ANDREW COUNTY HEALTH DEPARTMENT TO OFFER SECOND COVID-19 TESTING CLINIC

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Published on Friday, 22 May 2020 17:56

ANDREW COUNTY HEALTH DEPARTMENT TO OFFER SECOND COVID-19 TESTING CLINIC

The Andrew County Health Department, in collaboration with MOSAIC Medical Center-Maryville Savannah Clinic and Northwest Health Services, will be providing COVID-19 testing for 150 residents on Friday, May 22, 2020. Residents must be 14 years of age or older with proper consent.  An additional testing clinic will be arranged if capacity is reached.  Symptoms will not be required to get a test. The testing will involve using a swab to take a sample from inside the nose and can be uncomfortable.

The Andrew County Health Department, in collaboration with MOSAIC Medical Center-Maryville Savannah Clinic and Northwest Health Services, will be providing a second COVID-19 testing clinic for 150 residents on Friday, May 29, 2020. Residents must be 14 years of age or older with proper consent.  Symptoms will not be required to get a test. The testing will involve using a swab to take a sample from inside the nose and can be uncomfortable.

Testing will be completed for the first 150 residents who preregister

at: https://dcphdo02redcap.azurewebsites.net/redcap/surveys/?s=FAMNRL3LF7

No ability to register online?  Call the Missouri COVID Hotline to register at:  1-877-435-8411

Preregistration is required for testing. Location and time will be provided at completion of registration. This is active COVID-19 testing and not antibody testing.  There is no fee for this testing clinic.

This institution is an equal opportunity provider.

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COVID-19: Background & Additional Information

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Published on Wednesday, 25 March 2020 12:25

COVID-19: Background & Additional Information

Background

Under the leadership of President Trump and Vice President Pence, the full weight of the U.S. Government is working to protect the health and safety of the American people. Since the beginning of the outbreak, President Trump has taken unprecedented steps – including prudent travel restrictions and an early containment strategy – to protect the health of Americans in response to the coronavirus. In January, the President formed a Coronavirus Task Force, led by Vice President Mike Pence and comprised of subject-matter experts, to organize a whole-of-government response (President Donald J. Trump Has Taken Unprecedented Steps to Respond To the Coronavirus and Protect the Health and Safety of Americans). The Coronavirus Task Force and broader Administration have and will continue to work with State-Local-Tribal officials and private sector and non-profit partners in preparing for and responding to the Coronavirus. It is important to note that the threat of serious illness to the average American remains low. All agencies are working aggressively to monitor this continuously evolving situation and to keep our stakeholders informed. We appreciate your partnership in this whole-of-government, all-of-America response.

Up-To-Date Information

• The most up-to-date information and guidance can be found via the Centers for Disease Control and Prevention Coronavirus Disease 2019 website (here). You are also encouraged to follow HHS, CDC, and other agency social media channels for up-to-date information.
• The Coronavirus Task Force holds frequent national briefings which can be viewed live (here)
• Community Guidance
• The President’s Guidelines for America: 15 Days to Slow the Spread (here)
• HHS/CDC Community Framework for Mitigation (here)
• Guidance for families, businesses, schools and others (here)
• What is Social Distancing (video)
• CDC Print Resources and Fact Sheets (here)
• Informational Videos
• President Donald J. Trump: Strong & United, We Will Prevail (here)
• First Lady Melania Trump: A Message from First Lady Melania Trump (here)
• U.S. Surgeon General: Urgent Need – Health Americans Should Continue Donating Blood (here)
• U.S. Surgeon General: How Can Millennials Stop the Spread of Coronavirus (here)
• U.S. Surgeon General: Is It Still Safe to Donate Blood? (here)
• U.S. Surgeon General: How Can You Engage in Social Distancing? (here)
• U.S. Surgeon General: How Can You Keep the Most Vulnerable Safe from Coronavirus (here)
• U.S. Surgeon General: Message to Young People (here)
• Dr. Deborah Birx: How Can Millennials Fight the Coronavirus (here)
• Dr. Deborah Birx: What Should Schools Do About (here)
• Dr. Deborah Birx: Where Can the Coronavirus Live? (here)
• Dr. Deborah Birx: Who Needs to be Tested for Coronavirus? (here)
• Dr. Deborah Birx: Protect the People Around You (here)

What You Need To Know (https://www.coronavirus.gov/)

