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Coronavirus In Nevada: Live Blog

Alissa Eckert, MS; Dan Higgins, MAMS
/
Centers for Disease Control and Prevention
This illustration, created at the Centers for Disease Control and Prevention (CDC), reveals ultrastructural morphology exhibited by coronaviruses.

Coronavirus In Nevada Updates: Wednesday, March 18

10:17 p.m. PDT | March 18, 2020
By Michelle Billman

State Total Of COVID-19 Cases Hits 85

The Southern Nevada Health District is reporting a total of 69 confirmed cases of COVID-19 in Clark County, as of Wednesday evening.

At the same time, the Washoe County Health District is confirming two new cases of COVID-19, bringing the total number of cases in Washoe County to 14.

The two new Washoe cases are: a man in his 30’s with recent travel Europe and a man in his 30’s with recent travel to Washington.

Both cases are self isolating and are in stable condition. The WCHD is investigating and working to identify close risk contacts to prevent community spread of the disease.

There is also a case in Carson City and a new case in Douglas County, bringing the state total to 85.

UNR Shuts Down All Non-Essential Operations, Closes To Public

The University of Nevada, Reno sent a statement Wednesday saying that all non-essential operations at the school would cease by 5 p.m. Wednesday.

There will be no access to the campus by the public; access will only be available to faculty, staff, and students handling critical functions who have their own keys or cards.

This also means that students living in residence halls had to leave immediately on Wednesday to return to their homes, unless they have extenuating circumstances.

All faculty will start delivering their courses online next week.

This closure includes operations at the fitness center, athletic facilities, vendors and any location where people socialize. UNR officials said the goal of these actions is to reduce the physical presence on campus.

The announcement came after Governor Steve Sisolak's announcement on Tuesday mandating the closure of all non-essential businesses across the state.

Washoe, Reno Law Enforcement Stepping Up Patrols

During a multi-agency press conference Wednesday, law enforcement officials for the Reno Police Department and the Washoe County Sheriff’s Office said that both agencies are increasing patrols to protect vulnerable residents and business properties that are shutting down their operations.

Sheriff Darin Balaam also said the county is experiencing an increase in 911 calls due to concerns about COVID-19.

The cities of Reno and Sparks, along with Washoe County, are all still grappling with what the definition of “non-essential businesses” entails and how many businesses are now affected by Governor Sisolak's mandate to shut down for 30 days.

At Wednesday's press conference, a representative from the Reno Police Department stated that Chief Jason Soto is working with state partners to come up with a plan to ensure additional test kits are available for the local community and first responders.

Washoe Co. Changes Business Operations

Washoe County has modified its business operations to help stop the spread of COVID-19. This webpage has details about all county services, everything from the Sheriff’s Office to juvenile justice to the registrar of voters.

Reno News And Review Suspends Publication

The Reno News & Review is suspending its operations after this week's publication. Sister papers in Sacramento and Chico are also halting their production.

In an article titled “Fare thee well” editor Brad Bynum explained that with local restaurants, coffee houses, nightclubs and bars either shuttered or operating with drastically reduced hours due to the novel coronavirus, business owners don't have enough funding for print advertising.

The alt-weekly has been publishing in Northern Nevada for 25 years and is best known for its coverage of visual art, the local food scene, music and theater.

All TMCC Physical Locations Are Closed

Truckee Meadows Community College has closed all of its physical locations. Classes and services will be delivered remotely starting March 23. There’s an FAQ page here.

Gov. Sisolak Waives Work Search Requirement for Unemployment Insurance Benefits

Nevada’s governor made the announcement on Facebook Live and provided this description for the video:

Today, I instructed the Nevada Department of Employment, Training and Rehabilitation (DETR), Employment Security Division to waive the work search requirement and the 7-day wait period for approved unemployment insurance benefits. Both of these instructions are practical, common-sense measures in order to help as many Nevadans obtain unemployment insurance benefits, while helping mitigate the spread of COVID-19. My administration will continue to work with our federal delegation to identify additional steps that can be taken to ease the economic pain of families across our state.

City Of Reno Provides More Details On Reno Business Closures
Press Release From The City Of Reno

The Reno Police Department (RPD), Business License and Code Enforcement divisions would like to advise the media and public of how business closures will occur for the next 30 days, and reiterate what types of businesses are affected. Per the Nevada Health Response COVID-19 Risk Mitigation Initiative, which has been issued as guidance by Nevada Governor Steve Sisolak, all non-essential businesses have been ordered to temporarily close to the public, effective today, for 30 days. The above-referenced Initiative identifies non-essential services and sectors, to include (but are not limited to): Entertainment & hospitality, including but not limited to strip clubs and brothels, casinos, concert venues, arenas, auditoriums, stadiums, large conference rooms, meeting halls, and cafeterias Recreation and athletic facilities, including but not limited to community and recreation centers, gyms, health clubs, fitness centers, yoga, barre and spin facilities Beauty and personal care services and facilities, including but not limited to barber shops, beauty, tanning, waxing hair salons, and nail salons and spas Retail facilities, including shopping malls except for pharmacy or other health care facilities within retail operations. Retailers are encouraged to continue online operations with pickup and delivery Essential services and sectors are covered in the Nevada Health Response COVID-19 Risk Mitigation Initiative. The City of Reno is requesting and hoping that this current crisis can be addressed in collaboration with all our residents and business owners. The City of Reno has no desire to take enforcement action on businesses. However, under the authority provided in NRS 414 and RMC Chapters 4.04 and 8.34, the City can enforce the Governor’s order through multiple actions, which include, but are not limited to: citations up to $1,000 per day misdemeanor citations summary suspension of a business license revocation of a business license Enforcement action may be taken against owners or employees in control of the business. Read the City of Reno Enforcement of Initiative notice for more information. Please continue to pay attention to Reno.gov/COVID19, our social media, emails and other credible sources of news for the most recent updates and information.

Foreclosures And Evictions Suspended For Vast Majority Of Nevada Homeowners
Press Release From The Nevada State Treasurer

Today, the Department of Housing and Urban Development (HUD) suspended all foreclosures and eviction actions on mortgages insured by the Federal Housing Administration (FHA) for the next 60 days. The FHA provides over $1.3 trillion in mortgage insurance, project-based rental assistance, and housing assistance for senior citizens. This matches Wednesday’s announcement by the Federal Housing Finance Agency (FHFA), that Fannie Mae and Freddie Mac will also suspend all foreclosures and evictions for the next 60 days. These two actions will ensure that roughly 85% of single-family homeowners in Nevada can remain in their homes as they deal with the situation surrounding COVID-19. “Recent decisions at the federal-level will give homeowners the peace of mind that no matter what happens with their economic situation over the next two months, they can stay in their homes,” said Nevada State Treasurer Zach Conine. “We are hopeful that landlords will use this temporary relief provided by the federal government to give their tenants flexibility to delay rent payments in the event that they are furloughed or laid off because of the impact of COVID-19.” Homeowners can find out if Fannie Mae or Freddie Mac owns their respective home loans by calling or going online. Fannie Mae loans can be searched by calling 1-800-2FANNIE or by visiting https://www.knowyouroptions.com/loanlookup. Freddie Mac loans can be searched by calling 1-800-FREDDIE or by visiting FreddieMac.com/mymortgage. Homeowners can also contact their lenders directly to learn how their mortgages will be impacted over the next 60 days.


Sisolak Orders All Non-Essential Businesses Closed Statewide

10:12 p.m. PDT | March 17, 2020
By Paul Boger

Nevada Governor Steve Sisolak has ordered all non-essential businesses in the state to close by noon Wednesday, March 18.

In order to prevent the spread of COVID-19, all retail establishments, bars, dine-in restaurants, hotels and beauty services are barred from opening for the next 30 days.

The order also includes the state’s gaming industry, with all video-gaming and slot machines as well as casinos shut down before Wednesday.

The governor made the announcement during a press conference in Las Vegas, Tuesday evening.

When asked about the impact on the state's economy, Sisolak told reporters his decision was imperative to protect the public's health.

"This is affecting the lives of our citizens,” an exasperated Sisolak exclaimed. "People are dying. Every day that we are delayed here, I'm losing a dozen people on the back end that are going to die as a result of this."

Essential services, like first responders and hospitals, will remain available. Businesses like urgent care facilities, pharmacies, airports, banks and mail service will also remain open.

From The Governor’s Remarks

The following COVID-19 risk mitigation policies are proven to be effective at reducing death and illness and slowing down the rate of transition in prior pandemics: All Nevadans must ensure that 6 feet of social distancing per person for non-family members is maintained. Only essential services should remain open — such as fire, police, transit, and health care services — in addition to businesses that provide food, shelter or social services for disadvantaged populations. Non-essential services such as beauty shops, barbershops, and nail, tanning, and waxing salons should close until further notice. Only essential businesses should remain open such as, pharmacies, grocery stores, drug and convenience stores, banks and financial institutions, hardware stores, and gas stations. I am asking grocery stores to consider special hours for the vulnerable populations. All gatherings should be postponed or canceled. This is not the time for sleepovers, playdates, concerts, theater outings, or athletic events. Although you may not be experiencing symptoms at this time, you may be contagious. Do not risk your own health or the health of others. Many of you will not be in your office or at work over the next few weeks. This is not a vacation and it’s not the time to catch up with friends. It’s definitely not the time to go to the movies. Every social contact increases your risk of exposure. The bigger the group, the higher your risk. This means that you should stay away from auditoriums, stadiums, arenas, large conference rooms, meeting halls, and cafeterias. I know in times of stress, many of you seek the release that comes from exercise. But this is not the time for you to be in a gym, health club, or fitness center. Until the risk goes away, find other ways to exercise such as home workouts, hikes, or other outdoor activities. But as you do so, remember to maintain social distancing from others doing the same. Some events are unavoidable. We still want you to experience the joy of weddings, but this is not the time to bring your friends together — especially if this will require travel. Consider postponing the celebration to a time when the risk is low or eliminated. For my friends making preparations to say goodbye to loved ones, please limit the attendance at funeral services. Consider outdoor services where the risk of exposure is less than inside. This is only common sense. In a time where people are getting sick from simply being near others, this is not the time for gyms to remain open. This is not the time for casinos to remain open. This is not a time for community recreation centers, clubhouses, movie theaters and malls to remain open. If your business brings groups of people together, it should not be open. Although I cannot and will not say that places of worship should be closed, I strongly urge our faith leaders to find ways to deliver to your congregation without bringing them together in person. Charitable food distribution sites, including the meals being distributed to our students in wake of the school closings, along with grocery stores should remain fully open and operational. Food services for health care facilities and other essential facilities should remain open. Any buffet or food stations used in charitable food distribution settings should transition to boxed meals or be served through gloved staff members or volunteers. Restaurants throughout Nevada, in addition to pubs, wineries, bars and breweries that include meals provided by a full kitchen should be reduced to serving food only in a drive-thru, take-out or delivery capacity. No dine-in at food establishments should be allowed until further notice. This also includes food courts, coffee shops, catered events, clubs, bowling alleys and other similar venues in which people congregate for the consumption of food or beverages. Pubs, wineries, bars, and breweries that do not include meals provided by a full kitchen must close. To summarize: I am telling non-essential businesses you have two choices: Find a way to service your customers through delivery, drive-thru, curbside pickup or front door pickup, or close your doors.


Get Caught Up


Coronavirus In Nevada Updates: Tuesday, March 17

10:12 p.m. PDT | March 17, 2020
By Noah Glick

Federal Funds For Nevada COVID-19 Efforts

Nevada is getting some help from the federal government to fight the COVID-19 pandemic.

Senators Catherine Cortez Masto and Jacky Rosen released a statement on Tuesday announcing that the Centers for Disease Control and Prevention has awarded $6.5 million to Nevada.

The senators said they will “continue working in the Senate and with Governor Steve Sisolak to provide Nevadans with much needed resources to protect public health, safety, and well-being.”

The funds come from a 2020 federal appropriations act that is supplying $560 million in initial funding to states, localities and territories to respond to the crisis.

Nevada Business Relief

Businesses in Nevada may soon be getting some relief through low-interest loans from the U.S. Small Business Administration.

The SBA has administratively declared the entire state of Nevada an economic disaster zone, meaning any companies impacted by COVID-19 are eligible. These economic disaster loans offer up to $2 million per business.

Loans can be used to pay off debts, pay employees, or pay other bills that can’t be made due to impacts from the coronavirus.

To apply, visit www.sba.gov/disaster.

WCSD Offers Update On Distance Learning

The Washoe County School District issued a statement saying it’s in the final stages of developing distance learning plans for when students are expected back from spring break on March 30. Governor Sisolak has ordered all K-12 schools to be closed through April 6.

“Even though buildings are closed, we want the community to be reassured that we are developing thorough plans for learning and instruction, to continue during this difficult and unprecedented time,” Interim Superintendent Kristen McNeill said in a statement.

The district has not finalized any plans at this point.

Reno Shuts Down Non-essential Government Services

The city of Reno is officially limiting staff hours and will be responding only to essential functions, according to an announcement Tuesday from the city.

The statement said the following developments will include:

  • All Reno City Hall floors above 2, with the exception of privately leased space on 10 and 14, are closed to the public.
  • The City Clerk and Community Development desks are closed; drop-offs are being provided for people who need to leave things behind.
  • While the public may no longer file a report in person at Reno Police Department headquarters, they are encouraged to visit renopd.com or call 775-334-2175 to file non-emergency reports. Outward-facing public safety functions and related services such as police patrols and fire stations are otherwise unaffected.
  • Sewer operations, traffic engineering, road/street repairs and closures conducted by Public Works will continue as usual.

All City of Reno employees who are able to work from home or remotely have been instructed to do so. For more information, you can visit the city’s website.

3:16 p.m. PDT | March 17, 2020
By Noah Glick

New COVID-19 Cases In Washoe County

The Washoe County Health District confirmed three new presumptive positive cases of COVID-19 in the county on Tuesday morning. Two are men in their 60’s and one is a woman in her 30’s. All of them have either recently traveled to a known hotspot or came into contact with someone who had the virus.

That brings the total number of cases to 12 in Washoe County and 55 in the state.

The Washoe County Health District said all three people are self isolating and are in stable condition. The agency said it’s working to identify any potential contacts to prevent the spread of the disease.

Editor's Note: An earlier version of this information stated 48 total cases in the state. That number has been updated to reflect the latest total of 55. Updated at 3:30 p.m.

Washoe County Declares Emergency

The Washoe County Commission has issued an emergency declaration for the county to deal with the COVID-19 pandemic. The declaration will open additional resources for the county to prevent the spread.

Commission Chair Bob Lucey said in a statement that the county must be ready to take strong action to safeguard the community.

Officials are urging residents to not panic, but to be prepared. They also suggest reaching out to vulnerable community members who may need extra help.

Census Update

The U.S. Census Bureau is updating its operations for this year’s census, to deal with the spread of COVID-19.

One big update is how the bureau plans to count college students. New guidelines state that even if students are forced out of university housing due to COVID-19, they will still be counted as part of the university community.

The agency said it’s also looking at additional ways to make sure people in nursing homes, prisons and other institutions are counted accurately and safely.

The deadline to deliver the final results is July 31 of this year, but the bureau said that deadline might get pushed back to ensure an accurate count.

Mining Update

Environmentalists in Nevada are calling on the state’s environmental division to postpone all mining permits, while the public deals with impacts from COVID-19.

The Center for Biological Diversity sent a letter Tuesday to the director of the Nevada Department of Conservation and Natural Resources, urging the agency to suspend all mining permits and public comment periods until the pandemic is under control.

Nevada State Director Patrick Donnelly said in the letter, “it is impossible to credibly say that the public will have an opportunity for involvement in these permitting processes while there is a public health emergency ongoing.”

The Nevada Department of Conservation and Natural Resources did not immediately respond for comment.

Douglas County Closures

Douglas County is also announcing several closures.

The Douglas County Community and Senior Center in Gardnerville, Kahle Community Center at Lake Tahoe, the Tahoe Douglas Senior Center and the Topaz Ranch Estates Community Center will be experiencing reduced services. All meetings, activities and functions in the county’s senior centers and community parks are suspended.

County parks will remain open, but scheduled activities are canceled.

Douglas Area Rural Transit (DART) services will continue, but only for scheduled appointments.

Additionally, Meals on Wheels will continue as usual, with modifications for safety in place. Seniors wishing to receive this service should contact Douglas County Senior Center at 775-782-5500 ext. 1.

