BOPDHB Checkup March 2020 | Page 3

BOPDHB Coronavirus (COVID-19) COVID-19 what you need to know COVID-19 Information about COVID-19 is constantly changing. To get the most up-to-date information go to https://www.health. govt.nz/our-work/diseases-and-conditions/covid-19- novel-coronavirus. Staff from across the health sector in the Bay of Plenty have been preparing to ensure that we are ready to care for someone with COVID-19 who requires hospital services. The majority of people who contract COVID-19 will experience an influenza type illness with fever, gastric upset or respiratory symptoms (cough or shortness of breath). Should symptoms become severe they may have complications such as pneumonia and require hospital level care. Similarly to influenza there will be people who become very unwell and who may die. With COVID-19 this is likely to be older people or people with pre-existing health issues. We are working across NZ to identify potential cases and slow transmission across people. The key message for staff is to wash your hands, practice good cough etiquette and stay away from work if you are unwell with a temperature, coughing or gastric symptoms. At this stage it is unlikely that you will have COVID-19 however these things will help keep you, your family and patients safe from droplet transmitted infections and are good prevention tips for colds, flu and COVID-19. Toi Te Ora – Public Health has established a Technical Advisory Group which meets regularly to monitor the situation and to update guidance for clinical staff in primary care and hospitals. Here at the DHB, an Incident Operations Centre has been activated and is working with Toi Te Ora and the PHO teams to ensure we follow recommendations from the Ministry of Health. Toi Te Ora is also working with other services in our community such as the Port, Councils, Aged Residential Care and tourism providers to ensure that they are informed and know what steps to take. General Practices have been supplied with information and stocks of personal protective equipment (PPE). At this time people who present in primary care are screened by Health Line and only referred to health services if they meet the current case definition. Here at BOPDHB, at the time of publicaton (18-03-2020) we have no confirmed cases of COVID-19, however we have been providing screening and advice around self-isolation to people who present with concerns and meet the current MOH case definition. This case definition changes regularly as COVID-19 is identified in new countries – we now ask all people who have returned from anywhere overseas in the last 14 days, and who present with symptoms to identify themselves so that assessment for risk of COVID-19 can be undertaken. Just a reminder symptoms of COVID-19 can include a cough, fever, gastric symptoms and breathing difficulties. There has been a lot of misinformation on social media about COVID-19. The facts are that we as a country are monitoring the situation closely, screening people who may be at risk of carrying COVID-19 virus and containing risk where possible. We are also preparing should the virus become more widespread. As a country we have a national pandemic plan and as the lead agency in New Zealand, the Ministry of Health website can be trusted to have the latest information. We have a Bay of Plenty Pandemic Plan outlining the various groups involved in our response and their roles in managing should this become a pandemic. Just a reminder that every year we experience ‘small’ pandemics of influenza, the difference with COVID-19 is that this is a new virus and therefore we do not have immunity within our population. This means that it may be transmitted more rapidly and impact on more people than with seasonal influenza viruses. In addition there is no vaccination currently available for COVID-19. As you will have seen in the news we do have the ability to isolate and manage cases in New Zealand at this time. We will be avoiding admitting all but those people who require specialist hospital level care. 3