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LCDHD question and answer from July 29

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A media Zoom meeting was held on July 29, 2020 for our media partners and community. A list of questions was presented to our staff by the media.

Our panel consisted of:
Shawn Crabtree, Executive Director
Dr. Christine Weyman, Medical Director
Stuart Spillman, Environmental Health Director
Tracy Aaron, Health Education Director – moderator

Questions for media zoom meeting July 28th

Shawn

Q1– With the number of cases going up a little in McCreary County over the past few days…are the cases related (as in families) or community spread? (What exactly is community spread and what determines community spread?)

Community spread is, more or less, when you can’t determine from where you contracted it because it is spreading freely in the public. Recent cases have been: 1 travel; 1 church; 1 prison; 1 travel/family; 1 unknown, 2 investigations pending.

Q2-Also, a possible rumor has it that the virus has popped up in a local church….any truth to that? If so, to what degree is the spread?

For our district 13% of active and 13.1% of our total cases have been places of worship related.

 

Dr. Weyman

Q3- What does it mean when a case has been released?

When a case is considered no longer contagious, they can be released from isolation. The criteria are –it has been at least 10 days since symptom onset, or testing if asymptomatic AND the case has not had a fever for at least 24 hours AND symptoms are improving.

Q4-How do our numbers get adjusted when you receive a false positive? It is difficult to ascertain if a positive is a false positive as people can be positive and also be  asymptomatic, however, if we deem that it is a false positive the case is not counted in the first place so no adjustment is necessary.

Q5-Question: where it says “still symptomatic”, does that mean that pt has been tested positive before, and now they are re-tested while still symptomatic? And if so, is the second positive test listed as a new case? No, it means they are a new case that is showing symptoms.

Q6 If most of the population wears a mask, when would we see the positive effects of those on the curve?  14-28 days.

Q7 Who are the oldest and youngest positive cases in our district? 103 is the oldest and 2 months is the youngest.

Stuart

Q8 Are businesses (stores, nail salons) are they at 100% capacity? No, retail stores and nail salons are at 50% occupational or space capacity.

Dr. Weyman

Q9 If you are a contact but you are asymptomatic – should you be tested? Because you may have another set of contact that are infect.

If you have been a contact to a case you should be quarantined for 14 days so as not to spread the disease if you become ill- people are most contagious on the day before and the day of symptom onset. Testing is not necessary unless you become symptomatic. If you do test and find out you are negative, that does not mean that tomorrow or in a few days you will not be positive.

Q10 Does the coronavirus test specific for covid 19 or does it show positive for other coronavirus?

The antibody tests may cross react with other coronaviruses and thus have false positives. The nucleic acid PCR test and antigen test are specific for COVID 19 virus.

Stuart

Q11 Businesses are still asking for signs. Where can they get them?
These signs are available on https://govstatus.egov.com/kycovid19 at the bottom of the page.
Masks are required sign(PDF) (PDF)
Masks are required sign – Spanish(PDF)
COVID-19 Survivor Support Information(PDF)
Healthy at Work sign(PDF)
Healthy at Work sign – Spanish(PDF)
Healthy at Work sign – French(PDF)
Do not enter if sick sign(PDF)
Do not enter if sick sign – Spanish (PDF)
Grocery Store Signage for Customers(PDF)
Grocery Store Social Distancing Signage(PDF)
Grocery Store Signage for Staff(PDF)

Q12 What are the regulations for kids wearing masks in stores? Children under 5 are exempt from wearing face masks under the Governor’s Executive Order. The CDC recommends that children under 2 NOT to wear masks.

Dr. Weyman

Q13 Can someone who has had COVID get it again?

There have been a few documented cases in China, of a second infection many months after the initial one, but so far we have not seen this locally. It is possible as studies show that antibody levels lessen 3 months after recovery. More studies are needed to answer that question.

Shawn

Q14 Since Tennessee is a border state to several of our counties, are TN residents allowed to get tested here? That would be up to each provider, but I would assume anyone who schedules a visit can get a test.

Q15 Where can I find an updated list of testing sites or where can I get tested?
https://govstatus.egov.com/kycovid19

Stuart

Q16 My question is about masks while in church. We are in our 60’s and go to a large church. We haven’t been going because people aren’t wearing masks. Aren’t people supposed to? Isn’t social distancing required at church too, especially in seating? How can this be addressed so they do? We miss going but feel it isn’t safe to because churches aren’t complying with guidelines.

There is guidance on the Healthy at Work website regarding churches. They should be limiting attendance to 50% of building capacity and requiring face masks and social distancing. Unfortunately there is no way for the health department to police this, we only try to keep pushing our message to avoid large crowds, wear a mask and wash your hands frequently. We have had several clusters associated with churches, so the safest way to have church is virtually or outside services.

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