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Workplaces During the COVID-19 Pandemic
From the Document: "The purpose of this tool is to assist employers in making (re)opening decisions during the COVID-19 [coronavirus disease 2019] pandemic, especially to protect vulnerable workers. It is important to check with state and local health officials and other partners to determine the most appropriate actions while adjusting to meet the unique needs and circumstances of the local community."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services
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Restaurants and Bars During the COVID-19 Pandemic
From the Document: "The purpose of this tool is to assist businesses in the food service industry, such as restaurants and bars, in making (re)opening decisions during the COVID-19 [coronavirus disease 2019] pandemic. It is important to check with state and local health officials and other partners to determine the most appropriate actions while adjusting to meet the unique needs and circumstances of the local community."
United States. Department of Health and Human Services; Centers for Disease Control and Prevention (U.S.)
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Order Under Sections 362 & 365 of the Public Health Service Act (42 U.S.C. §§ 265, 268): Amendment and Extension of Order Suspending Introduction of Certain Persons from Countries Where a Communicable Disease Exists
From the introduction: "I am amending the Order Suspending Introduction of Certain Persons from Countries Where a Communicable Disease Exists, issued on March 20, 2020 (hereinafter, March 20, 2020 Order or Order) and extended on April 20, 2020 (hereinafter, April 20, 2020 Extension or Extension), to clarify that it applies to all land and coastal Ports of Entry (POEs) and Border Patrol stations at or near the United States' border with Canada or Mexico that would otherwise hold covered aliens in a congregate setting. I am extending the duration of the Order until I determine that the danger of further introduction of COVID-19 [coronavirus disease 2019] into the United States has ceased to be a serious danger to the public health, and continuation of the Order is no longer necessary to protect the public health. Every 30 days, the Centers for Disease Control and Prevention (CDC) shall review the latest information regarding the status of the COVID-19 pandemic and associated public health risks to ensure that the Order remains necessary to protect the public health. Upon determining that the further introduction of COVID-19 into the United States is no longer a serious danger to the public health necessitating the continuation of this Order, I will publish a notice in the Federal Register terminating this Order and its Extensions."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services
Redfield, Robert R.
2020-05-19
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What Airline Workers Need to Know About COVID-19: Airport Custodial Staff
From the Document: "As airport custodial staff, how can I protect myself? As an airport custodial staff, while the general risk remains low, potential sources of exposure could include handling solid waste or cleaning public facilities (such as waste bins, tables, chairs, basins, toilets) with which a person with COVID-19 [coronavirus disease 2019] has interacted or by touching your mouth, nose, or eyes."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services
2020-04-23
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What Airline Workers Need to Know About COVID-19: Airport Passenger Assistance Workers
From the Document: "As an airport passenger assistance worker, how can I protect myself? As an airport passenger service worker, potential sources of exposure can occur from assisting, transporting, or escorting a person with COVID-19 [coronavirus disease 2019] and their belongings or by touching your mouth, nose, or eyes."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services
2020-04-23
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Coronavirus Disease 2019 (COVID-19) Fatality Management Tabletop Exercise [presentation]
This presentation contains details on COVID-19 fatality management for government, private sector, and nonprofit groups. This document is organized as follows: "[1] Exercise Objectives and Outcomes; [2] Scenario Overview: [A] Confirmed COVID-19 Cases [B] Hospitalizations and Deaths; [3] Facilitated Discussion[.]"
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-03-26?