• What You Should Know - How COVID-19 Spreads, Symptoms, etc. (here)
• Situation Summary (here)
• Travel Information (here) – State Department: International Travel (here)
• Avoid Scams (here)
• Preventing COVID-10 Spread in Communities (here)
• Higher Risk & Special Populations (here)
• Healthcare Professionals (here)
• Resources for Healthcare Facilities (here)
• Resources for Health Departments (here)
• Laboratories (here)
• Communication Resources (here)

Local Preparedness & Response Tips

• Response is locally executed, state managed, and federally supported. Local officials should coordinate requests through their State Emergency Management Agencies.
• A list of State emergency management agencies can be found here.
• FEMA guidance on public assistance for States, local governments, tribal governments, and eligible non-profits can be found here.
• FEMA guidance on public assistance for tribal governments can be found here.
•  Proactively sharing and disseminating verified and accurate guidance and information through social media, newsletters, and other avenues:
• CDC Mitigation Guidance – 15 Days to Slow the Spread
• HHS/CDC guidance for families, businesses, and schools
• HHS/CDC Community Mitigation Framework
• FEMA Coronavirus Rumor Control Website
• FTC Coronavirus Scams Resource Website
• Ensuring clear, open lines of communication with the public and making information and guidance readily available.
• Inventorying resources and proactively coordinating with State and local health authorities.
• Reviewing and implementing local preparedness plans and strategies.

Agency Resources and Contact Information

Below, please find agency-by-agency information, guidance, and contact information.

Resources – Below, please find agency-by-agency resources and guidance.

• U.S. Department of Health and Human Services (here)
• Centers for Medicare and Medicaid (here)
• Federal Trade Commission (here)
• U.S. Food & Drug Administration (here)
• U.S. Department of Education (here)
• U.S. Department of Agriculture (here)
• U.S. Small Business Administration (here)
• U.S. Department of Labor (here)
• U.S. Department of Homeland Security (here)
• U.S. Department of State (here)
• U.S. Department of Veterans Affairs (here)
• U.S. Environmental Protection Agency (here)
• U.S. Department of the Interior (here)
• U.S. Department of Energy (here)
• U.S. Department of Commerce (here)
• U.S. Department of Justice (here)
• U.S. Department of Housing and Urban Development (here)
• U.S. Department of the Treasury (here)
• Office of the Director of National Intelligence (here)
• U.S. Election Assistance Commission (here)

Contact Information – Response to COVID-19 is locally executed, stated managed, and federally supported. Local elected officials should collaborate with and work through their local emergency management office up through the State Emergency Management Agency, which works in collaboration with FEMA and HHS. Should particular issues arise outside of these appropriate channels, please find contact information for our Intergovernmental Affairs colleagues across the federal family. As State and local elected officials, they are your primary points of contact.

• U.S. Department of Health & Human Services: Darcie Johnston (Phone – 202-690-1058 / Email – darcie.johnston@hhs.gov)

• U.S. Department of Homeland Security: Cherie Short (Phone – 202-893-2941 / Email – cherie.short@hq.dhs.gov) 
• U.S. Department of State: Bill Killion (Phone – 202-647-7595 / Email – killionw@state.gov) 
• U.S. Department of Transportation: Sean Poole (Office – 202-597-5109 / Cell – 202-366-3132 / Email – sean.poole@dot.gov) 
• U.S. Department of Education: Susan Falconer (Phone – 202-320-6837 / Email – susan.falconer@ed.gov) 
• U.S. Department of Veterans Affairs: Thayer Verschoor (Phone – 202-461-7385 / Email – Thayer.verschoor@va.gov) 
• U.S. Environmental Protection Agency: Britt Carter (Phone – 202-440-0728 / Email – carter.brittanys@epa.gov) 
• U.S. Small Business Administration: Ryan Lambert (Phone – 202-615-6570 / Email – ryan.lambert@sba.gov) 
• U.S. Department of Agriculture: Lillie Brady (Phone – 202-845-3872 / Email - lillie.brady@usda.gov)

Recent Announcements

President Donald J. Trump Announces New Guidelines to Address COVID-19 – The President’s Guidelines for America: 15 Days to Slow the Spread

Monday, March 16, President Donald J. Trump announced new guidelines to address COVID-19, stop the spread, and protect health. The President’s Coronavirus Guidelines for America: 15 Days to Slow the Spread can be found here. “My administration is recommending that all Americans, including the young and healthy, work to engage in schooling from home when possible, avoid gathering in groups of more than 10 people, avoid discretionary travel and avoid eating and drinking in bars, restaurants, and public food courts," President Trump stated. “With several weeks of focused action, we can turn the corner and turn it quickly -- a lot of progress has been made."

