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  • Sarah, they're getting ready to start.

  • Everyone all right?

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  • Hi, I'm Mary.

  • Greg's on the system Director Force Communications for legal help here to there there.

  • Chief, The NBA is our president, president and CEO, and he's got some remarks to make.

  • You know, when you're from hunters from the community.

  • Well, thank you.

  • Thank you, Mary.

  • Thank you all for being here today.

  • What?

  • Yes.

  • Yes, they're here.

  • First of all, our board of directors are chairman last year to raise Everly Jessica Carter here and the answer recover.

  • I also want a welcome Angela Smith for help.

  • And Brian Hammoudeh, chairman before and sure, no.

  • Or and Dr Bill her in the chair.

  • So last night we announced that we have had two confirmed cases of Corona virus.

  • It is with great sadness that I tell you that one of our patient, it is important that you understand the timeline of events is transparency is important to us.

  • Is your community health care provider.

  • Two patients arrived in the emergency department of Gulf Coast Medical Center on Wednesday around with symptoms of severe respiratory distress.

  • Both were tested for code 19 been coordinating in accordance with guidelines provided by the Florida Department health and admitted to our intensive period.

  • We gather the appropriate specimens, were testing and sent them to the state lab.

  • Both patients are elderly and have underlying health condition.

  • On Thursday morning, one of those patients died.

  • The agency notified lead health of the presumptive positive test Friday evening.

  • Later that evening.

  • We know if our employees positions in the community of the 2% cases and of the patients, we are truly sad lost at the time of this press conference.

  • The second patient has a presumptive positive test and is in our intense security.

  • That patient is in isolation in his receiving appropriate treat employees, medical staff and others who have come in contact with either.

  • The confirmed cases are being evaluated no only help.

  • Employees have shown signs of infection, but they have been isolated, being monitored closely.

  • The safety of our staff, our positions, volunteers and out of the community are of the utmost importance.

  • We understand the community is concerned, and we are here to provide assurance that we're doing everything we can.

  • Lead Health is presented, is prevented by federal privacy laws for releasing personal health information about our patients and are unable to announce their names or further details about the status of their health.

  • The Florida Department of Health is investigating their travel history and opportunities for exposure and will be responsible for communicating.

  • Details of the case is, if appropriate, since this strain of Corona virus was identified in December.

  • League Health has been monitoring the spread and prepared the health system for an eventual case.

  • The established plans and protocols are being followed this time limit any further infection.

  • The drills conducted with our clinical staff confirmed that we have the appropriate training, supplies and equipment in place.

  • All of our plans are, in effect, Corona viruses here in our community, and Lee Health is prepared to care for our community over the course of the disease.

  • I want to be clear that the overall rest of the community is love.

  • Please take the several precautions to remain healthy, such as washing your hands often and thoroughly with soap and water.

  • If you want more information on Kobe 19 and Lee helps prepare in this plan, you could visit really help website at www dot lee health dot org's.

  • We're continually updating the page to keep the community of form off the latest news.

  • Both those medical center and our other Lee health facilities continue to service our community.

  • All emergency rooms remain open in operation.

  • At this time.

  • I'd like to introduce not Stepney Stovall, an infectious disease specialist and epidemiologist long have some state.

  • Hello, Thank you.

  • I wanted to let the public know first of all, that we maintain quality and safety is our number one priority in our facility.

  • This includes the immediate camera patients who Raja plus getting loose the questions that are asked of us and it includes our everyday life.

  • We have been since well before Kobe, 19 came on the scene, preparing with drills in order to make sure that our processes protect our families, protect our patients are staff and our medical staff as well as all of those who come into our facility.

  • This one.

  • I don't want to reassure you that we have processes such as cleaning, which occurs terminally when patients leave rooms when there may be a concern of transmitting this virus or other biological concerns.

  • These air in place in our active and are drilled throughout the year and maintained in our facilities.

  • At this point, I would like to recommend that people who need immediate medical care do go to the emergency department.

  • However, if you do not need immediate medical care and you're mildly ill, completely asymptomatic, or just have fear or question, there are a variety of opportunities available to you.

  • These would include calling first to your provider or an acute care office, such as an urgent care and letting them know if you have symptoms before you were to come in, you can also reach out to them for information.

