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The State of Florida Issues Updates on COVID-19 3.14.2020

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FOR IMMEDIATE RELEASE March 14, 2020
Contact: Joint Information Center on COVID-19 for the State of Florida (850) 815-4940, ESF14@em.myflorida.com
The State of Florida Issues Updates on COVID-19
 
TALLAHASSEE The State of Florida is responding to COVID-19. In an effort to keep Florida residents and visitors safe and aware regarding the status of the virus, the Florida Department of Health will issue this update every day, seven days per week. 
 
The Florida Department of Health has confirmed an individual who had previously tested positive for COVID-19 has died. The individual was a 77-year old male in Lee County.
                    
Governor Ron DeSantis is in constant communication with Florida Division of Emergency Management Director Jared Moskowitz and State Surgeon General Dr. Scott Rivkees as the State of Florida continues to monitor and respond to the threat of COVID-19.
 
During a press conference at the State Emergency Operations Center Saturday, the Governor provided several additional updates on Florida’s efforts to respond to COVID-19:
  • Governor DeSantis requested that Health and Human Services send home the 61 Floridians that were previously aboard the Grand Princess cruise line, home from isolation from Dobbins Air Reserve Base, Georgia.
  • Governor DeSantis has directed the Department of Health to hire additional epidemiologists from university health programs to help with workload.
  • Governor DeSantis has directed the Agency for Health Care Administration (AHCA) to extend all existing nursing home and ALF licenses for 90 days to remove distraction from patient care.
  • Governor DeSantis directed Director Moskowitz to expand his emergency order and prohibit all visitation to nursing homes, assisted living facilities, adult family-care homes, long-term care facilities and adult group homes to all visitors for the next 30 days.
  • Governor DeSantis directed the Department of Highway Safety and Motor Vehicles to suspend drivers’ license renewal requirements for 30 days.
  • Governor DeSantis directed all agencies to suspend for 30 days licensing and registration renewal requirements for existing processional licenses (e.g. realtors).
Governor DeSantis has recommended that local authorities strongly consider canceling mass gatherings and follow Centers for Disease Control and Prevention (CDC) guidance. CDC has issued recommendations for implementation of mitigation strategies in Florida, including recommendations to cancel large gatherings of more than 250 people and smaller gatherings that may bring persons together from multiple parts of the country.
 
Florida Department of Education Commissioner Richard Corcoran has provided strong recommendations for extending spring break following Centers for Disease Control and Prevention (CDC) issuing guidance specific to COVID-19 in Florida. In addition, the Department of Education announced that the start of state testing will be delayed by a minimum of two weeks.
 
On March 9, Governor DeSantis issued Executive Order 20-52, declaring a State of Emergency for COVID-19. By declaring a State of Emergency, Governor DeSantis is ensuring that state and local governments have the resources and flexibility they need to prepare and respond. 
 
