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Washington state - Covid-19 Cases and news- 76,836 cases; 1,953 deaths
- Thread starter Treyfish
- Start date
Has anyone seen anything about this persons travel in China? He is stated as returning from Wuhan but his sequence data has been uploaded and it is most closely related to a cluster in Guangdong and some way from the Wuhan sequences. While all the sequences are still very close it would be useful in determining if we are beginning to see tentative host adaption, the other close sequences are from HK and USA-IL not China.
Emily
Editor, Senior Moderator
Wed Jan 15, 2020: Man in 30’s said to be originally from central China, arrives at Sea-Tac airport. No symptoms.
Thurs Jan 16, 2020: He feels ill
Sun Jan 19, 2020: He goes to clinic with fever and cough
Mon Jan 20, 2020: Test positive for nCov-2019
Tue Jan 21, 2020: CDC reported to say: “The gentleman right now is very healthy…” Providence Regional Medical Center in Everett releases statement that he will be in isolation until at least Thursday.
Tues Jan 28, 2020: WA DOH reports he is still in “satisfactory condition” at Providence and no discharge
date is determined yet.
Sources: https://apnews.com/55ca0341f316719af71b16a0b9c05b65
https://www.doh.wa.gov/Newsroom/Art...-statewide-response-to-2019-novel-coronavirus
Thurs Jan 16, 2020: He feels ill
Sun Jan 19, 2020: He goes to clinic with fever and cough
Mon Jan 20, 2020: Test positive for nCov-2019
Tue Jan 21, 2020: CDC reported to say: “The gentleman right now is very healthy…” Providence Regional Medical Center in Everett releases statement that he will be in isolation until at least Thursday.
Tues Jan 28, 2020: WA DOH reports he is still in “satisfactory condition” at Providence and no discharge
date is determined yet.
Sources: https://apnews.com/55ca0341f316719af71b16a0b9c05b65
https://www.doh.wa.gov/Newsroom/Art...-statewide-response-to-2019-novel-coronavirus
Emily
Editor, Senior Moderator
Emily
Editor, Senior Moderator
Ronan Kelly
Retired 2020
First Case of 2019 Novel Coronavirus in the United States
List of authors.
Summary
An outbreak of novel coronavirus (2019-nCoV) that began in Wuhan, China, has spread rapidly, with cases now confirmed in multiple countries. We report the first case of 2019-nCoV infection confirmed in the United States and describe the identification, diagnosis, clinical course, and management of the case, including the patient’s initial mild symptoms at presentation with progression to pneumonia on day 9 of illness. This case highlights the importance of close coordination between clinicians and public health authorities at the local, state, and federal levels, as well as the need for rapid dissemination of clinical information related to the care of patients with this emerging infection.On December 31, 2019, China reported a cluster of cases of pneumonia in people associated with the Huanan Seafood Wholesale Market in Wuhan, Hubei Province.[SUP]1[/SUP]On January 7, 2020, Chinese health authorities confirmed that this cluster was associated with a novel coronavirus, 2019-nCoV.[SUP]2[/SUP] Although cases were originally reported to be associated with exposure to the seafood market in Wuhan, current epidemiologic data indicate that person-to-person transmission of 2019-nCoV is occurring.[SUP]3-6[/SUP] As of January 30, 2020, a total of 9976 cases had been reported in at least 21 countries,[SUP]7[/SUP] including the first confirmed case of 2019-nCoV infection in the United States, reported on January 20, 2020. Investigations are under way worldwide to better understand transmission dynamics and the spectrum of clinical illness. This report describes the epidemiologic and clinical features of the first case of 2019-nCoV infection confirmed in the United States.
Case Report
On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. On checking into the clinic, the patient put on a mask in the waiting room. After waiting approximately 20 minutes, he was taken into an examination room and underwent evaluation by a provider. He disclosed that he had returned to Washington State on January 15 after traveling to visit family in Wuhan, China. The patient stated that he had seen a health alert from the U.S. Centers for Disease Control and Prevention (CDC) about the novel coronavirus outbreak in China and, because of his symptoms and recent travel, decided to see a health care provider.
...
