimum

necessary.

3. Requirements for non-essential stores. Retail stores not designated as Essential

Businesses and Operations may re-open for the limited purposes of fulfilling

telephone and online orders through pick-up outside the store and delivery – which

are deemed to be Minimum Basic Operations. Employees working in the store must

follow the social Distancing Requirements, and must wear a face covering when they

may come within six feet of another employee or a customer.

4. Requirements for manufacturers. Manufacturers that continue to operate pursuant

to this Order must follow Social Distancing Requirements and take appropriate

precautions, which may include:

providing face coverings to all employees who are not able to maintain a

minimum six-foot social distance at all times;

staggering shifts;

reducing line speeds;

operating only essential lines, while shutting down non-essential lines;

ensuring that all spaces where employees may gather, including locker rooms

and lunchrooms, allow for social distancing; and

downsizing operations to the extent necessary to allow for social distancing and

to provide a safe workplace in response to the COVID-19 emergency.

5. Requirements for all businesses. All businesses must evaluate which employees

are able to work from home, and are encouraged to facilitate remote work from

home when possible. All businesses that have employees physically reporting to a

worksite must post the attached guidance from the Illinois Department of Public

Health (IDPH) regarding workplace safety during the COVID-19 emergency.

All previous Social distances requirements remain in effect.

Essential Businesses and Operations and businesses engaged in Minimum Basic Operations

must take proactive measures to ensure compliance with Social Distancing Requirements,

including where possible:

1. Designate six-foot distances. Designating with signage, tape, or by other means

six-foot spacing for employees and customers in line to maintain appropriate

distance;

2. Hand sanitizer and sanitizing products. Having hand sanitizer and sanitizing

products readily available for employees and customers;

3. Separate operating hours for vulnerable populations. Implementing separate

operating hours for elderly and vulnerable customers; and

4. Online and remote access. Posting online whether a facility is open and how best

to reach the facility and continue services by phone or remotely.

Additionally, the following requirements regarding the wearing and providing of PPE were

added to the order.

5. Face Coverings and PPE. Providing employees with appropriate face coverings

and requiring that employees wear face coverings where maintaining a six-foot

social distance is not possible at all times. When the work circumstances require,

providing employees with other PPE in addition to face coverings.

PPE Burn Rate Calculator

Hospitals, Local Health Departments, Long Term Care Facilities, EMS, and many others have been impacted by the shortage of PPE during the COVID-19 pandemic. It is important that all healthcare partners and any public or private organization using PPE know there is a tool available to estimate their PPE availability.

The Personal Protective Equipment (PPE) Burn Rate Calculator is a spreadsheet-based model that will help organizations plan and optimize the use of PPE for response to COVID-19. Any organization that uses PPE can access the spreadsheet via the CDC website and download the burn rate calculator here:

https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/burn-calculator.html

Once the calculator is downloaded, there will be 3 tabs: calculator, graph, and instructions. The instructions include how to enter the information. This information is also on the

spreadsheet where the data is entered. To use the calculator, enter the number of full boxes of each type of PPE in stock (gowns, gloves, surgical masks, respirators, and face shields, for example) and the total number of patients at your facility. The tool will calculate the average consumption rate, also referred to as a “burn rate,” for each type of PPE entered in the spreadsheet. This information can then be used to estimate how long the remaining supply of PPE will last, based on the average consumption rate. Using the calculator can help facilities make order projections for future needs.

If you are experiencing a shortage of PPE please complete the following form.

HealthCare Agencies https://form.jotform.com/200866222658155

First Responders Contact LC EMA at 815-433-5622

The responding agency will make every attempt to fulfill PPE requests based on current

supplies. Please be advised that local and state supplies are limited. Facilities should

investigate sources for additional supplies as needed.

Communicating about COVID-19 in Congregate Settings (Long-Term Care Facilities)

The Illinois Department of Public has issued guidance to congregate, long term care

facilities regarding patients that test positive for COVID-19. Long-term care facilities must provide notification to staff members, residents, residents’ family, residents’ guardians, conservators, or representatives (collectively “representative”), DPH, and local health departments (LHD) when persons working or residing in the long-term care facility are confirmed with COVID-19 infection. Such notification shall identify whether the individual was a staff member or resident. The facility shall not, however, reveal personally identifying information about the individual, including name, except as necessary to notify the resident’s family or representative and to ensure staff members take sufficient safety precautions.

JB Pritzker, MD, Director

The following notifications must be provided within 12 hours after the facility’s administration becomes aware of the event, unless sooner notification is required:

1. A verbal communication shall be provided immediately to a resident’s family, and a resident’s representative whenever a resident receives confirmation of COVID-19 infection.

2. A written notification shall be provided within 12 hours to each resident of the facility, resident’s family, representative, and to all staff members, upon the occurrence of a single confirmed infection of COVID-19, or three or more residents or staff members with new-onset of respiratory symptoms that occur within 72 hours.

3. A written notification shall be provided immediately to DPH and the LHD upon

the confirmation of COVID-19 infection of a resident or staff member. The written notification should confirm that the long-term care facility is notifying all staff members, residents, residents’ families, and residents’ representatives as provided in this guidance. Notification to DPH should be submitted to the Regional Office by email or fax.

