Know Your

Risk….
 COVID-19 7/23/2020

SARS-CoV-2 (COVID-19)
A School Update
Boyd Hoddinott, MD, MPH – Health Commissioner
& Lou Ann Albers, RN – Emergency Preparedness/PIO

Date: July 27, 2020

Protecting Yourself and Others from
COVID-19
PRESENTATION OVERVIEW
Goal and learning objectives
• Goal: Increase health and safety awareness for School Staff
and students with potential exposure to COVID-19.
• Learning objectives: After attending participants will be able to:
• Explain basic facts about COVID-19.
• Assess the risk of exposure to COVID-19 while at school.
• Define key steps in staff/student protection and infection control.
• Identify methods to prevent and respond to COVID-19 exposure at school.

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 Where to get TRUSTED information

Information on COVID-19 is rapidly changing, sometimes daily.

Refer to reliable sources such as the CDC, OSHA, NIOSH, Ohio

Department of Health, Logan County Health District and peer
reviewed science publications.

CDC just recently released School Guidance on July, 24 2020

T

Corona Virus
Disease
Coronaviruses That Infect People
▪ Four types of coronaviruses cause common cold
symptoms.
▪ Two types (SARS* and MERS**) cause severe lung
infection.
▪ All types spread through coughing, sneezing, droplet
or close personal contact.
▪ Symptoms include HA, fever, cough, and difficulty
breathing, runny nose, aches, malaise, N&V, Diarrhea, COVID-19 (2019 Novel
Coronavirus) was identified in
loss of taste and smell and more. humans in Wuhan, Hubei
Province, China, in December
▪ Symptoms start two to 14 days after exposure. 2019, and we are continue
learning about it.
▪ Some people show little or no symptoms (allergies? or
cold?) and can still infect others!

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A Little History…
• On March 11, 2020, the World Health Organization (WHO) characterized COVID-19
as a pandemic.
• It has caused severe illness and death. It features sustained person-to-person
spread worldwide.
• Poses an especially high risk for the elderly (60 or older), people with
preexisting health conditions such as high blood pressure, heart
disease, lung disease, diabetes, autoimmune disorders, and certain workers.
• Some models predict 70 to 150 million people in the US could be
infected during the pandemic. As of 7/27/2020 case counts are:
Worldwide: 16,396,954 * United States: 4,286,663 US * Ohio: 80,628
Pandemic influenza
Experts have been recommending preparedness, warning about the
likelihood of future pandemic influenza outbreaks for decades.
• Flu pandemic fatalities, worldwide, in the last century:
• 1918 – between 40 and 100 million
• 1957 – 2 million
• 1968 – 1 million

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 Ohio’s COVID-19 Activity as of 7/23/2020
• COVID Activity within
Ohio is being followed
closely
• Case statistics are
updated at 2 pm Monday
thru Friday at ODH at:
https://coronavirus.ohio.gov/wps/portal/gov
/covid-19/home

• Weekly on Thursday’s the

Risk Level Alert map is
updated by 2 PM
https://coronavirus.ohio.gov/wps/portal/gov/covid-19/public-health-advisory-system/
Those entering Ohio after travel to states reporting positive testing rates of 15% or higher for COVID-19
are advised to self-quarantine for 14 days.
Signs and Symptoms of COVID-19

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 How COVID-19 Spreads
“Transmission”
COVID-19 is spread from person to person mainly through coughing, sneezing, and
talking, singing and breathing.
• Droplet - respiratory secretions from coughing or sneezing
landing on mucosal surfaces (nose, mouth, and eyes)
• Aerosol - a solid particle or liquid droplet suspended in air
• Contact -Touching something with SARS-2 virus on it and
then touching mouth, nose or eyes
• Other possible routes: Through fecal matter

