Thursday, March 12, 2020

City of San Antonio Coronavirus Update



Important Updates about COVID-19 (formerly known as novel coronavirus):

 
We are continuing to monitor the COVID-19 situation globally and would like to share the following information to help prevent the spread of illness in San Antonio. Currently, there are no community spread cases in Bexar County or the City of San Antonio. The only confirmed cases are individuals who were brought to Lackland Air Force base under a federally mandated quarantine, and those individuals have been in isolation for treatment. Therefore, the risk of infection remains low.
In this issue of The City of San Antonio's Economic Development Department and Small Business Office newsletter, we will be sharing updated information about the on-going COVID-19 (formerly known as novel coronavirus). Featuring essential health tips, City's most up-to-date press release, and the recently released small business presentation. Please read below for more details or visit the Metro Health webpage.


Yesterday, Mayor Nirenberg and City Council convened a special City Council meeting to discuss response and preparedness to COVID-19 and placement of evacuees at Lackland Air Force Base.

You can view the livestream by clicking the image or visiting: www.Facebook.com/COSAGOV or www.sanantonio.gov


COVID-19 PRESENTATION


Metro Health released a presentation to give an update to the small business community on COVID-19 as of March 9th and informed businesses on ways to prepare.
Please click the image above to view this presentation.


SMALL BUSINESS RESOURCES


The Small Business Development Center has developed an emergency preparedness kit and presentation to help small business owners prepare for disasters.
Click the image above to view the briefing.


The Small Business Administration announced today a plan to provide up to $2 Million in Disaster Assistance Loans for small businesses impacted by COVID-19.



PRESENTATION REQUESTS


Metro Health is able to provide community presentations for organizations and groups including information about what to do to prepare and prevent the spread of COVID-19.  The presentations are available in English and Spanish.  All requests can be made by emailing COVID-19@sanantonio.gov with details regarding the request.  Presentations can also be provided through a web or teleconference format.


TRAVEL ADVISORY


If you're planning to travel outside the U.S., be aware of COVID-19 travel advisories and restrictions. Guidance on international travel changes as the virus situation develops. Check for the latest information before you travel or plan a trip.



READY SOUTH TEXAS APP


Residents are encouraged to download the Ready South Texas app, available in the iTunes and Google Play stores, to receive updates on the COVID-19 situation in San Antonio. Additionally, residents can text COSAGOV to 55000 to receive SMS text message updates.


LOCAL COVID-19 TESTING


On Tuesday, March 3, 2020 the San Antonio Metro Health Laboratory received tests from the Centers for Disease Control and Prevention (CDC). The laboratory has completed the validation study and reporting verification and is capable of running tests as of Monday, March 9, 2020. At this time, Metro Health Laboratory has the capacity to test 500 individuals.

In addition to public health laboratory testing, commercial laboratory testing is also now available from Quest and LabCorp, but are limited in supply in Bexar County/San Antonio. Both laboratories, per Texas Department of State Health Services, are first rolling out testing strategy and supplies in California and Washington, followed by the remainder of the country. Both laboratories are requesting providers to collaborate with their public health departments to determine which individuals should be tested. The turnaround time for these test results is 24-48 hours. Both commercial laboratories and ordering physician would be required to notify Metro Health immediately with any positive results.

Texas Governor Abbott asked Texas health insurance providers to waive costs associated with COVID-19, including deductibles on testing and telemedicine visits, penalties and restrictions for necessary out-of-network services and referral requirements. Additionally, insurers were asked to cover costs for necessary medical equipment, allow extra time to file claims and authorize payment to pharmacies for up to a 90-day supply of any prescription medication for individuals, regardless of when the prescription was filled.


COVID-19 HOTLINE


The San Antonio Metropolitan Health District has opened a COVID-19 hotline for residents to ask questions about the virus. The hotline is available in English and Spanish. Residents can call 210-207-5779. (Monday-Friday 8:00 a.m. – 5:00 p.m.)  Information for the public is also available at: www.sanantonio.gov/health/2019ncoronavirus.

Information regarding COVID-19 is also available in American Sign Language at this link: http://sat.ahasalerts.com/ActiveAlerts.aspx?id=1334


SOCIAL DISTANCING


What is it and who should practice it?
Social distancing is a practice in which people maintain safe distances from each other and avoid direct contact with high touch items in the community. Here are five ways to practice social distancing:
  1. Avoid close contact with people who are sick
  2. Avoid touching high-touch surfaces in public places like elevator buttons, door handles, handrails, handshaking, etc. Use a tissue or your sleeve to cover your hand if you must touch something
  3. Wash your hands after touching surfaces in public places and avoid touching your face, nose, eyes, etc
  4. Avoid crowds, especially in poorly ventilated spaces. Risk of exposure to respiratory viruses like COVID-19 may increase in crowded, closed-in settings with little air circulation if there are people in the crowd who are sick
  5. Clean and disinfect your home regularly, including routine cleaning of frequently touched surfaces


MORE INFORMATION


The flu continues to be a much more serious issue in the U.S. than COVID-19. There is a higher incidence for elderly and people with chronic health conditions. Therefore, slowing the potential spread of the virus will help protect people at higher risk.

