Coronavirus Information

WHAT IS CORONAVIRUS DISEASE 2019 (COVID-19)?

Coronaviruses are a large family of viruses. Some coronaviruses cause cold-like illnesses in people. Others cause illness in certain types of animals, such as cattle, camels and bats. Rarely, animal coronaviruses can spread to people. This happened with Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). The virus that causes COVID-19 likely also originated in an animal and spread to humans. The coronavirus most similar to the virus causing COVID-19 is SARS. COVID-19 was first identified when it caused an outbreak of respiratory illness in Wuhan, Hubei Province, China in 2019.

HOW TO PREPARE:

Older adults and people who have severe underlying chronic medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19 illness. Please consult with your health care provider about additional steps you may be able to take to protect yourself. Click here for the President’s Coronavirus Guidelines for America: 15 Days to Slow the Spread.

KNOW HOW IT SPREADS:

• There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).

• The best way to prevent illness is to avoid being exposed to this virus.

• The virus is thought to spread mainly from person-to-person.

  • Between people who are in close contact with one another (within about 6 feet).

  • Through respiratory droplets produced when an infected person coughs or sneezes.

• These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

TAKE STEPS TO PROTECT YOURSELF:

• CLEAN YOUR HANDS OFTEN!

  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.

  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.

  • Avoid touching your eyes, nose, and mouth with unwashed hands.

• AVOID CLOSE CONTACT WITH PEOPLE WHO ARE SICK

• Put distance between yourself and other people if COVID-19 is spreading in your community. This is especially important for people who are at higher risk of getting very sick.

TAKE STEPS TO PROTECT OTHERS:

• STAY HOME IF YOU’RE SICK!

  • Stay home if you are sick, except to get medical care. Learn what to do if you are sick.

• COVER COUGHS AND SNEEZES

  • Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.

• THROW USED TISSUES IN THE TRASH!

  • Throw tissues out immediately in the trash!

• Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.

• WEAR A FACEMASK IF YOU ARE SICK!

  • If you are sick: You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then you should do your best to cover your coughs and sneezes, and people who are caring for you should wear a facemask if they enter your room. Learn what to do if you are sick.

• CLEAN AND DISINFECT

  • Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.

• If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.

  • To disinfect:
    Most common EPA-registered household disinfectants will work. Use disinfectants appropriate for the surface.

SYMPTOMS:

Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases.

THE FOLLOWING SYMPTOMS MAY APPEAR 2-14 DAYS AFTER EXPOSURE:

• Fever

• Cough

• Shortness of breath

If you develop emergency warning signs for COVID-19 get medical attention immediately.

EMERGENCY WARNING SIGNS INCLUDE*:

• Difficulty breathing or shortness of breath

• Persistent pain or pressure in the chest

• New confusion or inability to arouse

• Bluish lips or face

*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.

TESTING FOR COVID-19:

• Call your doctor:  If you think you have been exposed to COVID-19 and develop a fever and symptoms, such as cough or difficulty breathing, call your healthcare provider for medical advice.

• If you are a close contact of someone with COVID-19 or you are a resident in a community where there is ongoing spread of COVID-19 and develop symptoms of COVID-19, call your healthcare provider and tell them about your symptoms and your exposure. They will decide whether you need to be tested, but keep in mind that there is no treatment for COVID-19 and people who are mildly ill may be able to isolate and care for themselves at home.

If you are at higher risk for serious illness:

• People at higher risk for serious illness from COVID-19 should contact their healthcare provider early, even if their illness is mild

• Older adults and people who have severe underlying chronic medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19 illness.

• If you are very sick get medical attention immediately!

If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:

• Difficulty breathing or shortness of breath

• Persistent pain or pressure in the chest

• New confusion or inability to arouse

• Bluish lips or face

*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.

FOR HEALTHCARE PROFESSIONALS

For information on testing for healthcare professionals, see recommendations for reporting, testing, and specimen collection at Interim Guidance for Healthcare Professionals.

TAKE ACTIONS TO REDUCE YOUR RISK OF GETTING SICK:

If you are at higher risk for serious illness from COVID-19 because of your age or because you have a serious long-term health problem, it is extra important for you to take actions to reduce your risk of getting sick with the disease.

• Stock up on supplies.

