Georgia DPH adjusts COVID-19 models to include asymptomatic transmission
News, Police & Government, State & National April 1, 2020
BLAIRSVILLE, Ga – As of April 1, Georgia had 4,748 cases and 20,328 completed COVID-19 tests, but Georgia Department of Public Health (DPH) has only tested symptomatic and high-risk patients. As a result, some cases have gone undiagnosed across Georgia.
Currently, DPH is following CDC guidelines, which still states online that not everyone needs to be tested for COVID-19. Most people who contract the virus will recover and can care for themselves at home. CDC gave healthcare workers four priority categories to help decide who receives tests.
Asymptomatic individuals were ranked last, and those exhibiting mild symptoms or subjected to potential community spread should only be tested if resources are available.
White County Public Safety Director David Murphy went on record about the issue.
“Some people take care of themselves at home and never go to a doctor, especially those who have minor symptoms,” he explained. Murphy added that White County first responders have encountered a dozen or more patients with coronavirus symptoms in the last two weeks.
DPH guidance for healthcare facilities when it comes to testing lower priority potential cases is as follows:
Patients with mild illness who do not require medical care or who are not a DIRECT contact of a confirmed COVID-19 case (meaning the person has NOT been within 6 feet of a confirmed case for greater than 10 minutes, will not meet criteria to be tested at GPHL but can be tested at commercial labs—see below:
These patients should self-isolate at home until symptoms resolve. If respiratory symptoms worsen, they may need to be re-evaluated. Guidance for safe home care can be found at https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-homecare.html.
If you want to test these patients for COVID-19, commercial laboratory testing is the best option. Commercial laboratories are expected to conduct a substantial number of COVID-19 tests going forward. Currently, the primary source of testing is LabCorp, but we expect other laboratories will be testing in the near future as well, including Quest and ARUP. Neither LabCorp nor Quest will collect specimens at their facilities. Providers should contact LabCorp or Quest regarding supplies needed for testing.
DPH Commissioner Kathleen Toomey addressed that asymptomatic individuals in Georgia aren’t being tested but could be transmitting the virus to numerous Georgians. The state and DPH now believe the time is now appropriate to take “very aggressive measures.”
“We have not been testing everybody. We have only been testing those who have symptoms and those who are the most ill. And now, we recognize a game-changer, in how our strategy to fight COVID has unfolded. We realize now that individuals may be spreading the virus and not even realize they have an infection. As many as 1 in 4 people with coronavirus don’t realize they have the infection because they have no symptoms whatsoever,” explained Toomey.
“Finding out that this virus is now transmitting before they see signs,” remarked Gov. Brian Kemp. “Those individuals could have been infecting people before they ever felt bad.”
Kemp is expected to sign a shelter in place order on Thursday, April 2 to prevent people from ignoring self-quarantine recommendations. The details on the order are yet to be released.
Toomey further voiced that they knew asymptomatic community spread was possible due to the cruise ship cases. As of March 4, the CDC website also stated that asymptomatic spread is possible, but not as common as among individuals who are visibly sick.
Until the past 24-hours, all the DPH models relied on data solely from patients with symptoms.
“I think it’s a combination of recognizing not only that there are probably a large number of people out there who are infected who are asymptomatic, who never would have been recognized under our old models, but also seeing the community transmission that we’re seeing and now is the time to stop that transmission before the hospitals are overrun,” said Toomey.
How can Georgians prevent exposure/slow the spread?
Follow the CDC guidelines:
- Wash hands for at least 20 seconds – wash often
- Regularly clean and disinfect surfaces
- Avoid social contact and stay home
- Social distance if in public – stay six feet apart from each other
- Avoid touching the face – mouth, nose, eyes
- If sick, stay home
- Cover coughs and sneezes with a tissue and throw it away
- Wear a facemask if sick
By following these guidelines and Kemp’s shelter-in-place order, Georgian’s should be able to flatten the curve and hopefully protect themselves and loved ones.
DPH preparations for potential spread of COVID-19
News February 27, 2020
ATLANTA – The Georgia Department of Public Health (DPH) is working closely with the CDC, and state partners to prepare for a potential outbreak of COVID-19 in the U.S., including Georgia. The goal is to quickly identify cases of COVID-19 and take the appropriate public health action to reduce its spread and protect the general public. It is important to note that at this time, the overall risk of COVID-19 to the general public remains low.
“We urge Georgians to prepare for hurricanes or flooding or take measures to prevent flu, so preparing for an outbreak of COVID-19 is no different,” said Kathleen E. Toomey, M.D., M.P.H., DPH commissioner. “DPH is working to make sure our health systems, first responders and county health departments have the resources they need to respond to a COVID-19 outbreak.”
DPH already has a detailed pandemic flu plan that was developed in partnership with the Georgia Emergency Management Agency, the Georgia Department of Education and other state agencies, and will be adapted for a COVID-19 outbreak in the state. DPH has responded to other serious disease outbreaks, including Ebola and Zika virus and each instance has provided new insight and guidance and highlighted the need to be as prepared as we can be.
DPH Emergency Preparedness and Response (EPR) is providing CDC information and guidance about COVID-19 to all health care and hospital facilities throughout Georgia, and holding weekly calls with the entire public health and hospital/health care community to update information and answer questions.
DPH epidemiologists are on-call 24/7 to help health care providers evaluate individuals presenting with symptoms of COVID-19 to ensure that possible cases are managed safely, support laboratory testing and implement recommendations from the CDC. In the event of COVID-19 in Georgia, epidemiologists would also be monitoring outbreaks and recommending control strategies, including guidance regarding testing and isolation.
Should it become necessary, DPH may recommend appropriate community mitigation measures for affected communities, such as temporary closure of child care facilities and schools/colleges and universities, school and workplace social distancing measures, and postponement or cancellation of mass gatherings. Additionally, businesses should consider ways to implement strategies to reduce the impact of a potential COVID-19 outbreak on their workforce, including teleworking and cross-training employees on essential job functions.
The same measures that are urged to prevent the spread of any respiratory virus are increasingly important for all Georgians:
Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.
Avoid touching your eyes, nose and mouth with unwashed hands.
Avoid close contact with people who are sick.
Stay home when you are sick.
Cough or sneeze into your elbow or use a tissue to cover it, then throw the tissue in the trash.
Clean and disinfect frequently touched objects and surfaces.
The best prevention against the flu is vaccination. Flu is still widespread and active in Georgia – it’s not too late to get a flu shot.
Passenger screening at Hartsfield Jackson Atlanta International Airport is ongoing. This is to identify people coming from China who may have been exposed to and are at risk of developing COVID-19, and to provide appropriate assessment and monitoring to protect the general public.
COVID-19 is rapidly evolving and guidance is subject to change. The preparations currently underway in Georgia are based on the best scientific information we have from the CDC. DPH will continue to monitor the COVID-19 situation, and work with state partners and health care communities to incorporate the most up to date guidance in our planning and preparation efforts.
DPH will continue to update Georgians through our website
https://dph.georgia.gov/novelcoronavirus, our Facebook page and our Twitter account. It is important to remember that the most accurate and timely information regarding this outbreak is available through DPH or the CDC’s website https://www.cdc.gov/coronavirus/2019-ncov/index.html.
About the Georgia Department of Public Health
The Georgia Department of Public Health is the lead agency in preventing disease, injury and disability; promoting health and well-being; and preparing for and responding to disasters from a health perspective. For more information about DPH, visit www.dph.ga.gov.
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