Full paper available at: https://www.nejm.org/doi/full/10.105...jmO7T4.twitter
List of authors.
- Michelle L. Holshue, M.P.H.,
- Chas DeBolt, M.P.H.,
- Scott Lindquist, M.D.,
- Kathy H. Lofy, M.D.,
- John Wiesman, Dr.P.H.,
- Hollianne Bruce, M.P.H.,
- Christopher Spitters, M.D.,
- Keith Ericson, P.A.-C.,
- Sara Wilkerson, M.N.,
- Ahmet Tural, M.D.,
- George Diaz, M.D.,
- Amanda Cohn, M.D.,
- et al.,
- for the Washington State 2019-nCoV Case Investigation Team[SUP]*[/SUP]
Summary
An outbreak of novel coronavirus (2019-nCoV) that began in Wuhan, China, has spread rapidly, with cases now confirmed in multiple countries. We report the first case of 2019-nCoV infection confirmed in the United States and describe the identification, diagnosis, clinical course, and management of the case, including the patient’s initial mild symptoms at presentation with progression to pneumonia on day 9 of illness. This case highlights the importance of close coordination between clinicians and public health authorities at the local, state, and federal levels, as well as the need for rapid dissemination of clinical information related to the care of patients with this emerging infection.On December 31, 2019, China reported a cluster of cases of pneumonia in people associated with the Huanan Seafood Wholesale Market in Wuhan, Hubei Province.[SUP]1[/SUP]On January 7, 2020, Chinese health authorities confirmed that this cluster was associated with a novel coronavirus, 2019-nCoV.[SUP]2[/SUP] Although cases were originally reported to be associated with exposure to the seafood market in Wuhan, current epidemiologic data indicate that person-to-person transmission of 2019-nCoV is occurring.[SUP]3-6[/SUP] As of January 30, 2020, a total of 9976 cases had been reported in at least 21 countries,[SUP]7[/SUP] including the first confirmed case of 2019-nCoV infection in the United States, reported on January 20, 2020. Investigations are under way worldwide to better understand transmission dynamics and the spectrum of clinical illness. This report describes the epidemiologic and clinical features of the first case of 2019-nCoV infection confirmed in the United States.
Case Report
On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. On checking into the clinic, the patient put on a mask in the waiting room. After waiting approximately 20 minutes, he was taken into an examination room and underwent evaluation by a provider. He disclosed that he had returned to Washington State on January 15 after traveling to visit family in Wuhan, China. The patient stated that he had seen a health alert from the U.S. Centers for Disease Control and Prevention (CDC) about the novel coronavirus outbreak in China and, because of his symptoms and recent travel, decided to see a health care provider.
...
Full paper available at: https://www.nejm.org/doi/full/10.105...jmO7T4.twitter
Emily
Editor, Senior Moderator
There are interviews with UW and WA state infectious disease experts at this link:
https://komonews.com/news/local/doc...ans-coronavirus-treatment-has-been-successful
https://komonews.com/news/local/doc...ans-coronavirus-treatment-has-been-successful
Treyfish
Moderator
Snohomish County man with novel coronavirus discharged from hospital
Feb. 3, 2020 at 12:46 pm Updated Feb. 3, 2020 at 1:04 pm
The first person in the United States to be diagnosed with the novel coronavirus has been discharged from an Everett hospital. The Snohomish County man had been treated in isolation at Providence Regional Medical Center in Everett since Jan. 19.
Since being discovered in Wuhan, a city of 11 million people in central China, the new virus is reported to have sickened more than 17,000 people and killed more than 360. As of Monday, 11 people in the United States had tested positive for the virus, and none has died; the Snohomish County man is the only case in Washington...:tiphat:https://www.seattletimes.com/seattl...medium=Referral&utm_campaign=RSS_seattle-news
Feb. 3, 2020 at 12:46 pm Updated Feb. 3, 2020 at 1:04 pm
The first person in the United States to be diagnosed with the novel coronavirus has been discharged from an Everett hospital. The Snohomish County man had been treated in isolation at Providence Regional Medical Center in Everett since Jan. 19.