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CARE: Check and Record Everyday
From the Document: "You have received this booklet of important health information because you traveled from a country with an outbreak of COVID-19 [coronavirus disease 2019]. COVID-19 is a respiratory illness caused by a virus that can spread from person to person. If you have returned from a country where quarantine orders are required such as Hubei Province China, you will be monitored by the public health department in your destination state. Monitoring will include agreements or legal orders such as a quarantine order. [...] If you have returned from a country with widespread transmission of COVID-19, stay home and self-monitor for 14 days from the time you left the country."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services
2020-03-12
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Suspension of Survey Activities
From the Background: "CMS [Centers for Medicare & Medicaid Services] is committed to taking critical steps to ensure America's health care facilities and clinical laboratories are prepared to respond to the threat of the COVID-19 and other respiratory illness. Specifically, CMS is suspending non-emergency inspections across the country, allowing inspectors to turn their focus on the most serious health and safety threats like infectious diseases and abuse. This shift in approach will also allow inspectors to focus on addressing the spread of the coronavirus disease 2019 (COVID-19). CMS is issuing this memorandum to State Survey Agencies to provide important guidelines for the inspection process in situations in which a COVID-19 is suspected."
Centers for Medicare & Medicaid Services (U.S.); United States. Department of Health and Human Services
2020-03-04
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COVID-19: Recommended Preventative Practices and FAQs for Faith-Based and Community Leaders
From the Document: "Faith-based and community leaders continue to be valuable sources of comfort and support for their members and communities during times of distress, including the growing presence of COVID-19 in different parts of the country. As such, these leaders have the unique ability to address potential concerns, fears, and anxieties regarding COVID-19. Additionally, by reiterating simple hygienic precautions and practices, these leaders can broadly promote helpful information, managing fear and stigma, and restoring a sense of calm into the lives of those in their care. Such leaders are also poised ― through their acts of service and community relationships ― to reach vulnerable populations with essential information and assistance. These acts of service are an essential part of the safety net for the vulnerable in their communities."
Center for Faith-Based and Community Initiatives (United States. Department of Health and Human Services)
2020-03-17?
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Private Sector Exercise in a Box Materials
From the Document: "This pandemic tabletop exercise was based on the Crimson Contagion Exercise Series and intended to support private sector pandemic preparedness and to enhance ongoing COVID-19 [coronavirus disease 2019] response operations. The following products can be easily customized and are geared towards owners/operators, company legal counsel, communications teams, human resources, and other private sector leaders."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020?
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Guidance on Preparing Workplaces for COVID-19
From the Introduction: "The Occupational Safety and Health Administration (OSHA) developed this COVID-19 planning guidance based on traditional infection prevention and industrial hygiene practices. It focuses on the need for employers to implement engineering, administrative, and work practice controls and personal protective equipment (PPE), as well as considerations for doing so. This guidance is intended for planning purposes. Employers and workers should use this planning guidance to help identify risk levels in workplace settings and to determine any appropriate control measures to implement. Additional guidance may be needed as COVID-19 outbreak conditions change, including as new information about the virus, its transmission, and impacts, becomes available."
United States. Occupational Safety and Health Administration; United States. Department of Labor; United States. Department of Health and Human Services
2020-03
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ASPR TRACIE Technical Assistance: Infectious Disease/COVID-19 Drive-Through Testing
From the Document: "ASPR TRACIE [Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange] compiled and synthesized information from the Centers for Disease Control and Prevention (CDC), local and state health departments, and other open sources. This response highlights resources for healthcare system emergency preparedness planners to use while preparing for and responding to infectious disease outbreaks with drive-through clinic models. Considerations and lessons learned from these materials are also gathered and provided as points for consideration. ASPR TRACIE reached out to members of its Subject Matter Expert Cadre for information and will update this document with additional operational resources and guidance documents as they become available."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-03-16
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Emergency Medical Treatment and Labor Act (EMTALA) Requirements and Implications Related to Coronavirus Disease 2019 (COVID-19)
From the Memorandum Summary: "This Memorandum conveys information in response to inquiries from hospitals and critical access hospitals (CAHs) concerning implications of COVID-19 [coronavirus disease 2019] for their compliance with EMTALA [Emergency Medical Treatment and Labor Act]. This guidance applies to both Medicare and Medicaid providers. [...] Every hospital or CAH with a dedicated emergency department (ED) is required to conduct an appropriate medical screening examination (MSE) of all individuals who come to the ED, including individuals who are suspected of having COVID-19, and regardless of whether they arrive by ambulance or are walk-ins. Every ED is expected to have the capability to apply appropriate COVID-19 screening criteria when applicable, to immediately identify and isolate individuals who meet the screening criteria to be a potential COVID-19, to contact their state or local public health officials to determine next steps. [...] In the case of individuals with suspected or confirmed COVID-19, hospitals and CAHs are expected to consider current guidance of CDC and public health officials in determining whether they have the capability to provide appropriate isolation required for stabilizing treatment and/or to accept appropriate transfers. In the event of any EMTALA complaints alleging inappropriate transfers or refusal to accept appropriate transfers, CMS [Centers for Medicare & Medicaid Services] will take into consideration the public health guidance in effect at the time."
