CDC Updates on Coronavirus/COVID-19 2020

March 10, 2020


Update as of September 25, 2020

Please find below a number of resources for mental health.  These resources include contact phone information for suicide prevention as well as other mental health coping skills and resources. There are also a list of online resources including paid and free applications focusing on meditation and alternative coping mechanism strategies for both iOS and Android.

FCP Behavioral & Mental Health Resources Immediate Resources National Suicide Prevention Lifeline: 1-800-273-8255 Crisis Text Line: global not-for-profit organization providing free confidential crisis intervention via SMS message. The organization's services are available 24 hours a day, every day, throughout the US, UK, and Canada and can be reached by texting HOME to 741741, 85258, or 686868 respectively

Samaritans Helpline: 877-870-4673; Helpline is available 24 hours a day, 7 days a week. Call or text us anytime. Services are free, confidential, and anonymous.

Virusanxiety.com: Resources for anxiety and your mental health in a global climate of uncertainty.

Relaxation and Mindfulness Downloads through Dartmouth Student Wellness Center: https://students.dartmouth.edu/wellness-center/wellness-mindfulness/relaxation-downloads

iOS/Android Apps to Download Ten Percent Happier Meditation App

Aura: Meditation & Sleep

Calm - Meditation and Sleep Stories

Zen: Guided Mediation & Sleep

HeadSpace: Meditation & Sleep

Brightmind Mediation

What’s up?: app utilizing CBT and ACT techniques for mood/anxiety Breath: relaxation exercises

Breathe for Kids: relaxation exercises for kids

Lifeline for Moms: perinatal application for expecting moms or mom

Moodkit: CBT app for mood/anxiety

Smiling Mind: mindfulness/relaxation app Slumber: app to help with sleep Headspace: meditation

Happify: (evidence based)

Vent: a social diary

Calm harm: for self-harm exercises

Sanvello: managing stress and anxiety

Therachat: journaling and mindfulness

Moodpath: CBT based exercises

Talklife: Depression and anxiety chat support. Non licensed based Mood Mission: tracking and improving mood, interactive exercises

Moodfit: tracking and improving mood, interactive exercises

7 cups: Anxiety and stress chat run by trained volunteers

 

Update as of September 4, 2020

Please watch this educational video on how to stay healthy during COVID-19, from our Dr. Ali Afshar from the Fleming Island office, located at 4565 US Hwy 17 South, 32003, (904) 269-4559. Thank you!                                                                    

 

Dr. Afshar Staying Healthy During Covid-19 Pandemic Tips

Update as of September 4, 2020

 

Update as of August 26, 2020

Overview of Testing for SARS-CoV-2 (COVID-19)

CDC Revisions made on August 24, 2020

  • Diagnostic testing categories have been edited to focus on testing considerations and actions to be taken by individuals undergoing testing

This document provides a summary of considerations and current Centers for Disease Control and Prevention (CDC) recommendations regarding COVID-19 testing strategies.  The CDC recommendations for COVID-19 testing have been developed based on what is currently known about COVID-19 and are subject to change as additional information becomes available.

Viral Testing

Authorized assays for viral testing include those that detect COVID-19 nucleic acid or antigen. Viral (nucleic acid or antigen) tests check samples from the respiratory system (such as nasal or oral swabs) or saliva to determine whether COVID-19 is present.  Viral tests are recommended to diagnose infection.  Some tests are point-of-care tests, often used in emergency rooms, doctor’s offices, and outpatient clinics.  These tests can produce results at the testing site in less than an hour.  Other tests must be performed in a laboratory.  If there is not a Point-of-Care (POC) device or laboratory at the collection point, samples must be sent (deliver or shipped) to a laboratory for analysis, a process that can take at least 1-2 days.

For more information on testing for COVID-19 see the Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens and Biosafety FAQs for handling and processing specimens from possible cases.