Since being discovered in Wuhan, a city of 11 million people in central China, the new virus is reported to have sickened more than 17,000 people and killed more than 360. As of Monday, 11 people in the United States had tested positive for the virus, and none has died; the Snohomish County man is the only case in Washington...:tiphat:https://www.seattletimes.com/seattl...medium=Referral&utm_campaign=RSS_seattle-news
Emily
Editor, Senior Moderator
https://komonews.com/news/local/nor...ity-to-be-used-as-coronavirus-quarantine-site
Fire training facility near North Bend to be used as coronavirus quarantine site by KOMO News Staff and Suzanne Phan
Wednesday, February 5th 2020
Fire training facility near North Bend to be used as coronavirus quarantine site by KOMO News Staff and Suzanne Phan
Wednesday, February 5th 2020
Emily
Editor, Senior Moderator
The state got a lot of grief about the North Bend location. The use of RV's makes sense but this latest choice has some issues...
https://www.kiro7.com/home/shoreline...HFVTPJDSPHEF4/
https://www.kiro7.com/home/shoreline...HFVTPJDSPHEF4/
Emily
Editor, Senior Moderator
Emily
Editor, Senior Moderator
Just noting that it has been about 3 weeks since the first and only case in WA state was quarantined, and none of his 63 close contacts have been reported to be ill. I think it was the state epidemiologist who said that the Ebola crisis training and planning are what is behind the state's readiness for this outbreak.
Emily
Editor, Senior Moderator
Cautionary - no confirmation at this point.
https://www.wpxi.com/news/trending/...ue-virus-concerns/V33GM6E5TVCDDEELX45ZK6T37A/
https://www.wpxi.com/news/trending/...ue-virus-concerns/V33GM6E5TVCDDEELX45ZK6T37A/
Commonground
Senior Moderator
From Northshore School District BLOG:
https://www.nsd.org/blog/~board/sup...etter-to-families-bothell-high-school-closure
Feb 26 2020
I trust this note finds each of you enjoying a fabulous winter season. As we are midway through our first week back from mid-winter break, we are gaining more insight into the number of families in our community that traveled internationally during our time off. At the same time, the situation regarding the coronavirus (COVID-19) continues to evolve around the world. In the past five days, we have heard from families who are seeking guidance on precautions and we have heard from those who are expressing concerns. We all understand that we have a social responsibility to each other in situations like this as we are one community. Here in our house, we take this responsibility seriously.
To that point, a member of our Bothell High School staff returned to work on Monday after a week of international travel. They reported that a family member who was traveling with them became sick on Tuesday, and was taken to the hospital, and is currently being treated, monitored and quarantined. The staff member is also quarantined at home for 14 days. At this time, there is no confirmation that the family member's illness is connected to the coronavirus outbreak, but out of an abundance of caution, the family member is being tested. Our initial understanding was that we would learn the test results in one day. However, during my conversation with Washington State Department of Health Epidemiologist Scott Lindquist, M.D., and representatives of Public Health Seattle & King County, I was told that the test results may take 5-7 days. For obvious reasons, I have made a formal request that the CDC provide more rapid results and I have asked other community leaders to push for the same.
With that said, the Department of Health this afternoon issued a letter that indicates their belief that the risk to students and staff is minimal and that they do not believe the current situation warrants closing Bothell High School. However, as we await the aforementioned test results, it is out of an abundance of caution that I have decided that Bothell High School will be closed tomorrow, Thursday, February 27. While today, our support services staff have been taking initial steps to disinfect the areas where the staff member traveled on the campus, we need more time to fully and completely disinfect the entire school as a preventive measure.
In addition, we are in the process of contacting the families of students and staff or visitors that the staff member came into contact with on Monday. I want to be clear that the staff member is not the individual who is being tested for the coronavirus. These steps are being taken out of an abundance of caution. In these unusual circumstances as the national picture continues to evolve – and with the strong presence of social media - I know it is easy to begin speculating and questioning. I ask for your patience and your respectful grace for our staff member, their family, and our school community.
In the meantime, we will continue to work at the district level to ensure that we are planning appropriate precautionary steps while we work through this health and safety challenge. We are working closely with the State Department of Health and our county health partners as we move through this process. Over the past several days, we have spent hours researching and in conversation with health authorities, UW Department of Global Health faculty, and the Office of the Superintendent of Public Instruction in efforts to learn how they can support our district prepare for any possible health emergencies.
