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HomeMy WebLinkAboutRequest for approval of Covid-19 Response Plan to minimize r A3Fto"neA11)ED ArTImIS AtS �^ APPROV&bAs *HewbeD City of Huntington Beach 3,-0 File #: 20-1526 MEETING DATE: 3/16/2020 Request for approval of COVID-19 Response Plan Approve the attached COVID-19 Response Plan to minimize the risk of transmission of this virus. City of Huntington Beach Page 1 of 1 Printed on 3/13/2020 power LegistarTM City Council/ AGENDA March 16, 2020 Public Financing Authority Authorize the Mayor and City Clerk to execute "Amendment to Service Agreement Between the City of Huntington Beach and Siemens Mobility Inc., for Streetlight Transfer, Retrofit, and Maintenance Service" approved as to form by the City Attorney, dated March 6, 2017, increasing Compensation for all standard maintenance and extraordinary maintenance tasks identified in Exhibit B by 9%, which reflects partial Consumer Price Index adjustment since March 2017. Approved 7-0 24. 20-1502 Approved the appointment of Dahle Bulosan to the position of Chief Financial Officer (CFO) and authorized the City Manager to execute the employment agreement Recommended Action: Approve and authorize the City Manager to execute the "Employment Agreement Between the City of Huntington Beach and Dahle Bulosan" for the position of Chief Financial Officer. Approved 7-0 ADMINISTRATIVE ITEMS 25. 20-1481 ConsWer establishment of an ad hoG Art in PubliG Plares Commit While -also direGting staff to pursue development of a publiG 26. 20 1526 Requested for approval of COVID-19 Response Plan Recommended Action: A) Approve the attached COVID-19 Response Plan to minimize the risk of transmission of this virus; and, B) Adopt Resolution No. 2020-15, "A Resolution of the City Council of the City of Huntington Beach Ratifying the Existence of a Local Emergency in the City of Huntington Beach." Approved as amended 7-0 COUNCILMEMBER COMMENTS (Not Agendized) Comments provided by Posey, Delgleize, Hardy, Peterson, Carr, Brenden, and Semeta ADJOURNMENT -At 6:56 PM The next regularly scheduled meeting of the Huntington Beach City Council/Public Financing Authority is Monday, April 6, 2020, at 4:00 PM in the Civic Center Council Chambers, 2000 Main Street, Huntington Beach, California. RESOLUTION NO. 2020-15 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH RATIFYING THE EXISTENCE OF A LOCAL EMERGENCY IN THE CITY OF HUNTINGTON BEACH WHEREAS, conditions of disaster or of extreme peril to the health and safety of persons and property have arisen both Internationally and within the United States as a result of the introduction of the novel coronavirus (COVID-19), a novel communicable disease, which was first detected in December 2019; and COVID-19 has spread globally to over 70 countries, and throughout the state of California. Due to the increasing number of transmission in our surrounding communities, COVID-19 has created conditions that are likely to be beyond the control of local resources and require the combined forces of other political subdivisions to combat; and The Governor of the State of California Proclaimed a State of Emergency on March 4, 2020 and has issued Executive Orders to guide local response; and Pursuant to Huntington Beach Municipal 8,60.070 A, the City Manager/Director of Emergency Management is hereby empowered to request the City Council to proclaim the existence or threatened existence of a local emergency; There is the serious potentially severe threat to the health, safety and welfare of persons and property in the City of Huntington Beach due to the COVID-19 pandemic. NOW, THEREFORE, the City Council of the City of Huntington Beach does hereby resolve as follows: 1. A Local Emergency as defined in California Government Code Section 8558(c) and Huntington Beach Municipal Code Chapter 8.60 exists in the City of Huntington Beach. The Director of Emergency Management shall review, at least every 14 days until such Local Emergency is terminated, the need for continuing the Local Emergency. 2. The City Manager, and Director of Emergency Management under Huntington Beach Municipal Code Chapter 8.60, is hereby the authorized representative of the City of Huntington Beach for all purposes and to take all actions for the preparation, mitigation, response and recovery from the COVID-19 pandemic. 