COVID-19 Cases
COVID-19 6PM
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
FINAL Capture 2 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
*Definition of travel-related: *A known history of exposure to COVID-19 associated with travel outside of Florida.
International Travel
U.S. Department of State – Global Level 3 Health Advisory
The U.S. Department of State advises U.S. citizens to reconsider travel abroad due to the global impact of COVID-19. Many areas throughout the world are now experiencing COVID-19 outbreaks and taking action that may limit traveler mobility, including quarantines and border restrictions. Even countries, jurisdictions, or areas where cases have not been reported may restrict travel without notice.     
CDC Guidelines
The Florida Department of Health is advising all individuals who have traveled internationally to follow CDC guidelines, summarized below:
  • Level 3 Travel Advisory: CDC recommends 14-day self-isolation and social distancing upon return to the United States. Social distancing includes avoiding going out in public and close personal interactions. If you become symptomatic, immediately self-isolate and contact your County Health Department or health care provider.
  • Level 2 Travel Advisory and Cruises: Travelers should monitor their health and limit interactions with others for 14 days after returning to the United States. If you become symptomatic, immediately self-isolate and they should call ahead to a health care professional or their county health department before seeking treatment.
    • According to CDC, a cruise ship is defined as a passenger vessel involving the movement of large numbers of people in closed and semi-closed settings.
A person that experiences a fever and symptoms of respiratory illness, such as fever, cough or shortness of breath, within 14 days after travel from China, Italy, Iran, South Korea, Japan and any other destination under CDC travel advisory should call ahead to their health care provider or local County Health Department (CHD) and mention their recent travel or close contact, unless they are experiencing an emergency.
If a person has had close contact with someone showing these symptoms who has recently traveled from areas or been in contact with a person with laboratory-confirmed COVID-19, they should call ahead to a health care professional and the County Health Department. The health care professional will work with the Department to determine if the person should be tested for COVID-19.
Nile Cruise Advisory
The Florida Department of Health is advising all individuals who traveled to Egypt for a cruise or tour on the Nile River in February or March 2020 to self-isolate for 14 days following their date of return to the United States, and if ill, immediately contact their CHD or health care provider. Several passengers in the United States recently developed symptoms and have been confirmed to be infected with COVID-19, including over 10 positive cases in Florida. 
Port Everglades Advisory
 
The Department, through an extensive epidemiological investigation, has identified multiple, positive COVID-19 cases that are connected and associated with Port Everglades in Broward County, Florida.
  • The Department recommends all individuals experiencing symptoms who have recently traveled through Port Everglades to immediately contact their CHD or health care provider and self-isolate for 14 Days.
  • The Department also recommends employees of Metro Cruise Services at Port Everglades with any association to these cases self-isolate at home.
  • The Department is working to connect with all employees at Metro Cruise Services who may have come into contact with the three individuals who have tested positive for COVID-19 to provide the employees with the appropriate guidance and monitoring.
  • The Department is working in close consultation with the CDC on this investigation.
  • CDC recommends that individuals with recent travel history on a cruise monitor their health for 14 days and, if they develop symptoms, immediately self-isolate and contact their CHD or health care provider.  
COVID-19 Public Website and Call Center
Please visit the Department’s dedicated COVID-19 webpage for information and guidance regarding COVID-19 in Florida.
For any other questions related to COVID-19 in Florida, please contact the Department’s dedicated COVID-19 Call Center by calling 1-(866) 779-6121. The Call Center is available 24 hours a day. Inquiries may also be emailed to COVID-19@flhealth.gov.
 
What you Should Know
 
COVID-19 can spread from person to person through small droplets from the nose or mouth, including when an individual coughs or sneezes. These droplets may land on objects and surfaces. Other people may contract COVID-19 by touching these objects or surfaces, then touching their eyes, nose or mouth.
 
Symptoms of COVID-19 are fever, cough and shortness of breath. Symptoms may appear in as few as two days or as many as 14 days following exposure. Most people recover from COVID-19 without needing special treatment. The elderly and those with underlying medical problems like high blood pressure, heart problems and diabetes are more likely to develop serious illness.
 
There is currently no vaccine to prevent COVID-19. The best way to prevent illness is to avoid being exposed to the virus. The Department recommends everyday preventive actions to help stop the spread of respiratory diseases, including:
  • Avoiding close contact with people who are sick;
  • Staying home when you are sick and avoiding contact with persons in poor health;
  • Avoiding touching your eyes, nose and mouth with unwashed hands;
  • Covering your cough or sneeze with a tissue, then disposing of the tissue;
  • Washing your hands often with soap and water for at least 20 seconds, especially after going to the bathroom, before eating, after blowing your nose, coughing or sneezing;
  • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty; and
  • Cleaning and disinfecting frequently touched objects and surfaces using a regular household cleaning spray or wipe.
 
The CDC does not recommend that asymptomatic, healthy people wear a facemask to protect themselves from respiratory diseases, including COVID-19. Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).
A person that experiences a fever and symptoms of respiratory illness, such as fever, cough or shortness of breath, within 14 days after travel from China, Italy, Iran, South Korea, Japan and any other destination under CDC travel advisory should call ahead to their health care provider and local CHD and mention their recent travel or close contact.
 
