State of California, Health and Human Services Agency, Department of Social Services
TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES
FROM: PAMELA DICKFOSS Deputy Director Community Care Licensing Division
SUBJECT: GUIDANCE ON 2019 NOVEL CORONAVIRUS OR COVID-19
PIN 20-04-ASC - 4 pages, includes links, what to do with a CV suspected guest, and basic infection control including:
“Limit visitors to the facility by not allowing those with symptoms of respiratory infection or who have a travel history to China, South Korea, Italy, or Iran over the course of the last 14 days.
Ensure sick leave policies allow employees to stay home if they have symptoms of respiratory infection. o Employees with any respiratory infection symptoms should not be at work. o Consider screening employees for respiratory infection symptoms before they start their shift.
https://www.cdss.ca.gov/Portals/9/CCLD/PINs/2020/ASC/PIN%2020-04-ASC_Coronavirus_ASCFacilities.pdf
Any form of “screening” should just be testing. When enough tests are available, hopefully they go that route.
If you are negative, you get to work!
Annals of Internal Medicine
March 10
Original research
The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application
Results:
There were 181 confirmed cases with identifiable exposure and symptom onset windows to estimate the incubation period of COVID-19. The median incubation period was estimated to be 5.1 days (95% CI, 4.5 to 5.8 days), and 97.5% of those who develop symptoms will do so within 11.5 days (CI, 8.2 to 15.6 days) of infection. These estimates imply that, under conservative assumptions, 101 out of every 10 000 cases (99th percentile, 482) will develop symptoms after 14 days of active monitoring or quarantine.
Limitation:
Publicly reported cases may overrepresent severe cases, the incubation period for which may differ from that of mild cases.
Conclusion:
This work provides additional evidence for a median incubation period for COVID-19 of approximately 5 days, similar to SARS.
https://annals.org/aim/fullarticle/2762808/incubation-period-coronavirus-disease-2019-covid-19-from-publicly-reported