The health and safety of our community is our number one priority. Granville Vance Public Health (GVPH) wants to make sure that our community has accurate information to help prevent and prepare for novel Coronavirus Disease 2019 (COVID-19).

As of August 4, 2020, there are 1,198 known cases in Granville County, 715 cases in Vance County, and 128,161 confirmed cases in North Carolina.

There are six outbreaks at congregate living facilities in Granville County at the Federal Correctional Complex in Butner, NC, Murdoch Development Center, Central Regional Hospital, Brantwood Nursing and Rehab Center, Universal Health Care, and Granville House. 507 of the cases in Granville County are associated with the prisons, 11 are associated with Murdoch, 2 are associated with Central Regional Hospital, 1 is associated with Brantwood Nursing and Rehab Center, 10 are associated with Universal Health Care, and 8 are associated with Granville House. 366 of the individuals in the prison have been released from isolation* and 8 individuals at long term care facilities have been released from isolation. Of the 659 community-based cases in Granville County, 500 have been released from isolation and 11 are hospitalized. There have been a total of 26 deaths in Granville County, 21 of whom were with the Bureau of Prisons and 1 with Central Regional Hospital.

There are three active outbreaks at congregate living facilities in Vance County at Kerr Lake Nursing Home, Senior Citizens Home, and Alliance Rehabilitative Care. There was also an outbreak at Pelican Health in Henderson, NC that is no longer active. 124 of the cases in Vance County are associated with outbreaks at congregate living facilities including 48 cases associated with Kerr Lake Nursing Home, 17 associated with Senior Citizens Home, and 1 associated with Alliance Rehabilitative Care. Of the 124 cases in congregate living facilities in Vance County, 44 have been released from isolation. Of the 591 community-based cases in Vance County, 440 have been released from isolation. 3 individuals in Vance County are hospitalized. There have been a total of 40 deaths in Vance County, 14 of whom were associated with Pelican Health, 11 of whom were associated with Kerr Lake Nursing Home, and 2 of whom are associated with Senior Citizens.

These numbers are updated daily at 5 pm. 

*The number of individuals who have been ‘released from isolation’ is determined by the CDC Guidance for discontinuation of isolation for persons with COVID-19.

GVPH has created graphs to regularly share data about new cases over time, cumulative cases, and demographics of cases in our counties. These were last updated Thursday, July 30th. They will be updated once per week.

 

Health Department Response

Once a positive test result is received, the health department reaches out to the affected person to ensure they are isolating in their home. Families of individuals who are confirmed positive for COVID-19 are given information about isolation and quarantine and asked to monitor symptoms.

Local public health officials then conduct an interview with the patient to begin contact tracing - investigating any known contacts from the previous two weeks. We determine any potential at-risk contacts and notify them individually of that contact and that risk.

Our commitment to the public is to announce all positive cases as soon as we can confirm the results. Therefore, we may make these announcements before we have fully completed our contact tracing. We will share more information as it is appropriate. To protect privacy, no additional information about the individuals will be shared by the health department.

Lisa Harrison, Granville Vance Public Health Director, has issued a number of press releases with additional information about COVID-19 in our communities, the health department's response, and guidance to prevent spread of the virus.

 

Individual Risk and High Risk Populations

Most people who get COVID-19 will recover without needing medical care. Some people are at higher risk of getting very sick with COVID-19. People at higher risk should call their doctor if they develop symptoms of fever or cough. You are at higher risk if you:

  • Are 65 years and older
  • Live in a nursing home or long-term care facility
  • Have a high-risk condition that includes:
    • Chronic lung disease or moderate to severe asthma
    • Heart disease with complications
    • Compromised immune system
    • Severe obesity — body mass index (BMI) of 40 or higher
    • Other underlying medical conditions, particularly if not well controlled, such as diabetes, renal failure or liver disease

People who are pregnant should be monitored since they are known to be at risk for severe viral illness. However, to date, data on COVID-19 has not shown increased risk for severe illness.

