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Still here: Public health experts urge caution as holidays approach

Nationwide, nearly 100,000 new COVID cases were reported last Friday—the most in a single day to this point. And with COVID-19 spreading across the country faster than ever, that number will almost certainly rise.

Locally, positivity rate has remained low, currently at just 2.4 percent, said Thomas Jefferson Health District medical director Denise Bonds at Monday’s City Council meeting. Bonds attributes that rate to the “very large number of tests that UVA is doing on an almost daily basis.”

Even so, the health district urges caution as the winter months and holiday season approach.

“The more people gathering—whether it’s at work sites or community events—it’s more of a risk for people to get exposed to COVID-19, and spread it to others,” says TJHD spokesperson Kathryn Goodman.

The return of students to UVA Grounds contributed to case spikes in Charlottesville and Albemarle in September and early October. Since the fall semester began in late August, students have been spotted crowding into bars on the Corner, and attending off-Grounds parties—typically standing close to each other and not wearing masks.

As of November 3, the university has reported 1,108 cases among students, faculty, staff, and contract employees since August 17. The spike receded in the later part of October, and 26 cases are currently active.

“A majority of what we’ve seen [with] UVA cases is that it’s been spread amongst UVA, and not far out into the community,” says Goodman. “It’s hard to know that always though—we can’t say for sure there hasn’t been [any] community spread from UVA cases.”

The health district continues to focus on educating area residents about proper safety precautions through social media, testing events, and other outreach measures.

“We know that everybody is tired of hearing about it…[but] COVID is still here unfortunately,” adds Goodman. “We have to continue to be extra cautious by wearing face masks, washing our hands, keeping six feet apart, [and] staying home when sick to help prevent further spread.”

The health district will offer free testing every day the week before Thanksgiving, and set up additional testing sites the week afterward.

Families should celebrate Thanksgiving—along with other upcoming holidays—with their own household, and include family and friends virtually, says Goodman.

“One of the highest-risk decisions people can make for Thanksgiving is having multiple households gather indoors together,” she adds. “It’s important people recognize that this year, we have to do things differently.”

People who do visit family or friends for the holidays should quarantine for two weeks before their trip, gather outside, and make sure each household is seated at separate tables, spaced at least six feet apart.

The health district is also worried about chilly fall weather—the beginning of cold and flu season—and its potential impact on cases.

“A lot of our concern is around people not being able to get together outdoors. The cold weather brings people inside,” says Goodman. “We [also] don’t know what the effects could be if someone gets the flu and COVID-19 together.”

To prevent the spread of the flu in the community, the TJHD is currently offering free flu shots. Its next drive-through clinic will be November 7 from 2 to 5pm at Charlottesville High School.

Correction 11/5: TJHD will be offering free COVID testing every day the week before Thanksgiving, not every day before Thanksgiving.

Categories
Coronavirus News

Ground zero: Local hospitals, health department prepare for coronavirus spike

In just a matter of days, the number of confirmed cases of the novel coronavirus in the Thomas Jefferson Health District has jumped from one to 16, including four in the City of Charlottesville and six in Albemarle County. While the first case was initially thought to be travel-related, it’s now unclear how the individual, a staff member at the UVA women’s center, came in contact with COVID-19, according to the health department. The department is also investigating how the remaining ten individuals contracted the virus, and who else they could have exposed to it. 

With the number of coronavirus cases in Charlottesville only expected to grow, local hospitals are taking extensive measures to prepare for an influx of patients, as well as to assist those currently seeking testing and treatment. In some parts of Italy and, most recently, New York City, an exponential spike in cases has overwhelmed local health care systems, leading to critical shortages of beds and ventilators. 

According to spokesman Eric Swensen, UVA Health System is postponing most clinical visits and surgeries scheduled between now and April 6, with the exception of urgent care, in order to “conserve our resources” and “build capacity to be able to care for folks when they need it.” To minimize the potential spread of the virus, patients at UVA hospital are no longer able to have visitors (with some exceptions). 