20-8564/227525 RESOLUTION NO. 2020-15 PASSED AND ADOPTED by the City Council of the City of Huntington Beach at a regular meeting thereof held on the 16th day of March , 2020. t ayor INITIATED REVIEWED AND APPROVED: City Manager APPROVED AS TO FORM: City Attorney Res. No. 2020-15 STATE OF CALIFORNIA COUNTY OF ORANGE j ss: CITY OF HUNTINGTON BEACH ) I, ROBIN ESTANISLAU, the duly elected, qualified City Clerk of the City of Huntington Beach, and ex-officio Clerk of the City Council of said City, do hereby certify that the whole number of members of the City Council of the City of Huntington Beach is seven; that the foregoing resolution was passed and adopted by the affirmative vote of at least a majority of all the members of said City Council at a Regular meeting thereof held on March 16, 2020 by the following vote: AYES: Posey, Delgleize, Hardy, Semeta, Peterson, Carr, Brenden NOES: None ABSENT: None RECUSE: None City Clerk and ex-officio Clerk of the City Council of the City of Huntington Beach, California Dept. ID FD20-005 Page 1 of 3 Meeting Date:3/16/2020 r _ CITY OF HUNTINGTON BEACH REQUEST FOR. CITY COUNCIL ACTION r MEETING DATE: 3/16/2020 SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Oliver Chi, City Manager PREPARED BY: Scott M. Haberle, Fire Chief SUBJECT: Request for Approval of COVID-19 Response Plan Statement of Issue: The Federal Government has communicated that the time for trying to contain the COVID-19 virus (also referred to as the Coronavirus) has passed, and that our efforts now should be directed towards mitigating transmission of the disease. Of note, the mitigation effort are important because large scale transmission of the coronavirus among the populations most vulnerable to COVID-19 (the elderly and those with pre-existing health conditions) could overtax and overrun our health care system. Given the unprecedented nature of the COVID-19 situation, there are no currently developed plans or best practices to help guide the overall policy response. In an effort to ensure that we are HB Ready in Surf City to address the evolving pandemic, City staff has developed a proposed COVID-19 Response Plan framework for City Council consideration. This policy document, shown as Attachment 1, is recommended for approval to guide our activities in the coming weeks and months. Financial Impact: Staff has been closely monitoring and tracking the fiscal impacts associated with the COVID-19 situation. Previously, we had been projecting that the City would end FY 2019/20 with a $4.7 million surplus. However, given the dramatic economic impacts we've seen in response to the coronavirus situation, we've been consistently updating our fiscal projections. Based on the most recent information available, we are projecting a significant decrease in TOT revenues, along with modest reductions in Sales Tax and Charges for Services. ■ Transient Occupancy Tax Decrease — $2.5 - $3.0 Million ■ Sales Tax/ Charges for Service Decrease— $1.0 - $1.5 Million ■ TOTAL PROJECTED REVENUE DECREASE: $3.5 - $4.5 Million At the staff level, we are still working to refine our estimates, and will have more detailed projections available within the next month. However, at this point in time, based on worst-case scenario projections, we do anticipate being able to finish FY 2019/20 with a balanced budget. To help facilitate that reality, we are currently developing financial response measures, the most significant of which involves holding non-essential vacant positions open (there are currently 65.5 vacant FTE positions in the City). This will be an important measure, especially given the lack of clarity as it relates to the current state of our economy. 234 Dept. ID FD20-005 Page 2 of 3 Meeting Date: 3/16/2020 Recommended Action: Approve the attached COVID-19 Response Plan to minimize the risk of transmission of this virus. Alternative Action(s): Do not approve the COVID-19 Response Plan and direct staff accordingly. Analysis: On March 11, 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. A pandemic is a disease that is spreading in multiple countries around the world at the same time. They also called on governments to take urgent and aggressive action to suppress and control the spread of this disease. The federal government has also determined that the time for containment of this virus is past, and an emphasis must now be place on mitigating the transmission of the disease. The mitigation effort is critical because large scale transmission of COVID-19 among the populations at risk to this virus could overtax and overrun our existing health care system. The vulnerable population includes the elderly and those whose health is compromised. In order to decrease the prevalence of this disease across California, the State has issued new guidance, directing Californians to implement aggressive strategies to address the current situation. On March 2, 2020, the Orange County Board of Supervisors adopted an emergency declaration and heightened training of health care providers and first responders as they prepare for a potential increase of COVID-19 patients. Given the