The safety of our students and staff is our priority. Please be assured that we are working with individual families who seek guidance and those who express concerns. What we are able to provide is the latest information that comes from the Centers for Disease Control (CDC), the State Department, the World Health Organization and the Washington State Department of Health. As you will note on the CDC site, the majority of the countries that have seen coronavirus cases, including the United States, have not been escalated to a warning level 3. This means that there are no travel restrictions in place. However, this is a very fluid situation and the sites are updated regularly. I recommend you bookmark those sites so you can check them as you feel the need. Please also note that there has been only one confirmed case of coronavirus in Washington since January. That person received medical care and made a full recovery.
Additionally, the CDC indicated on Tuesday that the coronavirus is likely to spread in the United States in the coming weeks, and may have some effect on our daily routines. In addition to the health and safety of our students and staff, I am resolutely committed to continuing the education of students when they are out of school for extended periods of time. Last year’s snow and measles situations helped us to understand the importance of identifying innovative ways to educate students outside the traditional classroom, and we have been identifying mechanisms and processes for continuing student learning through extended unforeseen events should this become necessary.
In closing, I want to assure you that we weighed information and recommendations from a variety of public officials, university partners, and health professionals, and we believe we have made the best possible decision for our students, staff and families. We will continue to monitor the situation and update you as we have more information.
If you have any questions, please email communications@nsd.org and we will try to answer them as quickly as possible.
Warmest regards,
Michelle Reid, Ed.D.
Superintendent
https://www.nsd.org/blog/~board/sup...etter-to-families-bothell-high-school-closure
Feb 26 2020
I trust this note finds each of you enjoying a fabulous winter season. As we are midway through our first week back from mid-winter break, we are gaining more insight into the number of families in our community that traveled internationally during our time off. At the same time, the situation regarding the coronavirus (COVID-19) continues to evolve around the world. In the past five days, we have heard from families who are seeking guidance on precautions and we have heard from those who are expressing concerns. We all understand that we have a social responsibility to each other in situations like this as we are one community. Here in our house, we take this responsibility seriously.
To that point, a member of our Bothell High School staff returned to work on Monday after a week of international travel. They reported that a family member who was traveling with them became sick on Tuesday, and was taken to the hospital, and is currently being treated, monitored and quarantined. The staff member is also quarantined at home for 14 days. At this time, there is no confirmation that the family member's illness is connected to the coronavirus outbreak, but out of an abundance of caution, the family member is being tested. Our initial understanding was that we would learn the test results in one day. However, during my conversation with Washington State Department of Health Epidemiologist Scott Lindquist, M.D., and representatives of Public Health Seattle & King County, I was told that the test results may take 5-7 days. For obvious reasons, I have made a formal request that the CDC provide more rapid results and I have asked other community leaders to push for the same.
With that said, the Department of Health this afternoon issued a letter that indicates their belief that the risk to students and staff is minimal and that they do not believe the current situation warrants closing Bothell High School. However, as we await the aforementioned test results, it is out of an abundance of caution that I have decided that Bothell High School will be closed tomorrow, Thursday, February 27. While today, our support services staff have been taking initial steps to disinfect the areas where the staff member traveled on the campus, we need more time to fully and completely disinfect the entire school as a preventive measure.
In addition, we are in the process of contacting the families of students and staff or visitors that the staff member came into contact with on Monday. I want to be clear that the staff member is not the individual who is being tested for the coronavirus. These steps are being taken out of an abundance of caution. In these unusual circumstances as the national picture continues to evolve – and with the strong presence of social media - I know it is easy to begin speculating and questioning. I ask for your patience and your respectful grace for our staff member, their family, and our school community.
In the meantime, we will continue to work at the district level to ensure that we are planning appropriate precautionary steps while we work through this health and safety challenge. We are working closely with the State Department of Health and our county health partners as we move through this process. Over the past several days, we have spent hours researching and in conversation with health authorities, UW Department of Global Health faculty, and the Office of the Superintendent of Public Instruction in efforts to learn how they can support our district prepare for any possible health emergencies.
