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Due to COVID-19, Keiro has decided to transition all of our scheduled in-person events in 2020 to alternative formats. Read full statement here.

Keiroは年内に開催する予定の直接人と人が会うイベントを全て別の形式に変更することに致しました。詳細はこちら

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COVID-19

As of 05.21.2020 – will be updated periodically (initial publish date: 03.05.2020)

日本語版はこちらからご参照ください。

The COVID-19 pandemic has changed all of our lives. Since March 19, 2020, our lives have been about staying at home and practicing physical distancing. We should continue to stay informed and up to date with COVID-19 news and changes.

With information flooding across multiple media platforms, it can be difficult to navigate through the constant updates and be best prepared on how to keep yourself and your loved ones safe.

Other related articles:

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What is COVID-19?

COVID-19 spreads easily and rapidly in these ways:

  • Person-to-person (primary form of transmission)
    • COVID-19 can spread through close contact with an infected person though exposure to droplets from coughs or exhales (Q&A on Coronaviruses, 2020).
  • Infected surfaces
    • COVID-19 can also spread after touching an object or surface that has infected droplets on it. Touching an object or surface and then touching the eyes, nose, or mouth can spread COVID-19 (Q&A on Coronaviruses, 2020).

Symptoms of COVID-19 have ranged from mild to severe and can be similar to the symptoms of the common cold and flu. As of May 6, 2020, the Centers for Disease Control and Prevention has reported the symptoms of COVID-19 include:

  • Fever
  • Cough
  • Shortness of breath or difficulty breathing
  • Chills
  • Repeated shaking with chills
  • Sore throat
  • Muscle pain
  • Headache
  • New loss of taste or smell

These known symptoms have shown to appear between 2-14 days after initial exposure. If you think you are experiencing symptoms of COVID-19, please contact your health care provider over the phone for medical advice before going to their office (Coronavirus Disease 2019, 2020).

Additionally, the Centers for Disease Control and Prevention is encouraging individuals to be aware of emergency warning signs including:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face

If you are experiencing any emergency warning signs, please seek medical help immediately.

It is also important to keep in mind that in addition to the COVID-19 symptoms, it is also allergy and flu season. Here are the different symptoms for allergies, colds, and the flu:

  • Allergies (Sheik, 2020)
    • Symptoms start at the eyes and nose
    • Runny nose
    • Watery eyes
  • Cold Symptoms (Coronavirus Symptoms, 2020)
    • Sore or scratchy throat
    • Cough
    • Runny nose
    • Mild fever
  • Flu Symptoms (Coronavirus Symptoms, 2020)
    • Symptoms appear suddenly and are more intense than a cold
    • High fever (over 100.5 degrees)
    • Extreme exhaustion
    • Muscle or body aches
    • Dry cough
    • Chills
    • Runny or stuffy nose
    • Headaches

Testing for COVID-19 (Updated)

There are several public health laboratories that offer COVID-19 testing (Testing in U.S., 2020). If you suspect you have COVID-19 and/or are displaying symptoms (fever, cough, and shortness of breath), call your primary care physician first. They can help determine if you need to be tested and can help direct you to the correct testing location (Testing, 2020). If your doctor is not providing testing, you can call your local urgent care. However, it is not advised to go to the emergency room just for a test. In addition, the residents in Los Angeles County can call 211, the Los Angeles County information line, to find providers with tests (Becker & Ibarra, 2020).

Testing in California

covid 19 testing

photo credit: https://www.cdph.ca.gov

California is currently working to increase its COVID-19 testing capacity. Since there are limited tests and resources, testing should be reserved for people with moderate to severe symptoms and people with underlying health conditions (Becker & Ibarra, 2020).

On May 7, 2020, Governor Newsom released a new website that allows California residents to search for nearby test centers: https://www.arcgis.com/apps/Nearby/index.html?appid=43118dc0d5d348d8ab20a81967a15401

Testing in Los Angeles County (Schedule a COVID-19 Test, 2020).