Nevada Health Exchange Re-opens

Nevadans dealing with the COVID-19 outbreak without health insurance are getting some relief.

The state’s health insurance exchange, known as Nevada Health Link, is opening a special enrollment period for people who missed the Open Enrollment Period to sign up for health insurance.

This special enrollment period runs from March 17 through April 15.

Nevada Health Link said the move is in response to Governor Steve Sisolak’s Emergency Declaration, and officials said that health insurance is not required to be tested for COVID-19.

Anyone interested in seeking coverage should contact the Customer Assistance Call Center at 1-800-547-2927; TTY 771.


School Closures Can Pose Challenges For Medical Providers

11:58 a.m. PDT | March 17, 2020
By Anh Gray

Novel coronavirus cases continue to increase nationwide, and also in Nevada. Medical providers, in particular, already face challenges during pandemics. Recent school closures can be an added burden for working families.

Medical providers are on the frontlines of the coronavirus pandemic. Dr. Tony Slonim is the president and CEO of Renown Health. He said since many health care workers have families, school closures can also pose a challenge.

“With schools closing, that puts an important weight on families who are health care workers and relying on their children [to be] cared for in school,” Slonim said. “We also have a childcare center on campus, and for the moment, that's open, so that people can still come to work and have their children well cared for in that environment.”

As the pandemic is unfolding, Slonim said it could take a toll on the medical community.

“We don't know how things may change as the virus continues to evolve,” Slonim explained. “As health care workers have to go offline, either because of their own family's obligations, whether it's childcare or care of another relative, or go offline because they themselves need to be quarantined or are sick, that does impact the abilities of our health care systems.”

To protect medical staff at Renown, Slonim said personal protective equipment like gloves, masks and respirators have been provided. He also recommends that health workers stay home when sick to avoid spreading the illness.


COVID-19 Online Learning Solutions Present Challenges For Students With Autism, ADHD

9:22 a.m. PDT | March 17, 2020
By Bree Zender

In response to the spread of coronavirus, schools across the nation, including the University of Nevada, Reno, are transitioning to online learning for a period of time. This adjustment can be a challenge for some students; particularly those with Attention Deficit Hyperactivity Disorder (ADHD) or Autism Spectrum Disorder (ASD).

Cady Stanton has coached people with autism or ADHD for the past 15 years and has studied the role it plays in academic outcomes.

Listen to this interview to learn more.


Get Caught Up


Coronavirus In Nevada Updates: Monday, March 16

8:00 p.m. PDT | March 16, 2020
By Stephanie Serrano

Nevada Reports A COVID-19 Death Monday

Nevada reported its first COVID-19-related death on Monday. Health officials in the Las Vegas area said a man in his sixties, who had been hospitalized with the coronavirus, has died. The Southern Nevada Health District said the man had underlying health conditions. Nevada has identified at least 45 COVID-19 cases statewide so far.

A total of nine are in Washoe County and one in Carson City.

City Of Reno Orders Non-Essential Businesses To Close By March 20

Reno Mayor Hillary Schieve has announced a mandatory closure on all non-essential businesses, including gyms, restaurants and bars. City officials are advising businesses to wind down starting Tuesday at 10 a.m., with the goal to close by Friday, March 20. They will remain closed through April 5.

Gaming will continue as long as casino properties comply with new regulations, like cleaning the machines every two hours, minimizing table games to three chairs and enforcing new CDC restrictions. Other businesses within the casino properties may close.

According to the mayor, this does not impact takeout, delivery or pickup options for restaurants. Gas stations, grocery stores, doctors’ offices and pharmacies will remain open.

Currently, the City of Sparks has not called for any mandatory non-essential business closures.

Schieve is working with the Reno Housing Authority and asking landlords to suspend any future evictions. The mayor is also lifting delivery restrictions in order to expedite supplies and goods to the city.

During Monday’s press conference, Schieve made erroneous comments about the closures that led to confusion among community members and the city ultimately released a clarifying statement.

Agriculture Dept. Announces Meal Access Plan For K-12 Students

After Nevada Governor Steve Sisolak announced the temporary closure of all K-12 schools statewide through April 6, the Nevada Department of Agriculture (NDA) is implementing a two-tier system to provide meal access for students who receive free and reduced lunch.

The meals will be provided at specific county schools in a grab-and-go style to minimize potential contamination and avoid delays. NDA officials are urging all meal sites to practice social distancing by keeping people six feet apart if lines begin to form.

If the meal sites were to be shut down, the second tier implements USDA foods through the Emergency Food Assistance program, which will supply household foods instead of prepared meals.

Community members can check the Nevada Department of Agriculture’s Facebook page for meal locations and meal pickup times.

Southern Nevada Working With FEMA To Get More COVID-19 Tests

After Nevada announced the death of a man in his sixties who was fighting underlying health conditions and the coronavirus, the Southern Nevada Health District announced they are working with the Federal Emergency Management Agency (FEMA) to secure more testing resources.

Southern Nevada health officials are working to provide drive-thru swab pods to test for the virus. If successful, this would allow them to test 2,000 to 4,000 people a week.

Currently, they are testing about 60 people a day and are running low on kits.

The CDC is directing Southern Nevada not to send their presumptive positive cases to the agency. Instead, the CDC has told that region to consider those cases to be confirmed COVID-19 cases.

Lyon County Declares State Of Emergency

The Board of County Commissioners has declared a state of emergency for Lyon County to prevent the spread of COVID-19. The board is directing several events to be rescheduled and limiting public meetings to 30 people or less. A number of community centers are also temporarily closed.

Senior centers will be closed, but senior citizens will have access to meals through Meals on Wheels, or from a drive-up meal pickup site through April 6.

UNR Postpones Presidential Search But Says Commencement Won’t Be Canceled

As coronavirus developments continue in the state, the University of Nevada, Reno’s search for a new president has been delayed by the Nevada System of Higher Education.

The university campus is continuing to use alternate operations and remains open. Students will begin online courses on March 23 and canceling spring commencement is not under consideration, although options for an online ceremony that could be live-streamed to the public and graduates may be an option.

Students living in the resident halls have been asked to relocate off campus, but university officials said they are working with students whose only option is to live on campus.


How Renown Is Prepping For Coronavirus

6:13 p.m. PDT | March 16, 2020
By Anh Gray

The Southern Nevada Health District announced the first novel coronavirus-related death in the state on Monday. Officials said the individual was a man in his sixties with underlying medical conditions and that he was hospitalized.

As of Monday afternoon, there are 45 cases of COVID-19 statewide.

As more hospitals across the nation are treating patients with the illness, KUNR’s Anh Gray spoke with Dr. Tony Slonim, the president and CEO of Renown Health, to learn how the hospital is prepping for possible cases.

final_web_post_tony_slonim_2way_031620.mp3
KUNR's Anh Gray discusses Renown Health's coronavirus preparation with President and CEO Dr. Tony Slonim on Monday, March 16.

Gray: The COVID-19 pandemic has highlighted the concerns over medical resources available to communities. What insights can you share about the resources at Renown? Are there concerns about medical staffing or resources, such as hospital beds, medical supplies and equipment?

Slonim: So coronavirus and the family of coronaviruses [have] been around for a long time. They're the kind of virus that causes a respiratory droplet transmitted disease and the way that you prevent the spread of those diseases... you put people in special rooms and you wear protective equipment. We have a number of those rooms available at Renown Health to make sure that if a person were to be hospitalized with COVID, that they would be put in the isolation room, and the staff that were caring for them would be using appropriate isolation and personal protective equipment.

We drill for this on a routine basis. So we have upwards of 50 or so of these rooms available in the community and they handle a variety of respiratory conditions that require isolation, not just COVID-19. So building that infrastructure is something that comes along with the part and parcel of being prepared for these kinds of community-based intrusions or problems.

Gray: We have not had patients with COVID-19 hospitalized [at Renown Health] yet. What protocols have been put in place at Renown, should that situation change?

Slonim: At this point, we have no hospitalized patients with COVID-19. The staff have masks and personal protective equipment of a variety of sorts so that they can protect themselves, their families, and other patients that they may see as they move forward.

Right now, we think that we're doing just fine as it relates to equipment. That's our latest information. As the disease takes further hold though, we'll have to continually reassess. For example, if providers start to become ill with the virus, that will take them offline because of the potential that they'll spread it to other providers, or even patients. So you ultimately have to be planning in the long-term for additional, not only structural things like equipment, beds and hospital rooms, but of medical providers, nursing providers and even laboratory and respiratory providers, as this continues to evolve.

Gray: What about testing? People are concerned about the availability of testing. Public health authorities base testing criteria on several factors, while also considering the resources available. How can clinicians adequately treat people, unless more tests are done?

Slonim: Right now testing is in limited supply and based upon criteria, which puts those tests to the best use, meaning the people that are the most vulnerable. The department of health has jurisdiction over pandemics, so they were taking the lead from the CDC and from the health district, as it relates to testing criteria and availability of testing. The idea is the more people that you screen who you know factually have the virus, whether or not they're symptomatic, you can either quarantine them or cohort them in a way that prevents the transmission to other people who may be well. So locking that down to some extent is important. And because you can have the virus for a couple of days before you become symptomatic, testing is a pivotal piece of work. I know that lots of people are putting their heads to thinking about how we can advance testing for our community.

Gray: Many public health officials are urging people to social distance, which they say, would help slow the spread by flattening the curve. In other words, to lessen the spike of cases, which could inundate the health care system. What are your thoughts about that?

Slonim: I think the flattening of the curve revolves around two things: One, if people are sick, stay home so you're not spreading. And two, we need some hard facts in our community and that's where I think that the incremental testing will come in. How are we identifying a greater availability to test more of the community, who may not even know that they're transmitting the virus, because they haven't been tested. The signs and the symptoms are so subtle that you may simply overlook them and not know that you should be staying home. People want to do the right thing. It's a matter of helping them to understand what the right thing is and how to manage that.


Nev. Coronavirus Test Lab Needs More Supplies To Evaluate Kits

4:32 p.m. PDT | March 16, 2020
By Bree Zender

The Nevada State Public Health Laboratory, which processes coronavirus testing, currently has a limited supply of materials left to analyze the results.

Dr. Mark Pandori, who runs the lab, said he received testing kits from the Centers for Disease Control and Prevention. About 5,000 testing kits are left, but he said that his lab, as well as many others across the country, are running into shortages of the materials needed to run the results.

“We have the capacity to test at least through the week, at this rate, and we are working on contingency plans to carry that even further,” Pandori said.

Pandori said the lab is testing around 100 coronavirus kits a day. He said the lab is in “close conversation” with the Federal Food and Drug Administration to come up with other processing options by Tuesday.


Get Caught Up


Coronavirus In Nevada Updates: Monday, March 16

9:06 a.m. PDT | March 16, 2020
By Stephanie Serrano

Nev. Gov. Gives Several Statewide Updates On COVID-19:

Nevada Governor Steve Sisolak was flushed with emotion during the delivery of a second press conference Sunday afternoon while announcing several COVID-19 statewide updates, including the closure of schools and state offices.

The second press conference came hours after the governor announced the temporary closure of all K-12 Nevada schools across 17 districts. Sisolak ensured that all school employees would continue to get paid and students receiving free and reduced lunch would continue to have access to food.

The governor also issued an emergency resolution to expand the authorization of paid administrative leave for state employees and he directed leadership to close state offices as soon as possible. He also issued a hiring freeze to encourage state agencies to limit their spending to emergency purchases.

For other services like welfare, unemployment and the DMV, he is asking leadership to transition to online and phone assistance.

Sisolak said Nevada has a shortage of COVID-19 testing kits and does not have an adequate timeline of when the state would receive more.

In support of social-distancing, Sisolak is asking local governments to limit public gatherings to 50 or less people. He also asked those who are elderly to stay home and for faith leaders to postpone congregations.

The governor is advising gaming properties that have not closed their doors to comply with new regulations, keeping no more than three chairs per table game and cleaning gaming machines every two hours. Buffet-goers must be served by employees and not by themselves.

City Of Sparks Declares State Of Emergency:

The City of Sparks declared a state of emergency over the weekend to ensure faster delivery of supplies and resources.

In response to the statewide closure of K-12 schools through April 6, the City of Sparks is canceling all City of Sparks Parks and Recreation child care during spring break and before and after school programs. In addition, all Sparks community centers are closed through at least April 6.

Truckee Meadows Boys And Girls Club Closure:

Following new CDC regulations directing public gatherings to a minimum of 50 people or less, the Boys and Girls Club of Truckee Meadows is closing all facilities until March 20.


Five Additional Positive COVID-19 Cases Confirmed In Washoe County Total Cases In Washoe County Is Nine

5:04 p.m. PDT | March 15, 2020
Press Release By Washoe County Health District
FOR IMMEDIATE RELEASE

Reno, Nev. March 15, 2020. The Washoe County Health District (WCHD) received five new positive test results for COVID-19. The total number of cases in Washoe County is nine. The five new cases are: A woman in her 40s who traveled to Southern California. A woman in her 30s who traveled to the Bay Area in California. A man in his 20s who is a close contact to a previously-identified case in Washoe County. A man in his 30s who is a close contact to a previously-identified case in Washoe County. A woman in her 30s, who is a close contact to a previously-identified case in Washoe County. All cases are in stable condition and are self isolating at their homes. The Health District is investigating and working to identify close risk contacts to prevent community spread of the disease. Due to medical privacy requirements and to protect their identity, no further information about the case will be released. Also, the Centers for Disease Control and Prevention is no longer confirming tests. All cases that were presumptive positive in Washoe County are now officially confirmed. There are nine confirmed cases of COVID-19 in Washoe County. More information on COVID-19 can be found at www.washoecounty.us/covid19. Residents concerned they might have COVID-19 can contact their healthcare provider or telemedicine provider, or call the Health District at 775-328-2427 from 8 a.m. to 5 p.m., or 3-1-1 after hours. Media: There are no media briefings scheduled. The video of Saturday’s press briefing can be found here.


Coronavirus In Nevada Updates: Sunday, March 15

4:34 p.m. PDT | March 15, 2020
By KUNR Staff

Nev. Gov. Sisolak Closing All K-12 Schools Statewide:

All K-12 Nevada schools, including public, private and charter schools, are temporarily shutting down through April 6 in order to battle the spread of COVID-19. Nevada Governor Steve Sisolak announced the closure of all 17 districts across the state Sunday.

Sisolak also said the Nevada Department of Education will work with specific districts to create food security plans for low-income students.

Sisolak said this was a difficult and high impact decision in support of social distancing because it will place a childcare burden on working parents. He expressed awareness that these closures will create hardships for Nevada families.

In the Clark County School District, which is the fifth largest in the nation, students were expected to be on spring break from April 3-10. In the second most populous district, Washoe County, students began their two-week break Friday.

Calif. Gov. Newsom Announces Significant Social Distancing Measures:

California Governor Gavin Newsom is calling for the closure of all bars and wineries, along with the home isolation of everyone 65 and older.

The Sacramento Bee is reporting that Newsom issued the sweeping restrictions on Sunday as a form of "deep social distancing" in order to be pragmatic in the state's response to the coronavirus pandemic.

The announcement is aimed at keeping people away from each other, but it did not go so far as to close restaurants. Newsom said that restaurants can operate at reduced capacity and utilize home deliveries and curbside service.

Fourth Coronavirus Case Identified In Washoe Co. On Saturday, March 14:

The Washoe County Health District has identified a fourth case of COVID-19 in the county.

According to health officials this fourth person is a presumptive positive case and awaits CDC confirmation. This new case in Washoe is a man in his twenties with no travel history outside of the area. And he’s not linked to the previous three identified COVID-19 cases in the county.

In a press conference Saturday, County Health Officer Kevin Dick said this new case is a community transmission, which could mean there’s a likelihood of other unidentified cases.

Health officials are advising people to take precautions like social distancing and frequent hand washing. Authorities are also advising the public against hoarding food and supplies, suggesting instead to purchase a few extra items when making store visits. The health district is also supporting community decisions to cancel or postpone group events.

Many Tahoe Ski Resorts Are Closing Due To Coronavirus:

Vail Resorts and Alterra Mountain Company announced over the weekend that they are shuttering nearly 50 popular resorts. The Tahoe Daily Tribune is reporting that Vail will close its properties for seven days, starting Sunday, March 15, and then reevaluate the situation. Alterra’s closure will begin the same day but will be indefinite.

These closures impact Heavenly and Kirkwood on Tahoe’s South Shore, along with Northstar California and Squaw Valley Alpine Meadows up north.

