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2019 Novel Coronavirus Response
Eric J. Zgodzinski, MPH, RS, CPH
Health Commissioner
Elected Officials4 March 2020
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Coronaviruses that Infect People
• Four types of coronaviruses
• Cause symptoms similar to common cold
• Fever
• Cough
• Difficulty breathing
• Spread through coughing, sneezing, or close personal contact
• Symptoms start two to fourteen days after exposure
• Two types (SARS and MERS) cause severe lung infection
2019 Novel Coronavirus Response
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Why the High Concern about COVID-19?
• Only been identified in humans since December 2019
• Health experts are still learning its characteristics
• Has potential to cause severe respiratory illness
• Because it is new, it is not predictable, unlike the flu
• There is currently no vaccine
• Only supportive care available, no curative treatments
2019 Novel Coronavirus Response
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Rumor Control
• Use of masks by the general public
• Products from China
• Prejudice and Stigma
2019 Novel Coronavirus Response
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How is the U.S. Responding?
• CDC Travel Advisory
• Level 3: China, Iran, South Korea, and Italy
• Avoid all nonessential travel
• Level 2: Japan
• Older adults or those who have chronic medical conditions consider postponing travel
• Level 1: Hong Kong
• Practice usual precautions
• Surveillance
• Diagnostic test developed and being utilized by the CDC
• Ongoing research for medicine to treat people with COVID-19
• Vaccine development in progress
• Provision of information and guidance
2019 Novel Coronavirus Response
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Prevention for Lucas County Residents
• Currently risk of community spread in U.S.
• Use typical infectious disease precautions:
• Practice social distancing of at least six (6) feet
• Wash your hands often with soap and water
• Avoid touching your mouth, nose, or eyes
• Cover coughs/sneezes with your arm or a tissue
• Avoid exposure to others who are sick
• Stay home if you are ill and avoid close contact with others.
• Get adequate sleep and eat well-balanced meals to ensure a healthy immune system
• Clean and disinfect frequently touched objects and surfaces
2019 Novel Coronavirus Response
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2019 Novel Coronavirus Response
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2019 Novel Coronavirus Response
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Pandemic Severity
2019 Novel Coronavirus Response
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Response Levels for an Outbreak in Lucas County
• Level 0: Normal Operations
• No imminent threat of disaster
• Focuses on planning and preparedness
• Level 1: Distant Outbreak
• Triggered by distant outbreak as information suggests a disease could be developing
• Jurisdiction placed on alert and stakeholders respond by reviewing plans
• Level 2: Outbreak Occurring in Multiple External Locales
• Triggered by outbreak affecting multiple parts of the world
• Stakeholders urged to begin activating plans
• Level 3: Imminent Regional Outbreak
• Triggered by imminent regional outbreaks
• Activation of teams and alternate care facilities
2019 Novel Coronavirus Response
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Response Level 4: Outbreak in Lucas County
• Level 4a: Single COVID-19 Case
• Press Release
• Case will be isolated
• Epidemiologists will perform contact tracing
• Individuals in contact with case will be quarantined
• Schools and businesses may be asked to close for 14 day quarantine period dependent upon contact tracing
2019 Novel Coronavirus Response
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Response Level 4: Outbreak in Lucas County, Continued
• Level 4b: Multiple Unassociated Cases
• Press Release
• Cases will be isolated
• Epidemiologists will perform contact tracing
• Individuals in contact with case will be quarantined
• Schools and businesses may be asked to close for a 14 day quarantine period dependent upon contact tracing
• Recommendations on social distancing and limiting gatherings
• Level 4c: Death of a COVID-19 Case
• Press Release
• Increased messaging on virus and preventative measures
• Cancellation of community events / gatherings
• Call for employers to permit teleworking / work from home
• Possibility of widespread school closures
2019 Novel Coronavirus Response
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Continuity of Operations
• Essential Functions
• Distinguish critical activities to be maintained
• Orders of Succession / Delegations of Authority
• Provisions in the event that any senior officials are unavailable to execute their legal duties
• Identification, by position, of authorities authorized to make policy determinations and decisions when normal channels of direction are disrupted
• Continuity Facilities
• Additional locations to carry out essential functions
• Options such as working at home, teleworking, and mobile-office concepts and key in reducing the spread of illness through social distancing
2019 Novel Coronavirus Response
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Continuity of Operations Continued
• Continuity Communications
• Communications that provide the capability to perform essential functions, in conjunction with other agencies, under all conditions
• e.g. Work-issued cellphones, offsite-accessible email, VPN capabilities
• Vital Records Management
• Identification, protection and ready availability of electronic and hard copy documents, references, records, information systems, data management software and equipment needed to support essential functions
• Human Capital
• Emergency employees and other categories of employees who are activated to perform assigned response duties
2019 Novel Coronavirus Response
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Resources
• Ohio Department of Health (ODH):
• 113 Local Health Districts
• https://odh.ohio.gov/coronavirus
• Centers for Disease Control and Prevention (CDC):
• www.cdc.gov/coronavirus/2019-nCoV
• World Health Organization (WHO):
• www.who.int/emergencies/diseases/novel-coronavirus-2019
2019 Novel Coronavirus Response
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Thank You!
Eric J. Zgodzinski, MPH, RS, CPHToledo-Lucas County Health Department
Health Commissioner
2019 Novel Coronavirus Response
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Questions?
2019 Novel Coronavirus Response