unprecedented and evolving nature of the current situation, City staff have developed a local COVID-19 Response Plan. It includes three phases, with detailed response protocols in each stage. A summary of the plan includes: ■ Phase I Response — Preparedness o Threshold for enacting Phase I response ■ The County of Orange declares a local state of emergency in the county o Key Phase I response protocols ■ Activate the City Emergency Operations Center (EOC) to Level III ■ Implement cleaning/sanitation/safety protocols at all City facilities ■ Increase public education and outreach efforts, especially to the most vulnerable, high-risk communities ■ Establish and deploy a public information strategy ■ Review, develop, and update plans to account for reduction in available City personnel ■ Cancel all large gatherings/events that involve more than 250 people ■ For parts of the organization that serve high-risk populations, cancel any gathering/event/program that gathers more than 10 people 235 Dept. ID FD20-005 Page 3 of 3 Meeting Date: 3/16/2020 ■ Phase II Response— Minimal to Moderate Community Transmission o Threshold for enacting Phase II response ■ Federal, State, or County governments change in declaration ■ Community transition of COVID-19 in Orange County o Key Phase H response protocols ■ All Phase I protocols stay in place ■ City Council declares a local emergency ■ Activate EOC to Level II, establish unified command ■ Close all non-essential recreational City services ■ No City special events with more than 50 people ■ Phase III Response — Substantial Community Transmission o Threshold for enacting Phase III response ■ Increased community transmission in Orange County ■ Community transmission cases in Huntington Beach o Key Phase Ill response protocols ■ All Phase I & II protocols stay in place ■ Activate EOC to Level I ■ Close all non-essential City facilities. The Police Department, Fire Department, Water, Sewer, and certain backend functions in the Finance Department, Information Systems and Administration would be operational ■ Cancel all contract classes and close all recreational centers ■ Cancel all City Council, commission, and community support meetings Based on the pace of the current situation, City staff has identified and implemented the majority of the protocols in the Phase I Response described above. The COVID-19 situation is quickly changing and updates will be provided moving ahead. City Council approval of the COVID-19 Response Plan is requested. Environmental Status: None. Strategic Plan Goal: Enhance and modernize public safety service delivery. Attachment(s): 1. COVID-19 Response Plan 236 ,. COVI D-19 RESPONSE PLAN (March 2020) .,� l THRESHOLD Phase I - Preparedness Phase GUIDELINES Community Mitigation Emergency Response City Services Orange County Increase awareness and Increase response and Activate EOC to Level III public education Personal Protective Health Care Equipment (PPE) protocol Encourage employees to Provide outreach and for responders stay home when sick Agency Declaration public education to high of Local State risk population Develop tracking program Implement cleaning and Emergency Establish PIO messaging to follow high risk patients sanitation polices for the g y strategy through the medical workplace system Update Alert-OC with a Order COVID approved call-in message Update medical response cleaning supplies and algorithms to include new develop guidance Cancel large gatherings CDC protocols document greater than 250 people. Move to smaller Train first responders on Review, develop and groupings modified protocols update work plans to account for reduction in Cancel gatherings of Maintain necessary PPE staff more than 10 people for inventory organizations that serve Provide cleaning supplies high risk populations for city conference rooms Close high risk classes No work related out of on a case by case basis County travel/conferences Practice social distancing (physical space of at least 6' between individuals) 237 COVID-19 RESPONSE PLAN (March 2020) j THRESHOLD Phase II - Minimal to Moderate Community Transmission GUIDELINES Community Mitigation Emergency Response City Services Federal, State or Continue awareness and Institute employee City Council Declaration of public education monitoring and health Local Emergency County Change in tracking (temperature and Declaration Continue to provide symptoms) Activate EOC to Level II, outreach and public establish unified command education to high risk Reduce non-essential staff population assignments Require employees to stay Community home when sick Continue social Reduce activities to focus Close non-essential transmission in distancing measures on operations recreational city services Orange County Cancel large gatherings greater than 250 people. Do not schedule city Move to smaller special events over 50 groupings people Limit work travel and Cancel gathering of more conferences than 10 people for organizations that serve Develop staff reduction high risk populations plan Establish at least one department illness representative for each department 238 71 L.