2019-nCoV Orange County California ex-Wuhan Confirmed

[juniorpilot]

In California, USA, Orange County’s First Case of Deadly Novel Coronavirus Confirmed

The case involved a traveler from Wuhan, China.

https://www.nbclosangeles.com/news/orange-countys-first-novel-coronavirus-case-confirmed/2298278/

 

Edited January 26, 2020 by niman

[niman]

OC Health Care Agency Confirms First Case of Novel Coronavirus in Orange County, California

(Santa Ana, CA) – The OC Health Care Agency’s (HCA) Communicable Disease Control Division received confirmation from the Centers for Disease Control and Prevention (CDC) this evening that an Orange County, California case has tested positive for the novel coronavirus. 

The case, a traveler from Wuhan, China, has been in contact with the HCA and was provided guidance in order to reduce exposure to the public while awaiting laboratory confirmation from the CDC. The individual has now been transported to a local hospital and is in isolation in good condition.

In consultation with the CDC and the California Department of Public Health, the HCA is following up directly with all individuals who have had close contact with the case and are at risk of infection.

• The HCA will be monitoring any close contacts and assure that proper evaluation and care is provided if they become ill.
• The CDC’s guidance indicates that people who have casual contact with a case (in the same grocery store or movie theater) are at minimal risk of developing infection.
• There is no evidence that person-to-person transmission has occurred in Orange County.
• The current risk of local transmission remains low.

No additional details about the case will be released at this time.

Members of the media, please know that Dr. Nichole Quick, County Health Officer will be available tomorrow, January 26th for interviews after 11 a.m. Please email [email protected] with your preferred time, and indicate if you are requesting a telephone or in-person interview.

For general information about novel coronavirus, please visit www.cdc.gov or www.ochealthinfo.com/novelcoronavirus.

https://mailchi.mp/ochca/novelcoronavirus

[niman]

2019 Novel Coronavirus: Update for Orange County

January 23, 2020

An outbreak of respiratory disease caused by 2019 Novel Coronavirus (2019-nCoV) has been identified in Wuhan, Hubei Province, China. Over 500 cases and 17 deaths have been identified since the outbreak was identified in December. Traveler cases from Wuhan have been identified in other areas of China, including Beijing and Shenzhen, as well as Taiwan, Thailand, Japan, and South Korea. The first United States case was confirmed earlier this week in a Washington state traveler from Wuhan.   The initial illnesses are believed to be related to animal exposure at the Wuhan South China Seafood City (also called the South China Seafood Wholesale Market and the Hua Nan Seafood Market), which was closed on January 1. More recent cases have demonstrated that person-to-person transmission occurs, and several cases have been seen in healthcare workers who cared for cases, though it’s unclear how easily or sustainably the virus is spreading between people.     Because the largest number of cases have been identified in Wuhan, public health surveillance is currently focused on travelers from this area. Earlier this week, China announced that they would be restricting travel out of Wuhan, though it is unclear at this point how comprehensive these restrictions will be. CDC has implemented symptom screening of travelers arriving from Wuhan, at Los Angeles International Airport, San Francisco International Airport, and John F. Kennedy International Airport in New York. Screening will be implemented soon at Atlanta Hartsfield-Jackson International Airport and Chicago O’Hare International Airport. Most travelers from Wuhan to the United States will pass through one of these airports and receive a health assessment upon arrival. If this assessment reveals no evidence of acute illness, they will be educated about the current outbreak and instructed to seek medical care if they develop illness. Orange County providers may care for patients who develop illness following travel from Wuhan.

Recommendations for  Providers:

Providers should immediately report all cases of suspected 2019-nCoV infection to the Orange County Health Care Agency at 714-834-8180 (after hours contact the OCHCA physician on call at 714-628-7008).   Providers should take a detailed travel history for patients with fever and acute respiratory illness to identify potential exposures. If a patient reports recent travel to China, the provider should clarify which cities and provinces were visited.   As this situation continues to evolve rapidly, providers should consistently monitor CDC recommendations at https://www.cdc.gov/coronavirus/2019-ncov/index.html.

Clinical Presentation:

Based on experience with other coronaviruses, 2019-nCoV’s incubation period is presumed to extend up to 14 days. The virus’s transmission dynamics have yet to be determined.   The primary clinical symptoms have been respiratory, including fever, cough, and shortness of breath. A significant proportion of cases have had pneumonia. Cases of more mild illness are being identified as well; at this point it is not clear how likely severe illness is for persons infected.

When to Test:

Patients who meet the following criteria should be tested for 2019-nCoV:   ----- 1)   Fever and symptoms of lower respiratory illness (e.g., cough, shortness of breath)   --------- AND in the 14 days before symptom onset:   -------- History of travel from Wuhan City, China --------- -or- --------- Close contact with a person who is under investigation for 2019-nCoV while that ------------- person was ill.   ----- 2)   Fever or symptoms of lower respiratory illness (e.g., cough, shortness of breath)   --------- AND in the last 14 days before symptom onset, close contact with an ill ------------------------- laboratory-confirmed 2019-nCoV patient   Note that these recommendations should serve as guidelines for providers. But fever may not always be present, and clinical judgment should always be used to guide testing. All laboratory testing for 2019-nCoV is currently performed by the CDC.  http://www.ochealthinfo.com/phs/about/epidasmt/epi/dip/prevention/novel_coronavirus

[niman]

By STAFF AND NEWS SERVICE REPORTS |

PUBLISHED: January 25, 2020 at 11:22 pm | UPDATED: January 25, 2020 at 11:58 pm

The OC Health Care Agency said it received confirmation from the U.S. Centers for Disease Control and Prevention on Saturday  evening that an Orange County case has tested positive for the coronavirus that appears to have spread from China.

The patient, a “traveler from Wuhan, China, has been in contact with the HCA and was provided guidance in order to reduce exposure to the public while awaiting laboratory confirmation from the CDC. The individual has now been transported to a local hospital and is in isolation in good condition,” the HCA said in a statement.

The Orange County agency said it, in consultation with the CDC and the state Department of Public Health, is following up with all people who have had close contact with the patient.

https://www.ocregister.com/2020/01/25/case-of-coronavirus-confirmed-in-orange-county/