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CoVID-19: Things to know right now

NEW QUARANTINE GUIDANCE

 
Following consultation with the Boone County Health Department, ZCS will be honoring the new quarantine guidance as authorized by the CDC.  Details on the new guidance can be found here.  We are expecting updates to the Indiana State Department of Health website soon. Below we supply both infographic and bulleted list versions of the relevant new quarantine guidance information. 
New Quarantine Guidance
CoVID-19 positive cases will continue to isolate for 10 days from symptom onset or 10 days from the date of the positive test being drawn in asymptomatic cases.

Close contacts will be informed of a 10 day quarantine from their last date of contact with the CoVID-19 positive person.  For example, if a student we’ll call Maximus was with someone today who tests positive tomorrow, Day zero in the quarantine duration calculation for Maximus is today (12/3 – last date of contact), so his quarantine is through December 13, 2020 with a return to activities and school date of 12/14/20—as long as he remains symptom free. Maximus will be encouraged to continue monitoring for symptoms.  Maximus MUST remain symptom free throughout the quarantine to return after the 10 day quarantine. Otherwise, he would be reported as symptomatic and receive updated return to school information—particularly if he were tested upon having symptoms.

As you may have read/heard, the CDC also issued seven (7) day quarantine parameters, which we will honor in what will likely be the few situations that families can meet the testing limitations of this approach.  Remember that we work under the guidance of public health officials with Boone County and the State of Indiana, and we will adhere to their specific guidance. If families request the seven (7) day quarantine duration, the specified testing date and DOCUMENTATION* of the negative test result will need to be followed to speed up the return to school date. In the example with our friend, Maximus, above, the school or district contact tracing team member would honor a negative test for Maximus, but insist that he must test on Day five (5) or after from last contact with the CoVID-19 positive person. Thus, in this example, Maximus MAY NOT test until o12/8/2020. Assuming Maximus tests negative and gets the proper documentation* quickly enough, he may be able to return to school on 12/10 or 12/11—or more likely, he may end up waiting on results and then return on 12/14. 
 
IMPORTANT NOTES:
 
CoVID-19 has an incubation period. Some have complained of last contact dates that were several days past. This is because reporting about CoVID-19 positive cases or symptom onsets rarely happens near to real time. This confusion persists during our contact tracing calls, but specific date examples assist with understanding.
 
ZCS is not reaching out to the nearly 300 quarantined individuals recently noticed by us. They are each on separate contact forms to foster confidentiality, and we simply haven’t the bandwidth to do this while keeping up with positive cases being reported due to Thanksgiving holiday travel/gatherings. However, we will do our best to accommodate these requests as they present.

 

DOCUMENTATION:  School officials are advised to accept negative results of PCR and antigen tests only if there is sufficient information as to the date of testing, the individual tested, and the actual indication of a negative test result. If this is not supplied, a physician, physician’s assistant, or nurse practitioner statement of the negative test result will need to be supplied before a quarantine is shortened.
The CoVID-19 picture continues to be reframed by various changes. Thank you for your diligent, daily use of the ZCS CoVID-19 Screener with integrity. We are all in this together, and even when nerves are strained by the attendant ambiguities of the pandemic, we are grateful for you—and for the public health officers at the county and state level who continue to work in support of our school community’s safety.

NEW SCREENING

 

ISDH has updated the *COVID-19 Screening for Parents (8/27/20)
Please review this information as 
some of the symptoms associated with COVID-19 have changed Please be advised that ANY one of the symptoms may be related to COVID-19.   


What do I do if my child has symptoms (as of 8.27.20)

  1. Please keep your child home if they are having ANY of the symptoms, even just one:

    Fever (100.4 F) or higher or chills
    Sore Throat
    Diarrhea, Nausea, Vomiting, or abdominal pain
    Cough or Shortness of Breath, especially new onset or uncontrolled cough
    New onset of severe headache, especially with fever
    New loss of taste or smell
 

NEW GUIDANCE: If you are keeping one child home due to symptoms, all children in the home are to be kept home per the ISDH guidelines.  Per the guidelines, all siblings and household members should remain home in quarantine.

  1. Contact a healthcare provider to help determine if these symptoms are related to COVID or there is another reason for the symptoms.  
  2. Follow the healthcare providers recommendations- this may include testing and/or isolating at home.  
  3. Return to school will vary based upon testing results, close contact status, and physician statements regarding alternative diagnosis.  

    Please SEE THIS LINK for information shared with us by the Indiana State Department of Health.https://documentcloud.adobe.com/link/review?uri=urn:aaid:scds:US:716c09b2-4dbd-41d6-a410-f14febf69c4d


All siblings and household members should remain home until test results have been reported AND the provider has determined if symptoms for the child require isolation and quarantine of close contacts. 

 

New-- If your child has been sent home with symptoms from school, the siblings will need to be picked up and stay home (see quarantine information below).

 

If you choose to not contact a provider your child can return to school in 10 days if fever free for at least 24 hours AND symptoms are improving.  Siblings and household members will  have to stay home for 14 days and quarantine.  However, if a sibling in quarantine becomes sick they will have to then stay home for 10 days starting from the day after symptoms started. 

 

When should I isolate?

 

The following persons should isolate:

  • A positive COVID-19 test OR
  • A provider diagnosis for COVID-19 that advises the person to isolate (regardless of test results COVID cannot be ruled out).  


Isolation means keeping sick people away from healthy ones. For COVID-19, this means that the sick person stays in a separate bedroom or separate area of the home and stays away from others. This includes staying home from school and any activities. Currently, guidance from the Centers for Disease Control and Prevention (CDC) states that COVID-19 positive people with symptoms isolate for 10 days from the start of their symptoms, be fever-free for 24 hours without the use of fever-reducing medication and show improvement of symptoms. Individuals who test positive without symptoms should isolate for 10 days from the date their sample was collected. For additional information see https://www.coronavirus.in.gov/files/Family%20quarantine_10-22-20.pdf.


When should I quarantine?

 

The following persons should quarantine:

A sibling, family member or household member who lives in the same household as a person who is

  • Sick with a COVID related symptom(s)
  • Undergoing evaluation by a provider for COVID-19 symptoms
  • Waiting for test results 


Quarantine 
means separating people who were exposed to someone who was sick. Since people who were around other sick people are more likely to get sick themselves, quarantine prevents them from unintentionally spreading the virus to other people even before they realize they are sick. This includes staying home from school and other activities. Currently, the CDC advises that close contacts of COVID-19 positive people quarantine for 14 days after the last exposure with the COVID-19 positive person, even if they have a negative test. For additional information see https://www.coronavirus.in.gov/files/Family%20quarantine_COVID-19_8-26-20.pdf.

 

Who is considered a close contact?

 

An individual is considered a close contact if any of following when

  • You were within 6 feet of someone who has COVID-19 for a total of 15 minutes or more. This could be a single encounter of more than 15 minutes or multiple encounters within a single day that add up to more than 15 minutes.
  • You provided care at home to someone who is sick with COVID-19
  • You had direct physical contact with the person (hugged or kissed them)
  • You shared eating or drinking utensils
  • They sneezed, coughed or somehow got respiratory droplets on you


Keep in mind that anyone who lives with or stayed overnight for at least one night in a household with the infected person while he or she was infectious is at highest risk.


In addition, ZCS works with the Boone County Health Department (BCHD) confirm close contact status identified by our trained (Johns Hopkins University) contact tracers including what activities may put a person at greater risk of exposure.  We are conservative in our approach in order to prevent or slow the potential for spread of the virus.  This is to allow ZCS to continue to offering in-person educational opportunities and activities.  


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