Mount Rose ski resort has also announced that it will close for the rest of the season due to public health concerns.

Washoe Co. Libraries Are Closed:

All Washoe County libraries are closed to reduce the spread of COVID-19, the Washoe County library director said in a statement.


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Coronavirus In Nevada Updates: Friday, March 13

9:52 p.m. PDT | March 13, 2020
By KUNR Staff

Nevada Reports New Presumptive Positive Cases On March 13:

One person in Washoe County, along with eight more people in Clark County, have been diagnosed with COVID-19, according to the Southern Nevada and Washoe County Health Districts.

Officials said the patients range from their twenties through their sixties.

In Washoe County, the patient was identified as a woman in her twenties who recently traveled to Germany and France.

The Washoe County woman, and most of the Clark patients, are self-isolated at home. One man in his sixties is hospitalized and is in serious condition.

The Southern Nevada Health District did not release the status of two other men. Southern Nevada officials did not provide details on where most of the people may have contracted the virus from.

This brings the total number of confirmed cases in Nevada up to 20. Most of the tests are still waiting on confirmation from the Centers for Disease Control and Prevention.

City Of Reno Declares State Of Emergency:

The City of Reno has declared a state of emergency. The Nevada Independent is reporting that with the declaration, the city will now have the ability to redirect funds for emergency use, create mutual aid agreements, ban large gatherings and establish a curfew. At this point, city leaders are still deciding how they may utilize the declaration.

Mountain West Cancels Spring Sports Competitions:

Statement from the Mountain West on March 12:

The Mountain West Board of Directors has now officially canceled all remaining spring sports competitions and MW championships. This decision follows the recent announcement from the NCAA to cancel all of its winter and spring championships. The MW Board had previously placed an indefinite suspension on these events. The MW Board has also established a moratorium on all on-campus and off-campus in-person recruiting activities for the foreseeable future. These changes are based on the evolving COVID-19 public health threat and the ability to ensure the events do not contribute to the spread of the pandemic. The health and well-being of student-athletes, as well as the campus and general communities, is of utmost priority.

TMCC Moving To Online Instruction:

Truckee Meadows Community College is moving to alternate operations in light of the COVID-19 pandemic. TMCC will have online instruction only, starting March 30. Classes will be delivered remotely, but all TMCC locations will remain open.

WCSD Postpones Athletics and Extracurriculars:

The Washoe County School District has announced that all school, district and non-district sponsored athletics are suspended, effective Monday, along with other extra-curricular activities, assemblies, and practices. All district-sponsored travel is also suspended.

In a statement released Friday, district officials said that it's important to note that there are no planned school closures at this time and that their goal is to keep schools open so that teaching and learning can continue. The district is heading into its two-week spring break, which runs from March 16-27.

Washoe Co. Suspends Non-Essential Meetings, Events:

Washoe County officials have decided to suspend all non-essential government events and business meetings. They released a statement on Friday saying their goal is “to reduce the risk of spreading COVID-19 and to support the Washoe County Health District’s efforts to decrease the opportunity for disease transmission.”

This includes the Board of Commissioners meeting that was supposed to be on Tuesday, March 17. The statement also noted: “Washoe County leadership and staff are working to create alternative public meeting options for future meetings, and more information and updates will be forthcoming.”

Neighboring Placer Co. Closes Public Schools for Three Weeks:

The Placer Co. Office of Education released a statement on March 13, explaining that district administrators have decided to close all public schools and state preschools in Placer County for the next three weeks. The statement noted that “schools will be contacting families promptly about vital services and resources available to them throughout the closure including distance learning options and meals.”

The office is also recommending that families practice social distancing and protect vulnerable people, including senior citizens. “While children have not been shown to be a high-risk group for serious illness from COVID-19, they are still able to transmit the virus to populations who are most vulnerable to serious illness, such as older adults and those with compromised immune systems. Be mindful in childcare decisions to avoid exposing vulnerable persons, such as grandparents, to children.”

Officials also urged families not to gather in places like shopping malls, movie theaters or community centers while schools are closed.

Who Can Get A COVID-19 Test In Washoe County?

6:47 p.m. PDT | March 13, 2020
By Bree Zender

Some people who have flu-like symptoms may not be sure if they should get tested for COVID-19. The Washoe County Health District has a set of criteria for who should be tested. The criteria the district sets is based on recommendations from the federal Centers for Disease Control and Prevention.

Kevin Dick with the health district said testing criteria is based on a variety of factors, which may include the symptoms an individual is exhibiting, recent travel, or whether someone has been exposed to another person who has a confirmed case of COVID-19.

Read more from this update.


Renown Sets Up Alternate Care Site To Evaluate Respiratory Illness

3:06 p.m. PDT | March 13, 2020
By Anh Gray

Entrance to a deployable medical facility at Renown Health in Reno
Credit Anh Gray / KUNR
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KUNR
Renown Health set up a deployable medical facility outside the emergency room on Mill Street to screen and evaluate patients with symptoms of respiratory illness. Patients with COVID-19 will not be treated in this area.

Governor Steve Sisolak declared a state or emergency to deal with the spread of coronavirus in Nevada on Thursday night. Health officials have identified 11 cases of COVID-19 in the state.

As the coronavirus pandemic continues to spread around the country, Renown Health in downtown Reno recently set up a deployable medical facility. Providers can screen and evaluate patients with symptoms of respiratory illness in a tented area that serves as an extension of the emergency room.

Read more about this alternate care site.


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Coronavirus In Nevada Updates: Thursday, March 12

10:02 p.m. PDT | March 12, 2020
By KUNR Staff

Emergency Declaration:

Nevada Governor Steve Sisolak has declared a state of emergency in response to the growing concerns over the coronavirus. Sisolak made the announcement on Thursday evening in Las Vegas, only hours after health officials confirmed the eleventh case of the disease in Nevada.

Speaking at a press conference, Sisolak said the declaration is meant to help ease access to state and federal funding, and to help prevent the spread of the respiratory illness.

“I want to stress that declaring a state of emergency, while certainly a mark of the seriousness with which we are taking this effort, is not a reason to panic. This declaration is the first step to opening up access to our state's emergency resources," said Sisolak.

In addition to increased funding, the declaration activates the state's emergency operation center, which will centralize the response to the virus. The move also loosens regulations for government agencies to purchase food and other supplies.

UNR Goes Online:

The University of Nevada, Reno said students will not return to class after spring break. They will instead transition to online instruction, beginning March 23, due to COVID-19 concerns. The university made the announcement to faculty, staff and students in an email late Thursday afternoon.

While students may not be returning this semester, school officials said the university will remain open. According to the notice, the decision is part of a concerted effort to greatly reduce the collection of people on campus, in order to diminish the spread of the coronavirus.

As of Thursday, March 12, there are no confirmed cases of COVID-19 on campus.

Carson Corona:

Health officials in Carson City said a 70-year-old woman is the third person in Northern Nevada to test presumptively positive for the coronavirus, bringing the state's total number of cases to 11.

According to Carson City health officials, the woman became sick after returning from a trip to San Jose earlier this month. She is currently self-isolating with her husband, both of who are being monitored daily.

Speaking at a press conference, Nicki Aaker, director of the Carson City Department of Health and Human Services, told reporters the district is not planning to take further action, like closing schools, at this time due to the circumstances of the infection.

"This is only one case and it is travel related. It's not spread in our community. Of course, at this time, we're not planning on advising [school closings], but we will continue to monitor the situation because the situation [can] change on a momentary basis."

In addition to the state's capital city, the Carson City Health District also provides services to Lyon, Douglas and Storey counties. Officials are continuing to ask residents to be mindful of their health and to take steps to prevent further infections.

More Southern Nevada Cases:

Officials from the Southern Nevada Health District said they have diagnosed three new presumptive positive cases in Clark County. No further details were announced.

This brings the total number of confirmed and presumptive cases in Nevada to eleven, with eight in Clark County.

Mountain West Sports Suspended:

The NCAA Mountain West Conference has suspended all spring sports indefinitely. This includes Nevada and UNLV teams. Conference officials said this is a move of caution to avoid possible spread of the coronavirus.

Teams that have qualified for the NCAA basketball tournament may still participate under the directions of their institution. The NCAA will have the final call on whether the tournament will go on or not.

NCAA officials have said the teams are set to play, but no fans will be allowed into the arenas.


Update: Clark County Case Numbers For March 12, 2020

11:24 a.m. PDT | March 12, 2020
Press Release By Southern Nevada Health District
FOR IMMEDIATE RELEASE

The Southern Nevada Health District has received reports of three new presumptive positive cases in Clark County. These investigations are in the preliminary phase, and the Health District will provide additional information as it becomes available. Currently, the Health District is reporting eight cases in Clark County – seven presumptive positives and one that has been confirmed by the Centers for Disease Control and Prevention. MEDIA: An update will be sent this afternoon. If new information is available, a media availability will be scheduled and a notification distributed as soon as possible.


Coronavirus In Northern Nevada Updates: Thursday, March 12

11:19 a.m. PDT | March 12, 2020
Updates From The University Of Nevada, Reno

UNR Preparation:

The office of the Provost at the University of Nevada, Reno sent an email to faculty Wednesday requesting that they prepare to go online with their instruction. That request is being made in case the university adopts alternate operations in the near future due to concerns about the coronavirus. The office is requesting that faculty finalize an instructional plan for all classes by March 30th or earlier. It was also noted that this timeline could be accelerated depending on unfolding circumstances. Faculty were also advised to offer flexibility to students by providing accommodations such as makeup exams and alternate assignments, in case work is missed due to illness.

UNR/UNLV Games:

The University of Nevada athletics department and UNLV released a joint statement Wednesday saying that upcoming spring season athletic competitions will only have game essential staff in attendance. Their statement said that "the health and safety of student athletes, coaches, staff and fans is the top priority." This includes all scheduled baseball and softball games, as well tennis matches.

Press Release By The Nevada Attorney General

Scam Warning:

Nevada's Attorney General Aaron Ford is warning consumers to be alert for scammers trying to take advantage of the fear being caused by the coronavirus. He released a statement saying that scammers may try to sell fake products or steal your money or personal information. Criminals could use social media, emails, and text messages to ask for to donations to false victim funds or to sell bogus products claiming to cure or prevent the virus. Ford says you should: Avoid clicking on links in emails or messages from people you don’t know. These links might download a virus, or redirect to a site that was created to steal your personal information. Also, make sure your anti-virus software is up to date. Be wary of emails and posts claiming to be from the Centers for Disease Control and Prevention (CDC) or other experts. Up to date information will be provided on the CDC and World Health Organization (WHO) websites; Be cautious of online promotions for vaccines, treatments, or cures for coronavirus. If there were a medical breakthrough, it would not be advertised for the first time through a sales pitch. Conduct research before donating to charities or crowdfunding websites. Do not be rushed into making a donation. Be particularly on guard for those asking for donations through wire transfer, gift card or exclusively cash.

Press Release By Renown Hospital

Renown Screening Tent

Renown Hospital is setting up a screening tent in the parking lot of its emergency department at its Mill Street location in Reno in preparation of the impact of COVID-19. The alternate care site will serve as an additional evaluation and screening center for patients with respiratory illness and will separate those patients in order to protect other patients and hospital staff. There are no confirmed cases of the coronavirus at Renown currently and the tent has not yet opened.


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Southern Nevada Health District Announces Three New Positive Cases Of COVID-19 A Total Of Five Presumptive Positive Cases Reported In Clark County

1:52 p.m. PDT | March 11, 2020
Press Release By Southern Nevada Health District
FOR IMMEDIATE RELEASE

LAS VEGAS – The Southern Nevada Health District is reporting three new presumptive positive COVID-19 cases, bringing the total to five cases in Clark County. All investigations are ongoing and additional information will be provided as it becomes available. Based on current information, close contacts of these individuals are being identified or have been notified and are following self-quarantine procedures. The Centers for Disease Control and Prevention defines a close contact as someone who was within approximately 6 feet of a confirmed COVID-19 case for a prolonged period of time. Close contact can occur while caring for or living with someone. Health care workers who care for patients are also at higher risk. New Case Updates A female in her 40s who was hospitalized on March 8. She is isolated and in stable condition. This individual is a visitor from New York. She arrived in Las Vegas on March 5, and attended the Women of Power Summit at The Mirage. The Health District is working with the facility and conference organizers to inform attendees and to identify close contacts of this individual. A male in his 60s who is isolating at home and is a close contact of a previously reported case. A female in her 70s who is isolating at home and is a close contact of a previously reported case.Previously Reported Case Updates A male in his 50s with a travel history to Washington state. The patient remains hospitalized in serious condition. A female in her 70s with underlying medical conditions with in-state travel history to Reno, Nev., and no out-of-state or international travel history. The patient was asymptomatic while traveling. The patient remains hospitalized in serious condition. If a patient’s travel history dictates a notification to passengers that are not Clark County residents, this is determined and coordinated through the Centers for Disease Control and Prevention. The Health District is reminding the public that flu and other respiratory illnesses are circulating in Clark County. It is understandable that people who are sick may want to be tested for COVID-19. However, not everyone who feels ill needs to be tested. Health care providers or the Health District determine who should be tested based on an individuals specific symptoms and circumstances. People who have mild symptoms such as a cough or fever should stay home and away from other people. The Health District is working with its health care and community partners to ensure there are strong public health measures in place to respond to COVID-19 in the community. Updates about COVID-19 are also available by calling the Health District’s Information Line at 702-759-INFO(4636) or 1-866-767-5038. The public can help the response: Do not go to the emergency department unless it is essential. Emergency departments need to be able to serve those with the most critical needs. If you have a mild cough, fever, or other respiratory symptoms, contact your doctor first. Practice everyday preventive actions to help prevent the spread of respiratory viruses: Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer. Avoid touching your eyes, nose, and mouth. Avoid close contact with people who are sick. Cover your cough and sneeze with a tissue, then throw the tissue in the trash. Clean and disinfect frequently touched objects and surfaces. Stay home when you are sick. Stay informed. The COVID-19 situation is changing frequently. Up to date information is available on the Health District website at www.southernnevadahealthdistrict.org/coronavirus or the CDC website at www.cdc.gov/coronavirus/2019-ncov/index.html.


Nevada Outlines Conditions For Safe And Secure Return Of Resident Cruise Ship Passengers All Passengers Returning To Nevada Will Be Asymptomatic

9:13 p.m. PDT | March 10, 2020
By Michelle Billman

The CDC has confirmed that the first presumptive positive case of the coronavirus in Washoe County is positive. This is a man in his fifties who returned from a Grand Princess cruise ship in late February.

Washoe County health officials made the announcement Tuesday. They are still waiting for confirmation from the CDC regarding the second presumptive positive case in the county.

There are no additional presumptive positive cases at this point in Washoe.

Officials have also been concerned about a Grand Princess cruise ship that's in the San Francisco Bay area. They said that 49 passengers will be returning to Nevada and will be isolated in quarantine for 14 days after they arrive in the state. All of these passengers are asymptomatic at this time. All of them must agree to be tested for COVID-19 before they return to the state and they must agree to the self-isolation period.