  • Our website also has an ex asked the experts section where you can ask questions and lead.

  • Telehealth has been discounted to $29 Currently.

  • If you do need to get some medical advice via tele options at this point, the most important thing you can do is hand washing.

  • Hand washing does prevent the spread of this virus covering your cough.

  • Wearing a mask if you have been told to because you were ill can prevent the spread to others.

  • If you do not have soap in water available to you, you can use alcohol based hand gel that is at least 60% alcohol.

  • That is also effective at reducing the risk to others at this time.

  • There is a lot of information out there.

  • I would refer you to both the Florida Department of Health website and to the CDC for up today information.

  • These air, all also linked from health dot Thank you.

  • That stubble.

  • I really want to thank our community health partners who have been collaborating with us since the beginning of tracking this virus.

  • Since especially the Department of Public Health, we county E.

  • M s the Ford County commissioners in the sheriff's depart.

  • And this time I'd like to introduce Brian.

  • I would like to say a few words.

  • Thank you, Dr Antonucci.

  • And, uh, thank you very much for helping to help us get the word out to the folks in Lee County.

  • Based off of the information that we have here in Lee County, we are responding and actually being proactive.

  • We did not wait to hear that a Rota virus case had happened in Lee County before we started taking precautions.

  • Since early last week and the Chinese, we have been working on all our public facing facilities to make sure that we're taking precautions, doing extra measures to disinfect the public facing facilities that we manage here in the Lee County government and also at the Port Authority as well.

  • We've been taking extra disinfected measures.

  • So based on the information that we have a way of working sanitizer, ambulance is working to save the times are bosses sanitizing the permit counter at our community development office.

  • So we're doing what we can to protect the folks in Lee County.

  • We will continue to push to get information out to you as soon as poss.

  • Thank you.

  • Thank you, Commissioner.

  • Happen now, I'd like to ask Sheriff Carmine.

  • Morning.

  • Thank you for being here today.

  • As chief more enforcement officer of the county.

  • I want to ensure our community that your sheriff's office is being provided.

  • Have been taking every precaution necessary.

  • We're dealing with grown in bars.

  • We have increased.

  • The word is internally to educate our deputies of the symptoms of the virus and how to prevent infection.

  • We have also prepared them any event that they come into contact with anyone who is potentially effect.

  • My team is in constant communication going with Santos.

  • Senator Scott, we help account manager Roger Desjarlais County commissioners and he helped form.

  • We're working together as one cohesive team to ensure the well being of the Lee County residents and visitors.

  • The county has our full support.

  • We're ready to employ to deploy any and all resources necessary to assist, as always, safety, security presence.

  • We can't be my number one priority for Thank you, sheriff.

  • But this time I'd like to ask Angela Smith apartment health too.

  • I just want to reiterate what everyone has already said.

  • We should be very yeah, preparing for this for some months now.

  • We are ready.

  • You're collaborating very actively.

  • Way our phone almost constantly with health and our other community partners to ensure there were identifying people and mitigating risk.

  • And so you should rest assured that your good hands with all these great agencies.

  • So finally, I just want to remind everyone that we are prepared for this.

  • We anticipated the arrival of virus here in our community.

  • Our procedures policies are in place and their work right now protecting.

  • So we're gonna open up the floor for questions.

  • There is.

  • You are.

  • So the two patients in question were brought in through emergency service's You're right.

  • I can't answer that question.

  • I'm sorry with you on Wednesday.

  • Why were we not notified sooner?

  • Why did it have wait until Friday evening to be told that these cases were in Lee County, Especially since on Thursday I spent hours making phone calls to the department of health and the hospital trying to get this information.

  • So just take a while.

  • And so we weren't notified of positive testing on Wednesday.

  • We were notified of positive testing on Thursday.

  • I believe Friday I'm family.

  • Oh, my days and nights are mixed up.

  • So once we were notified would have been the first time that we would have known that the patient had that had Cove in 19.

  • So and we can't do notification about private and help that protected health information.

  • Otherwise, you know what a public health emergency and people want detailed information.

  • We know the patient who died traveled internationally.

