2020-3

Caring for Yourself at Home

10 Things to Manage Your Health at Home

English pdf icon[1 page] | Spanishpdf icon | Chinesepdf icon | Vietnamesepdf icon | Koreanpdf icon

10 things you can do to manage your health at home

If you have possible or confirmed COVID-19:

1. Stay home from work, school, and away from other public places. If you must go out, avoid using any kind of public transportation, ridesharing, or taxis.
2. Monitor your symptoms carefully. If your symptoms get worse, call your healthcare provider immediately.
3. Get rest and stay hydrated.
4. If you have a medical appointment, call the healthcare provider ahead of time and tell them that you have or may have COVID-19.
5. For medical emergencies, call 911 and notify the dispatch personnel that you have or may have COVID-19.

When to Seek Medical Attention

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

• Trouble breathing
• 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.

6. Cover your cough and sneezes.
7. Wash your hands often with soap and water for at least 20 seconds or clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.
8. As much as possible, stay in a specific room and away from other people in your home. Also, you should use a separate bathroom, if available. If you need to be around other people in or outside of the home, wear a facemask.
9. Avoid sharing personal items with other people in your household, like dishes, towels, and bedding
10. Clean all surfaces that are touched often, like counters, tabletops, and doorknobs. Use household cleaning sprays or wipes according to the label instructions.

For any additional questions about your care, contact your healthcare provider or state or local health department.

There is no specific antiviral treatment recommended for COVID-19. People with COVID-19 should receive supportive care to help relieve symptoms. For severe cases, treatment should include care to support vital organ functions.

People who think they may have been exposed to COVID-19 should contact their healthcare provider immediately.

See Interim Guidance for Healthcare Professionals for information on persons under investigation.

More Information

• Travelers
• Households
• Pregnant Women & Children
• People Who Are Sick
• Caregivers
• Schools
• Businesses
• Healthcare Professionals
• Health Departments
• Laboratories

Local physicians explore COVID testing for Vashon Island residents

Sorry folks this was published last Saturday and only now is getting posted to this site. Next updates will happen on a timely basis!

NERO COVID-19 update

Hello NERO leader,

Please share this update with your NERO group members. THANK YOU for all you do for your neighborhood!

CDC’s Recommendations for the next 30 days of Mitigation Strategies for Seattle-King, Pierce and Snohomish Counties based on current situation with widespread COVID-19

An excellent summary of what WE ALL CAN DO to help slow the COVID-19 impact is in this new CDC approved tri-county Mitigation Plan.

Latest advice (Mar 9) from King County

Recommendations for people at high risk for complications from COVID-19 (i.e. older than 60 years, have chronic medical conditions or weakened immune systems, or who are pregnant) and families who live with them:

• Make sure you have access to several weeks of medications and supplies. Create a household plan of action (see CDC’s home plan checklist).
• Avoid close contact with people who are sick.
• Avoid crowds and other congregate settings. Try to avoid being in large groups of people, especially in poorly ventilated spaces.
• Clean your hands often. Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and 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.
• 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) with household cleaners and EPA-registered disinfectants that are appropriate for the surface, following label instructions.
• Pay attention for potential symptoms. COVID-19 symptoms can include fever, cough, and shortness of breath.

COVID-19 Advice from Seattle King County’s (PHSKC) Health and Medical Area Command (HMAC)

o Information on management of isolation in the community for patients who test positive for COVID-19: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/COVIDcasepositive.pdf

o What to do if you were potentially exposed to someone with confirmed coronavirus disease (COVID-19):

https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/COVIDexposed.pdf

o For guidance on minimizing the spread of COVID-19 in food establishments, visit https://www.kingcounty.gov/depts/health/communicable-diseases/disease-control/novelcoronavirus/food-establishments.aspx

The best overall guidance is at www.kingcounty.gov/covid

- released March 5, 2020

What to do if you have confirmed or suspected COVID-19 or are worried that you may have COVID-19

March 5, 2020

Summary

Public Health has specific advice for people who have been confirmed with COVID-19, have been around someone with COVID-19, or are feeling unwell but haven’t been in close contact with someone with COVID-19. With respect to testing, Public Health – Seattle & King County does not typically conduct testing. Testing is typically conducted by taking a swab at a health care provider’s office.

