NSAM COVID19 FAQS - Naval Support Activity Monterey

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NSAM COVID19 FAQS

NSA Monterey COVID-19 FAQs


The latest DoD/DoN guidance issued from the Pentagon:
https://nps.edu/web/guest/don-dod-guidance

Q1: If I am exhibiting symptoms, what should I do?

A1: You can download ‘What if I get sick resources?” here.

Q2: Is there a resource for TRICARE beneficiaries to contact?

A2: Yes. For medical related questions for TRICARE beneficiaries, contact the Military Health System Nurse Advice Line (MHS NAL) at 1-800-874-2273, Option 1, or online at https://mhsnurseadviceline.com/.

For Veterans: go to https://www.publichealth.va.gov/n-coronavirus/ also Veterans can sign into My HealtheVet (https://www.myhealth.va.gov/mhv-portal-web/web/myhealthevet/secure-messaging-spotlight) to send a secure message to VA or use telehealth options (https://telehealth.va.gov/type/home) to explain their condition and receive a prompt diagnosis. Or 1-800-455-0057 (select #4)

Q3: Is Monterey County's Shelter in Place order available?

A3: Yes. https://www.co.monterey.ca.us/home/showdocument?id=88411

Q4: Where I do I verify, update or register my information for the Navy during this crisis? 

A4: The Navy Family Accountability and Assessment System (NFAAS) requests quick and mandatory verification of personal information for all Navy uniformed personnel, their family members, and civilian employees who are not in a bargaining unit by March 31https://navyfamily.navy.mil. If needed, additional directions can be found here. The site also has many resources for disaster preparedness; download the NFAAS mobile app from the Apple App store. 

Q5: Any other resources I contact if I have questions or concerns?

A5: Utilize your chain of command and organizational leadership to raise questions and concerns. Information and campus updates can be found at:

Travel Reference Links:

For Secretary of Defense Stop Movement Order MEMORANDUM of May 22, 2020
https://media.defense.gov/2020/May/26/2002305766/-1/-1/1/TRANSITION-TO-CONDITIONS-BASED-PHASED-APPROACH-TO-%20COVID-19-PERSONNEL-MOVEMENT-AND-TRAVEL-RESTRICTIONS.PDF

Fact sheet for travel restrictions: https://media.defense.gov/2020/May/26/2002305767/-1/-1/1/FACT-SHEET-FOR-TRAVEL-RESTRICTIONS.PDF

To refer to the latest Force Health Protection Supplementhttps://www.defense.gov/Explore/Spotlight/Coronavirus/.

See the state department and CDC websites for updated travel advisories at: https://travel.state.gov/content/travel/en/traveladvisories/traveladvisories.html/.

https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html
https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-prevent-spread.html#precautions.

 

Communications


Q1: How do I stay updated on base communications?

A1: Communications with Families and our local community is critical. The base Public Affairs Officer, Lieutenant Commander Michael Larson, will use all tools available to proactively put out information: Facebook, NSAM/NPS Website, Athoc, etc. This includes utilizing the Ombudsman Heather James. 

Important information links include: 

NPS COVID -19 Announcements https://nps.edu/web/guest/covid19

Q2: How do I stay informed of emergency alerts issued from NPS and NSAM? 

A2: NPS and NSAM have robust capabilities to provide rapid alerts and dissemination of critical information in the event of an emergency situation through the AtHoc system.

To activate, left-click on the Purple Globe in the hidden icons on your desktop screen to see the menu or go to: http://wiki.nps.edu/display/TAC/NSA+Monterey+AtHoc+Mass+Notification+System

For questions, contact the Emergency Management Coordinator at martin.hitson@nps.edu or 831-656-7661.

Basic information on emergency preparedness is at: https://my.nps.edu/web/safety/emergency-management

 

FAQs


Q1: What is the current status of the installation?

A1: NSA Monterey and its associated properties will remain open to support the mission of our tenants. While NSAM staff are maximizing telework where possible and practicable, we will effectively carry out the mission and meet the critical needs of personnel.

NSA Monterey has set HPCON C. What this means is the base is employing stringent health protection measures focused on cleaning/sanitation, social distancing, cancelling public events and maximizing telework where practicable, health questionnaires at entry control points and closing or reducing some base services. 

Q2: What is the current status of Base Functions and Services?

A2: Most base services are working as normal to support our tenants, but some are closed or have adjusted hours/services:    

* Face coverings required                              

* Entry Control Points:

  • The Sloat gate and Annex gates remain available 24/7.
  • The Del Monte gate is closed until further notice due to reduced traffic.
  • The Visitor Control Center is limited to 1 customer at a time inside the visitor control center building. VCC open and under normal hours.
  • The 3 NPS turnstiles on the main campus are closed to inbound foot traffic to ensure 100% receive verbal questioning at our entry control points as a method to minimize COVID-19 exposure to the base.
  • The Annex turnstile is out of service awaiting repair.

