JIC RELEASE NO. 158 - Profiles of Earlier Confirmed Cases; DPHSS Guidance Memo 2020-13; Medicare Counseling Re-Opening; Expanded COVID-19 Testing Continues - GHS OCD

One new case of COVID-19 was identified through contact tracing and is associated with a significant cluster. One case recently traveled to the continental United States and was identified while staying in a government quarantine facility. Both cases tested positive by polymerase chain reaction (PCR) testing at the Guam Public Health Lab and were asymptomatic at the time of testing.

To date, there have been 177 cases confirmed through COVID-19 testing provided with 5 deaths, 151 released from isolation, and 21 active cases. As this is an evolving situation, information is subject to change with little to no notice. For updated information on COVID-19 cases on Guam, visit the COVID-19 Dashboard and Situation Report at http://dphss.guam.gov/covid-19/.

Profiles of Earlier Confirmed Cases

MEDICAL STATUS*

GENDER

RESIDENTIAL LOCATION

TRAVEL HISTORY**

AGE GROUP

Stable: 21

Hospitalized: 00

Released: 151

Deaths: 05

Female: 89

Male: 88

North: 97

Central: 51

South: 27

Homeless: 02

Dubai: 02

Japan: 01

Philippines: 10

Singapore: 01

U.S.: 09

90+: 01

80-89: 07

70-79: 10

60-69: 39

50-59: 32

40-49: 30

30-39: 21

20-29: 20

10-19: 15

0-9: 02

*Some cases that were previously released from isolation have tested positive through follow-up testing

**Some cases traveled to more than one country

DPHSS Guidance Memo 2020-13
Pursuant to Executive Order No. 2020-19, the Department of Public Health and Social Services (DPHSS) has developed this temporary policy for COVID-19 related commodities to address the shortage of these products in the market, which adversely impacts the public's ability to protect themselves during this COVID-19 emergency.

Consumer antiseptic rubs shall mean products that are intended to be used when soap and water are not available, and are left on and not rinsed off with water after application. This policy does not apply to antiseptic rubs for use by healthcare professionals in a hospital, clinic, or other healthcare settings. Antiseptic rubs used in healthcare settings must comply with local and federal laws, including the temporary guidance documents issued by the U.S. Food and Drug Administration for these products. This policy shall be effective immediately and shall terminate upon the declaration of Pandemic Condition of Readiness 4 or when the public health emergency is rescinded.

In taking a similar approach as the U.S. Food Drug Administration (FDA), DPHSS does not intend to take action against businesses or individuals who import, distribute, or sell consumer antiseptic rubs, provided that the following criteria are met:

The product is properly labeled in English or Chamorro.
Labels shall be clear, legible, prominent, conspicuous. and proportionate to the size of the product, as determined by DPHSS.
The principal display panel (portion of the product most likely to be displayed, presented, shown, or examined under normal and customary conditions of display for retail sale) contains the following information:
1. Statement or common identity (i.e., “hand sanitizer”, “antiseptic,” “alcohol,” “alcohol sanitizer,” “alcohol disinfectant,” “consumer antiseptic rubs,” or other similar types of identity); and
2. Declaration or net quantity of contents expressed accurately in either U.S. avoirdupois weight or fluid measure and/or the equivalent in metric units.
Alternate Display Panels should include the following on the label:
1. Name and place of the manufacturer, packer, or distributor.
2. Country of origin (ex: “Made in Korea”).
3. Uses (ex: “Consumer antiseptic rubs to help reduce pathogens that potentially can cause disease” or similar language).
4. Adequate warning statements that shall include, but is not limited to the following:
  1. For external use only.
  2. Flammable.
  3. When using this product, do not use in or near the eyes. In case of contact with eyes, rinse eyes thoroughly with water.
  4. Stop use and ask a doctor if irritation or rash appears.
  5. Keep away from heat or flame.
  6. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center or dial 911, right away.
5. Directions for use statement that shall include, but is not limited to, the following:
  1. Place enough product on hands to cover all surfaces. Rub hands together until dry.
  2. Children under 6 years of age should be supervised when using this product.
6. A statement of active ingredients shall be limited to ethyl alcohol or ethanol (60% to 95%) or isopropyl alcohol (70% to 91.3%) or benzalkonium chloride.
7. A listing of inactive ingredients that arc safe for use.
8. Other information related to requirements for storage as specified by the manufacturer [i.e., Store between 15-30°C (59-86°F). Avoid freezing and excessive heat above 40°C (104°F)].
9. Expiration date statement as indicated by the manufacturer.

Businesses are reminded that it is their responsibility to ensure that their products are in full compliance with the provisions of this temporary policy.

Failure to comply with the terms of this policy shall result in the automatic refusal of admission for those affected products, which shall be destroyed or exported back to the point of origin at the expense of the importer.

Medicare Counseling Re-Opening
The Division of Senior Citizens under DPHSS will resume one-on-one Medicare counseling to Medicare beneficiaries beginning June 9, 2020. If you are a Medicare beneficiary, family member, caretaker, or person who would like to schedule an appointment or get more information on Medicare you may contact the Division of Senior Citizens through the avenues below:

Phone call to: 735-7421 or 735-7415
Email to: Biba.SeniorCitizens@dphss.guam.gov

For more information contact Chad Palomo at the Division of Senior Citizens at 735-7421/7415 or through email at chad.palomo@dphss.guam.gov.