Antibody Testing

The Food and Drug Administration has not authorized antibody testing to diagnose COVID-19, and the CDC does not currently recommend using antibody testing for diagnosis of any infection.  In certain situations, antibody tests may be used in conjunction with viral detection tests to support clinical assessment of persons who present late in their illnesses.  In addition, if a person is suspected of having a post-infectious syndrome caused by COVID-19 (e.g., Multisystem Inflammatory Syndrome in Children; MIS-C), antibody tests may be used to determine prior infection.  Antibody tests for COVID-19 can play an important role in surveillance and epidemiologic studies, which can provide insights into the transmission dynamic of the virus among the general population.  Unlike direct viral detection methods that can detect currently infected persons, antibody tests help determine whether the individual being tested was previously infected, even if that person never showed symptoms.

CDC Mitigation Protocols

CDC recommends the following measures to mitigate the spread of the virus and to protect vulnerable populations:  social distancing, wearing a mask when social distancing is not possible, avoiding crowds, avoiding indoor crowded spaces, and washing or sanitizing hands frequently.  Visit cdc.gov/coronavirus for more information.

Considerations for COVID-19 Diagnostic (Molecular or Antigen) Testing

  • If you have symptoms of COVID-19:
    • If your symptoms are mild:
      • Your health care provider (physician, nurse practitioner, pharmacist, etc.) may advise a COVID-19 test.
      • If you test positive for COVID-19 or do not get tested, you should self-isolate for at least 10 days after symptom onset and at least 24 hours after the resolution of any fever (without the use of fever-reducing medications).
      • You should strictly adhere to CDC mitigation protocols in circumstances in which you cannot self-isolate, especially if you are interacting with a vulnerable individual (for example an elderly person or an individual with an underlying health condition). You should adhere to CDC guidelines to protect vulnerable individuals with whom you live.
      • If you live with a vulnerable individual, they should be tested.
    • If your symptoms are severe or become severe, you should contact your health care provider immediately or seek emergency care.
    • If you take a test and test positive, you do not need to repeat a test. Unless your illness required hospitalization, you can return to normal activities (e.g., work or school) after the passage of 10 days from the onset of symptoms and 24 hours from when any fever has subsided on its own (without the aid of any fever-reducing medications).
  • If you have been in close contact (within 6 feet) of a person with a COVID-19 infection for at least 15 minutes but do not have symptoms:
    • You do not necessarily need a test unless you are a vulnerable individual or your health care provider or State or local public health officials recommend you take one.
      • A negative test does not mean you will not develop an infection from the close contact or contract an infection at a later time.
    • You should monitor yourself for symptoms. If you develop symptoms, you should evaluate yourself under the considerations set forth above.
    • You should strictly adhere to CDC mitigation protocols, especially if you are interacting with a vulnerable individual. You should adhere to CDC guidelines to protect vulnerable individuals with whom you live.
  • If you do not have COVID-19 symptoms and have not been in close contact with someone known to have a COVID-19 infection:
    • You do not need a test.
      • A negative test does not mean you will not contract an infection at a later time.
    • If you decide to be tested, you should self-isolate at home until your test results are known, and then adhere to your health care provider’s advice. This does not apply to routine screening or surveillance testing at work, school, or similar situations.
  • If you are in a high COVID-19 transmission area and have attended a public or private gathering of more than 10 people (without widespread mask wearing or physical distancing):
    • You do not necessarily need a test unless you are a vulnerable individual or your health care provider or State or local public health officials recommend you take one.
      • A negative test does not mean you will not develop an infection from the gathering or contract an infection at a later time.
