[MCOH-EH] Survey questions....Re: Updated Post-COVID-19 RTW guidance from CDC for HCPs

Galaid Edward I Edward.Galaid at rsfh.com
Thu Apr 16 09:15:32 PDT 2020


For those of you who have not seen it:  https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html

Are you going to go with the test-based strategy of a 2-swab negative test of cure?  Why or Why Not?  Here are some of the answers that I might expect.

___We are going with the 2-swab because it can give us some confidence that the  HCP case is no longer capable of infecting susceptible co-workers and patients
___We are going with the 2-swab because CDC said that it is the preferred method
                ___We are relying on CDC expertise
                ___We feel obligated to go with CDC's guidance because of medicolegal implications
                ___Our state health regulators have codified CDC guidance

___We are going with the non-test based strategy because we don't know which of the RNA detected in the PCR is from viable virus or just old fragments
___We are going with the non-test based strategy because we don't have the resources available to do the tests and get the results back in a reasonable turn around time
___We think that the asymptomatic carrier state is widespread in the community and limits the usefulness of the PCR test.

___Something obvious that I have missed altogether:

Feel free to call me at the number below if you'd like to share your thoughts that way.  I will anonymize and do the aggregate analysis and share.

I hope that soon, queries like this are historical curiosities.


Ed Galaid

Edward I. Galaid, MD, MPH, FACOEM
ABIM, ABPM (OM)
Medical Director, Roper St. Francis Physician Partners Occupational Medicine
Charleston, SC
Member, ACOEM Task Group,  Guidance for the Medical Evaluation of Law Enforcement Officers
Special Expert, NFPA Fire Service Occupational Safety & Health (FIX-AAA) Committee
(O) 843-402-5053


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