Coronavirus Update

Coronavirus Update
Posted on 05/12/2020

Coronavirus Update 5/12/2020

***NS Peds now offering some telemedicine visits! Please contact our team to schedule.***

5/12/2020 updates including office & scheduling changes, antibody testing, and guidelines for families returning to work & daycares

Patient Instructions for Quarantine

coronavirusWhat is Coronavirus?

- COVID-19, is a new strain of Coronavirus. It is in the same family of viruses as SARS and MERS

How is it transmitted?
- Coronavirus is transmitted through droplets spread through cough, sneezing or touch

What are the symptoms and how serious is it?
- Cough, fever, shortness of breath, and/or muscle aches. Some notice significant loss of appetite and/or loss of smell. Symptoms can range from asymptomatic or mild to severe.
- Most people in China had mild disease, including most children. Most of the serious cases were in older patients and/or patients with complex medical conditions.
- You can find more information on a very rare inflammatory syndrome reported in some children: Pediatric Multi-System Inflammatory Syndrome

How is it treated?
- Currently there is no specific treatment or vaccine for Coronavirus. Treatment is supportive care to help relieve symptoms. However, some companies are working on vaccines and treatment, so it may be available in the future.
There are no drugs or other therapeutics approved by the US Food and Drug Administration to prevent or treat COVID-19 currently. Current clinical management includes infection prevention and control measures and supportive care, including supplemental oxygen and mechanical ventilatory support when indicated.

How can it be prevented?
- Best way to prevent is good hand washing with soap and water for at least 20 seconds. If soap/water not available, use hand sanitizer with at least 60% alcohol
- Avoid touching hands to face and eyes.
- If you are sick, stay home. Cough or sneeze into your elbow if you have no mask.
- Avoid close contact with people who are sick.
- Clean surfaces regularly with products labeled effective against bacteria and viruses.
- If you are sick and coughing it is recommended to wear a mask to prevent you from spreading it to others.
- As masks are in short supply, you can use any thick scarf or bandana to cover nose and mouth to prevent spread of droplets.

What to do if you are exposed or you think you may have or at risk for Coronavirus?
- If you have had contact with someone with COVID19 or think you may have contracted the virus please call your doctor for medical advice.
- If you are having any respiratory distress, go to the ER, let them know you are at risk for Coronavirus

Wear a mask. Save a life.Protecting yourself and the community
- Keep yourself informed and know where to find up to date information (CDC.gov, azdhs.gov, who.int)
- Know the signs and symptoms of COVID-19 and what to do if you are sick
- Wash your hands, clean surfaces regularly, practice good hygiene control measures
- If you are sick, please stay home!! Refer to the Patient Instructions for Quarantine handout if instructed to self quarantine by your provider.
- Arizona's stay-at-home order expires May 15. As the economy in Arizona reopens, here are some guidlines on recommended continued physical distancing measures (including recommendations on returning to work, school, and camps) to keep your family safe: Social Distancing After AZ Reopening. Ultimately it will be up to you and your family to decide what feels right and comfortable for you regarding resuming activities or spending time with others, while taking these different considerations into mind.
The AAP is advising against play dates and outside play on play structures/playgrounds.
- We must all adapt to disruptions in our regular routines (i.e. telecommuting, school closures, event cancellations) and follow advice from our local/state officials.
- Avoid nonessential travel
 
What is our office is doing to keep your family safe?
- Through May, at our Ironwood location we will continue to be seeing well visits only, while at our Deer Valley location we will be seeing well visits in the mornings and will reserve the afternoons for sick visits. Saturday sick clinic is also temporarily being held at our Deer Valley office location.
- We are offering telemedicine appointments when an in-person exam is not required.
- Our schedulers will be scheduling any sick appointments with fever or cough to make sure that patients are screened appropriately. Other sick visits can still be scheduled through the portal.
- We are currently seeing children of all ages for their well checks.
- Our staff and cleaning company are taking extra precautions to make sure both offices are appropriately cleaned.
- We are checking everyone's temperature at the front desk during "well" hours and anyone who has a fever will need to be rescheduled during our "sick" hours.
- Our staff and providers are wearing protective equipment and are monitoring frequently for any signs of infection.

Testing for Coronavirus
- There us currently still a limited capacity to test patients for Coronavirus even though LabCorp and Sonora Quest are now offering outpatient testing.  
- We are currently testing patients based on symptoms and history.
* If your child is well with NO symptoms, no testing is currently recommended for Coronavirus.  However, if your child has had direct contact with someone who has tested positive for COVID-19, please call our office for further guidance.
* If your child has had fever (100.4 or higher) and/or cold symptoms (including cough or shortness of breath) AND has been exposed to someone who has tested positive for COVID-19, please notify our office as they may meet criteria for testing. Please DO NOT come to the office before notifying us so we can take the proper precautions to keep our patients and staff safe.
- We understand that antibody testing for Coronavirus is very much in the news. While we hope that this will help us identify who has had COVID-19, the tests are still very new and haven’t been thoroughly studied over time to know how accurate the tests are and how we will use these tests to manage our patients. Our current recommendation is until we know more about whether these antibody tests are accurate and useful, we are not routinely recommending antibody testing. As more information is known, we may change our position. If you have any additional questions or any extenuating circumstance that you need to discuss, please make an in-person or telemedicine appointment with your doctor. Here are some issues with antibody testing:
· Not very good for checking if you are acutely infected as it takes several weeks for antibodies to appear
· We don’t know how accurate these tests are. May miss those who have antibodies or can falsely positive.
· Too early to know if having antibodies means you are protected. We may find people can get re-infected, so may give false sense of security.
· Too early to know if having antibodies is a good way to tell if you are safe to go back to work/school or safe from being infective to others
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Important Travel Restrictions
- Delay travel plans if able. Travel by car when circumstances permit.  
- For up to date information on travel recommendations please refer to: www.cdc.gov

What is the risk for Maricopa County and Arizona?
- Our area now has widespread community transmission.
- For best up to date information on risk in Arizona and Maricopa county: www.maricopa.gov/coronavirus

Helpful Links & Resources:
CDC Coronavirus Symptom Self-Checker
Patient Instructions for Quarantine
CDC Coronavirus
Maricopa County Health Department
Social Distancing After AZ Reopening
Breastfeeding Guidelines
Activity Ideas for Kids
Helping Your Kids Cope
Parent Coaching available from our Behavioral Health team

North Scottsdale Pediatrics

  • Ironwood Office - 9827 N. 95th St. Suite 105, Scottsdale, AZ 85258 Phone: (480)-860-8488
  • Deer Valley Office - 21807 N. Scottsdale Rd., Scottsdale, AZ 85255 Phone: (480)-860-8488

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