• Take everyday precautions to keep space between yourself and others.

• When you go out in public, keep away from others who are sick, limit close contact and wash your hands often.

• Avoid crowds as much as possible.

• Avoid cruise travel and non-essential air travel.

• During a COVID-19 outbreak in your community, stay home as much as possible to further reduce your risk of being exposed.

HAVE SUPPLIES ON HAND

• Contact your healthcare provider to ask about obtaining extra necessary medications to have on hand in case there is an outbreak of COVID-19 in your community and you need to stay home for a prolonged period of time.

• If you cannot get extra medications, consider using mail-order for medications.

• Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms. Most people will be able to recover from COVID-19 at home.

• Have enough household items and groceries on hand so that you will be prepared to stay at home for a period of time.

See also: Get Your Home Ready

TAKE EVERYDAY PRECAUTIONS

• Avoid close contact with people who are sick.

• Take everyday preventive actions:

• Clean your hands often

• Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing, or having been in a public place.

• If soap and water are not available, use a hand sanitizer that contains at least 60% alcohol.

• To the extent possible, avoid touching high-touch surfaces in public places – elevator buttons, door handles, handrails, handshaking with people, etc. Use a tissue or your sleeve to cover your hand or finger if you must touch something.

• Wash your hands after touching surfaces in public places.

• Avoid touching your face, nose, eyes, etc.

• Clean and disinfect your home to remove germs: practice routine cleaning of frequently touched surfaces (for example: tables, doorknobs, light switches, handles, desks, toilets, faucets, sinks & cell phones)

• Avoid crowds, especially in poorly ventilated spaces. Your 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.

• Avoid all non-essential travel including plane trips, and especially avoid embarking on cruise ships.

IF COVID-19 IS SPREADING IN YOUR COMMUNITY:

• Take extra measures to put distance between yourself and other people to further reduce your risk of being exposed to this new virus.

• Stay home as much as possible.

• Consider ways of getting food brought to your house through family, social, or commercial networks

If a COVID-19 outbreak happens in your community, it could last for a long time. (An outbreak is when a large number of people suddenly get sick.) Depending on how severe the outbreak is, public health officials may recommend community actions to reduce people’s risk of being exposed to COVID-19. These actions can slow the spread and reduce the impact of disease.

WHAT TO DO IF YOU ARE SICK & STEPS TO HELP PREVENT THE SPREAD OF COVID-19 IF YOU ARE SICK:

• Call your doctor:  If you think you have been exposed to COVID-19 and develop a fever and symptoms, such as cough or difficulty breathing, call your healthcare provider for medical advice.

• If you are sick with COVID-19 or think you might have it, follow the steps below to help protect other people in your home and community.

• STAY HOME EXCEPT TO GET MEDICAL CARE

  • Stay home: People who are mildly ill with COVID-19 are able to recover at home. Do not leave, except to get medical care. Do not visit public areas.

  • Stay in touch with your doctor. Call before you get medical care. Be sure to get care if you feel worse or you think it is an emergency.

  • Avoid public transportation: Avoid using public transportation, ride-sharing, or taxis.

• SEPARATE YOURSELF FROM OTHER PEOPLE IN YOUR HOME, THIS IS KNOWN AS HOME ISOLATION

  • Stay away from others: As much as possible, you should stay in a specific “sick room” and away from other people in your home. Use a separate bathroom, if available.

  • Limit contact with pets & animals: You should restrict contact with pets and other animals, just like you would around other people.

  • Although there have not been reports of pets or other animals becoming sick with COVID-19, it is still recommended that people with the virus limit contact with animals until more information is known.

  • When possible, have another member of your household care for your animals while you are sick with COVID-19. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with them. See COVID-19 and Animals for more information.

WHAT TO DO IF SOMEONE IN YOUR HOME IS SICK:

• CALL AHEAD BEFORE VISITING DOCTOR

  • Call ahead: If you have a medical appointment, call your doctor’s office or emergency department, and tell them you have or may have COVID-19. This will help the office protect themselves and other patients.

• WEAR A FACEMASK IF YOU ARE SICK

  • If you are sick: You should wear a facemask when you are around other people and before you enter a healthcare provider’s office.