If a person has had close contact with someone showing these symptoms who has recently traveled from this area or been in contact with a person with laboratory-confirmed COVID-19, they should call ahead to a health care professional and the CHD. The health care provider will work with the Department to determine if the person should be tested for COVID-19.
 
Actions the State has Taken to Prepare for and Respond to COVID-19
 
DEPARTMENT OF HEALTH
  • Governor Ron DeSantis issued Executive Order 20-52 declaring a State of Emergency for COVID-19.
  • Governor Ron DeSantis directed the Florida Division of Emergency Management to activate to Level II to coordinate the state’s response to COVID-19.
  • Governor Ron DeSantis issued Executive Order 20-51 directing the State Surgeon General to declare a Public Health Emergency.
  • State Surgeon General Dr. Scott Rivkees declared a Public Health Emergency for COVID-19 in Florida.
  • Established an Incident Management Team to coordinate response operations.
  • Activated a dedicated incident command post for on-site response activities.
  • Conducted public health and health care stakeholder conference calls to provide statewide updates on the current outbreak situation, response actions and guidance for pandemic planning. Over five hundred participants joined these calls.
  • Participated with the Agency for Health Care Administration (AHCA) on statewide conference calls with nursing homes, assisted living facilities and hospitals.
  • Established a public call center for questions regarding COVID-19.
  • Developed and distributed an updated COVID-19 presentation to CHDs for use at community meetings.
  • Implemented protocols for investigation, surveillance and monitoring for COVID-19 to rapidly detect and contain cases. 
  • Established mechanisms for ongoing monitoring and coordination with the CDC regarding epidemiological activities.
  • Distributed CDC Interim Guidance for public health personnel evaluating Persons Under Investigation (PUIs) and asymptomatic close contacts of confirmed cases at their home or non-home residential settings to CHDs.
  • Distributed the updated Clinician Screening Tool for identifying PUIs for COVID-19 and a health care provider letter regarding Enhanced Surveillance and Preparedness for COVID-19 to associations, licensed providers, Health Care Coalitions and CHDs.
  • Implemented testing at all three State Public Health Laboratories.
  • Distributed updated CDC guidance for schools to CHDs and the Department of Education.
  • Distributed updated Laboratory Guidance regarding implementation of testing at State Public Health Laboratories.
  • Governor DeSantis announced that the State ordered an additional 2,500 test kits to supplement the adequate resources already available to test for COVID-19. These additional test kits will enable the Department of Health, working with Florida health care providers, to test up to an additional 625,000 individuals. The Governor also suspended non-essential in state and all out-of-state travel for state employees for 30 days.
  • Governor DeSantis directed the Florida Division of Emergency Management and the Agency for Health Care Administration to take action to restrict access to vulnerable populations for those who may have been exposed to COVID-19. The Governor also directed the Florida Department of Corrections to suspend visitation at state prisons for 30 days.
 
 
AGENCY FOR HEALTH CARE ADMINISTRATION
  • AHCA participated in a collaborative call with the Florida Health Care Association, Florida Hospital Association and LeadingAge Florida to discuss patient transfer arrangements between health care facilities such as nursing homes and hospitals. 
  • The Florida Medicaid Program announced coverage of commercial testing for COVID-19 for dates of service back to February 4. 
  • AHCA submitted requests to the Centers for Medicare and Medicaid Services (CMS) for flexibility for Florida’s program under the federal declaration of a state of emergency. 
  • Secretary Mayhew participated in a call with hospitals, laboratory administrators and associations regarding hospital testing. 
  • AHCA is working with nursing homes on recently released guidance further restricting visitor and vendor access to ensure the health and safety of facility residents.
 