* Navy Lodge: Playground closed.  La Mesa and Ord Military Community Housing playgrounds also closed. 

* NGIS/Navy Lodge: Status Open for military/tenant required travel.  Guest with current leisure travel reservations between now and 1 June will be cancelled.

Fleet and Family Services: FFSC is still currently open, but is not seeing clients in person due to the COVID-19 precautions.  Clients that want to speak to a PFM can schedule an appointment and the counseling will be over the phone. Call 831-656-3528 to schedule an appointment.

MWR ITT Ticket Office: Closed.

Golf Course: Closed.

NSAM Dental Clinic: NPS Dental sick call is available from 0700-1600 daily but please call the clinic first at 831-656-2477.  If you are experiencing a true dental emergency after-hours, then please go to the Emergency Room.

Exams are deferred unless there is absolute urgent need for the exam to be done, which will be considered on a case by case basis (being dental class 4 doesn't qualify as an emergency).  We will still allow check ins to drop off their dental records but prefer them to call first (our clinic front desk number 831-656-2477).  

* MEDICAL: Medical sick call is open on a walk-in basis (0630-0730). 

* NSAM ID Card Lab:

ID Card lab services will be limited to those in emergent need only, and services are limited to: Initial CAC issuance, Lost/Stolen CAC or Teslin ID card issuances, CAC/Teslin card renewals for cards set to expire in the next 30 days, newly retired service members, dependent enrollment (Active Duty and Retirees only), dependent IDs expiring within 30 days, and pin resets. 

Appointments can be made at https://rapids-appointments.dmdc.osd.mil (mobile friendly)

Site Locator https://www.dmdc.osd.mil/rsl (mobile friendly)

Starbucks: Closed until further notice.

Café Del Monte: Closed until further notice.

El Prado: Breakfast, Lunch and Dinner for to-go, takeout options.  

Trident Room: Closed. 

NEX/Gas station/Autoport: The NEX main store hours are temporarily changed to 0900-1700 Monday through Saturday.  The NEX normally closes at 1800.  It will remain closed on Sundays due to a low volume of business.  The Car Care Center hours will change to 0830-1600 Monday- Friday.

  • • The La Mesa Mini-Mart will be modifying its Sunday hours to 1000-1600.

NEX Barber Shop:  Closed until further notice.

Gym: Closed.

Chapel: Closed for worship services.  Counseling services available and will continue to be provided. 

RV park: Open. Not accepting future reservations at this time. Existing reservations will be honored. Current residents have extensions for the duration in the COVID-19 environment.

Post Office: Open.

Navy Federal: Open

N9 Admin office: Closed. Staff to telework.

Q3: Are the Commissary and Navy Exchange open?

A3: Yes. The Commissaries remain open, and will conduct 100% I.D. card checks at the entrance of all stores and will revoke the visitor policy. These measures are in place to reduce the number of people in stores, support social distancing, and minimize crowds. Additionally, “early bird” shopping hours have been eliminated to allow more time for cleaning and re-stocking.

  • Individuals who are authorized patrons but lack the ability to shop for themselves, may have a personal agent shop for them, if the personal agent possess a written letter of authorization.
  • Each authorized patron is only authorized to use one shopping cart. This measure is to facilitate social distancing by enabling patrons to checkout more rapidly and to allocate limited supplies and services. 
  • The two-item limit has been lifted, except for hand sanitizers and paper products which are still remain in shorter supply. This ensures that every member of our military community has the opportunity to receive their commissary benefits 
  • No personal bags can be used.  Store offered bags must be used for hygienic purposes.  Please recycle the bags in the recycle containers located outside not only the Commissary on your next visit.  
  • Based on dwindling participation, the exclusive Saturday Military in Uniform time (0830-1030) is now stopped.

Navy Exchanges are remaining open to support the military community and their families.  The stores are taking appropriate precautions, such as extra cleaning, continuing to provide wipes and hand sanitizing stations, etc. to minimize the spread of germs. The NSAM NEX is limiting quantities of certain products to one per customer, per day. Products limited to one per customer per day include, but are not limited to, based on in-stock levels: 

Bath tissue

Facial tissue

Bleach

Cleaning wipes

Paper towels

Hand Sanitizer/Hand soap

Rubbing Alcohol

Thermometers

Gloves 

Masks

2 per customer per day:

Diapers

Baby Wipes

Formula

Q4: Is the NEX Barber Shop open?

A4: The NEX Barber Shop is closed until further notice to minimize exposure to COVID-19 in compliance with the CNO’s NAVADMIN 073/20 announcing the temporary relaxation of male and female hair length grooming standards. 