Centers for Medicare & Medicaid Services (U.S.); United States. Department of Health and Human Services
2020-03-09
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Crisis Standards of Care and Civil Rights Laws
From the Purpose: "The purpose of this document is to highlight language from the National Academies of Science, Engineering and Medicine (NASEM), the Department of Health and Human Services Office of Civil Rights (DHS OCR), the Federal Emergency Management Agency (FEMA), and relevant law which support the adherence to civil rights laws and disability rights laws in the application of Crisis Standards of Care during resource-constrained emergencies, such as the COVID-19 [coronavirus disease 2019] pandemic."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
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COVID-19 Hospital Resource Package
From the Document: "This document lists key COVID-19 [coronavirus disease 2019] guidance and resources for hospital administrators, hospital emergency planners, and infection control practitioners in the following topical areas: hospital surge, crisis standards of care, staffing surge and resilience, workforce protection, regulatory relief, equipment supply surge, and telemedicine. Each section contains links to Federal and non-Federal guidance to help hospitals prepare for and respond to a COVID-19 outbreak. These sections are then broken down into sub-sections with guidance that can be used during a crisis/actual patient surge, or when a hospital is in the planning phase for the crisis/patient surge. All guidance in this document is accessible to the public, and disclaimers are included for non-Federal resources."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
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Enforcement Policy for Remote Ophthalmic Assessment and Monitoring Devices During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency: Guidance for Industry and Food and Drug Administration Staff
From the Introduction: "The Food and Drug Administration (FDA or the Agency) plays a critical role in protecting the United States from threats such as emerging infectious diseases, including the Coronavirus Disease 2019 (COVID-19) pandemic. FDA is committed to providing timely guidance to support response efforts to this pandemic. FDA is issuing this guidance to provide a policy to help expand the capability of remote ophthalmic assessment and monitoring devices to facilitate patient care while reducing patient and healthcare provider contact and exposure to COVID-19 during this pandemic. This policy is intended to remain in effect only for the duration of the public health emergency related to COVID-19 declared by the Department of Health and Human Services (HHS), including any renewals made by the HHS Secretary in accordance with section 319(a)(2) of the Public Health Service (PHS) Act."
United States. Department of Health and Human Services; United States. Food and Drug Administration
2020-04
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NIAID Strategic Plan for COVID-19 Research FY2020-FY2024
From the Executive Summary: "The National Institute of Allergy and Infectious Diseases (NIAID) at the United States (U.S.) National Institutes of Health (NIH) is committed to safeguarding the health of Americans and people around the world by accelerating research efforts to prevent, diagnose, and treat COVID-19 [coronavirus disease 2019] and characterize the causative agent of this disease, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This 'NIAID Strategic Plan for COVID-19 Research' builds on current trans-NIAID efforts to better understand SARS-CoV-2 pathogenesis, transmission, and mechanisms of protective immunity by expanding resources and activities that support rapid development of biomedical tools to more effectively combat this disease and pandemic. Given the urgency of the public health response, studies that inform efforts to control virus spread and mitigate morbidity and mortality, including therapeutic and vaccine development, are the priority. In addition, it is essential to develop rapid, accurate, point-of-care diagnostics--a critical asset to mitigating the spread of COVID-19."