FEMA Releases Guidance On Public Assistance for States, Local Governments, and Eligible Non-Profits

The Administration continues to place its full weight and resources behind the response to COVID-19. FEMA currently has over $500 million in available balances in the Disaster Relief Fund (DRF) Base to support all 56 States and Territories for COVID-19 response efforts, including for direct Federal assistance, temporary facilities, commodities, equipment, and emergency operation costs. State, Territorial, Tribal, local government entities and certain private non-profit (PNP) organizations are eligible to apply for Public Assistance. States, Tribal and Territorial governments do not need to request separate emergency declarations to receive FEMA assistance under this nationwide declaration. The emergency declaration will reimburse for eligible emergency protective measures taken to respond to the COVID-19 emergency at the direction or guidance of public health officials under Category B of FEMA’s Public Assistance program. FEMA will not duplicate assistance provided by the U.S. Department of Health and Human Services (HHS), to include the Centers for Disease Control and Prevention (CDC), or other federal agencies. Morehere.

Department of Homeland Security Releases Memorandum on Identification of Essential Critical Infrastructure Workers During COVID-19 Response

Functioning critical infrastructure is imperative during the response to the COVID-19 emergency for both public health and safety as well as community well-being. Certain critical infrastructure industries have a special responsibility in these times to continue operations. Thursday, March 19, the Cybersecurity & Infrastructure Security Agency released guidance on the identification of essential critical infrastructure workers during COVID-19 response. This guidance and accompanying list are intended to support State, Local, and industry partners in identifying the critical infrastructure sectors and the essential workers needed to maintain the services and functions Americans depend on daily and that need to be able to operate resiliently during the COVID-19 pandemic response. More here.

President Donald J. Trump Outlines Federal Support for Governors’ Use of the National Guard to Respond to COVID-19

Sunday, March 22, President Donald J. trump announced federal actions to ensure that the National Guard can effectively respond to the COVID-19 crisis. President Trump issued a memorandum providing for 100 percent federal funding through FEMA for the cost of Governors deploying National Guard units in their States to carry out approved missions. Governors remain fully in command of their National Guard units. The Presidential Memorandum can be found here.

President Trump Announces Approval of Existing Drugs to Test Treatments for Coronavirus

Thursday, March 19, President Donald J. Trump announced that the FDA is evaluating existing drugs that could serve as potential therapeutics for coronavirus patients. The drugs will be used in a clinical trial. "We have to remove every barrier or a lot of barriers that were unnecessary and they've done that to get the rapid deployment of safe, effective treatments and we think we have some good answers," the President said. The FDA continues to expand its work regarding therapeutic options and has a vaccine trial underway. More here. More here.

President Trump Signs Legislative Package Providing Extensive Assistance to Americans Impacted by the Coronavirus

Wednesday, March 18, President Trump signed the Families First Coronavirus Response Act, ensuring that American families and businesses impacted by the virus receive the strong support they need (more here). The President and Administration worked tirelessly with Congress to secure the legislative package, which includes the following:

• Provides free coronavirus diagnostic testing for the American people, regardless of their economic circumstances or health coverage;
• Establishes tax credits to provide paid sick and family leave for coronavirus-related employment interruptions;
• Incentivizes States to ease access to unemployment benefits, assisting Americans who may be unemployed due to the impact of the virus;
• Provides funding and flexibility for emergency nutritional aid for senior citizens, women, children, and low-income families.

President Trump Issues Executive Order Invoking the Defense Production Act

Wednesday, March 18, President Donald J. Trump issued an executive order invoking the Defense Production Act. Under the Defense Production Act, the President has the authority to determine that certain supplies are essential for the national defense during challenges like this The President’s action allows the Administration, if it becomes necessary, to order the distribution of health and medical supplies to where they are most needed. You can find the Executive Order here.

President Donald J. Trump Directs FEMA Support Under Emergency Declaration for COVID-19

The federal government continues to take aggressive and proactive steps to address the COVID-19 threat as the health and safety of the American people remain a top priority (President Donald J. Trump Has Mobilized the Full Resources of the Federal Government to Respond to the Coronavirus). On Friday, March 13, President Trump declared a nationwide emergency pursuant to Sec. 501(b) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. 5121-5207 (the “Stafford Act”) (Letter from President Donald J. Trump on Emergency Determination Under the Stafford Act). This increases federal support to the Department of Health and Human Services (HHS) in its role as the lead federal agency for the ongoing COVID-19 pandemic response. As a result of the President’s decisive, unprecedented action, FEMA is directed to assist state, local, tribal, territorial governments and other eligible entities with the health and safety actions they take on behalf of the American public. FEMA actions will be in support of HHS and in coordination with state, tribal and territorial governments. Eligible emergency protective measures taken at the direction or guidance of public health officials in response to this emergency, and not supported by the authorities of another federal agency, will be reimbursed strictly under the FEMA Public Assistance program. FEMA assistance will be provided at a 75 percent Federal cost share. Reimbursable activities typically include emergency protective measures such as the activation of State Emergency Operations Centers, National Guard costs, law enforcement and other measures necessary to protect public health and safety. To note, the declaration does not make direct financial assistance available to individuals.. Municipalities and counties are encouraged to work directly with their local emergency management offices and through the State Emergency Management Agency for all requests for assistance. You can read more about the disaster recovery process here.