Q5: What is the current status of CAL MED Clinics? 

A5: As of March 30, 2020:

ARMY HEALTH CLINIC (AHC):  Location:  Presidio of Monterey 473 Cabrillo St., Bldg. 422 

  • 1) SICK CALL is still available from 0630-0730.
  • ACUTE and VIRTUAL (over the phone) appointments ONLY. To schedule: 1-866-957-2256.
  • PHAs, complete the online assessment: a) https://data.nmcphc.med.navy.mil/pha

b) Then call the Army Clinic to schedule a virtual appointment: 1-866-957-2256.

  • The POM clinic has started prescreening all patients and staff for COVID-19 outside the front doors of health clinic.
  • POM Primary Care Clinic and Gourley Clinic: OPEN; Acute and teleHealth appointments only. Routine appointments will be delayed. This action will improve access for sick beneficiaries. If a unit requires an exception to this change (e.g., Separation physical that cannot be delayed), please let your provider know.
  • Behavioral Health: OPEN; transitioning to acute and telehealth appointments. MAJ Powell will be in contact with units to coordinate safety POC for teleBH appointments.
  • Physical Therapy: OPEN; reduced capacity, focus on acute injuries and post-operative rehabilitation and teleHealth. Will remain at Price Fitness Center.
  • Optometry: CLOSED until further notice.
  • Wellness center: CLOSED; staff shifted to support other missions.
  •  Pharmacy: OPEN; patients will receive extended supply if available. Recommend beneficiaries use Express Scripts https://militaryrx.express-scripts.com/
  • Lab: OPEN.
  • Radiology: OPEN; may vary due to staffing.
  • Readiness and Immersion physicals and immunizations: CLOSED; exceptions will be determined on a case by case basis.

Q6: What is the current status of Sexual Assault and Response Services? 

A6: Jen Schoen, NSA Monterey’s Sexual Assault Resource Coordinator, is currently teleworking from 0800-1630 Mon-Friday, but remains on call 24/7 for sexual assault issues.  All survivors of sexual assault will be provided support, resource information, and one on one consultations, if needed. Jen has the Unit Victim Advocate 24/7 Watch bill currently running through 15APR, and has the next watch ready to go for the time period covering 15APR-26AUG. 

The next 40-hour Initial Victim Advocate class is scheduled for 8-12 JUN. Jen is asking each command to be aggressive in seeking more volunteers to be Victim Advocates in meeting the needs of a critical program. 

As an FYI, all SACMGs will be postponed or cancelled until further notice. 

Q7: What is the current status of the Fleet and Family Support Center (FFSC)?

A7:  FFSC is still currently open, but is not seeing clients in person due to the COVID-19 precautions.  Clients that want to speak to a PFM can schedule an appointment and the counseling will be over the phone. Call 831-656-3528 to schedule an appointment. All FFSC workshops have been cancelled until further notice.  We will send out additional information as the situation changes. You may also check our Facebook page at  https://www.facebook.com/ffcmonterey for the most up-to-date information. The PFM is available to provide training over the phone to your command, using the CNIC standardized CFS curriculum. Contact us at ffscmonterey@npd.edu  for further details.

Q8: What is the current status of the Chaplain’s office? 

A8:  The Chapel is closed for Sunday Worship services only.  All other Chaplain services, both Protestant and Catholic, are available.

Q9: What is the current status of the Fleet Logistics Center (FLC)?

A9: FLC and Supply outlets (official mail center, warehouse, house hold goods) are open for business. House hold goods is closed to foot traffic, but is still reviewing and processing applications submitted at www.move.mil for carrier assignment as allowed by the DoD Stop Movement order. The DoD Stop Movement order placed all household goods associated with PCS moves are on hold.  Separations and retirement moves are still being processed. If a member is in the middle of PCS at this time, they need to request a waiver from PERS 451. 

Q10: What is the current status of the Child Development Center (CDC)/School Age Care?

A10: Effective Monday 27 April 2020, the hours of operation for CDC/SAC programs will be 0700-1700. These hours will remain in effect until normal operations can resume. 

*** CDC / SAC Staffs have been directed to wear facemasks when at work at the CDC and around our children. Guidelines for CYP and Del Monte Staff mask wear below from HHQ:

CYP / SAC mask guidelines: 