    • You should monitor yourself for symptoms. If you develop symptoms, you should evaluate yourself under the considerations set forth above.
    • You should strictly adhere to CDC mitigation protocols, especially if you are interacting with a vulnerable individual. You should adhere to CDC guidelines to protect vulnerable individuals with whom you live.
    • If you are tested, you should self-isolate at home until your test results are known, and then adhere to your health care provider’s advice.
  • If you work in a nursing home or a long-term care facility:
    • You will need to be tested, unless you have already been tested as part of your facility’s operational plans.
    • You need to be tested if you are symptomatic. You must not go to work until your test results are known.  If you test positive, unless your illness required hospitalization, you can return to work after the passage of 10 days from the onset of symptoms and 24 hours from when any fever has subsided on its own (without the aid of any fever-reducing medications).
      • You will need testing if there is an outbreak in your facility (i.e., a new COVID-19 infection in any staff or any nursing home-onset of COVID-19 in a resident), and you will need to be tested at regular intervals until the outbreak has been mitigated.
    • The higher the incidence rate in the county in which you live or work, the more frequently you will need to be tested.
    • Results of testing will be used to inform infection control interventions at your facility, including decisions regarding resident placement and work exclusions.
    • Follow any additional guidance from State and local public health officials and the Centers for Medicare and Medicaid Services (CMS).
  • If you live in or receive care in a nursing home or a long-term care facility:
    • You will need to be tested, unless you have already been tested as part of your facility’s operational plans.
    • You need to be tested if you are symptomatic. You must self-isolate until your test results are known.  If you test positive, unless your illness required hospitalization, you can return to normal activities after the passage of 10 days from the onset of symptoms and 24 hours from when any fever has subsided on its own (without the aid of any fever-reducing medications).
    • You will need testing if there is an outbreak in your facility and you will need to be tested at regular intervals until the outbreak has been mitigated.
    • You will need to be tested more frequently if you leave the facility on a regular basis (e.g. for dialysis or frequent medical/other appointments).
    • Results of testing will be used to inform infection control interventions at your facility, including decisions regarding resident and patient placement.
    • Follow any additional guidance from State and local public health officials and the CMS.
  • If you are a critical infrastructure worker, health care worker, or first responder:
    • You may need to get a test, according to your employer’s guidelines.
    • Even if you have a negative test, you should, at all times, take special care to monitor yourself for symptoms and strictly adhere to CDC mitigation protocols.
  • State and local public health officials may advise specific people, or groups of people, to be tested. You should follow this advice.
  • It is important to realize that you can be infected and spread the virus but feel well and have no symptoms.
    • In areas where there are limited number of new cases, State or local public health officials may request to test a small number of asymptomatic “healthy people,” particularly from vulnerable populations.
    • If there is significant spread of the virus in your community, State or local public health officials may request to test more asymptomatic “healthy people,” particularly from vulnerable populations.
    • For example, certain settings can experience rapid spread of COVID-19. This is particularly true for settings with vulnerable populations in close quarters for extended periods of time (e.g., hospitals, nursing homes, and long-term care facilities).
      • As discussed above, those responsible for managing infection in such settings should adopt measures to facilitate the early identification of infected individuals, including initial testing of everyone in the setting, periodic (e.g., weekly) testing of everyone in the setting, and testing of new or returning entrants into the setting.