White House Announces New Partnership to Unleash U.S. Supercomputing Resources to Fight COVID-19

The White House announced the launch of the COVID-19 High Performance Computing Consortium to provide COVID-19 researchers worldwide with access to the world’s most powerful high performance computing resources that can significantly advance the pace of scientific discovery in the fight to stop the virus. This unique public-private consortium, spearheaded by The White House, the U.S. Department of Energy, and IBM, includes government, industry, and academic leaders who have volunteered free compute time and resources on their machines.

Federal Agency Programs & Action Overview

U.S. Department of Health & Human Services (HHS)

• The Department of Health and Human Services is committed to providing as much information as possible to prepare communities for response to COVID-19. The Department, through the Centers for Disease Control and Prevention, the Food and Drug Administration, and other agencies, continuously provide guidance to healthcare providers, laboratories, communities, and state and local officials for dealing with suspected or confirmed cases of COVID-19. The most up-to-date information can be found at www.coronavirus.gov and https://www.cdc.gov/coronavirus/2019-nCoV/index.html
• Guidance
• CMS released two telehealth toolkits today to help practitioners understand the broadened access to Medicare telehealth services so that beneficiaries can receive a wider range of services from their doctors without having to travel to a healthcare facility. Under this new waiver, Medicare can pay for office, hospital, and other visits furnished via telehealth across the country and including in patient’s places of residence starting March 6, 2020.  A range of providers, such as doctors, nurse practitioners, clinical psychologists, and licensed clinical social workers, will be able to offer telehealth to their patients. The toolkit for General Practitioners can be found here and for ESRD providers here.
• CDC released interim guidance to help prevent workplace exposures to acute respiratory illnesses, including COVID-19, in non-healthcare settings. The guidance also provides planning considerations if there are more widespread, community outbreaks of COVID-19. The guidance can be found here.
• FDA issued a new policy that allows for expanded use of devices to monitor patients’ vital signs remotely. The devices include those that measure body temperature, respiratory rate, heart rate and blood pressure. The guidance can be foundhere.
• CMS released recommendations to delay non-essential procedures in an effort to preserve personal protective equipment (PPE), beds, and ventilators for facilities as well as to free up health care workers to treat patients with COVID-19. The recommendations provide a framework for hospitals and clinicians to implement immediately to determine and identify non-essential and elective procedures. The recommendations and guidelines can be found here
• CDC released PPE guidance that will provide guidance in PPE shortages, particularly for long-term care facilities, dialysis, and home health providers. The strategies include information specific to eye protection, isolation gowns, facemasks, and N95 respirators. The information can be found here
• CDC’s Prepare to Care for COVID-19 is a resource with practical tools clinicians can use to care for patients with COVID-19, and will be regularly updated to help clinicians adapt as the outbreak unfolds. More information can be found here.
• CDC released guidance for responding to Coronavirus Disease 2019 (COVID-19) among people experiencing unsheltered homelessness (more here).
• The President’s emergency declaration gives HHS important powers to enhance state and local communities’ ability to respond to the outbreak, including flexibility around Medicare and Medicaid rules. 
• Flexibility and Relief for State Medicaid Agencies: The national emergency declaration also enables CMS to grant state and territorial Medicaid agencies a wider range of flexibilities under section 1135 waivers. States and territories are now encouraged to assess their needs and request these available flexibilities, which are outlined in the Medicaid and CHIP Disaster Response Toolkit. Examples of flexibilities available to states under section 1135 waivers include the ability to permit out-of-state providers to render services, temporarily suspend certain provider enrollment and revalidation requirements to promote access to care, allow providers to provide care in alternative settings, waive prior authorization requirements, and temporarily suspend certain pre-admission and annual screenings for nursing home residents. To date, two states, Florida and Washington, have received approval for their waivers. For more information and to access the toolkit, visit here.  
• Waivers and Flexibilities for Hospitals and other Healthcare Facilities:  CMS will temporarily waive or modify certain Medicare, Medicaid, and CHIP requirements. CMS will also issue several blanket waivers, listed on the website below, and the CMS Regional Offices will review other provider-specific requests. These waivers provide continued access to care for beneficiaries. For more information on the waivers CMS has granted, visit here.
• Centers for Medicare & Medicaid Services (CMS) Guidance: CMS released updated FAQs that address issues raised by states over the prior few days. The document includes answers to questions related to the flexibilities CMS is affording to states in managed care, benefits, financing, 1115 demonstrations, and leveraging “1135” waivers offered as part of the President’s declaration of a national emergency. States may submit questions to CMS through their state leads. The FAQs can be found here.
• Centers for Medicare & Medicaid Services (CMS) Nursing Home Guidance: As you know, nursing homes and their residents are vulnerable populations for COVID-19.  This week, CMS released updated guidance for infection control and prevention of COVID-19 in Nursing Homes which can be found here (3/9). The Press Release can be found here and all CMS guidance related to COVID-19 can be found here.
• Expanded Telehealth Coverage (3/17): The Trump Administration announced expanded Medicare telehealth coverage that will enable beneficiaries to receive a wider range of healthcare services from their doctors without having to travel to a healthcare facility. More here.
• Wednesday, March 12, CDC announced the imminent release of almost $600 million to support state and local authorities respond to the COVID-19 outbreak. Full funding amounts are here.
• The CDC has been actively working to address the need for testing across the country. You can find more information about testing here. We encourage review of the Updated Guidance on Evaluating and Testing Persons for Coronavirus Disease 2019, as well as the recently updated the FAQ website for laboratories to determine best practices for testing.
• The U.S. Public Health Service Commissioned Corps has deployed hundreds of officers to help with this response. As America’s Health Responders, the Commissioned Corps is currently very involved in assisting the CDC with airport screenings, deploying staff to support hospitals, among other important missions. Find out more about Commissioned Corps activities here.
• Part of preparedness includes a robust blood supply. The current situation around COVID-19 heightens the need for a ready blood supply, please encourage your health community members to keep their appointments to donate blood.