There are more details on this situation in the press release below:

Press Release By Department of Health and Human Services
FOR IMMEDIATE RELEASE TO MEDIA - Timestamp: 1:47 p.m. PST | March 10, 2020

Carson City, NV – On Sunday, March 8th, the U.S. Department of Health and Human Services (HHS) contacted states, including Nevada, with notification that 21 passengers aboard the Grand Princess cruise ship tested positive for novel coronavirus (COVID-19). This ship had been floating off the California coast since Thursday when those 21 passengers tested positive. We have received confirmation from federal authorities that the 49 passengers from Nevada are asymptomatic. Since Sunday evening, state officials across the country have been working with federal agencies to coordinate the transportation of residents back to their respective home states for the required 14-day quarantine in lieu of sending them to military bases around the country, including Texas and Georgia. In an effort to identify an equivalent option in Nevada, Governor Sisolak directly contacted the U.S. Department of Health and Human Services and the U.S. Department of Defense to ask if any military facilities in Nevada could be made available to isolate and monitor the returning passengers in a manner that also protects the health and safety of personnel at the bases. The federal government informed us that this was not feasible. Over the last 36 hours, the Governor’s Office and Nevada Department of Health and Human Services (DHHS) have worked on contingency plans with local health authorities across the state to determine the safest and most secure plan to allow passengers from Nevada to return under conditions that could best safeguard not only their health and safety, but the health and safety of other Nevadans. After extensive review and with the consensus of local health authorities, the Governor sent a letter last night to the U.S. Department of Health and Human Services Assistant Secretary for Preparedness and Response confirming the state’s decision to bring Nevada’s residents home, under specific conditions meant to protect both the possibly exposed passengers and other Nevadans. The conditions imposed include: The passengers must be asymptomatic; The passengers must be tested for COVID-19 prior to boarding the secure flight back to Nevada so the presumptive test results will be available for local health authorities; Any passenger that refuses testing will remain under the supervision of the appropriate federal agency; The passengers must be returned to the state in an isolated manner that limits exposure to the general public; and These passengers will remain under the supervision of their respective local health authority for the 14-day isolation period immediately upon their return to Nevada We have received confirmation from the federal government accepting all the conditions outlined above. Once testing samples have been collected, the 49 asymptomatic Nevadans will return home via secure air transportation provided by the federal government and will not enter any buildings of any commercial airport in the state. Local health authorities will arrange secure transportation from the airports to the passengers’ homes. In coordination with local health districts, each passenger will be required to sign a Declaration of Self Quarantine upon arrival, confirming they will physically separate and confine themselves from other people for a period of 14 days. The respective local health authorities will implement secure and isolated ground transportation for passengers that will ensure no exposure to surrounding communities. They will be securely returned to their homes for the mandatory 14-day isolation and monitoring period, under supervision of their local health districts. Travel from California to Nevada is being managed by the federal government, and is subject to change on short notice. We will continue to keep Nevadans updated as we become aware of any significant changes to this plan. No additional information will be provided that could result in the identification these passengers.


Coronavirus In Nevada Updates: Tuesday, March 10

9:27 a.m. PDT | March 10, 2020
By Anh Gray

Four people in Nevada have tested presumptively positive for COVID-19. Two of those cases are in Washoe County, and deemed by health officials to be travel-related cases.

Over the weekend, county health authorities recommended that the community curb travel plans in order to limit the spread of the virus.

Additionally, there are 15 residents from Carson City, Douglas and Lyon County returning from the Grand Princess cruise ship, which eventually docked in Oakland, California after several days of delay due to cases of COVID-19 aboard. Carson City Health and Human Services is following guidelines from the CDC to monitor those individuals for a 14-day-period. Overall, the state is working to repatriate 49 Nevadans from the cruise ship today (Tuesday).

In addition, there have been other community responses related to concerns about the coronavirus:

Yesterday (Monday), Renown Health announced a new policy to restrict visitors. The hospital will make some exceptions for extenuating circumstances, such as severe trauma. No visitors under the age of 12 will be permitted. Also, all volunteer operations at the hospital have been suspended.

The Washoe County School District has announced that it has canceled all out-of-state and all international district-sponsored travel for students and staff. This includes conferences and activities related to athletics and academics. Currently, in-state events will continue as scheduled. You can find more updates from the WCSD here.

The Reno Gazette-Journal is reporting that Patagonia closed all of its operations in Reno yesterday in response to an employee’s claim of being exposed to the coronavirus. The Washoe County Health District investigated the employee’s claim and later determined that the claim was “fabricated.”


Correction to Carson City Health and Human Services Press Release on March 9, 2020

8:25 p.m. PDT | March 9, 2020
Press Release By Department of Health and Human Services
FOR IMMEDIATE RELEASE TO MEDIA - Timestamp: 5:53 p.m. PST | March 9, 2020

Editor’s Note: KUNR posted the original press release provided by Carson City Health and Human Services on Monday, March 9 regarding the Nevada passengers on the Grand Princess cruise ship. Since a correction was made to the press release, KUNR has removed it from our website and posted the updated version to ensure accurate information is shared.

Carson City, NV – Carson City Health and Human Services (CCHHS) prematurely issued a press release regarding Nevada passengers on the Grand Princess cruise ship which has been under quarantine due to COVID-19. The State of Nevada is coordinating with all local health districts to ensure that Nevadans on the ship who may need medical monitoring and services get the care they require, in addition to ensuring any plan has safeguards in place to protect our communities. Some information contained in the CCHHS press release is inaccurate, and does not advance our shared interest in keeping Nevadans well-informed and safe. The Nevada Department of Health and Human Services, Division of Public and Behavioral Health will release accurate information once the details have been finalized with federal agencies. More information of COVID-19 can be found at dpbh.nv.gov/coronavirus


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Washoe County Has Second Presumptive Positive Case Of COVID-19 Health District Is Identifying Close Contacts, Urges Continued Caution To Residents

 

11:02 a.m. PDT | March 8, 2020
Press Release By Washoe County Health District
FOR IMMEDIATE RELEASE

Reno, Nev. March 8, 2020. A second Washoe County resident has contracted COVID-19 (Novel Coronavirus), the Washoe County Health District (WCHD) announced Sunday. The case is a male in his 30s and he is isolated at home. His symptoms appeared after his only known travel, which was to Santa Clara, Calif. The case is considered a presumptive positive and will be sent to the Centers for Disease Control and Prevention (CDC) for confirmation. Due to medical privacy requirements and to protect their identity, further information about the case will not be released. "Given the increase in cases across the nation and the world, and the increased local testing we’re conducting, it isn’t surprising to see an additional presumptive positive case," said Kevin Dick, District Health Officer for WCHD. "Washoe County residents should remain vigilant against this disease." WCHD staff is identifying close contacts with the case as well as conducting community surveillance to determine possible spread in the community. The best ways for people to reduce their risk of getting sick, and preventing COVID-19 are: Wash hands with soap and water for at least 20 seconds Cough or sneeze into your sleeve, or tissue Avoid touching your face Stay home if you are sick Try alternatives to shaking hands, like an elbow bump There is no recommendation to wear masks at this time to prevent yourself from getting sick If possible, work from home For businesses, go here for cleaning information More information of COVID-19 can be found at www.washoecounty.us/covid19 or by calling Washoe 311 (Dial 3-1-1). MEDIA: Availability is at 1 p.m. today, Sunday, March 8, at the Washoe County Administration Complex, 1001 E. 9th Street, Building A, 9th Street doors near marriage license entrance, across the street from the Medical Examiners Office. Parking is available on 9th street. Complex gates are closed.


Washoe County Debuts ‘Drive-Thru’ COVID-19 Testing For People With Symptoms

2:02 p.m. PST | March 7, 2020
By Bree Zender

Man with protective gear shows medical equipment used for coronavirus testing.
Credit Bree Zender / KUNR Public Radio
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KUNR Public Radio
A nurse shows reporters the coronavirus testing kit. A demonstration was not offered because there are a limited number of tests currently available in the state.

Washoe County is streamlining its free coronavirus testing plan as they begin to request federal funding for more testing supplies.

At a Saturday press conference, Nevada Governor Steve Sisolak said he is working with Nevada’s federal representatives and the Centers for Disease Control and Prevention to acquire funding.

On Friday, the County Health District began asking those who meet the testing criteria to do a ‘drive-thru’ test, located outside of their tuberculosis testing facility. Health officials said testing is not open to the general public. District officials said this drive-thru process reduces the risk of transmission, because it’s an open-air test done outdoors. People with suspected COVID-19 will stay in their cars with the window rolled down, as nurses administer the swab test.  

“It’s a two-step process. So one is of the throat,” said Charlene Albee, director of Washoe County's Environmental Health Services. “And the other one is a swab that goes up one side of the nostrils, up into the sinuses, and then pulls out. Then goes into the other side.”

Person wearing protective equipment holds medical equipment used for coronavirus testing.
Credit Bree Zender / KUNR Public Radio
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KUNR Public Radio
The nurses are trained to test for tuberculosis, which is highly contagious. Washoe County health officials decided they would do a sufficient job at administering this test as well.

For the time being, tests will be administered from 9:00 a.m. through 1:00 p.m. At this point, Albee estimates they could administer six tests an hour. Then, all the day’s swabs are sent to the public health laboratory on the University of Nevada, Reno campus. The results should come out by 5:30 p.m. that day. 

On Friday, President Donald Trump signed an $8 billion emergency preparedness bill, which will send money to local, state and tribal agencies, to respond to possible coronavirus outbreaks. Albee said it’s not clear yet how much money the county will get.

“We were asked to put a budget together and submit it,” Albee said. “And it was right around $900,000, [which] is our best guess at this point in time. We have put out a call for resources to get more test kits here."

On Saturday, Sisolak said that he has been in contact with U.S. Senators Catherine Cortez Masto and Jacky Rosen to secure federal funding with the Centers for Disease Control and Prevention. The governor’s office is also working to set up COVID-19 testing at private health laboratories throughout the state.  

People wearing protective medical equipment stand outside building.
Credit Bree Zender / KUNR Public Radio
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KUNR Public Radio
Nurses wait at a virus testing station in Reno, Nev. shortly before people who are suspected to have COVID-19 arrive.

Nevada currently has two presumptive positive coronavirus cases, pending confirmation from the CDC. One Washoe County man likely contracted the virus on a trip to Mexico on the Grand Princess cruise ship in February, according to county officials. People who have been in contact with him, as well as people who are known to have been near outbreaks, are currently being screened for symptoms and tested. Placer County, California announced the death of one of its residents on Wednesday from the virus, after likely contracting it on that same cruise ship. Nevada officials said there were 40 state residents on the ship, and public health workers are tracking them down to screen for symptoms, and possibly test them if they meet the current standard.

On Friday, the Washoe County School District shut down Huffaker Elementary School, as the presumptive patient in the county had a family member who attends the school. Multiple students had flu-like symptoms, but health officials said testing conducted on Friday came back negative for COVID-19.

Editor's Note: A sentence in this post was altered to more clearly reflect the time of death and residency of the Placer County resident.


Nevada Cruise Ship Passengers Being Evaluated State Of Nevada Grateful To Local Health Authorities For Swift Action Upon Notification

9:51 a.m. PST | March 7, 2020
Press Release By Nevada Department of Health and Human Services
FOR IMMEDIATE RELEASE TO MEDIA - Timestamp: 7:05 p.m. PST | March 6, 2020

Carson City, NV – Forty Nevadans who were passengers on the Grand Princess cruise ship are being contacted by health authorities to assess their health and any symptoms that may be consistent with the novel coronavirus (COVID-19). The passengers disembarked from the ship on Feb. 21. The case that was announced as a presumptive positive through the Washoe County Health District was a passenger on the ship which also included passengers from other states who have since tested positive for COVID-19. The patient, a male in his 50s, is reported in stable condition and self-isolating at home. On March 4th and 5th the State was notified by the Centers for Disease Control and Prevention (CDC) of the Nevada passengers and local health authorities responded immediately to contact and assess all passengers for sign of illness. “Our local health authorities continue to show that they are dedicated to the health of our communities, and the State is grateful for their swift response to connect with these passengers to assess their health,” said Richard Whitley, Director of the Department of Health and Human Services. About Novel Coronavirus (COVID-19): Patients with confirmed COVID-19 infection have reportedly had mild to severe respiratory illness with symptoms of fever, cough, shortness of breath, headache, runny nose and/or sore throat. However, limited information is available to characterize the spectrum of clinical illness associated with this illness. Based on what has been seen previously during respiratory disease outbreaks caused by coronavirus, it is believed that symptoms of COVID-19 may appear anytime between two and 14 days after exposure. At this time, it is unclear how easily or sustainably COVID-19 is spreading between people. There is currently no vaccine for COVID-19, but like any respiratory viral illness it is recommended to practice good health hygiene habits. To prevent the spread of flu and viruses: Wash your hands often with soap and water for at least 20 seconds. Avoid touching your eyes, nose, and mouth with unwashed hands. Avoid close contact with those who are sick. Stay home when you are sick. Clean and disinfect frequently touched objects and surfaces.


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COVID-19 Testing Results For Huffaker Students Come Back Negative Negative Results Include Family Member Of Resident Who Was A Presumptive Positive For COVID-19

10:08 p.m. PST | March 6, 2020
Press Release By Washoe County Health District
FOR IMMEDIATE RELEASE

Reno, Nev. March 6, 2020. The Washoe County Health District (WCHD) conducted COVID-19 testing Friday and all tests came back negative including all students at Huffaker Elementary School who were tested. The negative result includes the family member (a Huffaker student) of the resident who tested presumptive positive for COVID-19 on Thursday. “We are relieved that we received no additional confirmed cases of COVID-19 today,” District Health Officer Kevin Dick said. “The Health District and Washoe County School District (WCSD) took extreme precaution by closing the school on Friday to prevent anyone from contracting the virus. I appreciate the cooperative effort of the School District to ensure the safety of those children and other members of our community.” A statement from Kristen McNeill, Interim Superintendent, Washoe County School District: “Parents, students and staff can rest assured that there are no confirmed cases of COVID-19 at Huffaker Elementary School,” McNeill said. “We want to thank the Health District for their diligent work to ensure safety of our students and staff. I’m pleased to report that Huffaker will be open on Monday.” As of right now, there is still only one presumptive positive case of COVID-19 in Washoe County. For more information on COVID-19, please call Washoe 311 (dial 3-1-1) or go to our COVID-19 webpage.


First COVID-19 Case In Washoe County: Prompts One School In South Reno To Close

6:52 p.m. PST | March 6, 2020
Updated 9:20 a.m. PST | March 7, 2020
By Anh Gray and Stephanie Serrano

Editor's Note: The Washoe County Health District reported the first presumptive positive COVID-19 case on Thursday, March 6. Health officials did not provide specific details about the individual's family, but said that he had family at Huffaker Elementary School.

anh_and_steph_web_audio.mp3
KUNR's Anh Gray and Stephanie Serrano break down the new case of COVID-19 in Washoe County, Nevada on Friday, March 6.

Serrano: Bring us up to speed about the new cases of COVID-19 in Nevada.

Gray: The first "presumptive positive" case in Washoe comes on the heels of the first presumptive positive case in Clark County, Nevada. Both were announced yesterday [Thursday, March 5]. The Southern Nevada Health District announced their case in the morning and Washoe County Health District announced theirs later that evening. [Nevada] went from having zero cases, to learning we have two presumptive positive cases. Presumptive positive cases mean that an individual received a positive test in the state, but then the sample is then sent to the CDC for confirmation. 

Serrano: What exactly do we know about these individuals? 

Gray: Let me start with the Washoe case. Local health authorities report that that person is a male in his fifties. They say the case is travel related. He is linked to the Grand Princess cruise ship and it is unclear at this point when he returned to Washoe County. Health officials do tell us that he is in stable condition and is self-quarantining at home. As far as the Clark County case is concerned, it is also a man in his fifties and he traveled to Washington and Texas, and those two states have reported the presence of COVID-19 in their communities. The Southern Nevada Health District has informed us that that person is hospitalized and in isolation. 

Gray: I know you attended the Washoe County Health District press conference this morning [Friday, March 6] where they were providing more information about the new case. What did you learn?

Serrano: The person who tested presumptive positive also had family members at Huffaker Elementary School. This meant that the school shut down [Friday, March 6]. Parents received information that the school was closing to deep clean last night and deep clean again. Several students had been experiencing flu-like symptoms, which means now they will also be tested for COVID-19. Kevin Dick with the Washoe County Health District said the department worked closely with the school district to close the school out of caution and reiterated that there are no confirmed cases of COVID-19 at the school.

The people who are being tested are being asked to self-quarantine. 

Serrano: Anh, you spoke to a mom from Huffaker's Elementary School. What did she have to say?

Gray: The mom that I spoke to, her name is Hailey Spencer. She has a 3-year-old daughter who attends preschool at Huffaker and she said that she did receive a message from the school yesterday saying that they had some concerns about the stomach flu among students at the school. She then received another email message saying that there were concerns about some students exhibiting flu-like symptoms, and then it was later on in the evening that she received a call saying that the school would be closed today. And because there were those various messages, each one mentioning different types of illnesses, she said it was a little bit confusing and had some concerns.

"I would appreciate a more clear answer on what is going on," Spencer said. "I know that they are sanitizing, but what are their plans in the future if any more kids come up sick? The school bus situation, how they are going to handle that, and the playground equipment, are they sanitizing all of that? I would just like more of a clear answer from them and I feel like they are trying not to scare everyone, which I understand, but the parents deserve to know exactly what is going on and what they are planning on doing for the future.” 

Serrano: I checked in with school district officials. They said the health district is taking the lead on the situation. Anh, what else do we need to know?

