Update and interim guidance on outbreak of 2019 Novel Coronavirus (2019-nCoV)
February 8, 2020
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Be aware of new CDC guidance, key areas noted below.
Healthcare systems should actively review their pandemic readiness:
- COVID-19 Pandemic Planning Scenarios
- Healthcare System Preparedness and Response
- Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with 2019-nCoV
- Interim Guidance for Emergency Medical Services (EMS) Systems
- Guidance on clinical care
- Health care providers and facilities should continue to obtain a detailed travel history for patients being evaluated with fever and acute respiratory illness and plan for a potential increase in patients seeking information and/or evaluation for 2019-nCoV infection through use of triage systems.
- Ensure policies and practices are in place to minimize exposures in healthcare settings to respiratory pathogens including 2019-nCoV and be familiar with infection control and PPE guidance. Measures should be implemented before patient arrival, upon arrival, and throughout the duration of the affected patient's presence in the healthcare setting. See, Interim Infection Prevention and Control Recommendations for Patients with Known or Patients Under Investigation for 2019 Novel Coronavirus (2019-nCoV) in a Healthcare Setting.
- Persons being evaluated for 2019-nCoV should be asked to wear a surgical mask as soon as they are identified and be evaluated in a private room with the door closed, ideally an airborne infection isolation room (AIIR) if available.
- Healthcare personnel entering the room should use standard precautions, contact precautions, airborne precautions, and use eye protection (e.g., goggles or a face shield).
- Healthcare providers should immediately notify both infection control personnel at their healthcare facility (HCF) and Public Health (206-296-4774) in the event of a PUI for 2019-nCoV.
- At this time, diagnostic testing for 2019-nCoV can be conducted only at CDC. Public Health will work with HCF to facilitate collection, storage and shipment of specimens to CDC. Testing at the WA Public Health Laboratory should be available in approximately one week.
- CDC has updated the travel health notice for China advising against all non-essential travel and provides new guidance for returning travelers.
- The 2019-nCoV outbreak continues to evolve rapidly. Public health and clinical guidance will be revised as new information becomes available. Please check the CDC coronavirus web pages frequently for current information for healthcare providers on evaluation and management of persons for nCoV infection.