  • Currently there are eight testing locations in the City of Los Angeles with 34 additional locations across the county.
  • As of April 29, 2020, Free testing for LA County residents. Do not need to be symptomatic. LA County residents are encouraged to ask their primary care physician or health care center about receiving a test before going to a testing site.
  • Go to LA County’s COVID-19 website to make an appointment.
    • Priority for same or next-day testing is still given to people with symptoms and high-risk individuals.
    • Testing is also prioritized for medical professionals and other front-line workers
  • There are three types of testing sites in Los Angeles County (Free COVID-19 Testing). To register for a test or to find a testing site near you, visit the LA County COVID-19 website here.
    • County Testing Sites and LA City
      • These drive-thru testing sites are operated by the City or County of LA.
    • OptumServe Testing Sites
      • These walk-up sites are powered by OptumServe in partnership with LA County.
    • Verily Testing Sites
      • These drive-thru sites are operated by the state and their partner Verily.

Testing in Orange County (COVID-19 Testing, 2020)

Testing in Ventura County (COVID-19 Health Care)

  • Testing capabilities in Ventura County have been expanded for essential workers and residents who have symptoms of COVID-19.
    • The test is free, and you do not need to have health insurance or a doctor’s referral.
    • Those with symptoms or have had known exposure to someone with COVID-19, call OptumServe at 888.634.1123 or visit https://lhi.care/covidtesting
  • Residents can also call the County of Ventura Testing Hotline at 805.652.7660
    • Residents will answer questions to determine the need for the test.
    • If a test is needed, an appointment will be given at one of the State testing sites or County Urgent Care locations.
    • If you do not have symptoms or close contact with someone diagnosed with COVID-19 and would like to be tested, contact OptumServe.

Costs

  • Medicare
    • Medicare Part B covers COVID-19 testing. This test is used to see if you have COVID-19. The test is covered when your doctor or other health care provider orders one (Coronavirus Test, 2020)
    • Medicare Part A covers inpatient hospital care when all of the following are true (Inpatient Hospital Care, n.d.)
      • You are admitted to the hospital as an inpatient after an official doctor’s order, which says you need inpatient hospital care to treat your illness or injury
      • The hospital accepts Medicare
      • In certain cases, the Utilization Review Committee of the hospital approves your stay while you’re in the hospital
  • Uninsured (Frazee, 2020)
    • COVID-19 testing is free for those without insurance.

Treatment

On May 1, 2020, the Food and Drug Administration (FDA), granted emergency approval for the use of remdesivir, an antiviral drug for the treatment of COVID-19. There is still limited information about the safety and effectiveness of this drug to treat COVID-19 (Coronavirus Update, 2020). The FDA reviewed data from a clinical trial of the drug and concluded that the potential benefits of remdesivir outweigh the known and potential risks of the drug for patients hospitalized with severe COVID-19. Severe disease is determined by patients with low blood oxygen levels or needing oxygen therapy or breathing support (Coronavirus Update, 2020).  At this time, there are no other approved alternative treatments for COVID-19. The emergency approval of the drug also comes with some limitations (U.S. Food and Drug, 2020).

  • Remdesivir will be distributed to health care facilities with assistance from state and local authorities.
  • Remdesivir will only be used to treat adults and children with suspected or confirmed COVID-19, requiring supplemental oxygen or mechanical ventilation.
  • Remdesivir is administered in an in-patient hospital setting via intravenous (IV) infusion by a health care provider.

Even though the FDA has provided emergency approval for remdesivir to be used to treat COVID-19, it is not a cure or a vaccine. This drug is used to treat severely ill COVID-19 patients and may decrease the time it takes to recover. Thus, the best way to avoid contracting COVID-19 is to continue to practice physical distancing, stay home, and disinfect frequently touched surfaces often.

