Coronavirus Daily Briefing Meeting Minutes

3/19/2020

1. Any CDC, local health department, CCAOM or other agency updates?

- US 7038, increase of 2812 since yesterday 97 deaths

54 States and Territories are impacted

83 cases, Increase of 19 since yesterday TX 2 deaths

Community spread appears to be increasing

- Testing in our state is increasing almost 700 tested in public health labs so far 1210 in commercial labs

- # of confirmed cases will continue to rise We must act now, the next few weeks are critical to prevent spread but will take all of us complying and doing as has been advised

Older adults and those with underlying conditions are most at risk, they must stay home and avoid unnecessary outings

- Strategic National stockpile, will go to areas where needed most, healthcare and first responders

- Avoid face to face meetings, keep groups to less than 10 and include social distancing

Mitigating the spread is everyone’s responsibility, cover cough and sneezing, clean commonly used surfaces, always use social distancing

Community mitigation

- Social distancing is critical with more suspected community transmission (not related to travel or contact with a known case). Can impact pace of spread if we don’t follow social distancing. We are learning from other communities that social distancing works.

Stay out of crowded places, avoid group gathering, and stay 6 feet apart are PROVEN to work!

- Focusing on social distancing because easy to implement and effective so we are all asked to comply.

If you need to venture out of your home keep 6 feet away from others.

Those sick should stay at home and isolate from any well individuals even if mildly ill (most will not need tested) 80% will fall into the mild category. DSHS Website has info on self-care and how long to wait before going back to school or work. Our hospitals/healthcare system will be overwhelmed so mild symptoms should stay home.

If in a high-risk category you should contact your doctor if you have a fever, or respiratory condition. Ask you doctor to help with decision of next steps for yourself.

- Cancel non-urgent elective surgical procedures.

- People really need to be watching health after doing any travel even domestic. It is recommended they isolate for 14 days on return home.

- Lab capacity now up to 150 tests per day in Austin and across the state

CDC has released new guidance on PPE, find on DSHS website Strategies for optimizing your supply of PPE. Will help us get through this time of shortage of PPE, help us to prioritize and extend use!

- It is advised the steroids not be used for treatment of COVID 19

2.Updates on action items:

- Pilot for On-line testing for herbal services going went well we will do next iteration of pilot and prepare to launch soon

- Our academic leaders have developed opportunities per ACAOM guidance on how to provide students hours for didactic and clinical practicum with acupuncture and herbs. Some students may continue into break week to get more hours. This starts Friday with 3 different supervisors. Special thanks to Dr. Shen who has made himself very available, also

Dr. Fan and Dr. Song helping on Fridays. As Pro Clinic begins offering Traditional Chinese Medicine telemedicine students will have the opportunity to observe.

- With only one staff member in herbal dispensaries currently, Lesley is helping a few hours each day. Phil will also begin coming to learn so he may help as well. Our thanks to Dr. Lesley and Dr. Phil!

3. Communication status? Any new issues (e.g. Known traveling or potential exposures,

unavailable supplies, etc.)

What needs to be added to the update on the website updates?

- Info Chinese herbal telemedicine once we are ready to fully launch including message that if patient doesn’t reach clinic staff leave a message and we’ll get back to you. Stephanee and Lesley will work on appropriate verbiage.

- Dr. Jing has information on how China is treating patients with the virus. The file is large but we will determine how to best post this.

3/20/2020

1. Any CDC, local health department, CCAOM or other agency updates?

- US 10,442 increase of 3404 cases in 24 hours, 150 deaths

- TX 143 increase of 60 cases in 24 hours, 3 deaths

- Governor Abbott declared State mandates including:

1. Every person in Texas must avoid social gatherings that have more than 10 people.

2. People should avoid eating and drinking at bars, restaurants and food courts or visiting gyms. There will be no dining at bars or restaurant dining rooms since they will be closed. Restaurants can still offer take-out options.

3. People shall not visit nursing homes, retiring centers or long-term care facilities unless they're providing critical care assistance.

4. All Texas schools must close temporarily. This does not mean that education stops. Superintendents will continue to work with the Texas Education Agency to continue online or additional educational options.

For offices and workplaces that remain open, employees are encouraged to practice good hygiene and work from home if possible, the governor said.

- Texas Health Commissioner, John Hellerstadt declared TX a Public Health disaster

Mitigaton

-Texas’ large rise day after day in large partly due to community spread

- Trying to flatten the curve with social distancing, this is critical!

- If any mild symptoms stay at home! Call ahead if you plan to go to hospital or physician’s

Office

- Online self checker from CDC will be on line later today, it provides info on how to take

care of yourself at home and isolate from others. Check on CDC website.

- CDC’s Severe outcomes among patietnts with CV19 severity of disease by age group Shows that 80% of the deaths are with older adults(65 and older), highest % among 85 and older. In US 49M in this risk age group.

- Regarding ibuprofen conflict. WHO does not recommend against the use of ibuprofen. There appears to be no evidence that Ibuprofen is harmful for respiratory infections. Jury is still out though so discuss with your doctor.

- CDC has also come out with guidance for optimizing use of PPE, on CDC website see Strategies for optimizing PPE

- CDC is also recommending that hospitals and surgical centers try to cancel non urgent surgeries to save PPE

- CDC also has information on “How to prepare your practice for CV19” , there are FAQ’s for healthcare providers

- Public number for coronavirus questions is 211, will triage calls and being used as call center entry point

- With community spread all EMS should consider responding to any respiratory illness

- Regarding national stockpile of PPE, there is selected distribution of PPE to those areas most critical for life saving activities.

2.Updates on action items:

- Pilots for herbal medicine services going well. Should be able to do a full launch soon.

- We received a wonderful letter regarding our first pilot. Patient so thankful to be able to get herbs during this time of health crisis. Letter very much thanked Russ for his assistance and Dr. Song and AOMA for offering this service.

3. Communication status? Any new issues (e.g. Known traveling or potential exposures,

unavailable supplies, etc.)

- We’ve updated the website to include videos and other materials for virtual community wellness.

- For supervisors and others, who “critically” need remote login for T:Drive access let Stephanee know by end of day today!

- Victor shared question from students regarding whether AOMA can support the community effort by providing testing for COVID 19. At this time we are not equipped to provide testing, all is being done by public health or commercial laboratories. Opportunities are developing for AOMA to provide support to our community in particular our healthcare providers and first responders. We’ll be working with Rachelle Lambert and her work nationally for emergency response. She is creating a template based on this work in Colorado and will work with us to help spread here in Texas in the coming few weeks.

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