National Institute of Allergy and Infectious Diseases (U.S.); United States. Department of Health and Human Services
2020-04-22
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Federal Healthcare Resilience Task Force Alternate Care Site Toolkit: Second Edition
From the Purpose: "This Toolkit is guidance and was developed to help state, local, tribal, and territorial (SLTT) entities address potential capacity and capability gaps in healthcare systems during the 2020 SARS-CoV2 [severe acute respiratory syndrome coronavirus 2] virus (COVID-19) pandemic. It is intended to provide guidance and technical assistance to SLTT entities in establishing and operationalizing Alternate Care Sites (ACS) used to care for COVID-19-positive or presumed positive patients. If an ACS is used to treat non-COVID-19 patients, additional considerations will apply."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-04-21
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Early Warning Infectious Disease Surveillance (EWIDS) Project: Guidance to Assist the Mexican Border States and the Mexican Secretariat of Health in Preparing Proposals to Enhance and Upgrade Surveillance and Epidemiology Capabilities for Infectious Diseases Along the U.S.-Mexico Border
"Terrorism is an ever-present threat in our times. Bioterrorism is of special concern because its human consequences can be so devastating, its weapons relatively easy to obtain and disseminate, and its effects often not detectable for days or even weeks. The ability of a bioterrorist attack to create massive numbers of casualties (on a scale that overshadows other forms of terrorism) makes bioterrorism today's most dangerous threat. For this reason, the U.S. Government has assigned the highest priority to developing nation-wide domestic capabilities to prepare for and respond to bioterrorism and other outbreaks of infectious diseases. A terrorist-triggered outbreak of a dangerous and highly communicable disease such as smallpox would require a concerted response by the public health emergency response system to prevent catastrophic mortality and morbidity. Because pathogens do not recognize or respect geopolitical boundaries and travelers who cross the border into Mexico from the United States (and vice versa) can spread a contagious disease rapidly, early warning surveillance and prompt sharing of findings of concern among the six Mexican and four U.S. states along the U.S.-Mexico border and beyond is a public health and national security imperative."
United States. Department of Health and Human Services; United States-Mexico Border Health Commission
2004-09-01
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We Heard the Bells: The Influenza of 1918 [video]
From the Video Description: "In 1918-1919, the worst flu in recorded history killed an estimated 50 million people worldwide. The U.S. death toll was 675,000 - five times the number of U.S. soldiers killed in World War I. Where did the 1918 flu come from? Why was it so lethal? What did we learn?" The duration of this video is 56 minutes and 49 seconds.
United States. Department of Health and Human Services; Centers for Medicare & Medicaid Services (U.S.)
2010-01
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Guidance on Interpreting COVID-19 Test Results
This guidance outlines information on possible testing outcomes for the COVID-19 (coronavirus disease 2019) viral and antibody tests. Interpretations and recommended actions for each result is also provided.
United States. Department of Health and Human Services; United States. White House Office
2020-05-06?
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Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of the COVID-19 Pandemic
From the Document: "During the early days of the Coronavirus disease 2019 (COVID-19) pandemic in the US from March through May 2020, Medicare primary care in-person visits plummeted, but as a result of the flexibilities introduced to address the pandemic, they were partially offset by a substantial increase in telehealth visits. Telehealth visits have continued, even after in-person primary care visits resumed, suggesting continued interest in telehealth for millions of Medicare beneficiaries."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation
Bosworth, Arielle; Ruhter, Joel; Samson, Lok Wong . . .