�,�h T, COVID-19 RESPONSE PLAN (March 2020) d.11'i1H':F- 4 , THRESHOLD Phase III - Substantial Community Transmission GUIDELINES Community Mitigation Emergency Response City Services Federal, State or Continue awareness and Institute employee Activate EOC to Level I public education monitoring and health County Change in tracking (temperature and Arrange telecommute Declaration Continue to provide symptoms) arrangements outreach and public education to high risk Evaluate service delivery Cancel all work travel population model based on workforce Increased health Cancel all contract classes Continue social. Community distancing measures Consider/cancel mutual Close recreational transmission in aid services Cancel large gatherings Orange County greater than 250 people- Close City Hall to all non- Move to smaller essential services groupings Community Cancel commission and Organizations that serve community support Transmission in high risk populations, meetings Huntington Beach cancel gathering of more than 10 people Cancel Council Meetings Implement staff reduction plan 239 • 3/16/2020 City of Huntington Beach COVID-19 Response Plan HB Ready March 16, 2020 I. r HUNTINGTON BEACH Background—COVID-19 History • December 2019—COVID-19 outbreak begins in Wuhan City, China • March 2,2020—County of Orange declared a countywide-emergency • March 4,2020—State declares a State of Emergency • March 11,2020—World Health Organization declares COVID-19 a global pandemic • March 13,2020—Federal Government declares a National Emergency SUPPLEMENTAL Date- _ Item No.• • 3/16/2020 Our Strategy— Don't Panic, But Be HB Ready •Given all of the misinformation that's out there in the public,the unknowns are creating a strong sense of fear within our communities • In response to the overall situation, we've worked to develop a logical COVID-19 response framework that prioritizes public safety and maintenance of essential service operations —HB Ready COVID-19 Response Plan —Encourage aggressive social distancing practices —Engage in consistent and timely public outreach •Our efforts have been designed to institute appropriate response strategies that prioritizes mitigation of COVID-19 spread locally,while instituting appropriate societal disruptions given the overall situation The Facts Until Yesterday Evening, Orange County Officials Identified as Low-Risk for Transmission f here is now laboratory evidence of community transmission in• COVID-19 is likely spreading in the community. t Orange County Coronavirus Case Counts Toax cN« r•b F.tttd. <u v•w 80•M s ds Cases 17 12 b 0 7 8 • Travel Related 11 7 4 0 4 4 3 Parson to Person Spread' 3 3 0 D 3 0 0 Community Acpurced" 3 2 1 0 0 2 1 Total Deaths 0 0 0 0 0 0 0 •Contact to•ktawn t000. ••M•!11.1tN 1.1tla011.Op1YOl10 Ip10Ma1 O.N. • 2 • 3/16/2020 The Facts 81%of Those Infected with COVID-19 Only Experience Mild Symptoms •All of the research and data regarding COVID-19 shows that-81%of those infected only have mild symptoms MajorityThe ot Intections• - Mitd :i MILD SEVERE CRITICAL Like flu.stay at ho� The Problem Inability of Medical Care System to Treat all At-Risk Patients if Transmissions Spike •The problem we're dealing with-the reason that society has been upended-is... -Our medical system does not have the capacity to deal with all of patients who will need critical care services if COVID-19 transmission rates stay constant •Social disruptions we're all seeing now have been instituted to slow the spread of COVID-19 among the most at-risk population •This is needed, because here's the demographic and medical reality we're dealing with in the United States and Orange County... • 3 • 3/16/2020 The Problem Inability of Medical Care System to Treat all At-Risk Patients if Transmissions Spike At-Risk Population vs. Available Hospital Resources United Orange Huntington Beach States County Po ulation Aged 6 + Population Aged 65+ 52,500,000 420,000 Number of Staffed Hospital Beds 9251000 4,986 -35,000 Number of ICU Beds 46,5oo 436 •According to the Department of Health &Human Services, if COVID-19 transmission rates are not slowed,we will have... -Hospitalizations: 1 million to 9.6 million -ICU Care Needed: 200,000 to 2.9 million •The inability of our medical care system to deal with the potential flow of patients in critical condition is not one of the problems associated with the