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執行董事 Michael T. Phillips 2020年8月7日
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親愛的醫院居民和家人,
我們感謝我們的居民和居民家庭在這個充滿挑戰的時刻的持續努力。我們知道這並不容易。但是我們也知道,我們最終將擺脫這一大流行。同時,我們感謝您和您的家人在這段非凡的時間裡所做的犧牲。您一直是我和整個LHH醫院家庭的靈感來源。
自3月第一個已知病例以來,我們醫院總共有77例病例,其中55例在員工中,22例在居民中。我們很幸運有47例康復的員工案例和21例康復的居民案例。
本週的信件包括LHH醫院的COVID-19響應的操作更新。如果您對醫院對COVID-19大流行的反應或我們社區的安全與健康有任何疑問,您的居民護理團隊將為您解答。
LagunaHonda.org上的COVID-19儀錶盤
向您提供準確及時的有關我們對COVID-19的回复的信息是當務之急。我們在網站上啟動了一個新頁面,您可以在其中找到COVID-19資源以及包含居民和員工COVID-19數據的儀表板。這些儀表板每天更新一次,包括自三月以來的總病例,活動病例,恢復的病例和死亡人數。幸運的是,我們在醫院家庭尚無COVID-19死亡。請訪問以下頁面:lagunahonda.org/covid19/chinese COVID-19預防和管理更新
在LHH醫院,隨著我們對病毒的更多了解,我們正在不斷調整對流感大流行的反應。我們仔細審查了疾病控制與預防中心(CDC)以及加利福尼亞公共衛生部(CDPH)和舊金山公共衛生部(SFDPH)的新建議。
根據新的建議,我們將在8月10日星期一開始對COVID-19恢復的定義進行更改,並對測試COVID-19呈陽性的員工和居民的測試時間表進行一些更改。請參閱以下有關更改的更多信息:
1.更新了已恢復的COVID-19病例的定義
這種更改對醫院是什麼意思?
如果居民沒有症狀並且對COVID-19呈陰性,則可以在專用的COVID-19單元中待十天后返回家鄉。同樣,如果員工沒有症狀並且對COVID-19呈陰性,則可以在隔離10天后恢復工作。
康復的員工和居民對LHH社區沒有任何風險。至關重要的是,我們所有人在康復後都歡迎他們加入我們的社區。
我們為什麼要進行這些更改?
隨著我們對病毒的了解越來越多,我們現在知道,如果十天后沒有任何症狀出現,個人就無法感染他人。
2.更新重新測試恢復人員和居民的時間
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自最初的負面測試以來,經過康復 的工作人員和居民必須經過三個月的測試。 唯一的受害是居民或員工出現症狀時。經過三個月後,居民將恢復每兩週的標准通用測試節奏,而工作人員將根據部門恢復其標准通用測試節奏。
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通過監視和聯繫調查串行測試(也稱為暴露測試)對恢復的員工和居民進行必要的測試。
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無需更改-恢復的員工和居民將通過監視和聯繫調查串行測試(也稱為暴露測試)進行必要的測試,無論自恢復日期以來經過了多長時間。
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這更改對醫院是什麼意思?
康復的居民和員工在恢復日期後的三個月內將不會進行測試,除非他們出現了COVID-19症狀。迄今為止,LHH醫院已有77例COVID-19病例,而且我們的陽性率很低,值得慶幸的是,這不會影響許多員工或居民。
我們為什麼要進行這些更改?
隨著我們對病毒的了解越來越多,研究表明,從COVID-19中恢復的個體可能會因為死亡或失活的病毒而在未來的測試中獲得積極的結果。由康復者散播的無活性病毒無法傳播該病毒並感染任何人。當前用於診斷COVID-19感染的測試無法區分活病毒和死病毒。如果過早地對恢復者進行重新測試,我們會產生誤報,並在員工對我們的社區沒有任何風險的情況下,不必要地將其送回自我隔離狀態,並讓居民返回指定的COVID-19部門。
有一種想法認為,一旦某人測試呈陽性,他們就會產生抗體並且不會被再次感染。我們沒有足夠的有關病毒和人類免疫反應的信息來獲得。
明確的答案,因此我們將繼續通過通用測試(包括通過上述節奏恢復的人)測試所有醫院居民和員工,直到我們進一步了解該病毒為止。
感謝您一直以來的適應性。請注意,隨著我們了解更多,我們將繼續做出更改,以確保我們對COVID-19的回應最為有效。
請繼續通過社交活動,戴 口罩 /面罩,並經常洗手,來幫助我們對抗這種病毒。我們要求您與我們保持一致:它正在工作,正在挽救生命。
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Michael T. Phillips, MHA, FACHE 執行董事 敬上
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Dear Laguna Honda Residents and Families,
We are grateful to our residents and our resident families for your continued strength during this challenging time. We know this has not been easy. But we also know that we will eventually get past this pandemic. In the meantime, we appreciate the sacrifices that you and your families are making during this extraordinary time. You have been an inspiration to me and to the entire Laguna Honda Family.