2020-07-28
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Runway to Recovery: The United States Framework for Airlines and Airports to Mitigate the Public Health Risks of Coronavirus
From the Overview: "The U.S. economy is reopening after the Coronavirus Disease 2019 (COVID-19) public health emergency (PHE) resulted in Federal, State, and local mandated closures and restrictions across many sectors in the first half of 2020. A safe, secure, efficient, and resilient air transportation system that addresses the threat of COVID-19 is critical to reducing the public health risk and supporting the United States' critical infrastructure needs. Government, aviation, and public health leaders must work together to meaningfully reduce the public health risk and restore passenger, aviation workforce, including crew, and public confidence in air travel."
United States. Department of Transportation; United States. Department of Homeland Security; United States. Department of Health and Human Services
2020-07
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Head Start Emergency Preparedness Manual: 2015 Edition
From the Preface: "Head Start plays an important role in supporting children and families in their local communities before, during and after an emergency. The Office of Head Start has developed the 'Head Start Emergency Preparedness Manual', 2015 Edition to provide Head Start programs with the latest tools and resources to guide their emergency preparedness planning process. The 2015 Edition is organized around 3 phases of emergency planning: [1] Preparedness; [2] Response; [3] Recovery. This manual includes numerous links to resources available from the Federal Emergency Management Agency (FEMA), the Administration for Children and Families (ACF) and Ready.gov to help programs develop, practice and revise their emergency preparedness plans. New sections include the mental health aspects of emergency preparedness, and considerations for children and staff with access, functional and other needs."
United States. Department of Health and Human Services; United States. Administration for Children and Families
2015
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Foodborne Diseases Active Surveillance Network (FoodNet): FoodNet Surveillance Final Report for 2005
"The Foodborne Diseases Active Surveillance Network (FoodNet) is the principal foodborne disease component of the Centers for Disease Control and Prevention's (CDC's) Emerging Infections Program (EIP). FoodNet is a collaborative project among CDC, ten state health departments, the Food Safety and Inspection Service (FSIS) of the United States Department of Agriculture (USDA), and the Center for Food Safety and Applied Nutrition (CFSAN), and the Center for Veterinary Medication (CVM) of the United States Food and Drug Administration (FDA). FoodNet is a sentinel network producing stable and accurate national estimates of the burden and sources of foodborne diseases in the United States through active surveillance and additional studies. Enhanced surveillance and investigation are integral parts of developing and evaluating new prevention and control strategies that can improve the safety of our food and the public's health. In 2005, the FoodNet surveillance area included 44.9 million persons, which is 15.2% of the United States population. FoodNet ascertained demographic and clinical outcome information on 16,708 laboratory-confirmed infections of Campylobacter, Cryptosporidium, Cyclospora, Shiga toxin-producing E. coli (STEC) O157, Listeria, Salmonella, Shigella, Vibrio and Yersinia. Most infections were due to Salmonella (42%) or Campylobacter (37%). Infections were equally distributed between genders and the highest incidence occurred among children
United States. Department of Health and Human Services; Centers for Disease Control and Prevention (U.S.)
2008
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Long-Term Care and Other Residential Facilities Pandemic Influenza Planning Checklist
"Planning for pandemic influenza is critical for ensuring a sustainable healthcare response. The Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed this checklist to help long-term care and other residential facilities assess and improve their preparedness for responding to pandemic influenza. Based on differences among facilities (e.g., patient/resident characteristics, facility size, scope of services, hospital affiliation), each facility will need to adapt this checklist to meet its unique needs and circumstances. This checklist should be used as one tool in developing a comprehensive pandemic influenza plan. Additional information can be found at www.pandemicflu.gov. Information from state, regional, and local health departments, emergency management agencies/authorities, and trade organizations should be incorporated into the facility's pandemic influenza plan. Comprehensive pandemic influenza planning can also help facilities plan for other emergency situations."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services
2006-05-01
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Integrating Primary Care Providers into Community Pandemic Influenza Planning: Abbreviated Pandemic Influenza Plan Template for Primary Care Provider Offices: Guidance from Stakeholders [presentation]
"The Abbreviated Pandemic Influenza Plan Template for Primary Care Provider [PCP] Offices is a planning tool developed based on input from stakeholders (PCPs, PCP office managers, hospitals, local and state public health departments, and local and state emergency management agencies) during a CDC-sponsored [Centers for Disease Control and Prevention] meeting in August 2009. It is intended to assist PCPs and office managers with preparing their offices for quickly putting a plan in place to handle an increase in patient calls and visits, whether during the 2009-2010 influenza season or future influenza seasons. It provides key considerations for PCP offices and is a summary of a forthcoming planning document, the Pandemic Influenza Organizer*, which will provide greater detail on each of these sections. Offices are encouraged to use this template as a guide to develop the framework for a pandemic influenza plan, and begin to integrate the plan into their community's plan."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services
2010-02-08?