Staying Safe During COVID-19

As of May 6, 2020, there is one FDA approved drug to be used to treat COVID-19. However, keep in mind that the most effective way to protect yourself and others against the virus is to be prepared and practice good self-management techniques such as:

  • Physical distancing: make sure to have at least six feet between yourself and others
  • Washing your hands often with soap and water for at least 20 seconds
    • Wash your hands after going to the bathroom, before eating, and while coughing, and sneezing
    • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol
  • Avoiding close contact with people who are sick
  • Avoiding touching your eyes, nose, and mouth
  • Staying home if you are experiencing any symptoms
  • Covering your cough or sneeze with a tissue, then throwing the tissue in the trash
  • If you do not have access to a tissue, cough or sneeze into your elbow
  • Cleaning and disinfecting frequently touched objects and surfaces (i.e. phones, doorknobs, etc.)
  • Wear a face mask when out in public

Safer at Home Updates

  • LA County (Safer at Home Order)
    • On May 13, 2020 Los Angeles County revised its Safer at Home Order.
    • LA County residents who are age 65 or older and those with pre-existing health conditions should remain in their residences. Individuals in this category should only leave their homes to seek medical care or obtain food or other necessities.
  • Orange County (OC Health Officer’s Orders)
    • On April 9, 2020 Orange County strongly recommends that residents wear face coverings while engaged in essential activities outside of the home.
    • Residents should stay home except to get food or other essential activities and practice physical distancing while outside of the home.
  • Ventura County (Stay Well VC)
    • On May 7, 2020 Ventura County updated its Stay Well at Home Order
    • Individuals who are 75 years or older, or 70 years old with health conditions must continue to stay home and follow physical distancing rules.
    • These individuals may leave their homes to seek medical care, exercise, nutrition, or to perform essential work.

Additional Resources

Staying informed with up to date information from credible sources will enhance your ability to manage your individual situation during this time. Please continue to learn more about COVID-19 by referencing the following links:

Resources

Becker, R., Ibarra, A. (2020). Where California Stands with Coronavirus Testing Right Now. Retrieved from https://calmatters.org/health/coronavirus/2020/03/california-coronavirus-testing-insurance-locations-rules/

Coronavirus Disease 2019 (COVID-2019). (2020). Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/index.html

Coronavirus symptoms vs. flu and cold symptoms: What are the differences? Retrieved from https://abc7.com/6003136/?ex_cid=TA_KABC_FB&utm_campaign=trueAnthem%3A+Trending+Content&utm_medium=trueAnthem&utm_source=facebook&fbclid=IwAR3GDWmOrdsG2wBVK4JNZDEKmj-Imv5WBQ4o56mXG47mZw2t92dT4g49G78

Coronavirus Test. (2020). Retrieved from. https://www.medicare.gov/coverage/coronavirus-test

Coronavirus (COVID-19) Update: FDA Issues Emergency Use Authorization for Potential COVID-19 Treatment. (2020). Retrieved from https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-issues-emergency-use-authorization-potential-covid-19-treatment

COVID-19 Testing and Screening. (2020). Retrieved from https://occovid19.ochealthinfo.com/covid-19-testing-and-screening

Food and Drug Administration. (2020). Retrieved from https://www.fda.gov/media/137564/download

Frazee, G. (2020). How uninsured patients can get help during COVID-19 pandemic. Retrieved from https://www.pbs.org/newshour/health/how-uninsured-patients-can-get-help-during-covid-19-pandemic

Frequently Asked Questions. (2020). Retrieved from https://lacovidprod.service-now.com/rrs?id=rrs_faq

Inpatient Hospital Care. (n.d.). Retrieved from https://www.medicare.gov/coverage/inpatient-hospital-care

Q&A on Coronaviruses (COVID-2019). (2020). Retrieved from https://www.who.int/news-room/q-a-detail/q-a-coronaviruses

Schedule a COVID-19 Test. (2020). Retrieved from https://lacovidprod.service-now.com/rrs

Testing. (2020). Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/testing.html