  • All non-direct caregiver staff should have some kind of face covering in place while on Installation and/or in their place of employment.
  • All direct caregiver staff may wear appropriate cloth face coverings within CDC guidelines.
  • Children ages 0-5 should not wear face coverings while in care.  While the CDC references children under 2 years of age should not wear masks, it is appropriate to believe children 3 to 5 years of age will have difficulty keeping face coverings in place.  Additionally, face covering of small children in this environment can easily become safety hazards (choking/suffocating). 
  • All childcare staff members, parents and children will receive a health screening upon arrival at the CDC and Tech Connection as a method to minimize COVID-19 exposure to children, staff and parents.  This screening will include a temperature check with a touchless thermometer.  If the parent or child records a temperature of 100 or higher, the parent will be instructed to take the child home.  Care cannot be resumed until the individual has been cleared by a health professional in writing.
  • Parents are asked to self-screen their children prior to arriving at the center. The health of our military children as well as our childcare providers and staff members is a priority.
  • Parents are required to self-care for own children at home if Navy full-time telework agreement during COVID-19 pandemic is executed, parent fees will be waived/space saved.
  • Parent fees will be waived/space saved for all personnel who elect to voluntarily temporary withdrawal their child for at least two weeks or until May 1, 2020.
  • Due to COVID-19, the CDC will continue to adapt its operations as necessary to meet both the Navy’s mission and family requirements while ensuring the children in our care and our professionals are healthy and safe.

Please keep in mind that as the situation evolves (and if restricted access to the base is ordered) and employees are to remain at home, the CDC will shift to children of Mission-Essential Personnel only.

Q11: Will I lose my spot at CDC if I keep my child home?

A11: No. Parent fees will be waived and spaces saved for parents who are required to self-care for their own children at home if a Navy full-time telework agreement is executed during the COVID-19 pandemic. 

Parent fees will also be waived and spaces saved for all personnel who elect to voluntarily and temporarily withdraw their child for at least two weeks or until May 1, 2020.

Q12: Is personal leave travel restricted?

A12: Yes. SECDEF and the DON have issued travel restrictions that took effect 16 March and are in effect until further notice.  Only leave in the local area is authorized for service members.

Q13: What defines the boundaries of the “local area?”

A13: The local area is defined as the counties of Santa Cruz, Santa Clara, San Benito and the portion of Monterey County extending down to the southern extremity of the city limits of King City, California.

Q14: What are all the travel restrictions?

A14:  
We have received direction from the Secretary of Defense, Secretary of the Navy, and assorted other authorities in the form of Stop Movement orders.  Under these orders, all official travel must stop (to include PCS and TDY), with exceptions only for mission-essential travel, humanitarian reasons, or for extreme hardship, until further notice.

  • Leave travel for military personnel is also restricted to the local commuting area.
  • Per DOD CMO’s Force Health Protection Guidance, Supplement 4, issued March 10, 2020, all returnees from CDC-Level 2 countries must go into 14-day quarantine.
  • The CDC currently has a Level 3 notice in effect worldwide, so all returning international travelers must go into 14-day quarantine.

Q14A: What are the most current travel restrictions for all DOD uniformed and civilian personnel and their sponsored family members not under the responsibility of a US Chief of Mission? 

A14A: SECDEF Memo on May 22, 2020 Subject: Transition to Conditions-based Phased Approach to Coronavirus Disease 2019 Personnel Movement and Travel Restrictions states:

  • All DoD Service members, DoD civilian personnel, and their dependents, whose travel is government-funded, will stop movement, both internationally and domestically, while this memorandum is in effect, unless the conditions listed below are met.
  • This includes all forms of official travel, including PCS, Temporary Duty, and government-funded leave.
  • For DOD uniformed personnel, this includes personal leave and other non-official travel.
  • Conditions to resume unrestricted travel rest on two overarching factors:
    • State and/or Regional criteria based on the White House’s Opening Up America Again guidelines
    • Installation-level criteria based on conditions in surrounding DoD installations, facilities, and locations
    • Once a U.S state or territory or country meets the factors described indicating criteria have been met to resume unrestricted travel, the Office of the USD(P&R) will publish the change in status.  Any subsequent significant change in factors due to temporary localized breakouts will be assessed for travel restrictions being reinstated at the state, territory, or host nation level.
  • We have not received more recent guidance below the SEDEF level (e.g., SECNAV, CNO, etc.) to supersede their existing guidance, but we can reasonably expect to receive such guidance in the near future.  SECDEF’s memo adequately conveys the current restrictions, however.
  • DOD CMO’s Force Health Protection Guidance, Supplement 4, issued March 11, 2020, states:
  • All returnees from CDC-Level 2 countries must go into 14-day quarantine.
  • The CDC currently has a Level 3 notice in effect worldwide, so all returning international travelers must go into 14-day quarantine.
  • Individuals pending retirement or separation within the next 60 days are exempt.