U.S. Small Business Administration (SBA)

• The U.S. Small Business Administration has approved all states and territories for low-interest federal disaster loans for working capital to small businesses suffering substantial economic injury as a result of the Coronavirus (COVID-19).
• Any such Economic Injury Disaster Loan assistance declaration issued by the SBA makes loans available statewide to small businesses and private, non-profit organizations to help alleviate economic injury caused by the Coronavirus (COVID-19).
• SBA’s Office of Disaster Assistance will coordinate with the state’s or territory’s Governor to submit the request for Economic Injury Disaster Loan assistance.
• Once a declaration is made, the information on the application process for Economic Injury Disaster Loan assistance will be made available to affected small businesses within the state.
• These loans may be used to pay fixed debts, payroll, accounts payable and other bills that can’t be paid because of the disaster’s impact. The interest rate is 3.75% for small businesses. The interest rate for non-profits is 2.75%.
• SBA offers loans with long-term repayments in order to keep payments affordable, up to a maximum of 30 years. Terms are determined on a case-by-case basis, based upon each borrower’s ability to repay.
• SBA’s Economic Injury Disaster Loans are just one piece of the expanded focus of the federal government’s coordinated response, and the SBA is strongly committed to providing the most effective and customer-focused response possible.
• SBA announced the option to defer payment on previous disaster loans until December 2020.
• For additional information, please visit the SBA disaster assistance website at SBA.gov/Disaster. 

U.S. Department of Education (DoED)

• The Department of Education has established a dedicated Coronavirus webpage, which includes resources for institutions of higher education and for K-12.
  • The website includes guidance for students at institutions of higher education, and covers Coronavirus-related scenarios that could impact students who are enrolled in study abroad programs, students who meet full-time requirements but fall below 12 credit hours, students who are quarantined and miss class, campuses that have temporarily stopped offering ground-based classes to prevent the spread of Coronavirus, and foreign schools that serve Americans who receive Federal financial aid.  Also see a letter from the Office for Civil Rights that addresses potential discrimination associated with coronavirus.
• On Friday, March 20, the Department of Education announced the suspension of federal student loan payments and waiving interest during the national emergency. All borrowers with federally held student loans will automatically have their interest rates set to 0% for a period of at least 60 days. In addition, each of these borrowers will have the option to suspend their payments for at least two months to allow them greater flexibility during the national emergency. More here.
• The Department has provided additional information for families and communities including:
  • Information regarding certain flexibilities under the Every Student Succeeds Act, or “ESSA;” (more here)
  • Information regarding services to children with disabilities; (more here)
  • A fact sheet from the Office for Civil Rights on the risk of Coronavirus in schools while protecting the civil rights of students; and a short webinar on Online Education and Website Accessibility;
  • Information on the Family Education Records Privacy Act, or “FERPA,” as it pertains to K-12 and higher education students (more here);
  • Information for Accrediting Agencies Regarding Temporary Flexibilities Provided to Coronavirus Impacted Institutions or Accrediting Agencies (more here);
  • Guidance and resources for educating students with disabilities (more here).
• The Department will continue to update its website, ed.gov/coronavirus. Please direct education related questions to COVID-19@ed.gov.  