Story

In King County, we currently have reported 51 confirmed cases of COVID-19. We are likely to see many more cases of COVID-19 in the coming days and weeks. Symptoms of COVID-19 typically include fever, cough or shortness of breath. Here is guidance on what to do:

What to do if you have confirmed or suspected COVID-19

• Restrict activities outside your home, except for getting medical care.
• Separate yourself from other people and animals in your home.
• Do not go to work, school or public areas.
• Avoid using public transportation, taxis, or ride-share.
• Monitor your symptoms and call before visiting your doctor. If you have an appointment, be sure you tell them you have or may have COVID-19.
• If you have one, wear a facemask around other people, such as sharing a room or vehicle, or around pets and before entering a healthcare provider's office.
• If you can't wear a mask because it's hard for you to breathe while wearing one, then keep people who live with you out of your room, or have them wear a facemask if they come in your room.
• Cover coughs and sneezes with a tissue and throw away in a lined trashcan. Wash hands thoroughly afterwards. Soap and water is best.
• Avoid sharing personal household items like dishes and glasses, or bedding.
• Wash your hands often with soap and water for 20 seconds. If you can't wash your hands, use an alcohol-based hand sanitizer that contains at least 60% alcohol. Rub hands together until dry.
• Clean all "high touch" surfaces every day, such as counters, tables, doorknobs, bathroom fixtures, phones, and keyboards.
• Use a household cleaning product to clean, following the manufacturer's recommendations.
• If you are having a medical emergency, call 9-1-1. Notify dispatch that you have or may have COVID-19
• Remain in home isolation for 7 days OR until 72 hours after your fever has resolved (and symptoms get better) whichever is longer.

What to do if you were potentially exposed to someone with confirmed COVID-19

First, know that you generally need to be in close contact with someone with COVID-19 to get infected. Close contact includes scenarios like living with or caring for a person with confirmed COVID-19, being within six feet of a person with confirmed COVID-19 for about 10 minutes, or if someone with COVID-19 coughed on you, kissed you, shared utensils with you or you had direct contact with their body secretions.

• If you may have had close contact with a person with COVID-19 but are not sick
  • Monitor your health for fever, cough and shortness of breath for 14 days after your last contact with the ill person.
  • Do not go to school or work. Avoid public places for 14 days.

• If you are a close contact of a person with confirmed COVID-19 and are sick
  • If you are sick with fever, cough, or shortness of breath, even if your symptoms are mild, isolate yourself.
  • If you are at higher risk for severe illness (over 60, with underlying health conditions such as heart disease, lung disease, or diabetes), have a weakened immune system or are pregnant) call your health care provider. They may want to test you for COVID-19.
  • If you have symptoms but are not in a high risk category, talk with your health care provider. They will help you determine if you need to be evaluated.

What to do if you have COVID-19 symptoms but haven't been around anyone who has been diagnosed with COVID-19

• The most common symptoms of COVID-19 are fever, cough, and shortness of breath. These can be symptoms of other respiratory illnesses as well as COVID-19.
• If you are in a high-risk category, and have symptoms of COVID-19, call your healthcare provider for advice. If you are at risk for serious illness, your healthcare provider may arrange a test for COVID-19.
• If you do not have a high risk condition and your symptoms are mild, you do not need to be tested for COVID-19. Do not go out when you are sick, practice excellent hygiene, and wear a facemask when you are around other people if you can.
• Cover coughs and sneezes. Avoid sharing personal household items. Clean your hands often. Clean all "high-touch" surfaces like doorknobs often.
• Monitor your symptoms and call your health care provider if symptoms worsen.
• Stay home and avoid others for 72 hours after your fever goes down and symptoms get better.