SECDEF Memo on April 20, 2020 Subject: Modification and Reissuance of DoD Response to Coronavirus Disease 2019 – Travel Restrictions states:

  • All DoD Service members will stop movement, both internationally and domestically, while this memorandum is in effect. 
  • All DoD civilian personnel, and dependents of DoD Service members and DoD civilian personnel, whose travel is Government-funded will stop movement, both internationally and domestically, while this memorandum is in effect. Except as provided below, this stop movement applies to all official travel, including temporary duty (TDY) travel; Government-funded leave travel; permanent duty travel, including Permanent Change of Station (PCS) travel; and travel related to Authorized and Ordered Departures issued by the Department of State. 
  • For DoD Service members, it also includes personal leave outside the local area and non-official travel outside the local area. 
  • DoD Components may onboard civilian employees within the local commuting area only, and civilian employees whose travel to the local commuting area is not government-funded. 
  • Exemptions The following circumstances are exempt from these travel restrictions: 
    • a. Travel associated with unifom1ed personnel recruiting and accessions activities, to include accessions, basic training, advanced individual training, and follow-on travel to the first duty station. The Military Departments will notify me prior to reducing or suspending recruiting, accessions, basic training, or advanced individual training. 
    • b. Travel by patients, as well as their authorized esco11s and attendants, for purposes of medical treatment. Travel by medical providers for the purposes of medical treatment for DoD personnel and their families is also authorized. 
    • c. Travel for Global Force Management (GFM) activities (defined as deployments/redeployments ordered in the GFM Allocation Plan and Combatant Command Assigned Force Demand tasking, including Service internal rotations to support, and TDY used to source ordered capabilities). Such travel to execute Operations, Activities, and Investments or Service-related training will be coordinated between the Combatant Command, the Joint Staff, and the appropriate Military Depa1tment. All GFM-scheduled deployments/redeployments of U.S. Navy vessel and embarked units and personnel is authorized, provided they are in-transit and have met the 14-day restriction of movement provided for under reference (e), and any applicable subsequent guidance. 
    • d. Travel by authorized travelers who departed their permanent duty station and are " awaiting transportation," and by authorized travelers who have already initiated travel (including intermediate stops). Such travelers are authorized to continue travel to their final destination on approved orders. 
    • e. Travel by authorized travelers whose TDY ends while this directive is in effect. Such travelers are authorized to return to their permanent duty station. 
    • f. Travel authorized by the Commander, U.S. Transpotation Command (USTRANSCOM), to continue execution of the Joint Deployment and Distribution Enterprise as required to project and sustain the Joint Force globally. This includes forces (aircrews, vessel crews, and mission essential personnel) ordered on prepare-to-deploy orders alert status, air refueling, global patient movement, mortuary affairs support, in land surface, sea and air sustainment missions, support to other U .S. Agencies (as approved by me), and moves of personnel and equipment that support USTRANSCOM's global posture requirements. 
    • g. Travel by individuals pending retirement or separation. 
    • h. Travel by those under authority of a Chief of Mission and authorized by that Chief of Mission. 

Q15: Can DON Civilians take leave out of the area?

A15: Approval or denial of civilian annual leave requests will be based on mission requirements.  Navy civilian employees are strongly encouraged to avoid personal leave outside of the local area.  Travel outside the local commuting area may be considered in determining impact to mission requirements.  Approval does not constitute official U.S. Government, Department of the Navy, or NSAM sanction of any violations of applicable state or local directives with regard to local or state travel restrictions or shelter-in-place orders.

Q16: I heard active duty/DoD employees are exempt from the shelter in place order? Why?

A16: While critical federal activities are exempt from the state of California’s statewide stay at home order, NSA Monterey supports the Governor’s efforts to slow the spread of coronavirus and “flatten the curve,” while maintaining mission readiness. That said, shelter in place orders will not restrict our personnel (active duty, reservists, civilians, and contractors) from travelling when their physical presence on a federal installation is mission critical.  NSA Monterey is responsible for essential services and utilities to support meeting the mission of our tenant commands.  NSA Monterey will continue to provide the essential services that support our tenant commands meeting their mission, as well as provide services to the active duty service members, their families, retirees and veterans that rely on those services for medical care, pharmacy access, groceries, and child care. To maximize compliance with state and local authorities, NSA Monterey and its tenant commands have directed staff to maximize telework where possible and practicable to do our part to flatten the curve, while continuing to maintain mission readiness.

Q17: Can contractors shop at the commissary?

A17: Authorized commissary patrons as defined by Department of Defense Instruction 1330.17, DoD Commissary Program, include active duty, Guard and Reserve members, military retirees, Medal of Honor recipients, 100 percent disabled veterans, and their authorized family members.  https://www.commissaries.com/customer-service/faqs-listing?field_faq_categories_target_id%5B0%5D=37

The Defense Commissary Agency has no authority to determine whether a person is authorized to shop in the commissary. If you believe you may be entitled to commissary privileges, visit your local installation Pass and ID office for information about military benefits and to obtain an ID card consistent with your entitlements.

Q18: For the commissary, is there any allowance for large families to purchase more than 2 items of a certain type in order to minimize trips and risk?