Hyperlink: https://www.cdc.gov/coronavirus/2019-ncov/hcp/testing-overview.html

Update as of August 12, 2020

As Florida schools reopen, the safety of our children remain important to Family Care Partners. While local school leaders across our community have put new policies in place to help to prevent the spread of COVID-19, we are aware that parents and guardians may still have a number of concerns.

Whether your child is returning to in-person classes or participating in virtual on-line learning, there are steps that you can take to keep your child healthy.  Family Care Partners supports the following recommendations from the CDC and The Florida Chapter of the Florida Academy of Pediatrics, Inc.:

  • Routine well child visits with your child’s pediatrician are important! Please call your child’s medical provider to confirm your child is on track with checkups and vaccinations.
  • Vaccines protect children and adults from vaccine preventable diseases. Vaccination rates have fallen during the past several months in connection with stay-at-home orders related to the COVID-19 pandemic. Make sure your child is up-to-date with all recommended vaccines including flu. This is especially important this year because we do not yet know if being sick with COVID-19 at the same time as the flu will result in more severe illness.
  • For children who are participating in in-person classes, parents and guardians should check in with your child each morning for signs of illness. If your child has a temperature of 100.0 degrees or higher, they should not go to school. If your child has had close contact to a COVID-19 case, follow the CDC’s guidance on what to do when exposed to COVID-19.
  • Talk to your child about precautions to take at school. Children may be advised to:
  • Wash and sanitize their hands more often.
  • Keep physical distance from other students.
  • Wear a cloth face covering.
  • Avoid sharing objects with other students, including water bottles, devices, writing instruments, and books.
  •  
  • Develop daily routines before and after school - for example, things to pack for school in the morning (like hand sanitizer and an additional  cloth face covering) and things to do when you return home (like washing hands immediately and washing worn cloth face coverings).
  • Plan for possible school closures or periods of quarantine. If transmission is increasing in your community or if multiple children or staff test positive for COVID-19, the school building might close. Similarly, if a close contact of your child (within or outside of school) tests positive for COVID-19, your child may need to stay home for a 2-week quarantine period. You may need to consider the feasibility of teleworking, taking leave from work, or identifying someone who can supervise your child in the event of school building closures or quarantine.
  • Before school is in session, you may want to talk to your child and explain that all these steps are being taken to keep everyone safe and healthy. The CDC’s “Stress and Coping during the COVID-19 Pandemic” provides additional resources for you and your family.

 

Additional resource materials are available at:

https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/decision-tool.html

https://fcaap.org/parents/

https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html

   

 

Update as of April 28, 2020

In an effort to keep our patients and team safe during this COVID-19 crisis, we've found it necessary to change our way of doing a few things here at Family Care Partners. We hope you understand it is with your health and safety in mind, that we now require the following:

  • Face masks/face coverings are to be worn during patient's entire visit inside all Family Care Partners Clinics. The exception being children under 2, and children 2-8 with breathing problems.
  • Pediatric well-visits are restricted to one (1) attendant only. The exception being newborn visits.

Please, stay safe everyone!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Afshar-Action News Video

 

 

 

 

 

Update as of April 4, 2020

CDC Recommends Use of Cloth Face Coverings to Help Slow the Spread of COVID-19

 

 

 

 

 

 

 

 

  

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Update as of March 30, 2020

TELEHEALTH VISITS

Our goal at Family Care Partners during this coronavirus pandemic is to remain available to patients. As the community continues to see a surge in patients with COVID-19, FCP is following state and national guidelines to maintain the safest environment for our patients and staff.

Family Care Partners is offering Telehealth visits with our Clinicians. Please call 904-744-7300 to speak to an FCP scheduler about your appointment needs.

COVID-19 SELF-ASSESSMENT TOOLS

The Center of Disease Control (CDC) has created a SELF-CHECKER to help you to make decisions and seek appropriate medical care regarding COVID-19. This guidance is available at: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/testing.html.

Additional resources are available for self-assessment. Apple’s new COVID-19 Screening Tool also lets you screen yourself for coronavirus symptoms. The Apple tool was developed in partnership with the CDC, the White House’s coronavirus task force and the Federal Emergency Management agency. It is available at: https://www.apple.com/covid19/

Family Care Partners reminds you that screening tools are designed to be a resource for individuals. They do not replace instructions from your clinician or ongoing guidance from state and local health departments. If you think that you have been exposed to COVID-19 and develop a fever or symptoms, such as cough or difficulty breathing, it is important that you seek medical advice. 

Family Care Partners also encourages you to stay aware of the latest information on the COVID-19 outbreak. Most people who become infected experience mild illness and recover, but it can be more severe for others. We can all continue to take care of ourselves and to protect others by: 

  • Seeking prompt medical evaluation if you develop COVID-19 symptoms or have known COVID-19 exposure
  • Practicing social distancing
  • Covering your mouth with your bent elbow or tissue when you cough or sneeze
  • Washing hands frequently
  • Staying at home and avoiding crowds much as possible

 

Update as of March 25, 2020

Beware of COVID-19 Scams

Family Care Partners has become aware that scams related to COVID-19  are rapidly increasing as the public health emergency develops. Scammers are targeting older adults and those with serious long-term health conditions who appear to have a higher risk for serious illness from COVID-19.Fraudsters are attempting to bill Medicare for sham tests or treatments related to the coronavirus and are targeting individuals to illegally obtain money or Medicare numbers.