How do people become infected with COVID-19?
Human coronaviruses most commonly spread from an infected person to others through:
  • Respiratory droplets released into the air by coughing and sneezing;
  • Close personal contact, such as touching or shaking hands;
  • Touching an object or surface with the virus on it, then touching your mouth, nose, or eyes before washing your hands; and
What are the symptoms?
Patients with confirmed COVID-19 infection have reportedly had mild to severe respiratory illness with symptoms of:
  • Fever
  • Cough
  • Shortness of breath

At this time, CDC believes that symptoms of COVID-19 may appear in as few as two days or as long as 14 days after exposure.





For more information, please visit the Metro Health website.
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Wednesday, March 11, 2020

From the CDC Website about Cleaning and disinfection

Environmental Cleaning and Disinfection Recommendations

Interim Recommendations for US Households with Suspected/Confirmed Coronavirus Disease 2019
Background
There is much to learn about the novel coronavirus that causes coronavirus disease 2019 (COVID-19). Based on what is currently known about the novel coronavirus and similar coronaviruses that cause SARS and MERS, spread from person-to-person with these viruses happens most frequently among close contacts (within about 6 feet). This type of transmission occurs via respiratory droplets. On the other hand, transmission of novel coronavirus to persons from surfaces contaminated with the virus has not been documented. Transmission of coronavirus occurs much more commonly through respiratory droplets than through fomites. Current evidence suggests that novel coronavirus may remain viable for hours to days on surfaces made from a variety of materials. Cleaning of visibly dirty surfaces followed by disinfection is a best practice measure for prevention of COVID-19 and other viral respiratory illnesses in households and community settings.
Purpose
This guidance provides recommendations on the cleaning and disinfection of households where persons under investigation (PUI) or those with confirmed COVID-19 reside or may be in self-isolation. It is aimed at limiting the survival of the virus in the environments. These recommendations will be updated if additional information becomes available.
These guidelines are focused on household settings and are meant for the general public.
  • Cleaning refers to the removal of germs, dirt, and impurities from surfaces. Cleaning does not kill germs, but by removing them, it lowers their numbers and the risk of spreading infection.
  • Disinfecting refers to using chemicals to kill germs on surfaces. This process does not necessarily clean dirty surfaces or remove germs, but by killing germs on a surface after cleaning, it can further lower the risk of spreading infection.
General Recommendations for Routine Cleaning and Disinfection of Households
Community members can practice routine cleaning of frequently touched surfaces (for example: tables, doorknobs, light switches, handles, desks, toilets, faucets, sinks) with household cleaners and EPA-registered disinfectants that are appropriate for the surface, following label instructions. Labels contain instructions for safe and effective use of the cleaning product including precautions you should take when applying the product, such as wearing gloves and making sure you have good ventilation during use of the product.
General Recommendations for Cleaning and Disinfection of Households with People Isolated in Home Care (e.g. Suspected/Confirmed to have COVID-19)
  • Household members should educate themselves about COVID-19 symptoms and preventing the spread of COVID-19 in homes.
  • Clean and disinfect high-touch surfaces daily in household common areas (e.g. tables, hard-backed chairs, doorknobs, light switches, remotes, handles, desks, toilets, sinks)
    • In the bedroom/bathroom dedicated for an ill person: consider reducing cleaning frequency to as-needed (e.g., soiled items and surfaces) to avoid unnecessary contact with the ill person.
      • As much as possible, an ill person should stay in a specific room and away from other people in their home, following home care guidance.
      • The caregiver can provide personal cleaning supplies for an ill person’s room and bathroom, unless the room is occupied by child or another person for whom such supplies would not be appropriate. These supplies include tissues, paper towels, cleaners and EPA-registered disinfectants (examples at this linkpdf iconexternal icon).
      • If a separate bathroom is not available, the bathroom should be cleaned and disinfected after each use by an ill person. If this is not possible, the caregiver should wait as long as practical after use by an ill person to clean and disinfect the high-touch surfaces.
  • Household members should follow home care guidance when interacting with persons with suspected/confirmed COVID-19 and their isolation rooms/bathrooms.
How to clean and disinfect:
Surfaces
  • Wear disposable gloves when cleaning and disinfecting surfaces. Gloves should be discarded after each cleaning. If reusable gloves are used, those gloves should be dedicated for cleaning and disinfection of surfaces for COVID-19 and should not be used for other purposes. Consult the manufacturer’s instructions for cleaning and disinfection products used. Clean hands immediately after gloves are removed.
  • If surfaces are dirty, they should be cleaned using a detergent or soap and water prior to disinfection.
  • For disinfection, diluted household bleach solutions, alcohol solutions with at least 70% alcohol, and most common EPA-registered household disinfectants should be effective.
    • Diluted household bleach solutions can be used if appropriate for the surface. Follow manufacturer’s instructions for application and proper ventilation. Check to ensure the product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired household bleach will be effective against coronaviruses when properly diluted.
      • Prepare a bleach solution by mixing:
        • 5 tablespoons (1/3rd cup) bleach per gallon of water or
        • 4 teaspoons bleach per quart of water
    • Products with EPA-approved emerging viral pathogens claimspdf iconexternal icon are expected to be effective against COVID-19 based on data for harder to kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).
  • For soft (porous) surfaces such as carpeted floor, rugs, and drapes, remove visible contamination if present and clean with appropriate cleaners indicated for use on these surfaces. After cleaning:
    • Launder items as appropriate in accordance with the manufacturer’s instructions. If possible, launder items using the warmest appropriate water setting for the items and dry items completely, or
      Use products with the EPA-approved emerging viral pathogens claims (examples at this linkpdf iconexternal icon) that are suitable for porous surfaces.
 Clothing, towels, linens and other items that go in the laundry
  • Wear disposable gloves when handling dirty laundry from an ill person and then discard after each use. If using reusable gloves, those gloves should be dedicated for cleaning and disinfection of surfaces for COVID-19 and should not be used for other household purposes. Clean hands immediately after gloves are removed.
    • If no gloves are used when handling dirty laundry, be sure to wash hands afterwards.
    • If possible, do not shake dirty laundry. This will minimize the possibility of dispersing virus through the air.
    • Launder items as appropriate in accordance with the manufacturer’s instructions. If possible, launder items using the warmest appropriate water setting for the items and dry items completely. Dirty laundry from an ill person can be washed with other people’s items.
    • Clean and disinfect clothes hampers according to guidance above for surfaces. If possible, consider placing a bag liner that is either disposable (can be thrown away) or can be laundered.
Hand hygiene and other preventive measures
  • Household members should clean hands often, including immediately after removing gloves and after contact with an ill person, by washing hands with soap and water for 20 seconds. If soap and water are not available and hands are not visibly dirty, an alcohol-based hand sanitizer that contains at least 60% alcohol may be used. However, if hands are visibly dirty, always wash hands with soap and water.
  • Household members should follow normal preventive actions while at work and home including recommended hand hygiene and avoiding touching eyes, nose, or mouth with unwashed hands.
    • Additional key times to clean hands include:
      • After blowing one’s nose, coughing, or sneezing
      • After using the restroom
      • Before eating or preparing food
      • After contact with animals or pets
      • Before and after providing routine care for another person who needs assistance (e.g. a child)
Other considerations
  • The ill person should eat/be fed in their room if possible. Non-disposable food service items used should be handled with gloves and washed with hot water or in a dishwasher. Clean hands after handling used food service items.
  • If possible, dedicate a lined trash can for the ill person. Use gloves when removing garbage bags, handling, and disposing of trash. Wash hands after handling or disposing of trash.
  • Consider consulting with your local health department about trash disposal guidance if available.