U.S. Department of Transportation (DOT)

• The U.S. Department of Transportation, in its important supporting role, has and will continue to coordinate with transportation stakeholders, foreign counterparts and other federal agencies to manage the risk in the United States.
• The U.S. government’s travel restrictions and advisories have been a remarkably effective ‘first layer’ of containment. These travel requirements delayed the arrival of the virus to the United States, giving the nation precious time to prepare further measures, and plan for mitigation. This achievement took the cooperation of nearly 200 commercial airlines, a like number of overseas airports, and the Civil Aviation Authority of China.
• DOT continues to ensure: an active air bridge remains in place for the safe return of Americans from affected areas; airlines are funneling passenger flights to one of the eleven designated U.S. airports equipped to health-screen Americans returning from affected areas; continued air and sea cargo traffic between the US and China; health protocols are established to protect the crews of aircraft continuing to fly between the US and foreign locations; and, dissemination of health messages about the virus, for airlines to use to inform their passengers.
• External Stakeholder outreach is being actively conducted throughout the modes of transportation in DOT. DOT has already hosted calls with stakeholders for the Federal Aviation Administration, Federal Transit Authority, Federal Motor Carrier Safety Administration, and others. Additional calls are scheduled for outreach to additional stakeholders in all surface transportation, maritime, and labor.
• On March 13, USDOT issued a national emergency declaration to provide hours-of-service regulatory relief to commercial vehicle drivers transporting emergency relief to the nationwide COVID-19 outbreak. The declaration does not cover routine commercial deliveries, or transportation of mixed loads of essential supplies and/or persons and goods or persons not related to emergency needs.  Effective immediately, the declaration will remain in effect for the duration of the emergency or until 11:59 P.M. (ET), April 11, 2020, whichever occurs sooner. Learn more here.

U.S. Department of Labor (DOL)

• The Occupational Safety and Health Administration (OSHA) developed COVID-19 planning guidance for employers to implement engineering, administrative, and work practice controls and personal protective equipment (PPE). The guidance is intended for planning purposes – employers and workers should use the planning guidance to help identify risk levels in workplace settings and to determine any appropriate control measures to implement.
• DOL announced new guidance outlining flexibilities that States have in administering their unemployment (UI) programs to assist Americans affected by the COVID-19 outbreak. Under the guidance, federal law permits significant flexibility for states to amend their laws to provide UI benefits in multiple scenarios related to COVID-19. Learn more here.
• On March 14, DOL issued new temporary enforcement guidance for respirator fit-testing in healthcare during the COVID-19 outbreak. The temporary guidance is aimed at ensuring healthcare workers have full access to needed N95 respiratory protection. OSHA recommends that employers supply healthcare personnel who provide direct care to patients with known or suspected coronavirus with other respirators that provide equal or higher protection, such as N99 or N100 filtering facepieces, reusable elastomeric respirators with appropriate filters or cartridges, or powered air purifying respirators. Learn more here.
• On March 18, DOL announced availability of up to $100 Million in National Health Emergency Dislocated Worker Grants (DWGs) in response to COVID-19.  The DWGs are intended to provide eligible participants with both disaster-relief employment and employment training services.  These participants can include dislocated workers, workers who were laid-off as a result of the disaster, self-employed individuals who are unemployed or underemployed as a result of the disaster, and long-term unemployed individuals.  Learn more here.
• The Office of Federal Contract Compliance Programs (OFCCP) issued a National Interest Exemption Memorandum to further facilitate response efforts for COVID-19.  OFCCP will grant a limited, three-month exemption and waiver from some requirements of the laws administered by the agency.
• The Wage and Hour Division (WHD) has developed frequently asked questions documents highlighting application of the Fair Labor Standards Act and Family and Medical Leave Act during a public health emergency.  Learn more here. 