For more detailed information or to print these recommendations and share them with others click on the following links:

• What to do if you have confirmed or suspected COVID-19
• What to do if you were potentially exposed to someone with confirmed COVID-19
• What to do if you have symptoms of COVID-19 and have not been around anyone who has been diagnosed with COVID-19

About testing

Currently, the capacity for testing in Washington state is inadequate for the number of people who want to be tested. Therefore, only people at highest risk for serious illness are likely to be tested currently. That should change as soon as soon as tomorrow as the public health system and private laboratories increase testing capacity.

Public Health – Seattle & King County does not typically conduct testing. Testing is typically conducted by taking a swab at a health care provider's office.

All King County residents should follow this advice:

1. Do not go to the emergency room unless essential. Emergency rooms need to be able to serve those with the most critical needs. If you have symptoms like cough, fever, or other respiratory problems, contact your regular doctor first.
2. Stay home when sick.
3. Practice excellent personal hygiene habits, including handwashing, coughing into tissue or elbow, avoid touching eyes, nose, or mouth.
4. Stay away from people who are ill, especially if you are 60 and older or have underlying health conditions such as diabetes, heart disease, lung disease, or a weakened immune system, or if you are pregnant.
5. Stay informed. Information is changing frequently. Check and subscribe to Public Health's website (www.kingcounty.gov/COVID) or blog (www.publichealthinsider.com).

Local health officials announce new recommendations to reduce risk of spread of COVID-19

4 March 2020

Summary

Local health officials announced new guidance to King County residents aimed at reducing their risk of exposure to COVID-19. While all residents can take steps now, people with underlying health conditions are urged to follow recommendations to avoid large gatherings of people.

Story

Local health officials announced today new recommendations to King County residents aimed at reducing their risk of exposure to COVID-19. We understand these actions will have a tremendous impact on the lives of people in our community. We are making these recommendations in consultation with CDC based on the best information we have currently to protect the public's health.

This is a critical moment in the growing outbreak of COVID-19 in King County and these measures can potentially impact the spread of the disease.

Public Health is recommending, but not requiring, the following steps:

• People at higher risk of severe illness should stay home and away from large groups of people as much as possible, including public places with lots of people and large gatherings where there will be close contact with others. People at higher risk include:
  • People 60 and older
  • People with underlying health conditions including heart disease, lung disease, or diabetes
  • People who have weakened immune systems
  • People who are pregnant
• Workplaces should enact measures that allow people who can work from home to do so. Taking these measures can help reduce the number of workers who come into contact with COVID-19 and help minimize absenteeism due to illness
• If you can feasibly avoid bringing large groups of people together, consider postponing events and gatherings.
• Public Health is not recommending closing schools at this time unless there has been a confirmed case in the school. Public Health – Seattle & King County also respects an individual school's decisions about closures or postponement of activities as each school knows the needs of their community best.
• All people should not go out when they are sick.
• Avoid visiting hospitals, long term care facilities, or nursing homes to the extent possible. If you need to go, limit your time there and keep six feet away from patients.

More detail on these measures will be available at www.kingcounty.gov/covid

Case update:

COVID-19 test results have come back from the Washington State Public Health Laboratory confirming ten additional cases of COVID-19 in King County residents including one death. With these ten new results, the total number of cases in King County is 31. The total number of deaths is nine.

The ten new cases are in:

• A female in her 60s, Life Care resident, hospitalized at EvergreenHealth
• A male in his 50s, associated with Life Care, not hospitalized
• A male in his 60s, Life Care resident, hospitalized at EvergreenHealth
• A female in her 70s, Life Care resident, hospitalized at EvergreenHealth
• A male in his 60s, Life Care resident, hospitalized at Evergreen
• A female in her 90s, Life Care resident, was hospitalized at Evergreen and died on 3/3/20
• A female in her 70s, Life Care resident, hospitalized at EvergreenHealth
• A male in his 30s, no known exposure, not hospitalized
• A female in her teens, associated with Life Care, not hospitalized
• A male in his 80s, a resident of Life Care, hospitalized at EvergreenHealth

No other details about the 10 cases reported today are available currently.