Nextdoor Blog Update on the Coronavirus

Given the increasing risk to the general public for contracting the coronavirus (COVID-19), the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) recommend that now is the time for communities to prepare.
We continue to see in times like this that having a neighborhood to rely on is often key. Neighbors turn to Nextdoor to lend a hand, lean on others when they need help the most and connect with local authorities, who can provide relevant, real-time information. 
We are constantly monitoring how the coronavirus is impacting communities around the world, and are working closely with government partners to share important and timely information. It is with this in mind that we have gathered the following tips to help you, your family, and your neighbors to get prepared. 
  1. STAY INFORMED: To make sure you have the most up-to-date information, check the CDC site regularly or sign up for the CDC newsletter here, and share the information with your neighbors. 
  2. BE PREPARED: Make sure to have enough food, household supplies, water, vitamins and medications for each person (and pet) in your home. If you run out of supplies, let neighbors know so they can share or direct you to available supplies at businesses in your local area. Should you become ill, it is important to have health supplies on hand including pain relievers, cough and cold medicines, and fluids with electrolytes.
  3. GET TO KNOW YOUR NEIGHBORS: Talk with your neighbors (particularly the elderly and those with underlying medical conditions) about emergency planning and let them know you’re there to help. According to the CDC, older adults and people who have severe chronic medical conditions like heart, lung or kidney disease seem to be at higher risk for more serious COVID-19 illness. Localized community response can be critical during times when federal, state and local authorities are overwhelmed. 
  4. IDENTIFY AID ORGANIZATIONS IN YOUR COMMUNITY: Create a list of local organizations that you can contact for information, health care services, support, resources, and mental health or counseling services. Local government partners on Nextdoor are an important resource for hyper-local information about developments in your city. You may also consider enabling push notifications to receive real-time, critical information in the form of Emergency Alerts from your local first responding departments. 
  5. CREATE AN EMERGENCY CONTACT LIST: Ensure your household has a current list of emergency contacts for family, friends, neighbors, carpool drivers, health care providers, teachers, employers, the local public health department, and other community resources.
We are here to help. Leverage our platform so you can stay connected to your neighbors – click here to invite your neighbors. And, for real-time updates, we encourage you to also visit the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO).
If you believe you are seeing false information related to Coronavirus, please report it to Nextdoor. To learn more visit here