Expanded COVID-19 Testing Continues
DPHSS, in collaboration with the Government of Guam, the Mayors Council of Guam, private, and federal agencies continue expanded COVID-19 testing.

Testing is free and open to the public. No symptoms are needed to qualify for testing. If your village is not listed, please proceed to a neighboring village for testing. Please bring an I.D., if one is available.

The expanded testing schedule is as follows:

COVID-19 Drive-Through Testing:

Thursday, June 4, 2020, 9 a.m. - 12 p.m. at GHURA Elderly Public Housing, Dededo
- Free and open to GHURA elderly & public housing Dededo residents
Friday, June 5, 2020, 9 a.m. - 12 p.m. at the Sinajana Mayor's office
- Free and open to Sinajana residents
Monday, June 8, 2020, 9 a.m. - 11 a.m. at the DPHSS Central Public Health Center, Barrigada
- Free and open to Palau residents
Tuesday, June 9, 2020, 9 a.m. - 12 p.m. at the DPHSS Southern Regional Community Health Center parking lot, Inarajan
- Free and open to Inarajan residents

Wednesday, June 10, 2020, 9 a.m. -12 p.m. at the Mongmong Church
- Free and open to Mongmong-Toto-Maite residents
Thursday, June 11, 2020, 1 p.m. - 4 p.m. at the Merizo Senior Center
- Free and open to Merizo residents
Tuesday, June 16, 2020, 9 a.m. - 12 p.m. at the Piti Mayor’s Office
- Free and open to Piti residents
Wednesday, June 17, 2020, 1 p.m. - 4 p.m. at the Santa Rita Senior Center
- Free and open to Santa Rita residents
Thursday, June 18, 2020, 9 a.m. - 12 p.m. at the St. Anthony Church grounds, Tamuning
- Free and open to Tamuning and Tumon residents
Tuesday, June 23, 2020, 9 a.m. - 12 p.m. at the GPD Police Koban Parking Lot (next to Barrigada Community Center)
- Free and open to Barrigada residents

If you are experiencing symptoms consistent with COVID-19, please call your health care provider. If a patient does not have a regular health care provider, they can call any of the Community Health Centers or the DPHSS Medical Triage Hotline Phone Numbers listed below to report symptoms and obtain guidance from clinicians, or call 311 and dial option number 1.

(671) 480-7859
(671) 480-6760/3
(671) 480-7883
(671) 687-6170 (ADA Dedicated Number)

For inquiries on COVID-19, contact 311 through a local number, or call the Joint Information Center at (671) 478-0208/09/10.

COVID-19 Testing (updated 06.02.20)

DPHSS GUIDANCE MEMO 2020-13 Temporary Policy for Consumer Antiseptic Rubs During COVID-19 Emergency (06-03-20)

X Flooding is a temporary overflowing of water onto land that is normally dry. Flooding may happen with only a few inches of water, or it may cover a house to the rooftop. There are many possible causes of floods including heavy rain, coastal storms and storm surge, waterway overflow from being blocked with debris, or overflow of levees, dams, or waste water systems. Flooding can occur slowly over many days or happen very quickly with little or no warning, called flash floods.

To learn more, visit https://www.ready.gov/floods

Wildfire

Regularly clean the roof and gutters.
Maintain an area approximately 30’ away from you home that is free of anything that will burn, such as wood piles, dried leaves, newspapers and other brush.
Connect garden hoses long enough to reach any area of the home and fill garbage cans, tubs, or other large containers with water.
Review your homeowner's insurance policy and also prepare/update a list of your home's contents.

Fire Weather

Turn on your TV/radio. You’ll get the latest weather updates and emergency instructions.
Know where to go. If you are ordered to evacuate, know the route to take and have plan of where you will go. Check-in with your friends and family.
Keep your car fueled, in good condition, and stocked with emergency supplies and a change of clothes.

Drought

Conserve water

Take shorter showers.

Turn off the water while brushing your teeth or shaving.
Run the washer less frequently and only when you have a full load.
Water your lawn less frequently and do so when the temperature is cooler in the early morning or late evening.
When you run the tap to heat or cool water, keep a pitcher to store the water and use it to water plants.
Avoid washing your car.

Practice fire prevention

Don't set off fireworks when conditions are dry.
Deposit cigarette butts in the proper receptacle to avoid starting a
Pour water over camp fires and backyard fire pits to ensure they are completely out before leaving them unattended.

Follow directions from local officials. If there are restrictions on water usage, be sure to heed them.

To learn more, visit https://www.ready.gov/wildfires and https://www.ready.gov/drought

X
Typhoons/Hurricanes are massive storm systems that form over the water and move toward land. Threats from typhoons/hurricanes include high winds, heavy rainfall, storm surge, coastal and inland flooding, and rip currents.

“Hurricanes” form in the Atlantic Northeast Pacific region and “Typhoons” form in the Northwest Pacific Region. These large storms are call cyclones in other parts of the world.

To learn more, visit https://www.ready.gov/hurricanes.

JIC RELEASE NO. 158 - Profiles of Earlier Confirmed Cases; DPHSS Guidance Memo 2020-13; Medicare Counseling Re-Opening; Expanded COVID-19 Testing Continues