U.S. Department of Housing & Urban Development (HUD)

• The health and well-being of our country’s most vulnerable citizens is Secretary Ben Carson’s highest priority. At the direction of Secretary Carson senior HUD, officials have developed an Infectious Disease Toolkit for Continuum of Care homeless shelters (CoC). This includes specific documents addressing preparedness in shelters and encampment settings. More here.
• On Wednesday, March 18, Secretary Carson, in consultation with the Coronavirus Task Force, announced the suspension of all foreclosure and evictions for single family homeowners with FHA-insured mortages for 60 days. The guidance applies to homewoekrs with FHA-insured Title II Single Family forward and Home Equity Conversion (reverse) mortgages, and directs mortgage servicers to:
• Halt all new foreclosure actions and suspend all foreclosure actions currently in process; and
• Cease all evictions of persons from FHA-insured single-family properties.
• HUD has sent communication to CoC and Housing Opportunities for Persons With AIDS (HOPWA) grantees, highlighting the importance of infectious disease preparedness and linking to CDC and Healthcare for the Homeless resources: Infectious Disease Preparedness Among Homeless Assistance Providers.
• HUD released a quick guide to CDBG eligible activities to support infectious disease response. Grantees should coordinate with local health authorities before undertaking any activity to support State or local pandemic response. The guide can be foundhere.
• HUD is coordinating with the CDC, Healthcare for the Homeless, United States Interagency Council on Homelessness (USICH) on messaging and cross-promoting resource materials. This will continue on an ongoing basis. Also, the Department is reaching out to Health Resources and Services Administration (HRSA) and Substance Abuse and Mental Health Services Administration (SAMHSA) for future coordination.
• HUD has plenty of resources for your communities including: 
• Communities can use their unspent Emergency Solutions Grants and Continuum of Care Program funds to help address needs related to coronavirus. Additionally, a portion of CDBG funds are also available for public services, including health care.
• Technical Assistance is available for ESG and CoC Program recipients if requested.  Additionally, communities that want to amend their CDBG plans, can reach out to their CPD representative if they need assistance.

U.S. Department of Agriculture (USDA)

• USDA Secretary Sonny Perdue announced proactive flexibilities to allow meal service during school closures to minimize potential exposure to the coronavirus. During an unexpected school closure, schools can leverage their participation in one of USDA’s summer meal programs to provide meals at no cost to students. Under normal circumstances, those meals must be served in a group setting. However, in a public health emergency, the law allows USDA the authority to waive the group setting meal requirement, which is vital during a social distancing situation.
• USDA and President Trump have been in communication with Food and Grocery Stakeholders and Executives to discuss the impact COVID-19 has on America’s food supply chain. More here. 
• USDA announced a collaboration with the Baylor Collaborative on Hunger and Poverty, McLane Global, PepsiCo, and others to deliver nearly 1,000,000 meals a week to students in rural schools closed due to COVID-19. More here.
• Businesses or groups interested in helping should email: feedingkids@usda.gov.
• USDA intends to use all available program flexibilities and contingencies to serve program participants across our 15 nutrition programs. USDA has already begun to issue waivers to ease program operations and protect the health of participants. USDA is receiving requests for waivers on an ongoing basis.
• The food supply chain remains strong. Critical services, including Food Safety Inspections Services (FSIS), Animal Plan Health Inspection Service (APHIS), and Food and Nutrition Service (FNS), continue to serve the American people. More here.
• For more information about the coronavirus response across USDA, please visit: www.usda.gov/coronavirus.

U.S. Department of Veterans Affairs (VA)

• The Department of Veterans Affairs has implemented an aggressive public health response to protect and care for Veterans in the face of this emerging health risk. We are working directly with the Centers for Disease Control and Prevention (CDC) and other federal partners to monitor the outbreak of the virus. These measures include outreach to Veterans and staff, clinical screening at VA health care facilities, and protective procedures for patients admitted to community living centers and spinal cord injury units.
• Any Veteran with symptoms such as fever, cough or shortness of breath should immediately contact their local VA facility. You can find the closest VA facility here. VA urges Veterans to call before visiting. Veterans can sign into My HealtheVet to send a secure message to VA or use telehealth options to explain their condition and receive a prompt diagnosis.
• On March 22, the VA announced Veterans’ GI Bill benefits will continue during COVID-19 pandemic.
• The VA has setup a website for veterans here: https://www.publichealth.va.gov/n-coronavirus/

U.S. Department of Homeland Security (DHS)