The safety of our students and staff is our priority. Please be assured that we are working with individual families who seek guidance and those who express concerns. What we are able to provide is the latest information that comes from the Centers for Disease Control (CDC), the State Department, the World Health Organization and the Washington State Department of Health. As you will note on the CDC site, the majority of the countries that have seen coronavirus cases, including the United States, have not been escalated to a warning level 3. This means that there are no travel restrictions in place. However, this is a very fluid situation and the sites are updated regularly. I recommend you bookmark those sites so you can check them as you feel the need. Please also note that there has been only one confirmed case of coronavirus in Washington since January. That person received medical care and made a full recovery.
Additionally, the CDC indicated on Tuesday that the coronavirus is likely to spread in the United States in the coming weeks, and may have some effect on our daily routines. In addition to the health and safety of our students and staff, I am resolutely committed to continuing the education of students when they are out of school for extended periods of time. Last year’s snow and measles situations helped us to understand the importance of identifying innovative ways to educate students outside the traditional classroom, and we have been identifying mechanisms and processes for continuing student learning through extended unforeseen events should this become necessary.
In closing, I want to assure you that we weighed information and recommendations from a variety of public officials, university partners, and health professionals, and we believe we have made the best possible decision for our students, staff and families. We will continue to monitor the situation and update you as we have more information.
If you have any questions, please email communications@nsd.org and we will try to answer them as quickly as possible.
Warmest regards,
Michelle Reid, Ed.D.
Superintendent
Treyfish
Moderator
KHQ Local News
@KHQLocalNews
?
51m
WA Dept. of Health coronavirus teleconference: DoH expects virus to start spreading in Washington shortly:tiphat:https://twitter.com/KHQLocalNews [h=1]WATCH: Washington Department of Health discusses the Coronavirus[/h]
@KHQLocalNews
?
51m
WA Dept. of Health coronavirus teleconference: DoH expects virus to start spreading in Washington shortly:tiphat:https://twitter.com/KHQLocalNews [h=1]WATCH: Washington Department of Health discusses the Coronavirus[/h]
- Feb 27, 2020 Updated 50 min ago
- :tiphat:https://www.khq.com/news/watch-washi...ource=facebook
sharon sanders
Editor-in-Chief & President
Washington State Health Media conference:
2 new cases:
A student at Jackson High School in Everett, Snohomish County has tested positive , No travel history. Possible community transmission.
A woman, 50, who returned from South Korea and works in Seattle via Washington State Public Health media conference.
Expecting increasing cases. People need to decrease their risk. Do not go to school or work if sick. As more cases occur be ready for school closures and tele-working. May cancel mass events. Don't know what to predict at this point. Use NPI. Need to work together.
2 new cases:
A student at Jackson High School in Everett, Snohomish County has tested positive , No travel history. Possible community transmission.
A woman, 50, who returned from South Korea and works in Seattle via Washington State Public Health media conference.
Expecting increasing cases. People need to decrease their risk. Do not go to school or work if sick. As more cases occur be ready for school closures and tele-working. May cancel mass events. Don't know what to predict at this point. Use NPI. Need to work together.
sharon sanders
Editor-in-Chief & President
From: "Media@cdc.gov (CDC)" <sohco@CDC.GOV>
To: MMWR-MEDIA@LISTSERV.CDC.GOV
Subject: CDC Media Statement: CDC Announces Additional COVID-19 Presumptive Positive Cases
Date: Feb 28, 2020 11:30 PM
Media Statement
For Immediate Release
Friday, Feb. 28, 2020
Contact: CDC Media Relations
(404) 639-3286
CDC Announces Additional COVID-19 Presumptive Positive Cases
The Centers for Disease Control and Prevention (CDC) is aware of four new presumptive positive cases of COVID-19 announced by state public health authorities who are currently conducting investigations.
The four patients tested positive for the virus that causes COVID-19 in their respective states using the CDC-developed rRT-PCR. They are considered presumptive positive cases pending CDC confirmatory testing. However, CDC and State and local public health authorities are proceeding with public health investigations and response activities as if these were confirmed cases.
