Please Note: Be Cautious of Fake Information - A malicious website pretending to be the live map for Coronavirus COVID-19 Global Cases by Johns Hopkins University is circulating on the internet waiting for unwitting internet users to visit the website (corona-virus-map.com). Visiting the website infects the user with the AZORult trojan, an information stealing program which can exfiltrate a variety of sensitive data. It is likely being spread via infected email attachments, malicious online advertisements, and social engineering. Furthermore, anyone searching the internet for a Coronavirus map could unwittingly navigate to this malicious website.
Revised Reporting Requirements for COVID-19 Cases
Both COVID-19 laboratory Confirmed Cases and clinical Probable Cases are now reportable as Category A Diseases.
New cases require reporting within 24 hours of diagnosis to local Public Health Departments (call 937-225-4508 in Dayton & Montgomery County)
Criteria for Confirmed and Probable cases are available in the linked document below.
pdf COVID 19 Public Health Required Reporting (114 KB)
COVID-19 Resources For Healthcare Providers
As you care for others, don’t neglect your self-care.
The Ohio Physicians Health Program (OPHP) is offering free drop-in COVID-19 Physician Peer Support Sessions via Zoom.
Learn more at Ohio Physicians Health Program Resources
Re-Opening Health Care in Ohio
Ohioans with symptoms who are:
Ohioans with symptoms who are:
Ohioans without symptoms who are:
Other Ohioans who are:
Ohioans with and without symptoms who are:
|Priority 4||Individuals in the community to decrease community spread, including individuals with symptoms who do not meet any of the above categories.|
|Priority 5||Asymptomatic individuals not mentioned above.|
pdf COVID-19 Testing in Ohio (301 KB)
ODH has issued revised guidance for personal protective strategies, use, and reuse. Details are in the three documents linked below.
Among the new recommendations:
- All staff in long-term care facilities should wear a surgical/medical facemask while working to avoid asymptomatic transmission of COVID-19 to residents and other staff. This includes facilities not known to be affected by COVID-19.
- In settings where facemasks are not available, healthcare personnel (HCP) might use homemade masks (e.g., bandana, scarf) as a last resort. However, homemade masks are not considered PPE. Caution should be exercised when considering this option.
pdf PPE Use and Reuse (375 KB)
pdf PPE Strategies (361 KB)
When can my patients resume work or other activities after COVID-19 disease?
Patients can return to work or resume activities after 72 hours without symptoms (particularly fever, cough and dyspnea), and without having received symptomatic treatment (antipyretics or cough suppressants, for example) during those days, and at least seven days have passed since symptoms first began.
This guidance applies to patients who have laboratory-confirmed COVID-19 disease as well as those who have presumptive COVID-19 disease, such as those with mild and moderate illness who self-isolated at home without testing.
Patients who have a confirmed alternate diagnosis (such as a positive influenza test result) and low suspicion for COVID-19 disease may return to work after they become well (usually 24 hours after symptoms resolve). Remember that the influenza viruses and the SARS-CoV2 may co-infect patients. If there is any suspicion that COVID-19 disease may also be present, then the 72-hour asymptomatic guidance should be followed.
What about Health Care Workers?
Below are the CDC’s “Return to Work Criteria for HCP with Confirmed or Suspected COVID-19” guidelines. These guidelines direct when and how to re-integrate health care workers into healthcare facilities and offices. Access to testing remains low, and it is recommended that health care workers follow the second option, “Non-test-based strategy,” which is the strategy recommended for your patients, also.
A link below has information regarding risk assessment and management of health care workers.
Myth Buster: The young do not get COVID-19
Figure 2 below is from an Early Release article from Morbidity & Mortality Weekly Report (18 March 2020). It clearly illustrates that young adults contract severe disease requiring hospitalization in numbers roughly equal to other age groups. Young people do have lower mortality numbers. The notion that young people are somehow “immune” or unaffected by COVID-19 disease is untrue. The full article is available below.
FIGURE 2. COVID-19 hospitalizations,* intensive care unit (ICU) admissions,† and deaths,§ by age group — United States, February 12– March 16, 2020* Hospitalization status missing or unknown for 1,514 cases.
† ICU status missing or unknown for 2,253 cases.
§ Illness outcome or death missing or unknown for 2,001 cases.
Ethics in the Time of Coronavirus
Large-scale catastrophes and emergencies can overwhelm health care systems leading to scarce resources and insufficient availability of curative and life-saving treatment. Physicians may need to conduct triage and make unilateral decisions regarding who receives treatment, who is denied treatment, and from whom treatment might be withdrawn when the demand for services exceeds the supply.
Ethical principles shift from autonomy and beneficence to utility, fairness, and stewardship.
Guidance developed jointly by physicians and government organizations on the just and ethical allocation and delivery of health care during catastrophes and emergencies is available (see the linked discussion and references).
pdf Ethics in the Time of Coronavirus (191 KB)
Talking Points about novel Coronavirus
Novel Coronavirus (named SARS-CoV-2) causes COVID-19 disease.
COVID-19 disease is a respiratory infection.
- Common symptoms include: Cough. Shortness of breath. Muscle aches.
- Cases can range from mild to severe.
- The vast majority of people (more than 80%) have mild disease and recover with symptomatic care.
Novel coronavirus is more infectious that influenza.
Novel coronavirus is more likely than influenza to cause severe disease, especially in people over 60 years old and those who have chronic medical conditions (heart and lung disease, diabetes, and immunosuppression, among others).
Novel Coronavirus is new, but it is not entirely different than other illnesses.
- The same approach we use with any viral respiratory illness will work with Coronavirus.