  • What can you tell us about where they went, where they traveled, how long they were back in Lee County before they were test, So I can't give you specifics.

  • I can't say that the family who did travel back had been back for more than a week before presenting to our facility as far as what their movements were before they came to us.

  • I'm not aware of that information.

  • Just testing right by their malice.

  • Nice quality safety officer here.

  • I can't comment about what the governor knew or did not know But I tell you that as soon as we were notified from the Florida Department of Health, we were quickly notifying our team.

  • I take it choir precaution that we need to protect our team.

  • It's a war.

  • So they what is called we follow the CDC and Florida Department of Health guidelines specifically.

  • So when the patient comes in with this custom with the floor of the parking health and he specifically I go through the algorithm, that is this.

  • So some of these patients do not have any testing done testing done.

  • So based on this question that we have that are gonna help you, right.

  • Okay.

  • No, that wait.

  • So I think CDC and Department of Health, they're all working very diligently on that.

  • So the testing is got stages.

  • So we get some.

  • The test back fair Didn't quake some of the test because of the only about 7 to 8 sites off available testing than coordinated with Florida Department of Health To make sure we're testing the right people.

  • And once we get into those testing sites, then we'll get it back within 24 48 hours.

  • Sometimes sooner than that.

  • All really, depending too.

  • What's their load is before once we get that has come back and depending what the result of that is, the Department of Health calls us with that, and they give us a presumptive positive or they would say negative if it's presented positive at that time.

  • They work through their algorithm to make sure they confirmed that test CDC on the state to make sure they got all the things that they need to check on.

  • Thank you right behind there and get you.

  • Can you tell us directly how many people are being tested right now and how many confirmed cases there are?

  • We saw a tweet from the Department of Health this morning around 9 a.m. That there was a new case.

  • This was after we had heard of the two cases.

  • So just straight up, can you confirm how many people are being tested right now and how many confirmed cases air in Lee County?

  • So we have one.

  • We have had two positive test you mentioned.

  • One of those people died and the other person is presumptive positive.

  • And at this time, we really are just investigating the case with Florida Department of health, but we do not have anybody else that is present positive at this time.

  • There is no third test is positive at this time, so we can know if we can expect another death, another confirmed case at this time.

  • Because that's protected health information.

  • We can't release that can say that with patients come into our facilities and meet the criteria for testing.

  • We contact our local health department, they contact the state health department is necessary, and it goes all the way up to the CDC, if necessary, to decide whether or not the patient gets tested at that point.

  • So we start the algorithm.

  • It works all the way up, and only if you be criteria already tested at this point, that issue how many people may have been exposed by these two individuals?

  • Do you have any kind of indication on that?

  • How broad their exposure?

  • Waas?

  • Sure.

  • So in our facilities we have protocols in place in order thio log patients going in and out of rooms.

  • And then there are risk based criteria on the CDC dot gov website that actually determine whether you're high or low risk based upon the activity in and out of the room.

  • We determine a contact investigation list risk stratified for collaboration with the health department.

  • And then those people were notified in the last 12 18 hours.

  • We started looking at that list and got moving on that list.

  • We've already notified the majority of the people have been necessary to be evaluated.

  • And we have around very, very people who are potential medium or high risk exposures that have all been notified.

  • Yes, no one has symptoms.

  • We don't have anyone sick.

  • Bye.

  • How many?

  • So I can't give you an exact number because that's influx, of course, checking with all of our staff.

  • But in the medium and high risk category we have in the thirties and then there are significantly more.

  • Probably 40 more than Aaron.

  • Low risk categories that get monitored.

  • Not all risk categories.

  • If you look at CDC dot not categories requires quarantine.

  • Some of them do only require that we monitor for symptoms.

  • How many people were exposed during the week before hospitalization?

  • That didn't have We don't have that information.

  • I'm Sorry.

  • Way Don't do contact investigation outside or both.

  • What was the specific time that you were notified that these cases were confirmed.

  • I soak the governor's office this morning, and they said at the time of his press conference in Collier County they had not been notified.

  • Other elected officials were not notified until late last night.

  • Do you think there's also a breakdown in communicating this information to the public and important officials?

  • I don't believe so.

  • Actually, I was on my way home when I was notified last night.