A18: Service members with large families may be granted a letter from the Presidio of Monterey authorizing them to purchase more than two items. Please work with your chain of command to coordinate with the Presidio of Monterey if you have a large family struggling with the two-item limit.

Q19: What is/are the conditions needed for the Navy to move to HPCON C and D? 

A19: The decision to transition from one HPCON to another will be based on a continuous assessment of the rapidly changing conditions. HPCON D is a Severe situation, categorized was high community transmission and high mortality rate from illness. Our understanding of the coronavirus is rapidly evolving, and we may have to implement further measures to combat the spread of this virus.  

Q20: What can we expect in HPCON D:   

A20: The catalyst for elevation to HPCON D will most likely be the case load for the number of those affected within the community and around our local bases – NSAM and POM.  HPCON D empowers more stringent reduction in services, such as the CDC and SAC, but those tools aren’t always required to be reduced. Keep in mind, we have already reduced services at NSA Monterey we are maximizing telework to the extent practicable to mirror and even go beyond those still offered outside our fence line.  NSAM tenant commands are exercising Distance Learning and max teleworking, along with identifying many other functions within their commands that can be performed away from the work place and at home.  Unless we see significant case numbers go up in not only Monterey County but throughout California and around our sister bases, expect that our current measures and services will remain the same.  NSA Monterey will continue to keep all informed. 

 

COVID-19
 

Q1: What is COVID-19?

A1: A novel coronavirus is a new coronavirus that has not been previously identified. The virus causing coronavirus disease 2019 (COVID-19) is not the same as the coronaviruses that commonly circulates among humans and causes mild illnesses like the common cold. 

A diagnosis with coronavirus 229E, NL63, OC43, or HKU1 is not the same as a COVID-19 diagnosis. Patients with COVID-19 will be evaluated and cared for differently than patients with common coronavirus diagnosis. https://www.co.monterey.ca.us/government/departments-a-h/health/diseases/2019-novel-coronavirus-2019-ncov/2019-novel-coronavirus-2019-ncov-the-facts

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/share-facts.html

Q2: How is COVID-19 spread?

A2:  Coronavirus is transmitted via larger liquid droplets when a person coughs or sneezes. The virus can enter through these droplets through the eyes, nose or throat if you are in closer contact with others less than 6 feet or 3m, see:  https://www.cdc.gov/coronavirus/2019-ncov/about/prevention.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fabout%2Fprevention-treatment.html

 The virus is not known to be airborne (e.g. transmitted through the particles floating in the air) and it is not something that comes in through the skin.

  • It can be spread by touch if a person has used their hands to cover their mouth or nose when they cough. That’s why we recommend you cough or sneeze into your arm and wash your hands regularly.
  • Surgical masks should be used by sick people to prevent transmission to other people. A mask will help keep a person's droplets in. 

The CDC believes at this time that symptoms of 2019-nCoV may appear in as few as two days or as long as 14 after exposure. This is based on what has been seen previously as the incubation period of MERS viruses: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

Q3: What’s the difference between COVID-19 and influenza?

A3: Both are transmitted in similar ways. Mild or severe symptoms for both may include fever, cough, body aches, fatigue, diarrhea, vomiting and pneumonia. Influenza is caused by different strains of the flu virus, but COVID-19 is caused by one virus, the novel 2019 coronavirus, also called severe acute respiratory syndrome coronavirus 2, or SARS-CoV-2.

Q4: Who is most at risk to contract COVID-19?

A4: Groups at higher risk include older adults and people of any age who have serious underlying medical conditions such as heart disease, diabetes and/or lung disease which can lead to more serious complications. See:  https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html

Q5: How can I lessen the risk of contracting COVID-19?

A5: Per the CDC, to lessen the risk of contracting COVID-19:

  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing. Always wash hands with soap and water if hands are visibly dirty.
  • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. 
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Practice social distancing: stand six feet apart from others.
  • Obey Monterey’s Shelter-in-Place and the Governor’s Stay-at-Home directives.

Wearing masks is only advisable for healthcare workers of caregivers who are in direct contact with an infected person, or if you are coughing or sneezing. To learn how to properly wear and dispose of a mask, go to: https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html

Social Distancing- 1 Fathom (graphic)

Q6: Are there treatments available for COVID-19?

A6: Prevention is the best practice: https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html while antiviral medications are currently being tested and development of a vaccine is underway. Antibiotics are ineffective, since they treat bacterial infections. Approaches include rest and reducing fever; hospitalization and mechanical ventilation may be required in severe cases. People presenting with respiratory illness, a fever greater than 100.4, cough, shortness of breath, and symptoms of influenza, may be screened using CDC criteria. 

Q7: How serious is COVID-19?

