THE PRESIDENT'S CORONAVIRUS GUIDELINES FOR AMERICA
Listen to and follow the directions of your STATE AND LOCAL AUTHORITIES.
IF YOU FEEL SICK, stay home. Do not go to work. Contact your medical provider.
IF YOUR CHILDREN ARE SICK, keep them at home Do not send them to school. Contact your medical provider.
IF SOMEONE IN YOUR HOUSEHOLD HAS TESTED POSITIVE for coronavirus, keep the entire household at home. Do not go to work. Do not go to school. Contact your medical provider.
IF YOUR ARE AN OLDER PERSON, stay home and away from other people.
IF YOU ARE A PERSON WITH A SERIOUS UNDERLYING HEALTH CONDITION that can put you at increased risk (for example, a condition that impairs your lung or heart function or weakens your immune system), stay home and away from other people.
Evin if you are young or otherwise healthy, you are at risk and your activities can increase the risk for others. It is critical that you do your part to slow the spread of the coronavirus.
Work or engage in schooling FROM HOME whenever possible.
IF YOU WORK IN A CRITICAL INFRASTRUCTURE INDUSTRY, as defined by the Department of Homeland Security, such as healthcare services and pharmaceutical and food supply, you have a special responsibility to maintain your normal work schedule. You and your employers should follow CC guidance to protect your health at work.
AVOID SOCIAL GATHERING in groups of more than 10 people.
Avoid eating or drinking at bars, restaurants, and food courts - USE DRIVE-THRU, PICKUP, OR DELIVERY OPTIONS.
AVOID DISCRETIONARY TRAVEL, shopping, and social visits.
DO NOT VISIT nursing homes or retirement or long-term care facilities unless to provide critical assistance.
School operations can accelerate the spread of the coronavirus. Governors of states with evidence of community transmission should close schools in affected and surrounding areas. Governors should close schools in communities that are near areas of community transmission, even if those areas are in neighboring states. In addition, state and local officials should close schools where coronavirus has been identified in the population associated with the school. States and localities that close schools need to address childcare needs of crtical responders, as well as nutritional needs of children.
Older people are particularly at risk from the coronavirus. All states should follow Federal guidance and halt social visits to nursing homes and retirement and long-term care facilities.
In states with evidence of community transmission, bars, restaurants, food courts, gyms, and other indoor and outdoor venues where groups of people congregate should be closed.
The Andrew County Health Department would like to remind you anyone can and should report suspected child abuse ore neglect. Reporting child abuse and neglect is everyone's responsibility. If you think a child is being mistreated, take immediate action.
Call the Missouri Child Abuse and Neglect Hotline at 1-800-392-3738 or 573-751-3448.
You also can call the National Child Abuse Hotline at 1-800-4-A-Child (1-800-422-4453).
Error on the side of over-reporting. If you have the thought, "Maybe I should call . . . " - DO! Not all calls to the hotline are determined to be abuse/neglect. However, the Children's Division can often provide services and assistance that can help families prevent abuse.
The trauma of child abuse or neglect has been associated with increased risk of depression and suicide attempts, substance abuse, developmental disabilities and learning problems, social problems with other children and with adults, teen pregnancy, lack of success in school, and chronic illnesses, including heart disease, cancer and lung disease, among others.
When you call to make a report, you will be asked for specific information, such as:
Breastfeeding promotes mother and baby bonding. During the skin-to-skin that happens while nursing, mothers release a powerful cocktail of calming hormones, including oxytocin – often referred to as the ‘love hormone’ or ‘cuddle chemical’. Released whenever they are close to their newborn, or even when a mother simply smells or thinks about her baby, this clever hormone helps moms adjust to motherhood in a number of ways. It enhances her ‘mothering behaviors’ – things like caressing, making eye contact, and using affectionate language with her child. It also has anti-anxiety and anti-depressive properties, and may help protect against postnatal depression.
Follow the steps below: If you are sick with COVID-19 or think you might have COVID-19, follow the steps below to care for yourself and to help protect other people in your home and community.
Note: During a public health emergency, facemasks may be reserved for healthcare workers. You may need to improvise a facemask using a scarf or bandana.
Clean high-touch surfaces in your isolation area (“sick room” and bathroom) every day; let a caregiver clean and disinfect high-touch surfaces in other areas of the home.
High-touch surfaces include phones, remote controls, counters, tabletops, doorknobs, bathroom fixtures, toilets, keyboards, tablets, and bedside tables.
If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:
*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.
Call 911 if you have a medical emergency: If you have a medical emergency and need to call 911, notify the operator that you have or think you might have, COVID-19. If possible, put on a facemask before medical help arrives.
In all cases, follow the guidance of your healthcare provider and local health department. The decision to stop home isolation should be made in consultation with your healthcare provider and state and local health departments. Local decisions depend on local circumstances.
More information is available here.
Additional information for healthcare providers: Interim Healthcare Infection Prevention and Control Recommendations for Persons Under Investigation for 2019 Novel Coronavirus.
Yes. Please see up to date information from the Centers for Disease Control concerning known facts for pregnant and breastfeeding women here.
Infectious diseases, including respiratory tract infections, are a leading cause of morbidity and hospitalization in infants and children.[1, 2] There is much epidemiological evidence for the benefits of breastfeeding against a wide range of infections and illnesses.[3, 4] Breast milk contains various antimicrobial substances, anti-inflammatory components and factors that promote immune development.[4, 5] It enhances the immature immune system of the infant and strengthens defense mechanisms against infectious and other agents during the breastfeeding period.[4–7] Exclusive breastfeeding for the first 6 months of life with breastfeeding along with complementary feeding thereafter is recommended by the World Health Organization (WHO).
Much is unknown about how COVID-19 is spread. Person-to-person spread is thought to occur mainly via respiratory droplets produced when an infected person coughs or sneezes, similar to how influenza (flu) and other respiratory pathogens spread. In limited studies on women with COVID-19 and another coronavirus infection, Severe Acute Respiratory Syndrome (SARS-CoV), the virus has not been detected in breast milk.
Household members, intimate partners, and caregivers in a nonhealthcare setting may have close contact2 with a person with symptomatic, laboratory-confirmed COVID-19 or a person under investigation. Close contacts should monitor their health; they should call their healthcare provider right away if they develop symptoms suggestive of COVID-19 (e.g., fever, cough, shortness of breath) (see Interim US Guidance for Risk Assessment and Public Health Management of Persons with Potential Coronavirus Disease 2019 (COVID-19) Exposure in Travel-associated or Community Settings.)
Breast milk is the best source of nutrition for most infants. However, much is unknown about COVID-19. Whether and how to start or continue breastfeeding should be determined by the mother in coordination with her family and healthcare providers. A mother with confirmed COVID-19 or who is a symptomatic PUI should take all possible precautions to avoid spreading the virus to her infant, including washing her hands before touching the infant and wearing a face mask, if possible, while feeding at the breast. If expressing breast milk with a manual or electric breast pump, the mother should wash her hands before touching any pump or bottle parts and follow recommendations for proper pump cleaning after each use. If possible, consider having someone who is well feed the expressed breast milk to the infant.