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Top 10 Influenza Pandemic Response Planning Tips for Senior Public Health Officials
"CDC [Centers for Disease Control and Prevention] is closely monitoring the avian influenza A (H7N9) situation in China and is taking several preparedness measures. While no H7N9 cases have been detected in the United States or anywhere outside of China at this time and there is no evidence of sustained human-to-human transmission, CDC encourages state and local public health agencies to use this time to review and reinforce their pandemic preparedness plans in case the situation escalates. CDC has developed these Top 10 Influenza Pandemic Response Planning Tips to help senior public health officials at the state, local, tribal, and territorial levels identify the most critical capabilities and activities needed to assure jurisdictional readiness for an influenza pandemic response. These suggestions are designed to help jurisdictions identify remaining influenza pandemic preparedness operational gaps and improve readiness for potential response. This is not an exhaustive list of all the steps necessary for a sustained influenza pandemic response, but it is intended to give senior public health officials a quick guide for accelerated planning. CDC recommends jurisdictions review their respective H1N1 after-action reports and other relevant data to better assess operational requirements."
Centers for Disease Control and Prevention (U.S.); United States. Department of Health and Human Services
2013-05
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Going with No Flow: Coping with Hospital Water Supply Issues
"On the evening of July 12th, 2018, staff at the MedStar Washington (DC) Hospital Center noticed a significant drop in water pressure. While this loss of water was remedied by the District of Columbia Water and Sewer Authority (DC Water) within hours, residents and facilities across much of the city were urged to boil water before drinking or cooking with it. Dr. John Hick (ASPR TRACIE's Senior Editor) interviewed Craig DeAtley (PA-C, Director, Institute for Public Health Emergency Readiness, MedStar Washington Hospital Center) to discuss this incident, lessons learned, and planning considerations healthcare facilities can incorporate to improve preparedness and response to similar incidents."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
Hick, John L.; DeAtley, Craig A.
2018?
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National Action Plan for Combating Antibiotic-Resistant Bacteria
From the Executive Summary: "The National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB), 2020-2025, presents coordinated, strategic actions that the United States Government will take in the next five years to improve the health and wellbeing of all Americans by changing the course of antibiotic resistance. This Plan is based on the U.S. Government's 2014 National Strategy for CARB, and builds on the first National Action Plan released in 2015 by expanding evidence-based activities that have already been shown to reduce antibiotic resistance, such as optimizing the use of antibiotics in human and animal health settings. This Plan continues to prioritize infection prevention and control to slow the spread of resistant infections and reduce the need for antibiotic use. To ensure that patients receive the right antibiotic care, the Plan supports innovative approaches to developing and deploying diagnostic tests and treatment strategies. A One Health approach, which recognizes the relationships between the health of humans, animals, plants, and the environment, is integrated throughout the Plan, with an expanded effort to understand antibiotic resistance in the environment. The Plan also focuses on collecting and using data to better understand where resistance is occurring, support the development of new diagnostics and treatment options, and advance international coordination."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation
2020-10