Gray: The Washoe County Health District’s health officer, Kevin Dick, did say that they would be testing some members that may have been in contact with that individual and will update the community once information is available. Kevin Dick also reported that there were other Reno residents that were on the Grand Princess cruise ship, so they will be monitoring that situation and updating the public as necessary. I also want to note in neighboring Placer County, there's been reports, too, that there are other residents in that community who were on that same cruise ship, and there was one reported death in Placer County linked to a passenger on that cruise ship. It really is an evolving situation and we will be learning more information in the next days and weeks.  


Washoe County Health District COVID-19 Infographic

4:08 p.m. PST | March 6, 2020
By Washoe County Health District


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Elementary School In Reno Closes, Multiple Students Tested For COVID-19

12:27 p.m. PST | March 6, 2020
By Bree Zender

Multiple students with flu-like symptoms at Huffaker Elementary School are being tested for COVID-19, according to the Washoe County Health District.

Officials said no student cases have been confirmed at this hour.

This comes after a family member of a student tested presumptively positive for the coronavirus, pending confirmation from the Centers for Disease Control and Prevention. The patient is a man in his 50s, quarantined at home, and is in stable condition.

County Health District Officer Kevin Dick said the patient was aboard the Grand Princess cruise ship. Multiple passengers and crewmembers on board the boat have tested positive for the virus.

"I think the positive news at this point is that this is a travel-related case that we've identified, and that we have not yet identified any community transmission," Dick said.

Huffaker Elementary School was closed today out of caution. The health district is advising everyone to frequently and thoroughly wash your hands, and stay home if you feel sick.


Washoe County Has Presumptive Case Of COVID-19 Huffaker Elementary School Closed Friday Out Of An Abundance Of Caution

10:30 p.m. PST | March 5, 2020
Press Release By Washoe County Health District
FOR IMMEDIATE RELEASE

Reno, Nev. March 5, 2020. The Washoe County Health District (WCHD) has received a presumptive positive case of COVID-19 (novel coronavirus), the first in Washoe County. The test has been sent to the Centers for Disease Control and Prevention for confirmation. The case is a male resident in his 50s who is linked to the Grand Princess cruise ship outbreak. His condition is stable and he is self isolating at home. The case has a family member who is a student at Huffaker Elementary School in Reno, Nev. Out of an abundance of caution, the Health District requested that Huffaker Elementary School be closed on Friday, March 6. The Washoe County School District has informed parents of the closure. There are no confirmed cases at Huffaker Elementary. “The Health District’s top priority right now is to investigate this case and identify close contacts,” said Kevin Dick, District Health Officer for the Washoe County Health District. “Our staff is working with the school district to help ensure safety for students and faculty at Huffaker, as well as the community. Additional information will be released as we learn more. “We cannot stress enough that the most important thing people can do to prevent contracting COVID-19 is to practice social distancing, wash your hands with water and soap frequently, cough and sneeze into your sleeve and stay home if you’re sick. We ask that you inform family and friends of these preventive measures.” While this is as serious public health threat, the immediate risk to the general public in Washoe County and the United States remains low at this time. The public is encouraged to go to www.washoecounty.us/covid19 for updated information.


Response To Coronavirus In Placer County

5:42 p.m. PST | March 5, 2020
By Andrew Mendez

One person died Wednesday from the coronavirus in Placer County, California, where a local and state-wide health emergency has been declared.

PlacerCountyDeathWRAPWeb.mp3
KUNR's Andrew Mendez provides an overview of recent events in Placer County, California, where a local and state-wide health emergency has been declared.

Doctor Aimee Sisson is the Placer County health officer. She said the patient tested positive on Tuesday and was at an increased risk due to underlying health conditions and age. 

“While we are not at the point where I would consider canceling events, closing schools or requiring widespread social distancing measures, we do want the public to prepare for that possibility,” Sisson said.

Ten health care workers and five first responders were in direct contact with the patient and are under quarantine and not exhibiting symptoms. 

Officials said the patient was symptomatic while on a cruise from San Francisco to Mexico, and was admitted to Kaiser Permanente in Roseville, California last week.   

Public health officials advise vulnerable people to stay at home as much as possible, wash hands on a regular basis and minimize contact with people and common surfaces.


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Public Funding, Staff Low To Respond To Coronavirus In Washoe County

4:19 p.m. PST | March 5, 2020
By Bree Zender

Nevada now has one case of “presumptive” coronavirus in Southern Nevada. In order to find out what you can do to prepare here in Northern Nevada, KUNR’s Bree Zender spoke with Dr. Randall Todd, the director of epidemiology at the Washoe County Health District.

breecoronavirustodd.mp3
KUNR's Bree Zender discusses coronavirus preparation with Dr. Randall Todd, the director of epidemiology at the Washoe County Health District.

Zender: If you're starting to feel some flu-like symptoms, at what point should you reach out to your doctor? 

Todd: Well, certainly if you're feeling ill and you think it could be this, call your doctor's office. I would say don't just show up there. Call first, let them know and then they would advise on when you should come. They might want to meet you in the parking lot with a mask, so that you don't come in and expose the staff and other patients in the waiting room to something like this. So it's important to just be in communication with your health care provider.

Zender: In terms of testing kits, do we have any available here in Washoe County? 

Todd: The federal government has made some testing kits available to the state public health laboratory, which is located here on the campus of UNR. This is for the whole state, so it's not just for Washoe County. It's not even just for Northern Nevada. We don't know how far those might stretch if we started to have to use them, but it's good to know they're here. 

Zender: How has the district coordinated with other agencies about coronavirus so far? 

Todd: We have been talking with the Washoe County School District. We've been talking with Washoe County Emergency Management. We've been talking with various law enforcement agencies, fire agencies. There's almost no entity that you could think of that we haven't been in communication with. [We’re] wanting to let them know that we're here to help, and we are hoping that they're here to help as well.

Zender: We have a large Spanish speaking community here in Northern Nevada. Is there outreach that has been done to keep them informed as well? 

Todd: We've been working toward developing translations of some of our educational material that we're putting on our website. So that's available in both English and Spanish.

Zender: An outbreak at an assisted living facility near Seattle, Washington has left several people dead from the coronavirus. What can we learn from that situation?

Todd: Well, if we were to see an outbreak in a facility here in Washoe County, we would be taking steps to try to make sure that the people who've been exposed are being closely monitored, so that if they actually develop the disease, contacts with them can be limited, so that it doesn't spread any further than maybe it already has.

Zender: In other areas throughout the world, there [have] been outbreaks. In Wuhan, China, [residents] have been quarantined for quite some time, some weeks, due to their outbreaks that they're having there. Do you think that might be in the realm of possibilities here in Washoe County? 

Todd: There are different levels of quarantine. If we were to start to see human cases here, we would most likely want to at least isolate people who are considered to be contagious to others, so that they don't pass it along. Depending on their home situation, isolating them at home may or may not be the best option. If they have people in the home who are susceptible, that would not necessarily be a good idea. So they might need to be in a facility of some sort.

Zender: So quarantine on an individual level, rather than blanket coordinating? 

Todd: Yes. 

Zender: There's a lot of people talking about what's going on with coronavirus or COVID-19. Are there any misconceptions about the virus that you're hearing about that you would like to clear up?

Todd: Well, I think there are people that think it's just another version of the flu, because the symptoms are rather similar. But it's not the flu. It's a different disease. It's caused by a different virus. We want people to take appropriate precautions to not contract this, because [the] level of seriousness is still somewhat unknown. This didn't jump the species barrier all that long ago, and so the full ramifications are not completely known to us. 

Zender: In recent years, funding for public health in Nevada has been awfully low. Will there be any funding to respond to a possible outbreak? And where would that come from? 

Todd: Well, public health funding in Nevada has always been too low. We rank near the bottom of the states. If you were to list all the states by how much public health funding they get, Nevada is going to be at or near the bottom of that list. So I do understand that the federal government is working on identifying some funding that can be made available to states, to help them in their efforts to combat and control this disease. And so we're looking forward to that. 

Zender: Do you know how much that might be? Or is that still up in the air?

Todd: I don't know. 

Zender: So where's the health district and health care providers at in terms of staffing and in response to a possible outbreak? Do you think we are adequately staffed to have something like that happen? 

Todd: Well, I think right now, it's somewhat marginal for [the health district]. We're letting some things go because we're having to focus on this, but we try to prioritize and still deal with the most important issues. Now, if we started to see actual cases and things started to really get going, we would not be adequately staffed. So we'd have to be looking to get some additional help. 

Zender: Would that come from the federal government? 

Todd: Well, I would think that the money would come from the federal government.

Zender: Where would the extra staff come from? 

Todd: We would probably just have to put out a notice publicly that we're hiring. 

Zender: So there’s been other coronaviruses out there, like SARS, the outbreak in the early 2000s. What have we learned from those outbreaks that we can apply to [this] coronavirus?

Todd: Well, I think we've learned that these are illnesses, that at least for the ones that we've dealt with, can be controlled. And we're hopeful that this new one is also going to be able to be controlled. We don't know that just yet. So we're going to learn a lot more in the coming weeks and months.

Zender: As an infectious disease professional, is there anything that concerns you about coronavirus? 

Todd: What mostly concerns me about this is what we still don't know about it. We don't know if it's going to be more serious than the ones we've dealt with previously. We don't know if the people who have minimal symptoms are very infectious. So that would be an important thing to find out. So it's a little bit disconcerting when there's probably more things that we don't know than that we do know.


Southern Nevada Health District Announces Positive Case Of COVID-19 In A Clark County Resident

10:50 a.m. PST | March 5, 2020
Press Release By Southern Nevada Health District
FOR IMMEDIATE RELEASE

LAS VEGAS – The Southern Nevada Health District is announcing the first presumptive positive case of coronavirus disease 2019 (COVID-19) in a Clark County resident. Test results are considered “presumptive positive” until the result is confirmed by the Centers for Disease Control and Prevention. The patient is a male in his 50s who is hospitalized and currently in airborne isolation. The patient reported a recent travel history to Washington state, where community spread of the virus is being reported, and Texas, which recently reported its first travel-associated case. The Health District is working with its health care partners and leading the effort to quickly identify close contacts of the patient. While the COVID-19 outbreak is as serious public health threat, the immediate risk from the virus to the general public in Clark County and the United States remains low at this time. The Health District will provide additional updates as more information becomes available. The public can help the response: Do not go the emergency department unless it is essential. Emergency departments need to be able to serve those with the most critical needs. If you have a mild cough, fever, or other respiratory symptoms, contact your doctor first. Practice everyday preventive actions to help prevent the spread of respiratory viruses: Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer. Avoid touching your eyes, nose, and mouth. Avoid close contact with people who are sick. Cover your cough and sneeze with a tissue, then throw the tissue in the trash. Clean and disinfect frequently touched objects and surfaces. Stay home when you are sick. Stay informed. The COVID-19 situation is changing frequently. Up to date information is available on the Health District website at www.southernnevadahealthdistrict.org/coronavirus or the CDC website at www.cdc.gov/coronavirus/2019-ncov/index.html.


How Coronavirus Testing In Nevada Is Performed

10:07 a.m. PST | March 5, 2020
By Anh Gray

The Southern Nevada Health District has announced the first "presumptive positive" case of coronavirus disease 2019 (COVID-19) in a Clark County resident. Test results are considered presumptive positive until the result is confirmed by the Centers for Disease Control and Prevention. The patient is a male in his 50s, who is hospitalized and currently in airborne isolation." 

In a new press release, Washoe County Health District officials are stating that “health care facilities are being inundated with calls and patients arriving at their locations unannounced.” The district is advising residents with symptoms to contact their medical provider for guidance. The Washoe County Health District is advising residents with symptoms of fever, cough and difficulty breathing to call their medical provider for guidance or use a telemedicine option if it's available. If residents do not have any symptoms, health officials are asking residents to not contact their medical provider.

The Nevada State Public Health Laboratory is located at the University of Nevada, Reno School of Medicine. The lab is charged with testing for the novel coronavirus. KUNR’s Anh Gray spoke with Dr. Mark Pandori, who’s the director of the lab, to learn more about testing in the community.

Coronavirustestingfinal.mp3
KUNR's Anh Gray discusses coronavirus testing with Dr. Mark Pandori, the director of the Nevada State Public Health Laboratory, on Wednesday, March 4.

Editor's Note: The interview with Dr. Mark Pandori took place on Wednesday, March 4, before the first presumptively positive case of COVID-19 in Nevada was reported.

Gray: Do you have information, if people exhibit symptoms, where they're supposed to go? Are those test kits available to providers in the community? Who are the ones that have them?

Pandori: If you feel very ill, you will see your clinician, and your clinician would then decide or ascertain by asking questions whether or not you might be at risk for coronavirus. If you're symptomatic and they don't have any risk ascertained, they may run a few lab tests to see if you have anything which is circulating right now, because it is flu season and cold season. So you might have something more common, or that were at least something that we more commonly deal with.

And if you are negative for that, it's possible that your case would be discussed with public health. If public health agreed that testing was warranted, the public health laboratory here at the School of Medicine on the UNR campus, the state public health lab for Nevada, can run the test. The good news is that that specimen is very likely going to be the same specimen that is possible to use to test for influenza or for the cold or for other respiratory diseases.

That test for COVID-19 would then come to the state public health lab and we would perform the test there, but that specimen collection would occur right there in the doctor's office, and we have a network of couriers that would facilitate that.

Gray: What does that mean, a network of couriers?

Pandori: A network of people who can retrieve the specimen from the doctor's office and take it to the state public health lab in a car, for example.

Gray: And that's where you come in.

Pandori: Correct. The Southern health district has a laboratory in Clark County that would serve Clark County. The state public health lab here at the University of Nevada School of Medicine campus is the public health lab for the entire state of Nevada. But there is testing available in Clark County.

Gray: So basically, people get swabbed at a clinician's office. If the test comes back negative for other types of illnesses and the clinician decides maybe we need to see if this is coronavirus, a courier will come take the specimen to your lab. Your lab will analyze it. How long does it take to get the results? And what will that trigger once you get that information?

Pandori: When the lab receives the specimen, so that's brought to our laboratory, it would take our lab between three and four hours to generate a result as to whether or not the coronavirus 2019 is present or not in that specimen.

If it was negative, we would share that result with the clinician and with public health. If it was positive, we would also share that result with the clinician, who ordered the test, and with public health officials. If it was positive, we would then send that specimen to CDC to confirm it.

Gray: Have you ever seen anything like this before?

Pandori: Yes. This shares many of the same dimensions, in different ways, and I don't mean to minimize this, I don't mean to say we've seen this all before because you'd never take an attitude like that for something this serious. But in terms of the kind of virus that it is and how it spreads, in 2009, you may recall we had what was initially called swine influenza, now known as the pandemic H1N1 strain. And that's actually become a normal strain in the community of influenza, but at first, you may recall that we were dealing with what we thought were very high death rates from that strain of influenza. We saw that it started in another country, and then it spread, and then we started to see cases in community spread here in the United States. In that regard, it's almost identical, for all the features that I just laid out to that 2009 thing that we dealt with.

But in many ways also, it's similar to Ebola, which we had a few years ago. With that, we had, again, something that started in another country. It started to be seen in other countries throughout the world, and the death rate is very high, much higher for Ebola, I have to say parenthetically. In those two instances, we were dealing with something similar in terms of scope and in terms of dynamics.


Coronavirus In Nevada Updates: Sunday, March 15

4:34 p.m. PDT | March 15, 2020
By KUNR Staff

Nev. Gov. Sisolak Closing All K-12 Schools Statewide:

All K-12 Nevada schools, including public, private and charter schools, are temporarily shutting down through April 6 in order to battle the spread of COVID-19. Nevada Governor Steve Sisolak announced the closure of all 17 districts across the state Sunday.

Sisolak also said the Nevada Department of Education will work with specific districts to create food security plans for low-income students.

Sisolak said this was a difficult and high impact decision in support of social distancing because it will place a childcare burden on working parents. He expressed awareness that these closures will create hardships for Nevada families.

In the Clark County School District, which is the fifth largest in the nation, students were expected to be on spring break from April 3-10. In the second most populous district, Washoe County, students began their two-week break Friday.

Calif. Gov. Newsom Announces Significant Social Distancing Measures:

California Governor Gavin Newsom is calling for the closure of all bars and wineries, along with the home isolation of everyone 65 and older.

The Sacramento Bee is reporting that Newsom issued the sweeping restrictions on Sunday as a form of "deep social distancing" in order to be pragmatic in the state's response to the coronavirus pandemic.

The announcement is aimed at keeping people away from each other, but it did not go so far as to close restaurants. Newsom said that restaurants can operate at reduced capacity and utilize home deliveries and curbside service.

