Pandemic Initiative for Equity and Action 2 Note All content in this module including external resources is for general information purposes only and is not intended to be used as a substitute for professional medical advice diagnosis or treatment or to otherwise infer predict or interpret ID: 934847
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Slide1
Welcome to the
Contact Tracer Training
Slide2Pandemic Initiative for Equity and Action
2NoteAll content in this module, including external resources, is for general information purposes only and is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment, or to otherwise infer, predict, or interpret an individual's medical or health diagnosis. We encourage you to consult your physician if you have questions about COVID-19 or any other medical condition or treatment. Additionally, display of this badge does not represent endorsement by UCSF or Salesforce of your knowledge or, skill, or training pursuant to this module or qualification for any position in which such skill or training may be used. Furthermore, to the extent that this module includes any content or links to content belonging to third parties, the inclusion of said content does not reflect an endorsement by said third party of this module or otherwise create a relationship between Salesforce and said third party.
Slide3Pandemic Initiative for Equity and Action
3Karen WhiteUCSF Pandemic Initiative for Equity and Action
Comprehensive Containment Strategies
Slide4Learning Objectives
By the end of this session, the learner will be able to:Describe the purpose of isolationDescribe the purpose of quarantineIdentify the dates that a case’s isolation period should begin and endIdentify the dates that a contact’s quarantine period should begin and endUnderstand wraparound services and how to develop a plan for successful quarantine or isolation
Slide5Pandemic Initiative for Equity and Action
5
Pillars of Containment
Slide6Contact Tracing and Case Investigation Alone are Not Enough
Slide content courtesy of Vital Strategies: Resolve to Save Lives
1. Get tested (if indicated)
2. Isolate / quarantine
3. Access social services (if needed)
Slide71. Get Tested (if indicated)
Slide8Who is a priority for testing?
Slide92. Isolate / Quarantine
Slide10Pandemic Initiative for Equity and Action
10Isolation and Quarantine
What is the difference between isolation and quarantine? Isolation separates people infected with the virus (those who are sick with COVID-19 and those with no symptoms) from those who are not infected.
Quarantine is used to keep someone who might have been exposed to COVID-19 away from others. Quarantine helps prevent spread of disease that can occur before a person knows they are sick or if they are infected with the virus without feeling symptoms.
July 2, 2020: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/isolation.html
Slide11How to Remember the Difference
solation
I = Infected or sick.
Confirmed COVID-19 (symptomatic or asymptomatic) or symptomatic and awaiting results.
I = I need to be alone
uarantine
Q
=
Question
whether you are infected. You were exposed and might become infected.
Can be with other people who are also in quarantine
Duration = infectious period (10 days)
AND 1 day without fever
Duration = incubation period (14 days)
I
Q
Slide12Who Are Close Contacts?
Persons the Case was in close contact with:Household members or intimate partnersAnyone the case may have coughed/sneezed on or shared utensils withWithin 6 feet for at least 15 minutes:WorkLarge gatherings (church, parties)Visits to congregate settings (long-term care or skilled nursing facilities)Other close contact settings
Slide13What Are The Recommendations For
Quarantine
?
QUARANTINE PERIOD
14 days from date of last close contact with the case
Develop Symptoms
If a contact develops symptoms, the contact should switch to self-isolation instead of just quarantine
NEGATIVE TEST
A negative test during this period does not reduce the duration for quarantine
Slide14Quarantine Scenarios
Slide15If You Have No Further Contact
with the Infected PersonYour last day of quarantine is 14 days from the date when you last had close contact with them. Example:
14 Days
Your last close contact with the infected person:
January 1
Your last day in quarantine:
January 15
+
=
Slide16If You Continue to Have Contact
with the Infected PersonIf you can avoid close contact your last day of quarantine is 14 days from the date the infected person(s) in your household started to follow
CDC: Home isolation instructions for people with COVID-19*
14 Days
Infected person(s) started to follow Home Isolation Instructions:
January 5
Your last day in quarantine:
January 19
+
=
For example, you live with and/or care for the person with COVID-19.
Example:
* https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/isolation.html
Slide17If you
cannot avoid close contact, your last day of quarantine is 14 days from the date that the infected person was told that they are “cleared” to stop their isolation.
14 Days
Infected person cleared to stop isolation:
January 15
Your last day in quarantine:
January 29
+
=
For example, you live with and/or care for the person with COVID-19.
Example:
If You
Continue to Have Contact
with the Infected Person
Slide18What Are The Recommendations For
Isolation
?
IF SYMPTOMATIC
10 days* from the date of symptom onset
and
no fever for 1 day (24hr) without use of anti-fever medications
and
symptoms improved or resolved
IF Asymptomatic
At least 10 days since the date of positive test and continue to have no symptoms
* May be 20 days in severe disease
Slide19Assessing whether someone can isolate/quarantine at home
How many people do you live with?Do you have enough food, medications and other needed supplies for 14 days?
How will you prepare your own food? Who can assist you with getting meals?
Are you able to isolate yourself at home (or temporary housing) away from other household members until your symptoms clear?Are you able to have a bathroom to yourself? If not, are you able to clean the bathroom with disinfectant before and after every use?
Do you need support with activities of daily living?
19
Slide20Why would people have a hard time isolating or quarantining?
Crowded livingEconomic hardshipChildcare or elder care responsibilitiesHousing instabilityMental health issues
Slide213. Access Social Services (if needed)
Slide22Wraparound Services are Essential to Containment
Slide23What are Examples of Wraparound
Services
?
Slide24People Who are in Isolation or Under Quarantine Need “Wraparound Services”
Wraparound services are based on a “whatever it takes model”What do they need to be able do what we are asking them to do?A place to be safe
Food to eatMedicines, cleaning supplies, diapers
Other services such access to mental health, substance abuse prevention, etc.
Slide25Food, Medicine, and Other Services
Contact tracers should ask clients if they have family members, neighbors, social or commercial networks to bring them necessary suppliesFood, social and other essential services for individuals in isolation or quarantine vary by jurisdiction
Linkage to mental health services
Slide26Communicating Isolation and Quarantine Messages
Determine the duration of isolation (Case) or quarantine (Contact) period
Determine if individual can safely isolate or quarantine, or if additional support is requiredDiscuss why safely isolating (or quarantining) is important for stopping the spread of COVID-19
Slide27Communicating Isolation and Quarantine Messages
Now I’d like to talk with you about home isolation, review the recommendations, and identify what you may need to support you and keep you and your family and other household members healthy. How does that sound?What other concerns (e.g., someone may be sick, someone may have a pre-existing health condition) do you have regarding the home quarantine instructions, the members of your household or being separated from them during self-quarantine? Let’s discuss some steps to take that may address your concern(s).Before we hang up, I just want to check on what additional questions you may have for me?
Slide28Learning Objectives
By the end of this session, the learner will be able to:Describe the purpose of isolationDescribe the purpose of quarantineIdentify the dates that a case’s isolation period should begin and endIdentify the dates that a contact’s quarantine period should begin and endUnderstand wraparound services and how to develop a plan for successful quarantine or isolation
Slide29