COVID-19 virus... -IT IS THE PROBLEM. The Problem History and Data Show That Social Distancing Works •The situation in Italy is what we're trying to avoid -The Italian public health care system has been overrun due to the number of patients needing critical care -Many in Italy are dying in their homes and in the streets because there just aren't enough hospital beds -This has put health care professionals in the position where they have to decide who receives care,and who doesn't •Study of the 1918 Spanish Flu indicates that Chart 19:Death Rate of 1918 Flu Pandemic in mitigating transmission is effective Cities with Different Social Distancing Measures aoo ,,..aa...d -US Surgeon General issued guidance that local z5o authorities close public gathering places -St.L°(A sw •.�. ,..w..o.-..� -St.Louis complied,Philadelphia did notg ISO � ��� W Ww n Y.ILn�wwpOMO,WCOt 6 YvaldW V�1 np�/blNOqu tbob liaL 100 +srerr.eemv.o bae.wm arrow bnr,aro..rm aacsr •We can't build more hospitals overnight, but 150 mr .�.r.a....,e.�.... we can work to slow the spread of the COVID- d o 19 virus to"flatten the curve"for new a transmissions Di• • 4 • 3/16/2020 HB Ready—Surf City's COVID-19 Response Plan •Given the unprecedented nature of the COVID-19 pandemic,there are no prescribed best practices or plans for how to guide our response •To provide a framework within which we could operate logically, City staff developed our HB Ready COVID-19 Response Plan —Phase 1 Response: Preparedness, public education,&outreach —Phase 2 Response: Minimal to moderate community transmission rates —Phase 3 Response: Substantial transmission rates •We are blessed in Orange County to have had fewer COVID-19 transmission cases than other parts of California —This gives us the luxury of extra time to institute thoughtful plans that prioritize mitigation efforts while minimizing unnecessary societal disruptions —Our response plan includes identifiable triggers that escalate based on the evolving situation 9 q. COVID-19 RESPONSE PLAN (March 2020) THRESHOLD Phase I-Preparedness Phase GUIDELINES Community Mitigation Emergency Response City Services Orange County 1—ase awareness and Inuease response and Activate EOC to Level III public educaoan Personal Protective Health Care Eguiph l(PRE)protocol Encourage employees to Provide outreach and for responders stay home when sick Agency Declaration public education to high PHASE I risk Develop lacking M I tdeanin d of Local State p g p ogram pemen gat Establish PIO messaging to follow high risk patients aardlation polices for the Emergency g'"0 through the medical workplace RESPONSE strategy system Update Alert-OC with a Order g sup approved call-In message Update medical response clearing supplies and aigadihms to include new develop guidon Cancel large gatherings CDC protocols dourment greater than 250 people Move to smaller Train first responders on Review.develop and groupings mocil protocols update work plans to -um for reduction in Cancel gatherings of Maintain necessary PPE staff rno'. than ill people for inventory organrzadons that serve Provide clearing supplies high risk populations for city conference rooms Close high risk basses No work related out of a case by rase basis County travellconferences Practice social datandng (physical space of at least 6 between individuals) • 5 • 3/16/2020 Phase I Response Outreach and Education Efforts Have Been Instituted • New website&social media marketing efforts developed to provide 9A I community with up-to-date information to COVID-19 Telephone Hotline created—(714) 536-5978 Please Direct citizen Inquiries to. • Public education efforts engaged VAM.HBready.com —Fire/Paramedic staff have visited all high-risk facilities in HB(i.e.,skilled The Website will Include: nursing/assisted living facilities) Current orange County Health Risk Status of City Services —CERT members visited over 150 different senior and board/care facilities up to Date Lost of Postponed City Events to provide public information Basic COVID 19 Information Current Preventative Recommendations • Initial social distancing efforts engaged,with postponement of events "14)$if ., clue b.raMnre�.... with more than 250 people, plus elimination of City-sponsored group .w,r....._. meetings of at-risk population ' ' COVID-19 RESPONSE PLAN (March 2020) THRESHOLD Phase II-Minimal to Moderate Community Transmission GUIDELINES Community Mitigation Emergency Res City Services Federal,State or Conlin awareness and Institute employee City Council Declaration of public education monitoring and health Loral Emergency County Change in tracking(temperature and PHASE I I Declaration Continue to provide symptoms) Activate EDC to Level Il, outreach and public establish undied command