A7: Because cases worldwide are on the increase, the World Health Organization declared the outbreak of COVID-19 a public health emergency of international concern. If a community outbreak occurs, CDC guidelines are at: https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html. Community guides from the Monterey County Health Department are at: https://www.co.monterey.ca.us/government/departments-a-h/health/diseases/2019-novel-coronavirus-2019-ncov

Q8: How is the coronavirus transmitted through the air?    

A8: If an individual coughs, sings, shouts, speaks, sneezes or otherwise forcibly directs breath out of their mouth, then droplets form, which dependent on local environmental conditions can “hang” for seconds to hours over an average distance of 3-6ft. 

  • Respiratory infections can be transmitted through droplets of different sizes: when the droplet particles are >5-10 μm in diameter they are referred to as respiratory droplets, and when then are <5μm in diameter, they are referred to as droplet nuclei. According to current evidence, COVID-19 virus is primarily transmitted between people through respiratory droplets and contact routes. In an analysis of 75,465 COVID-19 cases in China, airborne transmission was not reported. https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations.
  • The bigger droplets can fall within seconds to minutes.  The smaller the droplet the longer the “hang time”, with the right environmental conditions could be hours.  (SARS-CoV-2 has an aerosol half-life of 2.7 hours particles <5 μm, tested at 21-23 C and 65% RH). (2)
  • It is not known, the number or viral particles inside a droplet needed to cause the disease. How susceptible an individual is will depend on the status of that individual’s immune system.  People with weakened immune systems have a greater likelihood of developing symptoms and severe illness. https://www.cdc.gov/coronavirus/2019-ncov/travelers/map-and-travel-notices.html Healthy individuals without a weakened immune system potentially need more viral particles to get sick. 
  • The 6 ft distancing rule is primarily for healthy non-symptomatic personnel (For the average person not working in a hospital). https://www.npr.org/2020/03/28/823292062/who-reviews-available-evidence-on-coronavirus-transmission-through-air.
  • If the person has symptoms, they should wear a surgical mask or cover their face with a cloth or other item, to protect those around them.  
  • People are thought to be most contagious when they are most symptomatic (i.e., experiencing fever, cough, and/or shortness of breath).  Therefore, the sicker the individual the more viral particles within the droplets, the higher the likelihood of a infection producing droplet, and the more it is important to control. 

Modeling suggests asymptomatically infected persons were half as contagious as persons with observable symptoms. Which reinforces the value of testing and social distancing as prevention measures. 

Q9: Who is most likely to die from the coronavirus if infected? 

A9: Most deaths are caused by respiratory failure or respiratory failure combined with (heart) damage. The case fatality rate (CFR) depends on comorbidities (concurrent presence of two or more chronic diseases or conditions in a patient); cardiovascular disease, hypertension, diabetes, and respiratory conditions all increase the CFR. 

Q10: How am I most exposed to the coronavirus? 

A10: By the virus coming in contact with mucous membranes.  Examples: mouth, tongue, nose and eyes.  

Hand to mouth/face movement.  Touching a surface that has been contaminated by someone who is sick and then scratching your eyes or touching your mouth.

Inhalation. By breathing in infected droplets.  

Droplets coming in contact with your mucous membranes. 

Q11: Do Masks Work?

A11: 

• Masks (cotton masks, surgical masks, etc.) that are not NIOSH approved respirators (i.e N95), provide very limited protection, since no seal can be made. 

• Masks will protect OTHERS from you.  Because they will provide a physical barrier at the source (your mouth and nose) to larger particles exiting you.  

• Facemasks should be used by people showing symptoms to reduce the risk of others getting infected. The use of facemasks is crucial for health workers and people in close contact with infected patients (at home or in a health care facility). https://www.cdc.gov/coronavirus/2019-ncov/faq.html.

• The most effective protection measures are (listed from most effective to least effective): engineering controls (ventilation systems, solid barriers, ect), Immunizations (none available), administrative controls (social distancing, hand washing, ect), safe work practices (a type of administrative control), and PPE (like respirators and masks). https://www.osha.gov/Publications/OSHA3990.pdf

Q12: How long does the coronavirus last on surfaces?

A12: The virus can persist on plastic and stainless-steel surfaces for up to 3 days (at 21-23 C, 40% RH), with a half-life of 13-16 hours. 

• Porous materials, including paper and cotton cloth, maintain infectious particles for a shorter time than non-porous material. 

Q13: Are costs related to COVID-19 testing reimbursable?

A13: Check with your insurance provider to determine your copays, associated costs, and potentially waived fees for COVID-19 testing.

Q14: How can I stay informed about COVID-19?

A14: The Center for Disease Control and Prevention (CDC) provides updates at: https://www.cdc.gov/coronavirus/2019-ncov/index.html

• Campus updates are at the NPS Health and Safety site: https://nps.edu/web/safety/coronavirus

The COVID-19 web page at: https://nps.edu/group/mynps/covid-19-updates-for-nps-faculty-students-and-staff.