Family Care Partners reminds you that fraudulent health claims, tests, and products can pose serious health risks. They may keep some patients from seeking care or delay necessary medical treatment..

What can you do to stop COVID-19 fraud?

  • Do not give out your Medicare number to anyone other than your doctor or other health care provider.  
  • Protect your Medicare number and treat your Medicare card like a credit card. 
  • Never provide your Medicare number to anyone who contacts you through unsolicited calls, texts, or emails. 
  • Be cautious of anyone who comes to your door offering free coronavirus testing, treatment, or supplies.
  • Don’t click on links from sources you don’t know, which could put your computer or device at risk. Make sure the anti-malware and anti-virus software on your computer are up to date.
  • Be cautious when purchasing medical supplies from unverified sources, including online advertisements and email/phone solicitations.  
  • Ignore online offers for vaccinations. If you see ads touting prevention products or cures for COVID-19, they are most likely a scam.
  • Do your homework before making a donation to a charity or crowdfunding site due to a public health emergency. Be particularly wary of any charities requesting donations by cash, by gift card, or wire transfer.
  • Be alert to “investment opportunities.” The U.S. Securities and Exchange Commission (SEC) is warning people about online promotions, including on social media, claiming that the products or services of publicly traded companies can prevent, detect, or cure COVID-19 and that the stock of these companies will dramatically increase in value as a result. 
  • Additional information is available at:

 

Update as of March 23, 2020

FCP TELEHEALTH VISITS NOW AVAILABLE

As a part of our ongoing commitment to our patients, Family Care Partners is now offering Telehealth Visits through all of our FCP locations. These visits allow patients to use a smartphone, computer, or tablet to be evaluated by an FCP clinician. During this COVID-19 pandemic, a telehealth visit is a particularly useful option for patients with chronic or acute care needs who are at an increased risk for community exposure to COVID-19. 

While FCP Telehealth Visits are available across the care continuum, some clinical visit types may still be best managed by a traditional office visit. Please call 904-744-7300 to speak to a scheduling representative for more information or to schedule a Telehealth Visit.

 

Update as of March 21, 2020

The free federally-sponsored drive-thru COVID-19 testing site opened on Saturday, March 21, at TIAA Bank Field in parking lot J. The site will operate seven days a week from 9 a.m. to 5 p.m. for as long as supplies last. While a doctor’s order and appointment are not required at this location, clients will be evaluated by a medical professional on-site. Patients who do not meet the criteria will not receive a test and will be sent home. Test results should be received within three to seven days.

Testing will be performed only for individuals 65 years or older with an on-site temperature of 99.6 degrees or higher who are also exhibiting respiratory symptoms. Additionally, first responders and health care workers who have direct contact with patients will be tested regardless of the presence of symptoms.

Those attempting to be tested should:

  • Bring their own pen
  • Bring photo identification
  • Bring a work ID if classified as a health care worker or first responder
  • Refrain from taking any fever-reducing medicine four to six hours before testing
  • Remain inside of the vehicle at all times.

A maximum of four people per car will be screened and tested; each person must be sitting at a functioning window. Additional passengers will be asked to move to the back of the line or return the following day.

Patients should not arrive before 8 a.m. As long lines are expected, drivers must follow the directions of Jacksonville Sheriff’s Office traffic officers.

  • Drivers coming from the West side of town should use Bay Street.
  • Drivers coming from the East side should use Gator Bowl Boulevard.

Public restrooms will not be available. American Sign Language and Spanish-language interpreters will be on-site to assist

For additional information, please go to https://www.coj.net

 

Update as of March 19, 2020

Family Care Partners is committed to providing up-to-date information to patients regarding local COVID-19 testing opportunities. 

The City of Jacksonville has announced its collaboration with a local hospital health system to provide Duval County residents with an additional drive-thru COVID-19 testing option at the Prime Osborn Convention Center, located at 1000 Water Street in downtown Jacksonville. 