education to high disk Reduce non-essential staff Require employees to stay RESPONSE population assignments Community home when sick Continue social Reduce activities to focus Close non-essential transmission in distancing measures on operations recreational city services Orange County Cancel large gatherings greater than 250 people s ts not schedule very special even over 50 Move to smaller sp people groupings Link work travel and Cancel gathering of more conferences than 10 people for nrganizafions that serve Develop staff reduction high risk populations plan Establish at least one department illness representative for each department 12 • 6 • 3/16/2020 COVID-19 RESPONSE PLAN (March 2020) THRESHOLD Phase III-Substantial community Transmission GUIDELINES Community Mitigation Emergency Response City Services Federal,State or Continue awareness and Institute employee Activate EOC to Level I public education monitoring and health County Change in backing(temperature and Arrange telecom mute Declaration Continue to provide symptoms) arrangements PHASE III outreach and public education to high risk Evaluate service delivery Cancel all work travel RESPONSEno pulafion model based on workforce Increased health Cancel all contract classes Continue social Community distancing measures Considerlcancel mutual Close recreational transmission in aid services Cancel large gatherings Orange County greater than 250 people- Close City Hall to all non- Move to smaller essential services groupings Community Cancel commission and Organizations that serve community support Transmission in high risk populations. meetings Huntington Beach cancel gathering of more g than 10 people Cancel Council Meetings Implement staff reduction plan 13 HB Response Status— Moving to Phase II Response •City staff has instituted Phase I protocols currently, and based on recent situational changes this past weekend, we are recommending moving to a Phase II response —New Federal, State,and County guidance —School closures —Increased COVID-19 transmission in Orange County • Moving to a Phase II response involves declaring a local emergency in Huntington Beach — Such an action authorizes expedited administrative ability to respond to the situation —Special purchasing,emergency contracting,relaxed personnel rules — Puts the City in position to receive Federal/State reimbursement for eligible costs/damages incurred • 7 • 3/16/2020 Preliminary Fiscal Impacts • Staff is closely monitoring the fiscal impacts associated with the COVID-19 situation — Previously a$4.7 million year-end surplus was projected — Given economic impacts,staff has been working to update projections • Based on our current estimates,the following revenue decreases are projected: — Transient Occupancy Tax Decrease- $15-$3.0 Million — Sales Tax/Charges for Service Decrease-$1.0-$1.5 Million — TOTAL PROJECTED REVENUE DECREASE:$3.5-$4.5 Million • Currently,we do anticipate ending FY 2019/20 with a balanced budget — Additional fiscal response measures being developed,including holding all non-essential vacant positions open — We currently have 65.5 vacant FTEs in the City ss Questions? . 8 HuntingtonFIRE Department Coronavirus (Covid- 19) ,, Help prevent the spread of respiratory diseases like COVID-19 WASH YOURi n � Wash your hands often with soap and water I for at least 20 seconds. —COVER A COUGH OR SNEEZE Cover your cough or sneeze with your sleeve, or tissue. Dispose of tissue and wash your hands afterward. DON 'T Avoid touching eyes, nose or mouth, 0 especially with unwashed hands. KEEP YOUR 0 Am Avoid close contact (minimum 6 ft) with people — - who are sick and avoid large crowds of people. 7• • ow If you experience a fever or respiratory no �� � � symptoms like a cough, stay home and avoid E3 0 R contact with others. If you experience symptoms of COVID-19 (cough, fever, Ar7 shortness of breath), call your health care provider or local health department before seeking care. To keep citizens properly informed, the City of Huntington Beach has created a 24 hour hotline and website that will be updated on a regular basis. • • • Hotline • • i wvvw.hbready.com Coronavirus disease 2019 (COVID-19) and you What is coronavirus disease 2019? What are severe complications from this virus? Coronavirus disease 2019(COVID-19)is a respiratory illness Some patients have pneumonia in both lungs,multi-organ that can spread from person to person.The virus that causes failure and in some cases death. COVID-19 is a novel coronavirus that was first identified during an investigation into an outbreak in Wuhan,China. People can help protect themselves from respiratory Can I get COVID-19? illness with everyday preventive actions. Yes.COVID-19 is spreading from person to