At LHH, we have had 77 total cases since our first known case in March—55 cases among staff and 22 among residents. We are fortunate to have 47 recovered staff cases and 21 recovered resident cases.
This week’s letter includes operation updates to LHH’s COVID-19 response. If you have any questions about LHH’s response to the COVID-19 pandemic or the safety and wellness of our community, your resident care team is here to answer them.
COVID-19 Dashboards on LagunaHonda.org Providing you with accurate and timely information about our response to COVID-19 is a top priority. We have launched a new page on our website where you can find COVID-19 resources as well as dashboards with both resident and staff COVID-19 data. These dashboards are updated daily and include total cases since March, active cases, recovered cases, and deaths. Fortunately, we have had no COVID-19 deaths at LHH. Visit the page here: lagunahonda.org/covid19.
COVID-19 Prevention and Management Updates At LHH we are continually adapting our response to the pandemic as we learn more about the virus. We closely reviewed new recommendations from the Centers for Disease Control and Prevention (CDC) as well as the California Department of Public Health (CDPH) and the San Francisco Department of Public Health (SFDPH).
Based on new recommendations, we will begin implementing changes on Monday, August 10 to our definition of a COVID-19 recovery as well as some changes to our testing schedule for staff and residents who test positive for COVID-19. Please see below for more information about the changes: Updates to the Definition of a Recovered COVID-19 Cases
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14-days minimum of self-isolation
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10-days minimum of self-isolation
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Two negative COVID-19 tests 24-hours apart
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One negative COVID-19 test
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What this change means for LHH? Residents may return to their home neighborhoods after ten days in the dedicated COVID-19 unit if they have no symptoms and test negative for COVID-19. Similarly, staff may return to work after ten days in self-isolation if they have no symptoms and test negative for COVID-19.
Staff and residents who recover pose no risk to the LHH community. It is critical that we all welcome them to our community upon recovery.
Why are we making these changes? As we learn more about the virus, we now know that individuals are not capable of infecting others when no symptoms are present after ten days. Updates to the Timing of Retesting Recovered Staff and Residents
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Recovered staff and residents join the regular universal testing schedule
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Recovered staff and residents will only be tested after three months have passed since their initial negative test. The only exception is if a resident or staff develops symptoms. After three months pass, residents will resume their standard universal testing cadence of every two weeks and staff will resume their standard universal testing cadence, depending on department.
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Recovered staff and residents will only be tested after three months have passed since their initial negative test. The only exception is if a resident or staff develops symptoms. After three months pass, residents will resume their standard universal testing cadence of every two weeks and staff will resume their standard universal testing cadence, depending on department.
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No changes – recovered staff and residents will be tested as-needed through surveillance and contact investigation serial testing (also known as exposure testing) regardless how much time has elapsed since their recovery date.
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What this change means for LHH? Recovered residents and staff will not be tested for three months after their recovery date, unless they develop COVID-19 symptoms. LHH has had 77 COVID-19 cases to-date and with our low-positive rate, thankfully this will not impact many staff or residents.
Why are we making these changes? As we learn more about the virus, research has shown that individuals who have recovered from COVID-19 may have positive results on future tests because they are shedding dead, or inactive, virus. The inactive virus that is shed by persons who have recovered is incapable of transmitting the virus and infecting anyone. The current test used to diagnose COVID-19 infection cannot differentiate between live virus and dead virus. In retesting recovered persons too soon, we can have false positives and unnecessarily send staff back into self-isolation and residents back to the designated COVID-19 unit when they pose no risk to our community.
There is some thinking that once someone tests positive, they will develop antibodies and cannot become re-infected. We do not have nearly enough information about the virus and the human immune response to have a definitive answer so we will continue testing all LHH residents and staff through universal testing (including those who have recovered through the cadence described above) until we learn more about the virus.
Thank you for your continued adaptability. Please know that we will continue to make changes as we learn more to ensure our response to COVID-19 is most effective.
Please continue to help us fight this virus by social distancing, wearing a face covering, and washing your hands frequently. We ask that you stay the course with us: it is working, and it is saving lives.
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Sincerely,
Michael T. Phillips, MHA, FACHE Chief Executive Officer
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