With both confirmed and presumptive positive cases, CDC recommends healthcare providers follow the Interim Infection Prevention and Control Recommendations for Patients with Confirmed Coronavirus Disease 2019 (COVID-19) or Persons Under Investigation for COVID-19 in Healthcare Settings.
These four cases bring the total number of COVID-19 cases detected through the U.S. public health system to 19.
The federal government has been working closely with state, local, tribal, and territorial partners, as well as public health partners, to respond to this public health threat. Unprecedented, aggressive efforts have been taken to contain the spread and mitigate the impact of this virus. CDC and federal partners have been preparing for the detection of additional instances of person-to-person spread of COVID-19 for weeks. The federal government will continue to respond aggressively to this rapidly evolving situation.
For more information about COVID-19 visit www.cdc.gov/covid19. [TABLE="border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD] [/TD]
[/TR]
[/TABLE]
To: MMWR-MEDIA@LISTSERV.CDC.GOV
Subject: CDC Media Statement: CDC Announces Additional COVID-19 Presumptive Positive Cases
Date: Feb 28, 2020 11:30 PM
Media Statement
For Immediate Release
Friday, Feb. 28, 2020
Contact: CDC Media Relations
(404) 639-3286
CDC Announces Additional COVID-19 Presumptive Positive Cases
The Centers for Disease Control and Prevention (CDC) is aware of four new presumptive positive cases of COVID-19 announced by state public health authorities who are currently conducting investigations.
- California has announced a second possible instance of community spread.
- Oregon has announced its first possible instance of community spread.
- The state of Washington has announced two presumptive cases. One is likely travel related. The other is the state’s first possible instance of community spread.
The four patients tested positive for the virus that causes COVID-19 in their respective states using the CDC-developed rRT-PCR. They are considered presumptive positive cases pending CDC confirmatory testing. However, CDC and State and local public health authorities are proceeding with public health investigations and response activities as if these were confirmed cases.
With both confirmed and presumptive positive cases, CDC recommends healthcare providers follow the Interim Infection Prevention and Control Recommendations for Patients with Confirmed Coronavirus Disease 2019 (COVID-19) or Persons Under Investigation for COVID-19 in Healthcare Settings.
These four cases bring the total number of COVID-19 cases detected through the U.S. public health system to 19.
The federal government has been working closely with state, local, tribal, and territorial partners, as well as public health partners, to respond to this public health threat. Unprecedented, aggressive efforts have been taken to contain the spread and mitigate the impact of this virus. CDC and federal partners have been preparing for the detection of additional instances of person-to-person spread of COVID-19 for weeks. The federal government will continue to respond aggressively to this rapidly evolving situation.
For more information about COVID-19 visit www.cdc.gov/covid19. [TABLE="border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD] [/TD]
[/TR]
[/TABLE]
Commonground
Senior Moderator
Two presumed new cases of coronavirus in Washington, including student in Snohomish County
Friday, February 28th 2020
Excerpt:
A student from Jackson High School in Mill Creek with no travel history is one of the people infected with the COVID-19 virus. The student started feeling ill Monday with body aches, chills and a headache, the department said. Health officials said the student returned to school when he started feeling better, before results Friday revealed the child was sick with coronavirus.
-snip-
The other presumed positive coronavirus test was a woman in her 50's from King County. Health officials said the woman traveled to Daegu, South South Korea Feb. 7-23 and returned to Seattle to work Monday before she felt symptoms Tuesday.
https://komonews.com/news/local/two-new-cases-of-coronavirus-including-student-in-snohomish-county
Friday, February 28th 2020
Excerpt:
A student from Jackson High School in Mill Creek with no travel history is one of the people infected with the COVID-19 virus. The student started feeling ill Monday with body aches, chills and a headache, the department said. Health officials said the student returned to school when he started feeling better, before results Friday revealed the child was sick with coronavirus.
-snip-
The other presumed positive coronavirus test was a woman in her 50's from King County. Health officials said the woman traveled to Daegu, South South Korea Feb. 7-23 and returned to Seattle to work Monday before she felt symptoms Tuesday.
https://komonews.com/news/local/two-new-cases-of-coronavirus-including-student-in-snohomish-county