Fourth Coronavirus Case Identified In Washoe Co. On Saturday, March 14:

The Washoe County Health District has identified a fourth case of COVID-19 in the county.

According to health officials this fourth person is a presumptive positive case and awaits CDC confirmation. This new case in Washoe is a man in his twenties with no travel history outside of the area. And he’s not linked to the previous three identified COVID-19 cases in the county.

In a press conference Saturday, County Health Officer Kevin Dick said this new case is a community transmission, which could mean there’s a likelihood of other unidentified cases.

Health officials are advising people to take precautions like social distancing and frequent hand washing. Authorities are also advising the public against hoarding food and supplies, suggesting instead to purchase a few extra items when making store visits. The health district is also supporting community decisions to cancel or postpone group events.

Many Tahoe Ski Resorts Are Closing Due To Coronavirus:

Vail Resorts and Alterra Mountain Company announced over the weekend that they are shuttering nearly 50 popular resorts. The Tahoe Daily Tribune is reporting that Vail will close its properties for seven days, starting Sunday, March 15, and then reevaluate the situation. Alterra’s closure will begin the same day but will be indefinite.

These closures impact Heavenly and Kirkwood on Tahoe’s South Shore, along with Northstar California and Squaw Valley Alpine Meadows up north.

Mount Rose ski resort has also announced that it will close for the rest of the season due to public health concerns.

Washoe Co. Libraries Are Closed:

All Washoe County libraries are closed to reduce the spread of COVID-19, the Washoe County library director said in a statement.


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Coronavirus In Nevada Updates: Friday, March 13

9:52 p.m. PDT | March 13, 2020
By KUNR Staff

Nevada Reports New Presumptive Positive Cases On March 13:

One person in Washoe County, along with eight more people in Clark County, have been diagnosed with COVID-19, according to the Southern Nevada and Washoe County Health Districts.

Officials said the patients range from their twenties through their sixties.

In Washoe County, the patient was identified as a woman in her twenties who recently traveled to Germany and France.

The Washoe County woman, and most of the Clark patients, are self-isolated at home. One man in his sixties is hospitalized and is in serious condition.

The Southern Nevada Health District did not release the status of two other men. Southern Nevada officials did not provide details on where most of the people may have contracted the virus from.

This brings the total number of confirmed cases in Nevada up to 20. Most of the tests are still waiting on confirmation from the Centers for Disease Control and Prevention.

City Of Reno Declares State Of Emergency:

The City of Reno has declared a state of emergency. The Nevada Independent is reporting that with the declaration, the city will now have the ability to redirect funds for emergency use, create mutual aid agreements, ban large gatherings and establish a curfew. At this point, city leaders are still deciding how they may utilize the declaration.

Mountain West Cancels Spring Sports Competitions:

Statement from the Mountain West on March 12:

The Mountain West Board of Directors has now officially canceled all remaining spring sports competitions and MW championships. This decision follows the recent announcement from the NCAA to cancel all of its winter and spring championships. The MW Board had previously placed an indefinite suspension on these events. The MW Board has also established a moratorium on all on-campus and off-campus in-person recruiting activities for the foreseeable future. These changes are based on the evolving COVID-19 public health threat and the ability to ensure the events do not contribute to the spread of the pandemic. The health and well-being of student-athletes, as well as the campus and general communities, is of utmost priority.

TMCC Moving To Online Instruction:

Truckee Meadows Community College is moving to alternate operations in light of the COVID-19 pandemic. TMCC will have online instruction only, starting March 30. Classes will be delivered remotely, but all TMCC locations will remain open.

WCSD Postpones Athletics and Extracurriculars:

The Washoe County School District has announced that all school, district and non-district sponsored athletics are suspended, effective Monday, along with other extra-curricular activities, assemblies, and practices. All district-sponsored travel is also suspended.

In a statement released Friday, district officials said that it's important to note that there are no planned school closures at this time and that their goal is to keep schools open so that teaching and learning can continue. The district is heading into its two-week spring break, which runs from March 16-27.

Washoe Co. Suspends Non-Essential Meetings, Events:

Washoe County officials have decided to suspend all non-essential government events and business meetings. They released a statement on Friday saying their goal is “to reduce the risk of spreading COVID-19 and to support the Washoe County Health District’s efforts to decrease the opportunity for disease transmission.”

This includes the Board of Commissioners meeting that was supposed to be on Tuesday, March 17. The statement also noted: “Washoe County leadership and staff are working to create alternative public meeting options for future meetings, and more information and updates will be forthcoming.”

Neighboring Placer Co. Closes Public Schools for Three Weeks:

The Placer Co. Office of Education released a statement on March 13, explaining that district administrators have decided to close all public schools and state preschools in Placer County for the next three weeks. The statement noted that “schools will be contacting families promptly about vital services and resources available to them throughout the closure including distance learning options and meals.”

The office is also recommending that families practice social distancing and protect vulnerable people, including senior citizens. “While children have not been shown to be a high-risk group for serious illness from COVID-19, they are still able to transmit the virus to populations who are most vulnerable to serious illness, such as older adults and those with compromised immune systems. Be mindful in childcare decisions to avoid exposing vulnerable persons, such as grandparents, to children.”

Officials also urged families not to gather in places like shopping malls, movie theaters or community centers while schools are closed.

Who Can Get A COVID-19 Test In Washoe County?

6:47 p.m. PDT | March 13, 2020
By Bree Zender

Some people who have flu-like symptoms may not be sure if they should get tested for COVID-19. The Washoe County Health District has a set of criteria for who should be tested. The criteria the district sets is based on recommendations from the federal Centers for Disease Control and Prevention.

Kevin Dick with the health district said testing criteria is based on a variety of factors, which may include the symptoms an individual is exhibiting, recent travel, or whether someone has been exposed to another person who has a confirmed case of COVID-19.

Read more from this update.


Renown Sets Up Alternate Care Site To Evaluate Respiratory Illness

3:06 p.m. PDT | March 13, 2020
By Anh Gray

Entrance to a deployable medical facility at Renown Health in Reno
Credit Anh Gray / KUNR
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KUNR
Renown Health set up a deployable medical facility outside the emergency room on Mill Street to screen and evaluate patients with symptoms of respiratory illness. Patients with COVID-19 will not be treated in this area.

Governor Steve Sisolak declared a state or emergency to deal with the spread of coronavirus in Nevada on Thursday night. Health officials have identified 11 cases of COVID-19 in the state.

As the coronavirus pandemic continues to spread around the country, Renown Health in downtown Reno recently set up a deployable medical facility. Providers can screen and evaluate patients with symptoms of respiratory illness in a tented area that serves as an extension of the emergency room.

Read more about this alternate care site.


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Coronavirus In Nevada Updates: Thursday, March 12

10:02 p.m. PDT | March 12, 2020
By KUNR Staff

Emergency Declaration:

Nevada Governor Steve Sisolak has declared a state of emergency in response to the growing concerns over the coronavirus. Sisolak made the announcement on Thursday evening in Las Vegas, only hours after health officials confirmed the eleventh case of the disease in Nevada.

Speaking at a press conference, Sisolak said the declaration is meant to help ease access to state and federal funding, and to help prevent the spread of the respiratory illness.

“I want to stress that declaring a state of emergency, while certainly a mark of the seriousness with which we are taking this effort, is not a reason to panic. This declaration is the first step to opening up access to our state's emergency resources," said Sisolak.

In addition to increased funding, the declaration activates the state's emergency operation center, which will centralize the response to the virus. The move also loosens regulations for government agencies to purchase food and other supplies.

UNR Goes Online:

The University of Nevada, Reno said students will not return to class after spring break. They will instead transition to online instruction, beginning March 23, due to COVID-19 concerns. The university made the announcement to faculty, staff and students in an email late Thursday afternoon.

While students may not be returning this semester, school officials said the university will remain open. According to the notice, the decision is part of a concerted effort to greatly reduce the collection of people on campus, in order to diminish the spread of the coronavirus.

As of Thursday, March 12, there are no confirmed cases of COVID-19 on campus.

Carson Corona:

Health officials in Carson City said a 70-year-old woman is the third person in Northern Nevada to test presumptively positive for the coronavirus, bringing the state's total number of cases to 11.

According to Carson City health officials, the woman became sick after returning from a trip to San Jose earlier this month. She is currently self-isolating with her husband, both of who are being monitored daily.

Speaking at a press conference, Nicki Aaker, director of the Carson City Department of Health and Human Services, told reporters the district is not planning to take further action, like closing schools, at this time due to the circumstances of the infection.

"This is only one case and it is travel related. It's not spread in our community. Of course, at this time, we're not planning on advising [school closings], but we will continue to monitor the situation because the situation [can] change on a momentary basis."

In addition to the state's capital city, the Carson City Health District also provides services to Lyon, Douglas and Storey counties. Officials are continuing to ask residents to be mindful of their health and to take steps to prevent further infections.

More Southern Nevada Cases:

Officials from the Southern Nevada Health District said they have diagnosed three new presumptive positive cases in Clark County. No further details were announced.

This brings the total number of confirmed and presumptive cases in Nevada to eleven, with eight in Clark County.

Mountain West Sports Suspended:

The NCAA Mountain West Conference has suspended all spring sports indefinitely. This includes Nevada and UNLV teams. Conference officials said this is a move of caution to avoid possible spread of the coronavirus.

Teams that have qualified for the NCAA basketball tournament may still participate under the directions of their institution. The NCAA will have the final call on whether the tournament will go on or not.

NCAA officials have said the teams are set to play, but no fans will be allowed into the arenas.


Update: Clark County Case Numbers For March 12, 2020

11:24 a.m. PDT | March 12, 2020
Press Release By Southern Nevada Health District
FOR IMMEDIATE RELEASE

The Southern Nevada Health District has received reports of three new presumptive positive cases in Clark County. These investigations are in the preliminary phase, and the Health District will provide additional information as it becomes available. Currently, the Health District is reporting eight cases in Clark County – seven presumptive positives and one that has been confirmed by the Centers for Disease Control and Prevention. MEDIA: An update will be sent this afternoon. If new information is available, a media availability will be scheduled and a notification distributed as soon as possible.


Coronavirus In Northern Nevada Updates: Thursday, March 12

11:19 a.m. PDT | March 12, 2020
Updates From The University Of Nevada, Reno

UNR Preparation:

The office of the Provost at the University of Nevada, Reno sent an email to faculty Wednesday requesting that they prepare to go online with their instruction. That request is being made in case the university adopts alternate operations in the near future due to concerns about the coronavirus. The office is requesting that faculty finalize an instructional plan for all classes by March 30th or earlier. It was also noted that this timeline could be accelerated depending on unfolding circumstances. Faculty were also advised to offer flexibility to students by providing accommodations such as makeup exams and alternate assignments, in case work is missed due to illness.

UNR/UNLV Games:

The University of Nevada athletics department and UNLV released a joint statement Wednesday saying that upcoming spring season athletic competitions will only have game essential staff in attendance. Their statement said that "the health and safety of student athletes, coaches, staff and fans is the top priority." This includes all scheduled baseball and softball games, as well tennis matches.

Press Release By The Nevada Attorney General

Scam Warning:

Nevada's Attorney General Aaron Ford is warning consumers to be alert for scammers trying to take advantage of the fear being caused by the coronavirus. He released a statement saying that scammers may try to sell fake products or steal your money or personal information. Criminals could use social media, emails, and text messages to ask for to donations to false victim funds or to sell bogus products claiming to cure or prevent the virus. Ford says you should: Avoid clicking on links in emails or messages from people you don’t know. These links might download a virus, or redirect to a site that was created to steal your personal information. Also, make sure your anti-virus software is up to date. Be wary of emails and posts claiming to be from the Centers for Disease Control and Prevention (CDC) or other experts. Up to date information will be provided on the CDC and World Health Organization (WHO) websites; Be cautious of online promotions for vaccines, treatments, or cures for coronavirus. If there were a medical breakthrough, it would not be advertised for the first time through a sales pitch. Conduct research before donating to charities or crowdfunding websites. Do not be rushed into making a donation. Be particularly on guard for those asking for donations through wire transfer, gift card or exclusively cash.

Press Release By Renown Hospital

Renown Screening Tent

Renown Hospital is setting up a screening tent in the parking lot of its emergency department at its Mill Street location in Reno in preparation of the impact of COVID-19. The alternate care site will serve as an additional evaluation and screening center for patients with respiratory illness and will separate those patients in order to protect other patients and hospital staff. There are no confirmed cases of the coronavirus at Renown currently and the tent has not yet opened.


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Southern Nevada Health District Announces Three New Positive Cases Of COVID-19 A Total Of Five Presumptive Positive Cases Reported In Clark County

1:52 p.m. PDT | March 11, 2020
Press Release By Southern Nevada Health District
FOR IMMEDIATE RELEASE

LAS VEGAS – The Southern Nevada Health District is reporting three new presumptive positive COVID-19 cases, bringing the total to five cases in Clark County. All investigations are ongoing and additional information will be provided as it becomes available. Based on current information, close contacts of these individuals are being identified or have been notified and are following self-quarantine procedures. The Centers for Disease Control and Prevention defines a close contact as someone who was within approximately 6 feet of a confirmed COVID-19 case for a prolonged period of time. Close contact can occur while caring for or living with someone. Health care workers who care for patients are also at higher risk. New Case Updates A female in her 40s who was hospitalized on March 8. She is isolated and in stable condition. This individual is a visitor from New York. She arrived in Las Vegas on March 5, and attended the Women of Power Summit at The Mirage. The Health District is working with the facility and conference organizers to inform attendees and to identify close contacts of this individual. A male in his 60s who is isolating at home and is a close contact of a previously reported case. A female in her 70s who is isolating at home and is a close contact of a previously reported case.Previously Reported Case Updates A male in his 50s with a travel history to Washington state. The patient remains hospitalized in serious condition. A female in her 70s with underlying medical conditions with in-state travel history to Reno, Nev., and no out-of-state or international travel history. The patient was asymptomatic while traveling. The patient remains hospitalized in serious condition. If a patient’s travel history dictates a notification to passengers that are not Clark County residents, this is determined and coordinated through the Centers for Disease Control and Prevention. The Health District is reminding the public that flu and other respiratory illnesses are circulating in Clark County. It is understandable that people who are sick may want to be tested for COVID-19. However, not everyone who feels ill needs to be tested. Health care providers or the Health District determine who should be tested based on an individuals specific symptoms and circumstances. People who have mild symptoms such as a cough or fever should stay home and away from other people. The Health District is working with its health care and community partners to ensure there are strong public health measures in place to respond to COVID-19 in the community. Updates about COVID-19 are also available by calling the Health District’s Information Line at 702-759-INFO(4636) or 1-866-767-5038. The public can help the response: Do not go to the emergency department unless it is essential. Emergency departments need to be able to serve those with the most critical needs. If you have a mild cough, fever, or other respiratory symptoms, contact your doctor first. Practice everyday preventive actions to help prevent the spread of respiratory viruses: Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer. Avoid touching your eyes, nose, and mouth. Avoid close contact with people who are sick. Cover your cough and sneeze with a tissue, then throw the tissue in the trash. Clean and disinfect frequently touched objects and surfaces. Stay home when you are sick. Stay informed. The COVID-19 situation is changing frequently. Up to date information is available on the Health District website at www.southernnevadahealthdistrict.org/coronavirus or the CDC website at www.cdc.gov/coronavirus/2019-ncov/index.html.


Nevada Outlines Conditions For Safe And Secure Return Of Resident Cruise Ship Passengers All Passengers Returning To Nevada Will Be Asymptomatic

9:13 p.m. PDT | March 10, 2020
By Michelle Billman

The CDC has confirmed that the first presumptive positive case of the coronavirus in Washoe County is positive. This is a man in his fifties who returned from a Grand Princess cruise ship in late February.

Washoe County health officials made the announcement Tuesday. They are still waiting for confirmation from the CDC regarding the second presumptive positive case in the county.

There are no additional presumptive positive cases at this point in Washoe.

Officials have also been concerned about a Grand Princess cruise ship that's in the San Francisco Bay area. They said that 49 passengers will be returning to Nevada and will be isolated in quarantine for 14 days after they arrive in the state. All of these passengers are asymptomatic at this time. All of them must agree to be tested for COVID-19 before they return to the state and they must agree to the self-isolation period.