• Monterey County Health Department guidance is at: https://www.co.monterey.ca.us/government/departments-a-h/health/diseases/2019-novel-coronavirus-2019-ncov.

Q15: Will I be notified if someone at NSAM/NPS tests positive for COVID-19?

A15: In the event that NSAM has a positive case, communication will follow higher headquarters protocol and HIPPA compliance, which includes a public announcement of the case by higher headquarters. To stay informed check the latest campus updates:

NPS Health and Safety Site: https://nps.edu/web/safety/coronavirus

The COVID-19 web page is at: https://nps.edu/web/guest/covid19

Monterey County Health Department https://www.co.monterey.ca.us/government/departments-a-h/health/diseases/2019-novel-coronavirus-2019-ncov

Q16: What should I do if I feel feverish, have a cough, and shortness of breath?

A16:   If you are sick with shortness of breath/cough + fever/chills and/or traveled from at risk area or close contact with someone who has had the virus: Do not go to ER; contact your physician so they can rule out influenza; and inform your supervisor. 

• For Veterans: go to https://www.publichealth.va.gov/n-coronavirus/ also Veterans can sign into

My HealtheVet (https://www.myhealth.va.gov/mhv-portal-web/web/myhealthevet/secure-messaging-spotlight) to send a secure message to VA or use telehealth options (https://telehealth.va.gov/type/home) to explain your condition and receive a prompt diagnosis.

• For Tricare Beneficiary:  Call the Military Health System Nurse Advice     Line (MHS NAL) at 1-800-874-2273, Option 1 or online at https://mhsnurseadviceline.com/ 

 For Others: Contact you Primary Care provider, or E-Consult; CHOMP, Montage Medical Group 831-622 8001 or at:  https://www.montagehealth.org/montage-health/services/evisit/#.XnFb8ahKjIU.

IF YOU HAVE SCREENED POSITIVE FOR COVID-19, OR ARE QUARANTINED AWAITING RESULTS 

• Call the Presidio of Monterey Department of Public Health at 831-242-4826 or Monterey County Health Department (MCHD) at 831-755-4521

• Outside business hours, please call MAJ Jodi Brown at 831-234-9510 or

MCHD afterhours line at 831-755-5100 for further instructions. 

• *Supervisors: Notify Chain of command, Deans and Directors send e-mail (ajcolon@nps.edu) with information (sans names) of sick personnel.

• A link to the “Active Duty Service Member Wakes up and Feels Sick” chart is here.

Q17: Who should I contact if I have questions or concerns?

A17: Utilize your chain of command and organizational leadership to raise questions and concerns. Information and campus updates can be found at:

• NPS Health and Safety Site: https://nps.edu/web/safety/coronavirus

• The COVID-19 web page at: https://nps.edu/web/guest/covid19

• Monterey County Health 

• Department https://www.co.monterey.ca.us/government/departments-a-h/health/diseases/2019-novel-coronavirus-2019-ncov

Q18: What measures are being taken in classrooms, dining areas, hotel, and other areas to protect from potential COVID-19 exposure?

A18: Cleaning remains robust in all areas designated for service. If you feel more cleaning is needed, please feel free to take it upon yourself help in this effort. We are all in this together and will work with our tenant commands to supply or get the necessary supplies. 

Q19:  How do I find out about Virtual Care capabilities?

A19: For free Virtual Care related to COVID-19 call: 831-622-8001 or see the link at: https://bit.ly/2Wq6s8o nixle.us/BPTHN.

Q20: Is there a resource for TRICARE beneficiaries to contact?

A20:   For medical related questions for TRICARE beneficiaries, contact the Military Health System Nurse Advice Line (MHS NAL) at 1-800-874-2273, Option 1, or online at https://mhsnurseadviceline.com/.

• For Veterans: go to https://www.publichealth.va.gov/n-coronavirus/ also Veterans can sign into My HealtheVet (https://www.myhealth.va.gov/mhv-portal-web/web/myhealthevet/secure-messaging-spotlight) to send a secure message to VA or use telehealth options (https://telehealth.va.gov/type/home) to explain their condition and receive a prompt diagnosis. Or 1-800-455-0057 (select #4)

• For Others: Contact you Primary Care provider, or E-Consult; CHOMP, Montage Medical Group 831-622-8001 https://www.montagehealth.org/montage-health/services/evisit/#.XnFb8ahKjIU

Q21: Is Monterey County's Shelter in Place order available?

A21: Answer yes https://www.co.monterey.ca.us/home/showdocument?id=87957

Q22: Active Duty Service Member Wakes up and Feels Sick?

A22: CAL MED COVID-19 Protocol Chart

 

 

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