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 What can individuals do?
• Be informed and prepared
• Wear a cloth mask/faceshield
• Maintain social distancing (6 feet).
• Wash your hands frequently.
• Use alcohol-based hand sanitizer.
• Avoid touching your eyes, nose, and mouth.
• Stay home when you are sick. (Culture Work
through it)
• Cough or sneeze into a tissue or your elbow.
• Clean and disinfect frequently touched objects
and surfaces such as cell phones.
• Be prepared if your child’s school, daycare
facility, or your worksite is temporarily closed.
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Five steps to proper handwashing
• Wet your hands with clean, running water (warm or cold), turn
off the tap, and apply soap.
• Lather your hands by rubbing them together with the soap.
Lather the backs of your hands, between your fingers, and under

your nails.
• Scrub your hands for at least 20 seconds. Need a timer? Hum the
“Happy Birthday” song from beginning to end twice.
• Rinse your hands well under clean, running water.
• Dry your hands using a clean towel or air dry them.
When does spread happen?
People are thought to be most contagious when they are most symptomatic (the
sickest).
• Some spread might be possible before people show symptoms; there have been
reports of possibly up to 14 days before symptoms (differs from prior corona
infections)
How efficiently does the virus spread?
• How easily a virus spreads from person-to-person can vary. Some viruses are highly
contagious (like measles), while other viruses are less so. The virus that causes
COVID-19 seems to be spreading easily and sustainably in Hubei province and other
parts of China. In the United States, spread from person-to-person has occurred
only among a few close contacts.
• There are some “Super Spreaders” who shed much higher counts of virus.

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 Incubation period
• The incubation period is the time between exposure to a virus and the
onset of symptoms.
• With COVID-19, symptoms may show 2-14 days after exposure.
• CDC indicates that people are most contagious when they are the
most symptomatic.
• Several studies show people may be most contagious before
developing symptoms.

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 Severe symptoms – emergency warning
signs for COVID-19
• Most people will have mild symptoms and
should recover at home and NOT go to the
hospital or emergency room.
• Get medical attention immediately if you have:
*Difficulty breathing or shortness of breath.
*Persistent pain or pressure in the chest.
*New confusion or inability to arouse.
*Bluish lips or face.

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 What is a person under investigation?
A person who has both consistent signs or symptoms and risk factors as follows:

A potential exposure
within 14 days before
the onset of symptoms.

Suspect Case

Symptoms, including
cough, fever, and
shortness of breath.

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Confirmed case
• A confirmed case is a suspect case with laboratory-confirmed
diagnostic evidence of SARS-CoV-2 virus infection.

U.S. Centers for Disease Control and Prevention via AP

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Many long hours are spent by Logan County Health District
Nursing staff, Environmental staff, Contact Tracer
Volunteers and now hired Contact Tracers (grant funded).
 How long does SARS-CoV-2 survive
outside of the body?
• It is not clear yet how long the coronavirus can live on surfaces, but it
seems to behave like other coronaviruses.
• Virus may persist on surfaces for a few hours or up to several days,
depending on conditions and the type of surface.
• It is likely that it can be killed with a simple disinfectant on the EPA
registered list below:

https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-agains
t-sars-cov-2

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Community/workplace connection
When a community outbreak occurs, any workplace or event location where
people gather has a high potential for exposure.

Examples of work settings Examples of job activities

• schools • classroom instruction
• sports and arts events • aiding clients
• social services • serving customers
• high density of coworkers
• high contact with the
general public including retail
and grocery store, Bars &
Restaurants

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 T

Logan County
Locally…

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 T

Definitions /
Isolation & Quarantine
Currently…
Definitions for control measures
• Self-observation
• Self-monitoring with delegated supervision
• Self-monitoring with public health supervision
• Active monitoring   
• These are types of monitoring of potentially exposed people to
assess for the presence of fever, cough, or difficulty breathing.  

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Definitions Continued
• Close contact - is defined by CDC being within
6 feet or 2 meters of someone.
•Congregate settings - are public places where close
contact with others may occur. Congregate settings
include settings such as shopping centers, movie
theaters, stadiums, workplaces, and schools and other
classroom settings.

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 Definitions Continued

• Social distancing - means remaining out of congregate

settings, avoiding local public transportation (e.g., bus,
subway, taxi, ride share), and maintaining distance
(approximately 6 feet or 2 meters) from others.
• If social distancing is recommended, presence in congregate
settings or use of local public transportation should only occur
with approval of local or state health authorities.