AGENCY FOR PERSONS WITH DISABILITIES
  • APD’s chief of staff sent a directive to employees following Governor Ron DeSantis’ guidance on travel which restricts individuals conducting international travel and those taking cruises from immediately returning to work. They will be required to self-quarantine for 14 days.
  • APD is developing a Frequently Asked Questions (FAQ) document for providers and Waiver Support Coordinators related to COVID-19.
  • Members of the APD Senior Leadership Team are holding daily meetings on actions, policies, procedures, and updates related to COVID-19.
  • The agency’s three state-run centers in Marianna, Gainesville, and Chattahoochee are working very closely with their local health departments to enhance infection control measures.
  • APD sent an updated visitor questionnaire for Adult Day Training facilities and Group Homes across the state to screen visitors prior to entering a facility. This visitor questionnaire will also be used for visitors to APD Regional Offices.  
  • APD continues to provide an up-to-date status on COVID-19, best practices, preventative tips, and CDC guidance to APD providers, Waiver Support Coordinators, Stakeholders, and APD employees.
DEPARTMENT OF ELDER AFFAIRS
  • DOEA Secretary Prudom held a conference call with The Comprehensive Assessment and Review for Long-term Care Services (CARES) supervisors to discuss the suspension of face-to-face assessments. CARES assessors will provide reviews through phone or tele-technology to reduce client/staff exposure and reduce spread.
  • Through Departmental Leadership and the Area Agency on Aging contract managers, we provided ongoing technical assistance to the entire Aging Network regarding allowable flexibilities within programs to ensure continuity of services and the safety of elders. For example, we provided guidance to all Executive Directors regarding the provision on completing assessments for multiple program types, specifically for clients who have chosen to self-isolate.
  • DOEA provided updated information on current closures and possible future temporary closures of specific services at Congregate Meal Sites, Senior Centers, and Adult Day Care Centers on our website homepage and all corresponding program pages. Clients are guided to contact the specific location for alternative services, provided the Area Agency on Aging helpline, and directed to the DOH website with any additional questions on COVID-19.
DEPARTMENT OF CHILDREN AND FAMILIES
  • The Department of Children and Families (DCF) Office of Child Welfare sent communication about COVID-19, to licensed child care providers, directing them to follow the CDC’s Interim Guidance for Administrators of US Childcare Programs and K-12 Schools to Plan, Prepare and Respond to Coronavirus Disease 2019.
  • DCF Secretary Chad Poppell sent thorough communication to all DCF staff, contracted partners, and licensed facilities (including child care providers) about COVID-19, including precautionary measures (as outlined by the CDC) and temporary policy updates.
  • DCF is working with AHCA, DOEA, and APD to compile and develop guidance for agency staff and stakeholders who work directly with Florida’s elderly population and have a higher risk of being exposed to COVID-19.
  • DCF established strategies for COVID-19 prevention at all three state mental health treatment facilities, as well as the South Florida mental health facilities run by Wellpath Recovery Solutions, a contracted partner. They are reporting daily updates to ensure compliance with virus prevention and monitor potential outbreaks.
  • DCF has established a visitation protocol for all state-owned and contracted mental health treatment facilities, as well as vendors and patient families, requiring all outside parties to complete a Visitors Viral Symptoms Screening prior to entering a facility.  
 
FLORIDA DEPARTMENT OF VETERANS’ AFFAIRS
  • FDVA is restricting visitor access to its State Veterans’ ‎Nursing Homes and Domiciliary ‎until further notice, with the exception of essential ‎visitors, such as ‎family members of those residents undergoing end-of-life care. ‎
  • The U.S. ‎Department of Veterans Affairs (VA) has also temporarily restricted access to ‎their nursing and ‎community living center facilities to only essential visitors until ‎further notice.       ‎
  • ‎All VA Medical Centers in Florida are implementing ‎enhanced screening protocols at ‎their facilities. VA Outpatient Clinics are also ‎implementing enhanced screening ‎protocols. Please plan to arrive at the facility well in advance of your ‎appointment to ‎a