There are more details on this situation in the press release below:

Press Release By Department of Health and Human Services
FOR IMMEDIATE RELEASE TO MEDIA - Timestamp: 1:47 p.m. PST | March 10, 2020

Carson City, NV – On Sunday, March 8th, the U.S. Department of Health and Human Services (HHS) contacted states, including Nevada, with notification that 21 passengers aboard the Grand Princess cruise ship tested positive for novel coronavirus (COVID-19). This ship had been floating off the California coast since Thursday when those 21 passengers tested positive. We have received confirmation from federal authorities that the 49 passengers from Nevada are asymptomatic. Since Sunday evening, state officials across the country have been working with federal agencies to coordinate the transportation of residents back to their respective home states for the required 14-day quarantine in lieu of sending them to military bases around the country, including Texas and Georgia. In an effort to identify an equivalent option in Nevada, Governor Sisolak directly contacted the U.S. Department of Health and Human Services and the U.S. Department of Defense to ask if any military facilities in Nevada could be made available to isolate and monitor the returning passengers in a manner that also protects the health and safety of personnel at the bases. The federal government informed us that this was not feasible. Over the last 36 hours, the Governor’s Office and Nevada Department of Health and Human Services (DHHS) have worked on contingency plans with local health authorities across the state to determine the safest and most secure plan to allow passengers from Nevada to return under conditions that could best safeguard not only their health and safety, but the health and safety of other Nevadans. After extensive review and with the consensus of local health authorities, the Governor sent a letter last night to the U.S. Department of Health and Human Services Assistant Secretary for Preparedness and Response confirming the state’s decision to bring Nevada’s residents home, under specific conditions meant to protect both the possibly exposed passengers and other Nevadans. The conditions imposed include: The passengers must be asymptomatic; The passengers must be tested for COVID-19 prior to boarding the secure flight back to Nevada so the presumptive test results will be available for local health authorities; Any passenger that refuses testing will remain under the supervision of the appropriate federal agency; The passengers must be returned to the state in an isolated manner that limits exposure to the general public; and These passengers will remain under the supervision of their respective local health authority for the 14-day isolation period immediately upon their return to Nevada We have received confirmation from the federal government accepting all the conditions outlined above. Once testing samples have been collected, the 49 asymptomatic Nevadans will return home via secure air transportation provided by the federal government and will not enter any buildings of any commercial airport in the state. Local health authorities will arrange secure transportation from the airports to the passengers’ homes. In coordination with local health districts, each passenger will be required to sign a Declaration of Self Quarantine upon arrival, confirming they will physically separate and confine themselves from other people for a period of 14 days. The respective local health authorities will implement secure and isolated ground transportation for passengers that will ensure no exposure to surrounding communities. They will be securely returned to their homes for the mandatory 14-day isolation and monitoring period, under supervision of their local health districts. Travel from California to Nevada is being managed by the federal government, and is subject to change on short notice. We will continue to keep Nevadans updated as we become aware of any significant changes to this plan. No additional information will be provided that could result in the identification these passengers.


Coronavirus In Nevada Updates: Tuesday, March 10

9:27 a.m. PDT | March 10, 2020
By Anh Gray

Four people in Nevada have tested presumptively positive for COVID-19. Two of those cases are in Washoe County, and deemed by health officials to be travel-related cases.

Over the weekend, county health authorities recommended that the community curb travel plans in order to limit the spread of the virus.

Additionally, there are 15 residents from Carson City, Douglas and Lyon County returning from the Grand Princess cruise ship, which eventually docked in Oakland, California after several days of delay due to cases of COVID-19 aboard. Carson City Health and Human Services is following guidelines from the CDC to monitor those individuals for a 14-day-period. Overall, the state is working to repatriate 49 Nevadans from the cruise ship today (Tuesday).

In addition, there have been other community responses related to concerns about the coronavirus:

Yesterday (Monday), Renown Health announced a new policy to restrict visitors. The hospital will make some exceptions for extenuating circumstances, such as severe trauma. No visitors under the age of 12 will be permitted. Also, all volunteer operations at the hospital have been suspended.

The Washoe County School District has announced that it has canceled all out-of-state and all international district-sponsored travel for students and staff. This includes conferences and activities related to athletics and academics. Currently, in-state events will continue as scheduled. You can find more updates from the WCSD here.

The Reno Gazette-Journal is reporting that Patagonia closed all of its operations in Reno yesterday in response to an employee’s claim of being exposed to the coronavirus. The Washoe County Health District investigated the employee’s claim and later determined that the claim was “fabricated.”


Correction to Carson City Health and Human Services Press Release on March 9, 2020

8:25 p.m. PDT | March 9, 2020
Press Release By Department of Health and Human Services
FOR IMMEDIATE RELEASE TO MEDIA - Timestamp: 5:53 p.m. PST | March 9, 2020

Editor’s Note: KUNR posted the original press release provided by Carson City Health and Human Services on Monday, March 9 regarding the Nevada passengers on the Grand Princess cruise ship. Since a correction was made to the press release, KUNR has removed it from our website and posted the updated version to ensure accurate information is shared.

Carson City, NV – Carson City Health and Human Services (CCHHS) prematurely issued a press release regarding Nevada passengers on the Grand Princess cruise ship which has been under quarantine due to COVID-19. The State of Nevada is coordinating with all local health districts to ensure that Nevadans on the ship who may need medical monitoring and services get the care they require, in addition to ensuring any plan has safeguards in place to protect our communities. Some information contained in the CCHHS press release is inaccurate, and does not advance our shared interest in keeping Nevadans well-informed and safe. The Nevada Department of Health and Human Services, Division of Public and Behavioral Health will release accurate information once the details have been finalized with federal agencies. More information of COVID-19 can be found at dpbh.nv.gov/coronavirus


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Washoe County Has Second Presumptive Positive Case Of COVID-19 Health District Is Identifying Close Contacts, Urges Continued Caution To Residents

 

11:02 a.m. PDT | March 8, 2020
Press Release By Washoe County Health District
FOR IMMEDIATE RELEASE

Reno, Nev. March 8, 2020. A second Washoe County resident has contracted COVID-19 (Novel Coronavirus), the Washoe County Health District (WCHD) announced Sunday. The case is a male in his 30s and he is isolated at home. His symptoms appeared after his only known travel, which was to Santa Clara, Calif. The case is considered a presumptive positive and will be sent to the Centers for Disease Control and Prevention (CDC) for confirmation. Due to medical privacy requirements and to protect their identity, further information about the case will not be released. "Given the increase in cases across the nation and the world, and the increased local testing we’re conducting, it isn’t surprising to see an additional presumptive positive case," said Kevin Dick, District Health Officer for WCHD. "Washoe County residents should remain vigilant against this disease." WCHD staff is identifying close contacts with the case as well as conducting community surveillance to determine possible spread in the community. The best ways for people to reduce their risk of getting sick, and preventing COVID-19 are: Wash hands with soap and water for at least 20 seconds Cough or sneeze into your sleeve, or tissue Avoid touching your face Stay home if you are sick Try alternatives to shaking hands, like an elbow bump There is no recommendation to wear masks at this time to prevent yourself from getting sick If possible, work from home For businesses, go here for cleaning information More information of COVID-19 can be found at www.washoecounty.us/covid19 or by calling Washoe 311 (Dial 3-1-1). MEDIA: Availability is at 1 p.m. today, Sunday, March 8, at the Washoe County Administration Complex, 1001 E. 9th Street, Building A, 9th Street doors near marriage license entrance, across the street from the Medical Examiners Office. Parking is available on 9th street. Complex gates are closed.


Washoe County Debuts ‘Drive-Thru’ COVID-19 Testing For People With Symptoms

2:02 p.m. PST | March 7, 2020
By Bree Zender

Man with protective gear shows medical equipment used for coronavirus testing.
Credit Bree Zender / KUNR Public Radio
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KUNR Public Radio
A nurse shows reporters the coronavirus testing kit. A demonstration was not offered because there are a limited number of tests currently available in the state.

Washoe County is streamlining its free coronavirus testing plan as they begin to request federal funding for more testing supplies.

At a Saturday press conference, Nevada Governor Steve Sisolak said he is working with Nevada’s federal representatives and the Centers for Disease Control and Prevention to acquire funding.

On Friday, the County Health District began asking those who meet the testing criteria to do a ‘drive-thru’ test, located outside of their tuberculosis testing facility. Health officials said testing is not open to the general public. District officials said this drive-thru process reduces the risk of transmission, because it’s an open-air test done outdoors. People with suspected COVID-19 will stay in their cars with the window rolled down, as nurses administer the swab test.  

“It’s a two-step process. So one is of the throat,” said Charlene Albee, director of Washoe County's Environmental Health Services. “And the other one is a swab that goes up one side of the nostrils, up into the sinuses, and then pulls out. Then goes into the other side.”

Person wearing protective equipment holds medical equipment used for coronavirus testing.
Credit Bree Zender / KUNR Public Radio
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KUNR Public Radio
The nurses are trained to test for tuberculosis, which is highly contagious. Washoe County health officials decided they would do a sufficient job at administering this test as well.

For the time being, tests will be administered from 9:00 a.m. through 1:00 p.m. At this point, Albee estimates they could administer six tests an hour. Then, all the day’s swabs are sent to the public health laboratory on the University of Nevada, Reno campus. The results should come out by 5:30 p.m. that day. 

On Friday, President Donald Trump signed an $8 billion emergency preparedness bill, which will send money to local, state and tribal agencies, to respond to possible coronavirus outbreaks. Albee said it’s not clear yet how much money the county will get.

“We were asked to put a budget together and submit it,” Albee said. “And it was right around $900,000, [which] is our best guess at this point in time. We have put out a call for resources to get more test kits here."

On Saturday, Sisolak said that he has been in contact with U.S. Senators Catherine Cortez Masto and Jacky Rosen to secure federal funding with the Centers for Disease Control and Prevention. The governor’s office is also working to set up COVID-19 testing at private health laboratories throughout the state.  

People wearing protective medical equipment stand outside building.
Credit Bree Zender / KUNR Public Radio
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KUNR Public Radio
Nurses wait at a virus testing station in Reno, Nev. shortly before people who are suspected to have COVID-19 arrive.

Nevada currently has two presumptive positive coronavirus cases, pending confirmation from the CDC. One Washoe County man likely contracted the virus on a trip to Mexico on the Grand Princess cruise ship in February, according to county officials. People who have been in contact with him, as well as people who are known to have been near outbreaks, are currently being screened for symptoms and tested. Placer County, California announced the death of one of its residents on Wednesday from the virus, after likely contracting it on that same cruise ship. Nevada officials said there were 40 state residents on the ship, and public health workers are tracking them down to screen for symptoms, and possibly test them if they meet the current standard.

On Friday, the Washoe County School District shut down Huffaker Elementary School, as the presumptive patient in the county had a family member who attends the school. Multiple students had flu-like symptoms, but health officials said testing conducted on Friday came back negative for COVID-19.

Editor's Note: A sentence in this post was altered to more clearly reflect the time of death and residency of the Placer County resident.


Nevada Cruise Ship Passengers Being Evaluated State Of Nevada Grateful To Local Health Authorities For Swift Action Upon Notification

9:51 a.m. PST | March 7, 2020
Press Release By Nevada Department of Health and Human Services
FOR IMMEDIATE RELEASE TO MEDIA - Timestamp: 7:05 p.m. PST | March 6, 2020

Carson City, NV – Forty Nevadans who were passengers on the Grand Princess cruise ship are being contacted by health authorities to assess their health and any symptoms that may be consistent with the novel coronavirus (COVID-19). The passengers disembarked from the ship on Feb. 21. The case that was announced as a presumptive positive through the Washoe County Health District was a passenger on the ship which also included passengers from other states who have since tested positive for COVID-19. The patient, a male in his 50s, is reported in stable condition and self-isolating at home. On March 4th and 5th the State was notified by the Centers for Disease Control and Prevention (CDC) of the Nevada passengers and local health authorities responded immediately to contact and assess all passengers for sign of illness. “Our local health authorities continue to show that they are dedicated to the health of our communities, and the State is grateful for their swift response to connect with these passengers to assess their health,” said Richard Whitley, Director of the Department of Health and Human Services. About Novel Coronavirus (COVID-19): Patients with confirmed COVID-19 infection have reportedly had mild to severe respiratory illness with symptoms of fever, cough, shortness of breath, headache, runny nose and/or sore throat. However, limited information is available to characterize the spectrum of clinical illness associated with this illness. Based on what has been seen previously during respiratory disease outbreaks caused by coronavirus, it is believed that symptoms of COVID-19 may appear anytime between two and 14 days after exposure. At this time, it is unclear how easily or sustainably COVID-19 is spreading between people. There is currently no vaccine for COVID-19, but like any respiratory viral illness it is recommended to practice good health hygiene habits. To prevent the spread of flu and viruses: Wash your hands often with soap and water for at least 20 seconds. Avoid touching your eyes, nose, and mouth with unwashed hands. Avoid close contact with those who are sick. Stay home when you are sick. Clean and disinfect frequently touched objects and surfaces.


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COVID-19 Testing Results For Huffaker Students Come Back Negative Negative Results Include Family Member Of Resident Who Was A Presumptive Positive For COVID-19

10:08 p.m. PST | March 6, 2020
Press Release By Washoe County Health District
FOR IMMEDIATE RELEASE

Reno, Nev. March 6, 2020. The Washoe County Health District (WCHD) conducted COVID-19 testing Friday and all tests came back negative including all students at Huffaker Elementary School who were tested. The negative result includes the family member (a Huffaker student) of the resident who tested presumptive positive for COVID-19 on Thursday. “We are relieved that we received no additional confirmed cases of COVID-19 today,” District Health Officer Kevin Dick said. “The Health District and Washoe County School District (WCSD) took extreme precaution by closing the school on Friday to prevent anyone from contracting the virus. I appreciate the cooperative effort of the School District to ensure the safety of those children and other members of our community.” A statement from Kristen McNeill, Interim Superintendent, Washoe County School District: “Parents, students and staff can rest assured that there are no confirmed cases of COVID-19 at Huffaker Elementary School,” McNeill said. “We want to thank the Health District for their diligent work to ensure safety of our students and staff. I’m pleased to report that Huffaker will be open on Monday.” As of right now, there is still only one presumptive positive case of COVID-19 in Washoe County. For more information on COVID-19, please call Washoe 311 (dial 3-1-1) or go to our COVID-19 webpage.


First COVID-19 Case In Washoe County: Prompts One School In South Reno To Close

6:52 p.m. PST | March 6, 2020
Updated 9:20 a.m. PST | March 7, 2020
By Anh Gray and Stephanie Serrano

Editor's Note: The Washoe County Health District reported the first presumptive positive COVID-19 case on Thursday, March 6. Health officials did not provide specific details about the individual's family, but said that he had family at Huffaker Elementary School.

anh_and_steph_web_audio.mp3
KUNR's Anh Gray and Stephanie Serrano break down the new case of COVID-19 in Washoe County, Nevada on Friday, March 6.

Serrano: Bring us up to speed about the new cases of COVID-19 in Nevada.

Gray: The first "presumptive positive" case in Washoe comes on the heels of the first presumptive positive case in Clark County, Nevada. Both were announced yesterday [Thursday, March 5]. The Southern Nevada Health District announced their case in the morning and Washoe County Health District announced theirs later that evening. [Nevada] went from having zero cases, to learning we have two presumptive positive cases. Presumptive positive cases mean that an individual received a positive test in the state, but then the sample is then sent to the CDC for confirmation. 

Serrano: What exactly do we know about these individuals? 

Gray: Let me start with the Washoe case. Local health authorities report that that person is a male in his fifties. They say the case is travel related. He is linked to the Grand Princess cruise ship and it is unclear at this point when he returned to Washoe County. Health officials do tell us that he is in stable condition and is self-quarantining at home. As far as the Clark County case is concerned, it is also a man in his fifties and he traveled to Washington and Texas, and those two states have reported the presence of COVID-19 in their communities. The Southern Nevada Health District has informed us that that person is hospitalized and in isolation. 

Gray: I know you attended the Washoe County Health District press conference this morning [Friday, March 6] where they were providing more information about the new case. What did you learn?

Serrano: The person who tested presumptive positive also had family members at Huffaker Elementary School. This meant that the school shut down [Friday, March 6]. Parents received information that the school was closing to deep clean last night and deep clean again. Several students had been experiencing flu-like symptoms, which means now they will also be tested for COVID-19. Kevin Dick with the Washoe County Health District said the department worked closely with the school district to close the school out of caution and reiterated that there are no confirmed cases of COVID-19 at the school.