Most children are not affected by the coronavirus, and reports of children who become seriously ill remain rare and unusual cases. To learn more, see the NC DHHS webpage on Multisystem Inflammatory Syndrome in Children.

Coronaviruses like COVID-19 are most often spread through the air by coughing or sneezing, through close personal contact (including touching and shaking hands) or through touching your nose, mouth or eyes before washing your hands.

 

Individual Preventative Measures

Regardless of risk status, there are things people can do to protect themselves and their loved ones from COVID-19:

  • Stay home as much as possible, especially when you are sick.
  • Stay six feet away from people who don't live with you. This is called "social distancing".
  • Wear a cloth face covering in public spaces, such as the grocery store. This is to protect people around you if you are infected but do not have symptoms. Your mask protects them and their mask protects you. Surgical masks and N95 respirators are in short supply and should be reserved for healthcare workers or other medical first responders. The CDC offers guidance about how to make and wear a cloth face covering.
  • Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use a generous amount of hand sanitizer, with at least 60% alcohol, on all surfaces of the hands and wrists.
  • Try not to touch your face, including your eyes, nose or mouth.
  • Clean and disinfect surfaces and objects that you touch a lot.
  • Cover coughs and sneezes with a tissue, throw the tissue in the trash and wash your hands.
  • Taking care of yourself, your friends, and your family can help you cope with stress. Understand things are changing quickly and everyone is still learning.

The NC Department of Health and Human Services encourages people to remember to practice their three Ws when leaving their home: Wear, Wait, Wash. See their website for more information and printed materials for use in your organization. Taking these actions will not only help to protect you, they help protect your loved ones and your community as well! Together we can reduce the spread of infection and limit the number of people that get sick at the same time. This will protect lives and avoid strain on our health care system.

 

Exposure and Testing

Symptoms

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. These symptoms may appear 2-14 days after exposure to the virus:

  • Fever
  • Cough
  • Shortness of breath or difficulty breathing
  • Chills
  • Repeated shaking with chills
  • Muscle pain
  • Headache
  • Sore throat
  • New loss of taste or smell

Testing

Two kinds of tests are available for COVID-19: viral tests and antibody tests. A viral test tells you if you have a current infection. An antibody test tells you if you had a previous infection. An antibody test may not be able to show if you have a current infection, because it can take 1-3 weeks after infection to make antibodies. We do not know yet if having antibodies to the virus can protect someone from getting infected with the virus again, or how long that protection might last.

If you have symptoms concerning for COVID-19, please call your primary care doctor who can give advice on whether further evaluation, testing, and care is needed. Ultimately, the medical provider will determine who should be tested based on symptoms and availability of testing supplies. Those who do not have a primary care doctor should call the NC COVID-19 triage line at 1-877-490-6642 or the local health department triage nurse to discuss their symptoms and be connected with care if needed. Local health department nurses can triage and determine if testing is needed. If someone has more than mild symptoms, we can offer telemedicine visits to provide a full medical evaluation which would be recommended at that time.

There is no treatment for COVID-19. For people with mild symptoms who don’t need medical care, getting a test will not change what you or your doctor do.

Isolation & Quarantine 

If you are sick with COVID-19 or believe you might have it, you should stay home and separate yourself from other people in the home as much as possible. If you have fever and cough and other symptoms of respiratory illness, even if it is not from COVID-19, you should isolate yourself as if you have COVID-19. This will reduce the risk of making the people around you sick.

If you are in isolation, you can stop isolating yourself when you answer YES to ALL three questions:

  1. Has it been at least 10 days since you first had symptoms?
  2. Have you been without fever for three days (72 hours) without any medicine for fever?
  3. Are your other symptoms improved?