  • If you are caring for others: If the person who is sick is not able to wear a facemask (for example, because it causes trouble breathing), then people who live in the home should stay in a different room. When caregivers enter the room of the sick person, they should wear a facemask. Visitors, other than caregivers, are not recommended.

• COVER YOUR COUGHS AND SNEEZES

  • Cover: Cover your mouth and nose with a tissue when you cough or sneeze.

  • Dispose: Throw used tissues in a lined trash can.

  • Wash hands: Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.

• CLEAN YOUR HANDS OFTEN

  • Wash hands: Wash your hands often with soap and water for at least 20 seconds. This is especially important after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food.

  • Hand sanitizer: If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry.

  • Soap and water: Soap and water are the best option, especially if hands are visibly dirty.

  • Avoid touching: Avoid touching your eyes, nose, and mouth with unwashed hands.

• AVOID SHARING PERSONAL HOUSEHOLD ITEMS

  • Do not share: Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people in your home.

  • Wash thoroughly after use: After using these items, wash them thoroughly with soap and water or put in the dishwasher.

• CLEAN ALL “HIGH-TOUCH” SURFACES EVERYDAY

  • Clean high-touch surfaces in your isolation area (“sick room” and bathroom) every day; let a caregiver clean and disinfect high-touch surfaces in other areas of the home.

  • Clean and disinfect: Routinely clean high-touch surfaces in your “sick room” and bathroom. Let someone else clean and disinfect surfaces in common areas, but not your bedroom and bathroom.

  • If a caregiver or other person needs to clean and disinfect a sick person’s bedroom or bathroom, they should do so on an as-needed basis. The caregiver/other person should wear a mask and wait as long as possible after the sick person has used the bathroom.

  • High-touch surfaces include phones, remote controls, counters, tabletops, doorknobs, bathroom fixtures, toilets, keyboards, tablets, and bedside tables.

  • Clean and disinfect areas that may have blood, stool, or body fluids on them.

  • Household cleaners and disinfectants: Clean the area or item with soap and water or another detergent if it is dirty. Then, use a household disinfectant.

  • Be sure to follow the instructions on the label to ensure safe and effective use of the product. Many products recommend keeping the surface wet for several minutes to ensure germs are killed. Many also recommend precautions such as wearing gloves and making sure you have good ventilation during use of the product.

  1. Most EPA-registered household disinfectants should be effective. A full list of disinfectants can be found here.

Complete disinfection guidance

MONITOR YOUR SYMPTOMS:

• Seek medical attention, but call first: Seek medical care right away if your illness is worsening (for example, if you have difficulty breathing).

  • Call your doctor before going in: Before going to the doctor’s office or emergency room, call ahead and tell them your symptoms. They will tell you what to do.

• Wear a facemask: If possible, put on a facemask before you enter the building. If you can’t put on a facemask, try to keep a safe distance from other people (at least 6 feet away). This will help protect the people in the office or waiting room.

• Follow care instructions from your healthcare provider and local health department: Your local health authorities will give instructions on checking your symptoms and reporting information.

• Call 911 if you have a medical emergency: If you have a medical emergency and need to call 911, notify the operator that you have or think you might have, COVID-19. If possible, put on a facemask before medical help arrives.

HOW TO DISCONTINUE HOME ISOLATION:

• People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions:

  • If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:

• You have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers)
  AND

  1. other symptoms have improved (for example, when your cough or shortness of breath have improved)
     AND

  2. at least 7 days have passed since your symptoms first appeared

  3. If you will be tested to determine if you are still contagious, you can leave home after these three things have happened:

     • You no longer have a fever (without the use medicine that reduces fevers)
       AND

     • other symptoms have improved (for example, when your cough or shortness of breath have improved)
       AND
       you received two negative tests in a row, 24 hours apart. Your doctor will follow CDC guidelines.

In all cases, follow the guidance of your healthcare provider and local health department. The decision to stop home isolation should be made in consultation with your healthcare provider and state and local health departments. Local decisions depend on local circumstances.

More information is available here.

Additional information for healthcare providers: Interim Healthcare Infection Prevention and Control Recommendations for Persons Under Investigation for 2019 Novel Coronavirus.

“The Centers for Disease Control and Prevention (CDC, 2020)”

www.cdc.gov/coronavirus/2019-ncov/