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1 9 S C H O O L N U R S E R E S P O N S E COVID-19 Illness caused - PowerPoint PPT Presentation

Apr 04, 2024 •684 likes •941 views

C O V I D - 1 9 S C H O O L N U R S E R E S P O N S E COVID-19 Illness caused by infection with a new coronavirus (called SARS-CoV-2) Virus is related to other coronaviruses that cause mild illnesses such as colds, but more closely

  1. C O V I D - 1 9 S C H O O L N U R S E R E S P O N S E

  2. COVID-19 • Illness caused by infection with a new coronavirus (called SARS-CoV-2) • Virus is related to other coronaviruses that cause mild illnesses such as colds, but more closely related to those that cause more severe illnesses such as severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) • First discovered in Wuhan, China in 2019 • Declared by World Health Organization as a Public Health Event of International Concern on January 30, 2020 • Currently globally distributed

  3. • Highly infectious • Transmission is person-to-person by respiratory droplets, in air and through contaminated surfaces • Transmission does not appear to be seasonal COVID-19 • People can be infected and able to infect others without showing any symptoms • Symptoms when shown can be very mild to fatally severe • Fatality is most often associated with health-compromising, underlying health conditions

  4. COVID-19 Risk Risk for transmission is high Risk for severe illness with when in close proximity with • Infected person • Increasing age (beginning • Recently contaminated around 40, and significant for those 65 and older) surfaces • Pre-existing medical conditions such as obesity, high blood pressure, heart disease, diabetes, and asthma

  5. COVID-19 Symptoms • Feeling feverish or a measured • Fatigue temperature greater than or • Chills equal to 100.0 degrees • Sore throat Fahrenheit • Congestion or runny nose • Loss of taste or smell • Shaking or exaggerated • Cough shivering/Rigors • Difficulty breathing • Significant muscle pain or ache • Shortness of breath • Diarrhea • Headache • Nausea or vomiting

  6. • Pneumonia • Respiratory failure • Acute respiratory distress syndrome • Sepsis • Cardiac injury COVID-19 • Multi-organ failure (kidney failure, shock) • Blood clots in lungs, heart, legs, or brain Severe • Multi-Inflammatory Syndrome in Children Complications • Inflammation of the heart, brain or muscle tissue • Secondary bacterial infections • Worsening of pre-existing chronic medical conditions

  7. Social/Physic Masks al distancing Disinfection of COVID-19 Handwashing high-touch surfaces Prevention

  8. • Serve to contain respiratory droplets of wearer rather than protect wearer from droplets expelled by unmasked others • Should cover nose, mouth and chin, fitting snugly to the cheeks Masks – • Most effective when all wear and combined with physical Non- distancing of 6 feet or more between persons medical/cloth

  9. • Based on premise that respiratory droplets (from breathing, coughing, sneezing, etc.) do not suspend in air, but fall to ground over a limited distance • Six (6) feet kept between people decreases opportunity for droplets from one person to reach the other • The more persons present in a given space increases concentration of droplets in air, so maintaining lower numbers of people gathered together Social/Physic additionally decreases opportunity for droplets from one person to reach al Distancing another

  10. • Important to clean and disinfect surfaces that are touched in common throughout the day • Clean commonly-touched surfaces in classrooms between different class groups, if the same room will be used by multiple class groups • Ensure cleaning products are stored safely, including storing harmful products where children cannot access them, and ensure that harmful cleaning products are not used near children Disinfection • CDC has guidance on cleaning community buildings

  11. • COVID-19 enters the body through the mucus membranes of the eyes, nose and mouth • Hands can transfer the virus from contaminated surfaces to the body by touching the eyes, nose and mouth • Frequent washing of hands for 20 seconds with soap and running water is simple and effective way to reduce contamination Handwashin • Alcohol-based hand sanitizers also effective, but not preferred way to g maintain hand hygiene

  12. All together now: The “swiss cheese” model

  13. Isolation : The separation of individuals infected with the virus (even if they are not showing symptoms) from people who are not infected Quarantine : The separation of Imposed individuals who might have been Social/Physic exposed to COVID-19 from others al Distancing

  14. Daily Screen Isolation and Quarantine in the School Setting Lab Yes Isolation Positive? • Daily screening of students, staff and visitors for No COVID-19 lab test results, symptoms and/or exposure Symptoms? Yes Isolation to known COVID-19- infected persons No Exposed Yes Quarantine No OK for school

  15. Exposure at School: Identification of Contacts • Notification that lab-confirmed case of COVID-19 at school • Exposure = within 6 feet for 15 minutes or more during infectious period, irrespective of mask-use status

  16. You are a Close Contact if you (were)…. • Within 6 ft for at least 15 minutes during the 2 days before the person got sick up until when they began isolation • Sneezed or coughed on or somehow got the infected person’s respiratory droplets on you • Cared for a COVID-19 infected person at home • Shared eating or drinking utensils with the Person person with • Had direct contact (touched, hugged, or COVID- kissed) with the person 19 • Rode on a bus with the person for at least 15 minutes during the 2 days before the person got sick up until when they began isolation • In a classroom with the person for least 15 minutes during the 2 days before the person got sick up until when they began isolation

  17. Symptomatic Infectious Period Calculation Ends one (1) day after symptoms stop Begins two (2) days as long as it has been before symptoms at least ten (10) days start after symptoms began

  18. Asymptomatic Infectious Period Calculation Ends ten (10) Begins two (2) days after date of days before date lab test as long as of lab test no symptoms develop* *If symptoms develop, timeline restarts to that of Symptomatic Infectious Period Calculation

  19. Quarantine Period Calculation Ends fourteen Begins on date (14) days later as of last exposure long as no to lab-confirmed symptoms case develop* *If symptoms develop, timeline restarts to that of Symptomatic Infectious Period Calculation

  20. School Mitigation Responsibilities Daily Screen Notify Exclude Lab, Notification WCCHD case 1+10 Notify close symptom Notify Identify Letter as with line Lab- Deep days; contacts of or Y Y WCCHD close required by list of confirmed? clean exclude exclusion exposure immediately contacts TEA excluded contacts ? individuals 14d N Exposed Exclude to known Y exposed N case? 14d N Exclude Enter symptomatic school person 1+10d

  21. WCCHD Mitigation Responsibilities • Receive reports of COVID-19 laboratory test-positive cases and their contacts at the school from schools • Report cases and contacts to state public health investigators for case investigation and contact tracing and monitoring • Assist schools with guidance for infection control, disinfection, notifications, and decisions regarding potential closures • Provide a Call Center to answer general questions about COVID-19 from the public • Coordinate and communicate with schools on a regular basis

  22. Mitigation Best Practices beyond TEA • Close contacts should be identified by time and proximity, irrespective of mask usage* • Nurses should utilize PPE inclusive of N95 respirators, gloves, gowns, and eye protection • Individuals excluded from campus for COVID-19-related symptoms who obtain an alternative diagnosis from a medical professional can return to campus when deemed non-infectious by that medical professional. Negative COVID-19 laboratory results alone should not be used for return to campus before the individual meets the 1-day without fever, and 10 days past symptom onset requirement. • Probable cases of COVID-19 should be responded to with the same mitigation strategies as confirmed cases *N95 respirators are not masks and will be considered separately if used as part of full PPE

  23. • In addition to well-established weekly surveillance in schools for influenza-like illness (ILI), schools will be asked to provide aggregate numbers of On-going COVID-19-like illness (CLI) and total absences via a Surveillance combined ILI-CLI online report form

  24. For Additional Information and Guidance • Email epi@wilco.org • Call (512) 943-3600 • Visit www.wcchd.org

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