Call your doctor if your symptoms are getting worse or you have any concerns about your health. Emergency rooms need to be able to serve the most critically ill so please do not use the emergency room unless you are very sick. Call your doctor or 911 right away if you have:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Blue lips or face

 

Community Mitigation

Gov. Roy Cooper has issued several executive orders as part of North Carolina's response to the coronavirus.

Gov. Roy Cooper is employing a three-phased approach – based on data from testing, tracing and trends and in consultation with members of the business community – to lift restrictions in place to slow the spread of the COVID-19 pandemic and save lives. Phase 2 to slowly ease COVID-19 restrictions began Friday, May 22nd, through Executive Order No. 141. The Stay At Home order will be lifted as North Carolina moves to a Safer at Home recommendation, especially for vulnerable populations. More businesses can begin to take precautions to open up and people can leave their homes for non-essential activities as long as the three W’s are followed:

  • Wait 6 feet away from others,
  • Wear a face covering, and
  • Wash your hands often.

Phase 2 is expected to last through at least Friday, August 7th. More information about Phase 2 can be found at the following links:

The Governor's Task Force and NC DHHS have provided additional mitigation guidance for all North Carolinians to take proactive steps to protect the health of our state as the number of COVID-19 cases increase. For more information, please visit the following links for detailed mitigation guidance by industry.

The CDC released a set of documents on designed to provide guidance on how child care centers, youth programs and camps, restaurants and bars, workplaces, and other establishments could begin the process of reopening in the face of the coronavirus. The "decision tools" recommend that all workplaces hold off on reopening unless they are ready to protect employees at higher risk for severe illness, including those 65 and older and people of all ages with underlying medical conditions. While some of these organizations are not yet allowed to reopen under Phase 1 in NC, the guidance provide some direction on necessary safety precautions when re-opening is permitted. See the guidance document below.

As North Carolina’s restaurants, hotels, attractions and businesses reopen after the COVID-19 stay-at-home order, Count On Me NC is a mutual pledge and public health initiative that empowers guests and businesses to help keep everyone safe and protected. Our Environmental Health team encourages all restaurants in Granville and Vance Counties to complete the training modules for restaurant owners/operators, front of house, and back of house staff.

GVPH continues to work closely with our partners across Granville and Vance counties including hospitals, private providers, school systems, community health centers, senior centers, county and city governments, churches, and many others to provide education and guidance regarding mitigation efforts. In doing so, GVPH has provided memos for some of our partners with additional guidance. See below for most recent memos:

Overall Health & Economic Assistance

North Carolina is offering a number of additional resources to support individuals during these challenging times.

Even if you do not have underlying chronic conditions, everyone can take action to keep their body resilient and healthy. See some tips to stay healthy, including quitting smoking and keeping your diabetes under control.

During an outbreak like COVID-19, it is not uncommon for people to experience feelings of fear, depression, or anxiety. If you or a loved one are struggling, NC DHHS lists a number of resources in North Carolina that can provide support including the Hope4NC Helpline (1-855-587-3463) which connects individuals to additional mental health and resilience supports to help you cope and build resilience during times of crisis.

For food access, shelter and more, call 2-1-1 or 888-892-1162. There are a number of programs offering additional assistance. For more information, see the following:

Legal Aid NC also has a library of resources related to housing, education, health insurance, employments, benefits, and other needs.

 

Global Case Counts

For up-to-date information about COVID-19 cases around the world, check out the 2019 Novel Coronavirus Interactive Global Dashboard.

 

More Information

For more information please visit the following pages:

As questions and concerns about coronavirus (COVID-19) increase across North Carolina, we’d like to encourage promotion of the statewide Coronavirus Helpline (1-866-462-3821) for the public, which is answered 24 hours a day/7 days a week.

Please feel free to share the below resources with friends, family, colleagues, patients, and/or customers. These are helpful resources to distribute or post in appropriate locations within your organization for others to access.

You may access these and additional materials online through the CDC website or the NC DHHS website.

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