People who are mildly ill, should stay home and take care of themselves until recovered.
- Try not to pass the infection to anyone else in the household, regardless of whether it might be influenza, a common cold, or Coronavirus.
- Try to keep six feet between the ill person and other people in the household.
- Having a bathroom just for the ill person is recommended if possible.
- Wash hands frequently with soap and water.
- Do not use the same personal items, such as drinking glasses and utensils, as the ill person.
- Clean and sanitize “touch points” such as light switches and doorknobs frequently.
- Smother coughs with a tissue or elbow.
If patients are asked to come into the office, telling them what to expect may be helpful to them.
- Tests may be done for influenza or for whatever your office routinely tests.
- Many (or most) people will not meet criteria for COVID-19 testing.
- Be prepared to send people home to self-isolate as described above.
pdf Talking Points about novel Coronavirus (179 KB)
State Medical Board of Ohiohttps://med.ohio.gov/COVID-19
The State Medical Board maintains a list of the Medical Board Updates for Licensees. The site lists orders and statements from the Medical Board as well as Orders and Health Alerts from the Ohio Department of Health and the Ohio Board of Pharmacy.
- 3/22/20 - Stay at home order (including information on essential businesses & health care)
3/20/20 - Updated COVID-19 testing guidance and ODH Lab testing procedures
- State of Ohio Board of Pharmacy Guidance & Waivers
- 3/20/20 - Director of Health order for Massage Therapists
- 3/18/20 - Telemedicine, continuing education & CE changes
- 3/17/20 - Elective surgeries
- 3/17/20 - PPE and testing locations
- 3/15/20 - Guidance for primary care and outpatient providers
- 3/14/20 - Updated guidance for resource management; updated director's journal entry
- 3/13/20 - Conservation of PPE guidance from ODH and OHA
- 3/13/20 - Guidance for Outpatient Providers
- 3/11/20 - Statement on COVID-19 for Medical Board licensees
- 3/11/20 - Practicing telemedicine in Ohio guidance
- 3/11/20 - Telemedicine FAQs and telemedicine rules
- 3/11/20 - Printable packet regarding the Medical Board's telemedicine regulations (PDF)
- 3/9/20 - CDC updated Evaluating and Reporting Persons Under Investigation (PUI) for COVID-19
- 3/5/20 - CDC updated Interim US Guidance for Risk Assessment and Public Health Management of Persons with Potential COVID-19 Exposures: Geographic Risk and Contacts of Laboratory-confirmed Cases
- 3/4/20 - CDC updated Interim US Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with COVID-19
- 2/28/20 - Coronavirus update from the Ohio Department of Health
- 1/29/20 - Health care providers reporting requirement notice
Ohio State Medical Associationhttps://www.osma.org/aws/OSMA/pt/sp/home-page
The Ohio State Medical Association (OSMA) is the first and largest physician-led organization in Ohio. We proactively and persistently advocate for effective healthcare policy outcomes, provide professional development opportunities for physicians, and promote useful resources that advance patient care and the medical profession. Established in 1846, the OSMA is the leading voice of physicians, residents and medical students in Ohio.
Substance Abuse and Mental Health Services Administration (SAMHSA)https://www.samhsa.gov/coronavirus
Guidance for OTPs
Additional Federal Guidance
Stay up to Date
The Joint CommissionCOVID-19
The Joint Commission is working to distill and post up-to-date resources to support health care professionals and organizations during the pandemic. The Joint Commission is trying to provide only the information that best meets the needs of health care workers and leaders.
Please Note: Be Cautious of Fake Information
A malicious website pretending to be the live map for Coronavirus COVID-19 Global Cases by Johns Hopkins University is circulating on the internet waiting for unwitting internet users to visit the website (corona-virus-map.com). Visiting the website infects the user with the AZORult trojan, an information stealing program which can exfiltrate a variety of sensitive data. It is likely being spread via infected email attachments, malicious online advertisements, and social engineering. Furthermore, anyone searching the internet for a Coronavirus map could unwittingly navigate to this malicious website.
- pdf Coronavirus Disease 2019 (COVID-19) - Updated Guidance for Testing and Resource Management (194 KB)
- pdf Public Health Laboratory Coronavirus Disease 2019 (COVID-19) - Testing Procedure (85 KB)
- pdf Pandemic Influenza Ethics Guidance (2.35 MB)
- pdf Return to Work Criteria for Healthcare Workers (312 KB)
- pdf Severe COVID 19 Disease by Age (153 KB)
- pdf Ventilator Allocation Guidelines (2.22 MB)
- pdf Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations (4.05 MB)
- pdf Hydroxychloroquine and azithromycin as a treatment of COVID-19 (312 KB)
- For the latest Ohio information on COVID-19 coronavirus.ohio.gov
- The American Association of Nurse Practitioners
- Ohio Association of Advanced Practices Nurses
- Ohio Board of Nursing
- Get the Latest on Telehealth Developments
- CMS Elective Surgeries and Non-Essential Procedures Recommendations
- ABIM Board of Directors COVID-19-related Decision
- COVID-19 Diagnosis and Treatment (JAMA)
- OSHA's guidance for healthcare workers
- OSHA's COVID-19 website
- Guidance on Preparing Workplaces for COVID-19
- CDC's infection prevention and and control guidelines for healthcare workers
- State of Ohio's COVID-19 website
- Ohio Department of Health's COVID-19 call center
open 7 days a week from 9:00 a.m. - 8:00 p.m.
- Centers for Disease Control and Prevention's information for health care professionals
- World Health Organization's COVID-19 info
- DEAs COVID-19 information page
- Resources for children and pregnant women