4. A notice that indicates a resident or staff member of the facility has been confirmed with COVID-19 infection shall be posted in a conspicuous place near the main entrance of the facility.

5. Updates to residents, their families, their representatives, and staff members shall be provided weekly, or each subsequent time a confirmed infection of COVID-19 is identified and/or whenever three or more residents or staff members with new onset of respiratory symptoms occurs within 72 hours. In these updates, facilities will include information on mitigating actions implemented to prevent or reduce the risk of transmission, including if normal operations in the nursing home will be altered.

6. A verbal communication shall be provided immediately to a resident’s family and a resident’s representative whenever the long-term care facility receives notice that a resident has died from COVID-19.

Additionally, the long-term care facility shall follow the guidance from the Centers for Disease Control and Prevention (CDC) as well as guidance from the State and local health departments for best practices and protocols.

• CDC Guidance for Nursing Homes & Long-Term Care Facilities is available here. • DPH COVID-19 Control Measures for Long-Term Care is available here.

To prevent further spread of the disease, the long-term care facility shall proactively initiate and implement infection prevention strategies and practices including symptom screening of staff members and residents, enhanced environmental cleaning and disinfection, and visitor screening and restriction. In addition, staff members must wear masks at all times and closely monitor residents for any fever, symptoms, or health status changes.

After notifying DPH and the LHD as required by the Communicable Disease Code, the long-term care facility must coordinate with the local and the State health departments to promptly identify and monitor individuals who have had recent contact with any COVID-19 positive individual(s) to prevent further spread within the long-term care facility and community.

Considerations for HealthCare Providers in Any Healthcare Setting

How to leave COVID-19 behind when you come home CDC states that COVID-19 is typically transmitted through respiratory droplets. Providing patient care during the COVID-19 pandemic means you and your family are at risk for exposure. The ideas

or recommendations below, are compiled from the Centers for Disease Control and Prevention (CDC) guidance and describes how to limit the risk to your family as you return home at the end of your workday. Healthcare Provider (HCP) includes, but is not limited to, emergency medical service personnel (EMS), fire fighters with medical response capabilities, law enforcement who respond and/or assist with EMS calls, nurses, nursing assistants, physicians, technicians, therapists, phlebotomists, pharmacists, students and trainees, contractual staff not employed by the healthcare facility, and persons not directly involved in patient care, but who could be exposed to infectious agents that can be transmitted in the healthcare setting (e.g., clerical, dietary, environmental services, laundry, security, engineering and facilities management, administrative, billing, and volunteer personnel). Healthcare Setting includes, but is not limited to, any location that provides medical assessment, diagnostic and/or treatment whether inpatient or outpatient. This can also include any pre-hospital settings where EMS or first responder personnel provide care, treatment, or transport. Monitor your health

Check your temperature twice a day and remain alert for respiratory symptoms. Be sure to contact your primary care physician and employer immediately if symptoms develop.

Prepare for work

If not already, consider wearing scrubs or appropriate work wear every day. Always have a clean set ready.

If you wear a white coat or lab coat, wash it every day.

If you typically wear jewelry, a tie, a watch, or other nonessential accessories, leave them at home.

If you have medium or long hair, wear it pulled back

If you wear contacts, consider wearing glasses to decrease the need to touch your face and to offer a barrier.

Prepare clean clothes and shoes to change into after work. Take them with you if you can change at work.

Remove nonessential items in your car, and stock the car with disinfecting wipes to make it easy to wipe down key surfaces after traveling home.

If taking mass transit, have hand sanitizer available and use it after touching any surfaces.

Before leaving work

If possible, shower and change into clean clothes and shoes before heading home.

Put dirty clothes and shoes into a bag for soiled clothing. Consider using a cloth bag you can wash along with your dirty clothes each day. Wash your hands or use hand sanitizer after removing work clothes and before touching clean clothes.

When you arrive home

If you were unable to change clothes before leaving work, change in an isolated location (e.g., garage, mudroom, laundry room).

Do not wear shoes from work into your home. Clean them, top and bottom, with disinfecting wipes.

Wash clothes worn at work using your usual laundry detergent. If possible, use the warmest water setting appropriate for the items and dry completely Wash or safely discard dirty clothes bag.

Wash hands after handling dirty clothes and shoes. Shower before interacting with your family. You may choose to isolate, if possible, from your family to limit their potential for

exposure: o Consider identifying a room and bathroom to be used exclusively by you. Have

another family member leave needed food and items for you outside your isolation area so that you don’t have to move throughout your home to meet your needs. Consider using disposable plates, cups, and utensils.

o If you are unable to use separate spaces from your family, attempt to maintain six feet from others in your home, and be sure to sleep alone.

Disinfect your home regularly

Clean and disinfect frequently touched surfaces in your home daily. This includes tables, doorknobs, light switches, countertops, handles, desks, toilets, faucets, sinks, and electronics.

Use disinfecting methods recommended by the CDC: https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaningdisinfection.html(www.cdc.gov)

IDPH Face Covering Do’s and Don’ts

For more information on the web:

LaSalle County Health Department

Illinois Department of Public Health Centers for Disease Control and Prevention