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Definitions Continued
•Isolation - means the separation of a person or group
of people known or reasonably believed to be infected
with a communicable disease and potentially
infectious, from those who are not infected to prevent
spread of the communicable disease.
• Isolation for public health purposes may be voluntary or
compelled by federal, state, or local public health order.

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Definitions Continued

•Quarantine - in general means the separation of a

person or group of people reasonably believed to have
been exposed to a communicable disease but not yet
symptomatic, from others who have not been so
exposed, to prevent the possible spread of the
communicable disease.

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Definitions Continued
• Public health orders - are legally enforceable
directives issued under the authority of a relevant
federal, state, or local entity that:
• when applied to a person or group, may place restrictions
on the activities undertaken by that person or group
• potentially including movement restrictions or a
requirement for monitoring by a public health authority
• This is for the purposes of protecting the public’s health.

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Role of public health officials
• Case identification and containment.
• Communication and education.
• Contact tracing is when public health officers investigate
contacts of a person who is infected to determine if they should
be quarantined to prevent the spread of the virus.
• Mitigation may include restrictions on public events and
gatherings, transportation, and other activities.
• Promote social distancing and other safety and health measures.
Ohio Revised Code 3707.04
• 3707.04 Quarantine regulations.
• In time of epidemic or threatened epidemic, or when a dangerous communicable
disease is unusually prevalent, the board of health of a city or general health
district, after a personal investigation by its members or executive officer to
establish the facts in the case, and not otherwise, may impose a quarantine on
vessels, railroads, or other public or private vehicles conveying persons, baggage,
or freight, or used for such purpose. The board may make and enforce such rules
and regulations as are wise and necessary for the protection of the health of the
people of the community or state, but the running of any train or car on any steam
or electric railroad, or of steamboats, vessels, or other public conveyances shall
not be prohibited.
• A true copy of such quarantine rules and regulations shall be immediately
furnished by such board to the department of health, and thereafter no change
shall be made except by the order of the department or the board to meet a new
and sudden emergency.
Effective Date: 10-01-1953.

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What Can You Do?
• • Stay home when sick.
• • Wash hands or use sanitizer frequently and after coughing,
sneezing, blowing nose, and using the restroom.
• • Avoid touching your nose, mouth, and eyes.
• • Cover coughs and sneezes with tissues or do it in your sleeve.
• • Dispose of tissues in no-touch bins.
• • Avoid close contact with coworkers and customers (6 feet)
• • Avoid shaking hands/wash hands after physical contact with
others.
• AND….

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Mental health and stress
As the number of cases of COVID-19 increase, so does the associated anxiety and
stress. Consider the following steps:
• Use your smart phone to stay connected to family and friends. Shift from
texting to voice or video calling to feel more connected.
• Keep comfortable. Do more of the things you enjoy doing at home.
• Practice stress relief whenever you feel anxiety building – do some deep
breathing, exercise, read, dig in the garden, whatever works for you.
• Avoid unhealthy behavior such as excess drinking – that will just increase
your anxiety afterwards.
• Keep looking forward. Think about plans you’d like to make down the
road.
 Wear a Mask!
Great Teaching resource for wearing
masks with Bill Nye
https://twitter.com/ColumbusGov/status/1281630970542792704

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Treatment and vaccines
- There is no vaccine yet to prevent COVID-19.
(New Vaccine is in final trials- Possibly available
December 2020 in minimal quantities.

- FDA approved medication or treatment for

COVID-19. * Steroids & *Remdesivir (anti-viral)
- And Supportive Care

-People who are mildly ill with COVID-19 should

isolate at home during their illness and call their
Primary Care Provider if they are experiencin
Resources
▪ Ohio Department of Health (ODH):
▪ 113 Local Health Districts.
▪ www.coronavirus.ohio.gov
▪ Centers for Disease Control and Prevention (CDC):
▪ www.cdc.gov/coronavirus/2019-nCoV.
▪ World Health Organization (WHO):
▪ www.who.int/emergencies/diseases/novel-coronavirus-2019

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Resource: Science  26 Jun 2020:
Vol. 368, Issue 6498, pp. 1422-1424
DOI: 10.1126/science.abc6197
THANK YOU! 937.592.9040 Option 1

covid19@co.logan.oh.us

www.loganhealth.org

@loganchd