21 other cases, already reported earlier by Public Health, include:

• A female in her 40s, worked at LifeCare, never hospitalized and is recovering at home
• A female in her 60s, family member of a confirmed case of COVID-19, not hospitalized
• A male in his 70s, a frequent visitor of LifeCare, hospitalization status unknown currently
• A male in his 20s, unknown exposure, hospitalized at Swedish Issaquah
• A male in his 20s, unknown exposure, hospitalized at Swedish Issaquah
• A female in her 80s, resident of LifeCare, never hospitalized, died on 2/26/20
• A male in his 50s, resident of LifeCare, hospitalized at Harborview Medical Center and died on 2/26/20
• A male in his 50s, hospitalized at Highline Hospital. No known exposures. He is in stable but critical condition. He had no underlying health conditions.
• A male in his 70s, a resident of LifeCare, hospitalized at EvergreenHealth in Kirkland. The man had underlying health conditions, and died 3/1/20
• A female in her 70s, a resident of LifeCare, hospitalized at EvergreenHealth in Kirkland. The woman had underlying health conditions, and died 3/1/20
• A female in her 80s, a resident of LifeCare, was hospitalized at EvergreenHealth. She is in critical condition.
• A female in her 80s, hospitalized at EvergreenHealth in Kirkland. This person died on 3/1/20.
• A female in her 90s, hospitalized at EvergreenHealth in Kirkland.
• A male in his 70s, hospitalized at EvergreenHealth in Kirkland. The man has underlying health conditions, and is in critical condition
• A male in his 70s was hospitalized at EvergreenHealth. He had underlying health conditions and died on 2/29/20.
• A man in his 60s, hospitalized at Valley Medical Center in Renton.
• A man in 60s, hospitalized at Virginia Mason Medical Center.
• A woman in her 50s, who had traveled to South Korea; recovering at home
• A woman in her 70s, who was a resident of LifeCare in Kirkland, hospitalized at EvergreenHealth and died on 3/2/20
• A woman in her 40s, employed by LifeCare, who is hospitalized at Overlake Medical Center
• A man in his 50s, who was hospitalized and died 2/28/20 at EvergreenHealth

What Public Health is doing:

This is a massive undertaking and we have a talented, dedicated team digging in to learn everything we can to protect the health of our community. What we have seen with the level of community spread has raised the level of concern about the immediate threat of COVID-19, particularly for vulnerable populations such as people over 60, those with underlying health conditions or who are immune compromised.

King County Novel Coronavirus Call Center:

• If you are in King County and believe you were exposed to a confirmed case of COVID-19, or if you're a healthcare provider with questions about COVID-19, contact our novel coronavirus call center: 206-477-3977.
• The call center will be open daily from 8:00 AM to 7:00 PM PT.
• For general concerns and questions about COVID-19, please call the Washington State Novel Coronavirus Call Center at 800-525-0127.

When to seek medical evaluation and advice:

• If you have symptoms like cough, fever, or other respiratory problems, call your healthcare provider. Do not go to the emergency room. Emergency rooms need to be able to serve those with the most critical needs.
• If you are having a medical emergency, call 9-1-1.

In addition to the recommendations listed above, the public can help:

1. Do not go to the emergency room unless essential. Emergency rooms need to be able to serve those with the most critical needs. If you have symptoms like cough, fever, or other respiratory problems, contact your regular doctor first.
2. Stay home when sick.
3. Practice excellent personal hygiene habits, including handwashing, coughing into tissue or elbow, avoid touching eyes, nose, or mouth.
4. Stay away from people who are ill, especially if you are 60 and older or have underlying health conditions such as diabetes, heart disease, lung disease, or a weakened immune system.
5. Stay informed. Information is changing frequently. Check and subscribe to Public Health's website (www.kingcounty.gov/COVID) or blog (www.publichealthinsider.com).

Can’t get hand sanitizer? Make your own

ingredients to make your own hand sanitizer:

• 2/3 cup of rubbing alcohol 
• 1/3 cup aloe vera gel
• 5-10 drops of essential oil (optional)
• Mixing bowl
• Spoon
• Funnel
• Two-ounce spray bottle or liquid soap container
• Masking tape and pen or marker for labeling the container (or adhesive labels)