person in parts Avoid close contact with people who are sick. of the world.Risk of infection from the virus that causes Avoid touching your eyes,nose,and mouth with COVID-19 is higher for people who are close contacts of unwashed hands. someone known to have COVID-19,for example healthcare Wash your hands often with soap and water for at least 20 workers,or household members.Other people at higher risk for seconds.Use an alcohol-based hand sanitizer that contains at infection are those who live in or have recently been in an area least 60%alcohol if soap and water are not available. with ongoing spread of COVID-19. Learn more about places with ongoing spread at htt s: www.cdc.gov/coronavirus/2019-ncov/about/transmission. If you are sick,to keep from spreading respiratory html#geographic. Illness to others,you should The current list of global locations with cases of COVID-19 is available on CDC's web page at https://www.cdc.gov/ Stay home when you are sick. coronavirus/2019-ncov/locations-confirmed-cases.html. Cover your cough or sneeze with a tissue,then throw the tissue in the trash. • Clean and disinfect frequently touched objects How does COVID-19 spread? and surfaces. The virus that causes COVID-19 probably emerged from an animal source,but is now spreading from person to person. The virus is thought to spread mainly between people who What should I do if I recently traveled from an area are in close contact with one another(within about 6 feet) with ongoing read of COVID-19? through respiratory droplets produced when an infected g g spread person coughs or sneezes.It also may be possible that a person If you have traveled from an affected area,there may be can get COVID-19 by touching a surface or object that has restrictions on your movements for up to 2 weeks.If you the virus on it and then touching their own mouth,nose,or develop symptoms during that period(fever,cough,trouble possibly their eyes,but this is not thought to be the main breathing),seek medical advice.Call the office of your health way the virus spreads.Learn what is known about the spread care provider before you go,and tell them about your travel and of newly emerged coronaviruses at https://www.cdc.gov/ your symptoms.They will give you instructions on how to get coronavirus/2019-ncov/about/transmission.html. care without exposing other people to your illness.While sick, avoid contact with people,don't go out and delay any travel to What are the symptoms of COVID-19? reduce the possibility of spreading illness to others. Patients with COVID-19 have had mild to severe respiratory Is there a vaccine? illness with symptoms of: • fever There is currently no vaccine to protect against COVID-19.The best way to prevent infection is to take everyday preventive • cough actions,like avoiding close contact with people who are sick and • shortness of breath washing your hands often. Is there a treatment? There is no specific antiviral treatment for COVID-19. People with COVID-19 can seek medical care to help relieve symptoms. For more information:www.cdc.gov/COVID19 C5314937-H 03/06/2020 Share Facts About COVI D - 1 9 Know the facts about coronavirus disease 2019 (COVID-19) and help stop the spread of rumors. Diseases can make anyone sick You can help stop COVID-19 regardless of their race or ethnicity. by knowing the signs and symptoms: People of Asian descent, including Chinese • Fever Americans, are not more likely to get COVID-19 than any other American. Help stop fear by Cough letting people know that being of Asian descent a Shortness of breath does not increase the chance of getting or spreading COVID-19. Seek medical advice if you Develop symptoms AND Have been in close contact Some people are at increased risk of with a person known to have getting COVID-19. COVID-19 or if you live in or have recently been in an area with People who have been in close contact with a ongoing spread of COVID-19. person known to have COVID-19 or people who live in or have recently been in an area with ongoing spread are at an increased risk FAU There are simple things you can of exposure. 5 do to help keep yourself and others healthy. Wash your hands often with soap Someone who has completed and water for at least 20 seconds, quarantine or has been released especially after blowing your nose, from isolation does not pose a risk of coughing, or sneezing; going to infection to other people. the bathroom; and before eating or preparing food. For up-to-date information, visit CDC's Avoid touching your eyes, nose, and coronavirus disease 2019 web page. mouth with unwashed hands. Stay home when you are sick. Cover your cough or sneeze with a tissue, then throw the tissue in ' the trash. For more information: www.cdc.gov/COVID19