• Actions by DHS and the administration are decreasing the strain on public health officials by screening incoming travelers, expediting the processing of U.S. citizens returning from China, and ensuring resources are focused on the health and safety of the American people. It is important to recognize, that while there is a significant focus on containing and mitigating the spread of COVID-19, all departments and agencies of DHS are continuing to perform their regular duties with no impact on their mission.
• DHS is working to recognize, detect, and assist individuals attempting to enter the U.S. through our, airports, land ports, or waterways who may be carrying the virus: Cruise Lines International Association, CDC, USCG, and CBP. DHS is working with the Department of State, HHS, and the senior public health leadership with the Government of Mexico to prepare for any COVID-19 cases identified along the South West Border. This effort includes coordination with state, and local Public Health Officials to develop reporting and response courses of action.
• On Thursday, March 12, President Donald J. Trump signed a Presidential Proclamation, which suspends the entry of most foreign nationals who have been in certain European countries at any point during the 14 days prior to their scheduled arrival to the United States. These countries, known as the Schengen Area, include: Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, and Switzerland. This does not apply to legal permanent residents, (generally) immediate family members of U.S. citizens, and other individuals who are identified in the proclamation. 
• In furtherance of Presidential Proclamations 9984, 9992, 9993, and 9994, which bans the entry of non-U.S. citizens who are from or recently been in China, Iran, or certain European countries, the Department of Homeland Security issued a Notice of Arrival Restrictions requiring American citizens, legal permanent residents, and their immediate families who are returning home to the U.S. to travel through one of 13 airports upon arrival to the U.S., submit to an enhanced entry screening and self-quarantine for 14 days once they reach their final destination. More here.
• On March 21, President Trump announced agreements with both Canada and Mexico to limit all non-essential travel across borders. More information is here.
• The Cyber & Infrastructure Security Agency issued guidance and an accompanying list intended to support State, local, and industry partners in identifying the critical infrastructure sectors and the essential workers needed to maintain the services and functions Americans depend on daily and that need to be able to operate resiliently during the COVID-19 pandemic response. More here.
• The Countering Weapons of Mass Destruction Office, which contains the National Biosurveillance Integration Center and the Chief Medical Officer, has maintained close coordination with DHS Components and U.S. Government partners regarding the status of the outbreak and associated U.S. Government response actions.

Covid-19 Press Release

Details

Published on Thursday, 12 March 2020 23:19

ANDREW COUNTY HEALTH DEPARTMENT MONITOR COVID-19 SITUATION

The Andrew County Health Department is working with local, state and federal officials to monitor the evolution of the coronavirus disease 2019 (COVID-19) in the United States and particularly in our region of the country. Currently, Missouri has only one confirmed COVID-19 case, in St. Louis and there are currently no cases in Andrew County.  There are currently a number is cases in neighboring states including Nebraska, Kansas and Iowa.

As local organizations and businesses review response plans given the possibility of an outbreak and its impact, the health department is encouraging all families to know what to do to avoid becoming ill, what to do it you become ill, and how best to prepare your household for potential disruptions to your home.

There is currently no vaccine to prevent COVID-19. The best way to prevent illness is to avoid being exposed to this virus. The Centers for Disease Control and Prevention (CDC) always recommends everyday preventive actions to help prevent the spread of respiratory diseases, including:

• Avoid close contact with people who are sick.
• Avoid touching your eyes, nose, and mouth.
• Stay home when you are sick.
• Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
• Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
• Follow CDC’s recommendations for using a facemask:
• CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory diseases, including COVID-19.
• Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).
• 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 an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.

For information about handwashing, see CDC’s Handwashing website https://www.cdc.gov/handwashing/

These are everyday habits that can help prevent the spread of several viruses.

CDC does have specific guidance for travelers at https://wwwnc.cdc.gov/travel/notices/warning/novel-coronavirus-china.

If you are sick with COVID-19 or suspect you may be infected with the virus that causes COVID-19, help prevent the disease from spreading to people in your home and community:

• Stay home except to get medical care.
• Separate yourself from other people and animals in your home.
• Call ahead before visiting your doctor.
• Wear a facemask when around others.
• Clean hands often.
• Avoid sharing personal household items such as cups, utensils, towels, etc.
• Clean all “high-touch” surfaces every day.
• Monitor symptoms
• Keep your medical providers informed.

Patients with confirmed COVID-19 should remain under home isolation precautions until the risk of secondary transmission to others is thought to be low, which will be determined case-by-case and follow the recommendations of your primary care provider and public health officials.

For up to date information please follow the Andrew County Health Department on Facebook at (https://www.facebook.com/pages/category/Government-Organization/Andrew-County-Health-Department-347607032053194/).

This institution is an equal opportunity provider.

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