Before arriving at the testing site, patients must complete a screening and receive a physician order through the virtual health platform Telescope Health. Physician orders from Non-Telescope Health clinicians will not be accepted. Bring your own pen.

The drive-thru testing site, which will be located directly behind the convention center in the west parking lot, will launch Friday, March 20, at 11 a.m. To avoid long lines and to encourage social distancing, patients will be assigned to hourly time slots to come to the site for their test. Patients without an assigned time slot and order from Telescope Health will be turned away.

Additional information is available at https://www.coj.net.

 

Update as of March 18, 2020

Family Care Partners continues to monitor the rapidly evolving recommendations of the Center for Disease Control (CDC). 

If you have received guidance from a medical professional or public health official to isolate or quarantine yourself as a result of exposure to COVID-19, a healthcare provider’s note is not required to validate your illness or to return to work. Due to the current pandemic, the CDC has asked employers to be aware that healthcare provider offices and medical facilities may not able to provide such documentation in a timely way.

Family Care Partners is closely tracking the Families First Coronavirus Response Act (H.R. 6201), passed by the United States House of Representatives in response to the coronavirus (COVID-19). Should state or federal guidelines for requiring a healthcare provider’s note for return to work change, we will revisit our policy.

 

Update as of March 17, 2020

Family Care Partners is continuing to work with commercial labs, as well as with local and state departments to coordinate testing for our patients who meet current CDC criteria for COVID-19.

To address the increased demand for testing, the City of Jacksonville has established drive-thru testing sites for the coronavirus. For additional information about The City of Jacksonville Emergency Preparedness Division or updates on COJ drive-thru testing, go to https://www.coj.net.

 

Update as of March 13, 2020

As the number of documented cases of coronavirus (COVID-19) in our local area grows, the safety of our Family Care Partners patients and staff remain our foremost priority. Family Care Partners is following the latest guidance from the CDC and the local public health agencies.

If you are an established patient at FCP and are concerned that you may have been exposed to someone with suspected or confirmed COVID-19, you are encouraged to call our office to determine if you meet the current CDC criteria for testing. Should you need to be seen, instructions will be provided so that we can take steps to keep others from getting infected or exposed.

There are many resources available to keep you up-to-date on COVID-19 and to help you reduce the risk of infection for yourself and your family.

The CDC website offers abundant, current information about COVID-19 at www.cdc.gov.

Additional information is also available from the Florida Department of Health.

We encourage you to help to prevent the spread of COVID-19 by adhering to the following recommendations:

  • 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, and throw the tissue in the trash
  • Practice good hand hygiene by washing your hands often, using either soap and water or alcohol based hand gel for at least 20 seconds
  • Clean and disinfect frequently touched objects and surfaces

Update as of March 10, 2020

At Family Care Partners, the health and wellbeing of our patients is our #1 priority.  The coronavirus (COVID-19) which is causing respiratory illness around the world, is affecting us more and more here in the United States.  Rest assured we are taking precautions in our clinics to prevent transmission of the virus. We are taking the appropriate steps to ensure all of our patients are diagnosed and treated properly in accordance with the Center for Disease Control (CDC) guidelines.  We would like to share with our patients information we received from the CDC. To view those resources, please click the links below. 

Please do not hesitate to call us at (904)744-7300 with any questions you have regarding the coronavirus or any other health concerns you may have.

www.cdc.gov/COVID19

https://www.cdc.gov/coronavirus/2019-ncov/about/share-facts-h.pdf

https://www.cdc.gov/coronavirus/2019-ncov/downloads/2019-ncov-factsheet.pdf

https://www.cdc.gov/coronavirus/2019-ncov/downloads/sick-with-2019-nCoV-fact-sheet.pdf

https://www.cdc.gov/coronavirus/2019-ncov/downloads/COVID19-symptoms.pdf

https://www.cdc.gov/coronavirus/2019-ncov/downloads/stop-the-spread-of-germs.pdf

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