The people who are being tested are being asked to self-quarantine. 

Serrano: Anh, you spoke to a mom from Huffaker's Elementary School. What did she have to say?

Gray: The mom that I spoke to, her name is Hailey Spencer. She has a 3-year-old daughter who attends preschool at Huffaker and she said that she did receive a message from the school yesterday saying that they had some concerns about the stomach flu among students at the school. She then received another email message saying that there were concerns about some students exhibiting flu-like symptoms, and then it was later on in the evening that she received a call saying that the school would be closed today. And because there were those various messages, each one mentioning different types of illnesses, she said it was a little bit confusing and had some concerns.

"I would appreciate a more clear answer on what is going on," Spencer said. "I know that they are sanitizing, but what are their plans in the future if any more kids come up sick? The school bus situation, how they are going to handle that, and the playground equipment, are they sanitizing all of that? I would just like more of a clear answer from them and I feel like they are trying not to scare everyone, which I understand, but the parents deserve to know exactly what is going on and what they are planning on doing for the future.” 

Serrano: I checked in with school district officials. They said the health district is taking the lead on the situation. Anh, what else do we need to know?

Gray: The Washoe County Health District’s health officer, Kevin Dick, did say that they would be testing some members that may have been in contact with that individual and will update the community once information is available. Kevin Dick also reported that there were other Reno residents that were on the Grand Princess cruise ship, so they will be monitoring that situation and updating the public as necessary. I also want to note in neighboring Placer County, there's been reports, too, that there are other residents in that community who were on that same cruise ship, and there was one reported death in Placer County linked to a passenger on that cruise ship. It really is an evolving situation and we will be learning more information in the next days and weeks.  


Washoe County Health District COVID-19 Infographic

4:08 p.m. PST | March 6, 2020
By Washoe County Health District


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Elementary School In Reno Closes, Multiple Students Tested For COVID-19

12:27 p.m. PST | March 6, 2020
By Bree Zender

Multiple students with flu-like symptoms at Huffaker Elementary School are being tested for COVID-19, according to the Washoe County Health District.

Officials said no student cases have been confirmed at this hour.

This comes after a family member of a student tested presumptively positive for the coronavirus, pending confirmation from the Centers for Disease Control and Prevention. The patient is a man in his 50s, quarantined at home, and is in stable condition.

County Health District Officer Kevin Dick said the patient was aboard the Grand Princess cruise ship. Multiple passengers and crewmembers on board the boat have tested positive for the virus.

"I think the positive news at this point is that this is a travel-related case that we've identified, and that we have not yet identified any community transmission," Dick said.

Huffaker Elementary School was closed today out of caution. The health district is advising everyone to frequently and thoroughly wash your hands, and stay home if you feel sick.


Washoe County Has Presumptive Case Of COVID-19 Huffaker Elementary School Closed Friday Out Of An Abundance Of Caution

10:30 p.m. PST | March 5, 2020
Press Release By Washoe County Health District
FOR IMMEDIATE RELEASE

Reno, Nev. March 5, 2020. The Washoe County Health District (WCHD) has received a presumptive positive case of COVID-19 (novel coronavirus), the first in Washoe County. The test has been sent to the Centers for Disease Control and Prevention for confirmation. The case is a male resident in his 50s who is linked to the Grand Princess cruise ship outbreak. His condition is stable and he is self isolating at home. The case has a family member who is a student at Huffaker Elementary School in Reno, Nev. Out of an abundance of caution, the Health District requested that Huffaker Elementary School be closed on Friday, March 6. The Washoe County School District has informed parents of the closure. There are no confirmed cases at Huffaker Elementary. “The Health District’s top priority right now is to investigate this case and identify close contacts,” said Kevin Dick, District Health Officer for the Washoe County Health District. “Our staff is working with the school district to help ensure safety for students and faculty at Huffaker, as well as the community. Additional information will be released as we learn more. “We cannot stress enough that the most important thing people can do to prevent contracting COVID-19 is to practice social distancing, wash your hands with water and soap frequently, cough and sneeze into your sleeve and stay home if you’re sick. We ask that you inform family and friends of these preventive measures.” While this is as serious public health threat, the immediate risk to the general public in Washoe County and the United States remains low at this time. The public is encouraged to go to www.washoecounty.us/covid19 for updated information.


Response To Coronavirus In Placer County

5:42 p.m. PST | March 5, 2020
By Andrew Mendez

One person died Wednesday from the coronavirus in Placer County, California, where a local and state-wide health emergency has been declared.

PlacerCountyDeathWRAPWeb.mp3
KUNR's Andrew Mendez provides an overview of recent events in Placer County, California, where a local and state-wide health emergency has been declared.

Doctor Aimee Sisson is the Placer County health officer. She said the patient tested positive on Tuesday and was at an increased risk due to underlying health conditions and age. 

“While we are not at the point where I would consider canceling events, closing schools or requiring widespread social distancing measures, we do want the public to prepare for that possibility,” Sisson said.

Ten health care workers and five first responders were in direct contact with the patient and are under quarantine and not exhibiting symptoms. 

Officials said the patient was symptomatic while on a cruise from San Francisco to Mexico, and was admitted to Kaiser Permanente in Roseville, California last week.   

Public health officials advise vulnerable people to stay at home as much as possible, wash hands on a regular basis and minimize contact with people and common surfaces.


Get Caught Up


Public Funding, Staff Low To Respond To Coronavirus In Washoe County

4:19 p.m. PST | March 5, 2020
By Bree Zender

Nevada now has one case of “presumptive” coronavirus in Southern Nevada. In order to find out what you can do to prepare here in Northern Nevada, KUNR’s Bree Zender spoke with Dr. Randall Todd, the director of epidemiology at the Washoe County Health District.

breecoronavirustodd.mp3
KUNR's Bree Zender discusses coronavirus preparation with Dr. Randall Todd, the director of epidemiology at the Washoe County Health District.

Zender: If you're starting to feel some flu-like symptoms, at what point should you reach out to your doctor? 

Todd: Well, certainly if you're feeling ill and you think it could be this, call your doctor's office. I would say don't just show up there. Call first, let them know and then they would advise on when you should come. They might want to meet you in the parking lot with a mask, so that you don't come in and expose the staff and other patients in the waiting room to something like this. So it's important to just be in communication with your health care provider.

Zender: In terms of testing kits, do we have any available here in Washoe County? 

Todd: The federal government has made some testing kits available to the state public health laboratory, which is located here on the campus of UNR. This is for the whole state, so it's not just for Washoe County. It's not even just for Northern Nevada. We don't know how far those might stretch if we started to have to use them, but it's good to know they're here. 

Zender: How has the district coordinated with other agencies about coronavirus so far? 

Todd: We have been talking with the Washoe County School District. We've been talking with Washoe County Emergency Management. We've been talking with various law enforcement agencies, fire agencies. There's almost no entity that you could think of that we haven't been in communication with. [We’re] wanting to let them know that we're here to help, and we are hoping that they're here to help as well.

Zender: We have a large Spanish speaking community here in Northern Nevada. Is there outreach that has been done to keep them informed as well? 

Todd: We've been working toward developing translations of some of our educational material that we're putting on our website. So that's available in both English and Spanish.

Zender: An outbreak at an assisted living facility near Seattle, Washington has left several people dead from the coronavirus. What can we learn from that situation?

Todd: Well, if we were to see an outbreak in a facility here in Washoe County, we would be taking steps to try to make sure that the people who've been exposed are being closely monitored, so that if they actually develop the disease, contacts with them can be limited, so that it doesn't spread any further than maybe it already has.

Zender: In other areas throughout the world, there [have] been outbreaks. In Wuhan, China, [residents] have been quarantined for quite some time, some weeks, due to their outbreaks that they're having there. Do you think that might be in the realm of possibilities here in Washoe County? 

Todd: There are different levels of quarantine. If we were to start to see human cases here, we would most likely want to at least isolate people who are considered to be contagious to others, so that they don't pass it along. Depending on their home situation, isolating them at home may or may not be the best option. If they have people in the home who are susceptible, that would not necessarily be a good idea. So they might need to be in a facility of some sort.

Zender: So quarantine on an individual level, rather than blanket coordinating? 

Todd: Yes. 

Zender: There's a lot of people talking about what's going on with coronavirus or COVID-19. Are there any misconceptions about the virus that you're hearing about that you would like to clear up?

Todd: Well, I think there are people that think it's just another version of the flu, because the symptoms are rather similar. But it's not the flu. It's a different disease. It's caused by a different virus. We want people to take appropriate precautions to not contract this, because [the] level of seriousness is still somewhat unknown. This didn't jump the species barrier all that long ago, and so the full ramifications are not completely known to us. 

Zender: In recent years, funding for public health in Nevada has been awfully low. Will there be any funding to respond to a possible outbreak? And where would that come from? 

Todd: Well, public health funding in Nevada has always been too low. We rank near the bottom of the states. If you were to list all the states by how much public health funding they get, Nevada is going to be at or near the bottom of that list. So I do understand that the federal government is working on identifying some funding that can be made available to states, to help them in their efforts to combat and control this disease. And so we're looking forward to that. 

Zender: Do you know how much that might be? Or is that still up in the air?

Todd: I don't know. 

Zender: So where's the health district and health care providers at in terms of staffing and in response to a possible outbreak? Do you think we are adequately staffed to have something like that happen? 

Todd: Well, I think right now, it's somewhat marginal for [the health district]. We're letting some things go because we're having to focus on this, but we try to prioritize and still deal with the most important issues. Now, if we started to see actual cases and things started to really get going, we would not be adequately staffed. So we'd have to be looking to get some additional help. 

Zender: Would that come from the federal government? 

Todd: Well, I would think that the money would come from the federal government.

Zender: Where would the extra staff come from? 

Todd: We would probably just have to put out a notice publicly that we're hiring. 

Zender: So there’s been other coronaviruses out there, like SARS, the outbreak in the early 2000s. What have we learned from those outbreaks that we can apply to [this] coronavirus?

Todd: Well, I think we've learned that these are illnesses, that at least for the ones that we've dealt with, can be controlled. And we're hopeful that this new one is also going to be able to be controlled. We don't know that just yet. So we're going to learn a lot more in the coming weeks and months.

Zender: As an infectious disease professional, is there anything that concerns you about coronavirus? 

Todd: What mostly concerns me about this is what we still don't know about it. We don't know if it's going to be more serious than the ones we've dealt with previously. We don't know if the people who have minimal symptoms are very infectious. So that would be an important thing to find out. So it's a little bit disconcerting when there's probably more things that we don't know than that we do know.


Southern Nevada Health District Announces Positive Case Of COVID-19 In A Clark County Resident

10:50 a.m. PST | March 5, 2020
Press Release By Southern Nevada Health District
FOR IMMEDIATE RELEASE

LAS VEGAS – The Southern Nevada Health District is announcing the first presumptive positive case of coronavirus disease 2019 (COVID-19) in a Clark County resident. Test results are considered “presumptive positive” until the result is confirmed by the Centers for Disease Control and Prevention. The patient is a male in his 50s who is hospitalized and currently in airborne isolation. The patient reported a recent travel history to Washington state, where community spread of the virus is being reported, and Texas, which recently reported its first travel-associated case. The Health District is working with its health care partners and leading the effort to quickly identify close contacts of the patient. While the COVID-19 outbreak is as serious public health threat, the immediate risk from the virus to the general public in Clark County and the United States remains low at this time. The Health District will provide additional updates as more information becomes available. The public can help the response: Do not go the emergency department unless it is essential. Emergency departments need to be able to serve those with the most critical needs. If you have a mild cough, fever, or other respiratory symptoms, contact your doctor first. Practice everyday preventive actions to help prevent the spread of respiratory viruses: Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer. Avoid touching your eyes, nose, and mouth. Avoid close contact with people who are sick. Cover your cough and sneeze with a tissue, then throw the tissue in the trash. Clean and disinfect frequently touched objects and surfaces. Stay home when you are sick. Stay informed. The COVID-19 situation is changing frequently. Up to date information is available on the Health District website at www.southernnevadahealthdistrict.org/coronavirus or the CDC website at www.cdc.gov/coronavirus/2019-ncov/index.html.


How Coronavirus Testing In Nevada Is Performed

10:07 a.m. PST | March 5, 2020
By Anh Gray

The Southern Nevada Health District has announced the first "presumptive positive" case of coronavirus disease 2019 (COVID-19) in a Clark County resident. Test results are considered presumptive positive until the result is confirmed by the Centers for Disease Control and Prevention. The patient is a male in his 50s, who is hospitalized and currently in airborne isolation." 

In a new press release, Washoe County Health District officials are stating that “health care facilities are being inundated with calls and patients arriving at their locations unannounced.” The district is advising residents with symptoms to contact their medical provider for guidance. The Washoe County Health District is advising residents with symptoms of fever, cough and difficulty breathing to call their medical provider for guidance or use a telemedicine option if it's available. If residents do not have any symptoms, health officials are asking residents to not contact their medical provider.

The Nevada State Public Health Laboratory is located at the University of Nevada, Reno School of Medicine. The lab is charged with testing for the novel coronavirus. KUNR’s Anh Gray spoke with Dr. Mark Pandori, who’s the director of the lab, to learn more about testing in the community.

Coronavirustestingfinal.mp3
KUNR's Anh Gray discusses coronavirus testing with Dr. Mark Pandori, the director of the Nevada State Public Health Laboratory, on Wednesday, March 4.

Editor's Note: The interview with Dr. Mark Pandori took place on Wednesday, March 4, before the first presumptively positive case of COVID-19 in Nevada was reported.

Gray: Do you have information, if people exhibit symptoms, where they're supposed to go? Are those test kits available to providers in the community? Who are the ones that have them?

Pandori: If you feel very ill, you will see your clinician, and your clinician would then decide or ascertain by asking questions whether or not you might be at risk for coronavirus. If you're symptomatic and they don't have any risk ascertained, they may run a few lab tests to see if you have anything which is circulating right now, because it is flu season and cold season. So you might have something more common, or that were at least something that we more commonly deal with.

And if you are negative for that, it's possible that your case would be discussed with public health. If public health agreed that testing was warranted, the public health laboratory here at the School of Medicine on the UNR campus, the state public health lab for Nevada, can run the test. The good news is that that specimen is very likely going to be the same specimen that is possible to use to test for influenza or for the cold or for other respiratory diseases.

That test for COVID-19 would then come to the state public health lab and we would perform the test there, but that specimen collection would occur right there in the doctor's office, and we have a network of couriers that would facilitate that.

Gray: What does that mean, a network of couriers?

Pandori: A network of people who can retrieve the specimen from the doctor's office and take it to the state public health lab in a car, for example.

Gray: And that's where you come in.

Pandori: Correct. The Southern health district has a laboratory in Clark County that would serve Clark County. The state public health lab here at the University of Nevada School of Medicine campus is the public health lab for the entire state of Nevada. But there is testing available in Clark County.

Gray: So basically, people get swabbed at a clinician's office. If the test comes back negative for other types of illnesses and the clinician decides maybe we need to see if this is coronavirus, a courier will come take the specimen to your lab. Your lab will analyze it. How long does it take to get the results? And what will that trigger once you get that information?

Pandori: When the lab receives the specimen, so that's brought to our laboratory, it would take our lab between three and four hours to generate a result as to whether or not the coronavirus 2019 is present or not in that specimen.

If it was negative, we would share that result with the clinician and with public health. If it was positive, we would also share that result with the clinician, who ordered the test, and with public health officials. If it was positive, we would then send that specimen to CDC to confirm it.

Gray: Have you ever seen anything like this before?

Pandori: Yes. This shares many of the same dimensions, in different ways, and I don't mean to minimize this, I don't mean to say we've seen this all before because you'd never take an attitude like that for something this serious. But in terms of the kind of virus that it is and how it spreads, in 2009, you may recall we had what was initially called swine influenza, now known as the pandemic H1N1 strain. And that's actually become a normal strain in the community of influenza, but at first, you may recall that we were dealing with what we thought were very high death rates from that strain of influenza. We saw that it started in another country, and then it spread, and then we started to see cases in community spread here in the United States. In that regard, it's almost identical, for all the features that I just laid out to that 2009 thing that we dealt with.

But in many ways also, it's similar to Ebola, which we had a few years ago. With that, we had, again, something that started in another country. It started to be seen in other countries throughout the world, and the death rate is very high, much higher for Ebola, I have to say parenthetically. In those two instances, we were dealing with something similar in terms of scope and in terms of dynamics.

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