UVA staff is also screening everyone before allowing them to enter any facilities, he adds. “If you’re a visitor and are showing any kind of respiratory symptoms or possible exposure to coronavirus, we’re not going to allow you into our clinic or medical center.”

Swensen says there’s been a significant number of people calling UVA health care providers, as well as the UVA health call center, with questions and concerns about coronavirus. In order to prevent the virus from spreading, he urges those who think they may have the virus to call their primary care provider (or, if they don’t have one, the Virginia Department of Health hotline), and not rush to the emergency room. A doctor will then screen them over the phone for common symptoms of the coronavirus—fever, cough, and difficulty breathing—and ask about their travel history and potential exposure to the virus. If they meet the CDC criteria for testing, a doctor can send them to UVA’s referral-only coronavirus clinic

In light of the severe national shortages of coronavirus tests, UVA health is now one of the few institutions across the country that has created its own tests, with a goal to have results within one to two days, Swensen says. Due to this increase in testing capacity, it expects to see a spike in local confirmed cases of the virus in the upcoming days. 

“Depending on the severity of their symptoms…not everyone necessarily who gets coronavirus will need hospital care,” Swensen adds. “The first case in Charlottesville is an example of this, where that person is being evaluated and cared for from home.”

According to a news release, one of the other local residents diagnosed with the virus, a UVA student living off-Grounds in Albemarle County who may have contracted it while traveling, is also currently in isolation.

Sentara Martha Jefferson Hospital has taken similar steps to prevent the spread of COVID-19 within its facilities. The hospital has a “fair amount” of ventilators and isolation rooms available, says Vice President of Medical Affairs Paul Tesoriere, and is working with the government to get more testing kits. 

“We’ve identified different areas that we will expand into if we get into a situation where we get a significant influx in patients,” says Tesoriere, “areas that are not being as utilized because the virus has cut down on some procedures or visits.”

A task force meets several times a day to address daily needs and long-term plans.

The TJHD is working closely with both UVA and Sentara, as well as other community partners, to oversee the area’s pandemic response effort and investigate the cases in Charlottesville. But it generally does not supply testing kits or personal protective gear, including masks, goggles, and gloves. Due to the mass shortage of such gear, local doctors and nurses are currently hosting an Equip Cville emergency supply drive (see page 9), collecting donations from businesses, labs, and schools, in partnership with Support Cville. 

“We are working on compiling a list of those in the community that need PPE, and any extra we have we will make sure to get to the appropriate individuals in appropriate health care settings,” says TJHD’s Public Information Officer Kathryn Goodman. “[However,] the demand for [PPE] is unprecedented, and suppliers do not have the inventory to keep up with demand. Local health care providers trying to purchase critical supplies are competing with all providers across the county…efforts like [Equip Cville] are essential to the long-term success of what will be a lengthy response.”

But tests, investigations, and supplies alone will not bring an end to the coronavirus pandemic, Goodman adds. Social distancing, or self-quarantining, is equally as important. 

“We know that there will be cases in this community, and so we’re asking people to stay home as much as possible so that we can prevent and lower the number of cases we see in the area,” she says. “If people do have to go out in public, stay six feet away from one another. [But] if people can just stay home, that’s the best thing we’re going to be able to do to prevent the spread of this.”

When to call your doctor

Symptoms of COVID-19 can range from very mild to severe (or, in some cases, may not occur at all), and usually appear within two to 14 days after being exposed to the virus. They include:

  • Fever
  • Tiredness
  • Cough
  • Shortness of breath
  • Difficulty breathing

If you are experiencing these symptoms, and know or suspect that you’ve been in contact with a person who has COVID-19, or have traveled to an area with a COVID-19 outbreak, you should call your primary care doctor. If you don’t have one, you can also call your local emergency room, urgent care clinic, or a coronavirus hotline:

Contact your doctor early if you’re 60 or older, or have underlying chronic medical conditions, even if your symptoms are mild. Seek medical attention immediately if you’re experiencing any of these emergency warning signs of COVID-19:

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

Updated 3/25 to reflect accurate number of local coronavirus cases