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Novel (new) Coronavirus Information for Clinicians

Update on Novel Coronavirus, February 5, 2020


Recommendations and Updates



The Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak caused by a novel (new) coronavirus first identified in Wuhan, Hubei Province, China. Travelers from China are being screened at 11 airports in the United States, including San Francisco International Airport (SFO).
 
The County of Santa Clara Public Health Department received confirmation on January 31, from the CDC that an adult male resident of the county tested positive for the novel (new) coronavirus. On February 2nd, a second case was confirmed in an adult female visitor from China. These two cases are unrelated, and they are the first two cases of novel coronavirus in Santa Clara County and the Bay Area. Despite these cases, risk to the general public remains low because they did not leave home except to seek healthcare.
 
Public Health Departments are urging people with symptoms who’ve traveled to China within the last 14 days to call ahead before showing up at a healthcare facility.
 
If you have a patient with symptoms (fever, cough, or difficulty breathing) who traveled to mainland China or was in contact with a confirmed case within 14 days of symptom onset, please do the following:
  1. Ask the patient to put on a face mask before arriving, if they have one, or mask the patient immediately when they arrive.
  2. Bring the patient immediately to a private room with the door closed, ideally a negative pressure airborne isolation room, or implement your facility's fever/rash protocol. Limit contact with others.
  3. Any provider entering the room should wear an N-95 mask and practice airborne, contact, and standard precautions, and should use eye protection, such as goggles or a face shield.
  4. Immediately notify your facility's infection prevention personnel.
Notify the public health department if any of these three criteria apply within the last 14 days before the patient’s symptom onset:
  1. Patient had close contact to a confirmed case
  2. Patient had traveled to Hubei Province
  3. Patient had traveled to other parts of mainland China and requires hospitalization
The public health department will assist you with specimen collection and sending specimens to CDC for testing.
 
How to notify the County of Santa Clara Public Health Department:
  • M-F, 8am-5pm: (408) 885-4214
  • After hours, weekends and holidays: (408) 998-3438, and ask for the Health Officer on call.
If you have a patient who traveled to mainland China (outside of Hubei Province) within 14 days of symptom onset, they should remain under the precautions listed above, but they will not qualify for testing by the CDC, so there is no need to notify the public health department unless the patient requires admission. If the patient does not require admission, they may be discharged with instructions to isolate themselves at home away from other household members until their symptoms resolve, but to call back if their symptoms worsen.
 
This is a rapidly evolving situation, and we will update this page as new information comes in. For further details, including interim infection prevention recommendations, as well as the most updated information, visit the CDC novel coronavirus webpage for providers: www.cdc.gov/coronavirus/2019-ncov.

 

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Last updated: 2/5/2020 3:51 PM