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Communicable Disease Control

Overview

COVID-19 Guidance and Resources for Clinicians and Facilities

San Mateo County Health is working closely with the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC) to respond to Coronavirus Disease 2019 (COVID-19) and its potential impacts on the Bay Area. 

Please note that these recommendations are intended for medical providers, congregate facilities, schools/child care facilities, and employers in San Mateo County. Providers in other counties should contact their local health department for guidance. 

General Resources

COVID-19 Digests

Reporting Requirements for Clinicians and Laboratories

Please refer to current CDPH guidance regarding COVID-19 reporting requirements for healthcare providers and laboratories. 

Healthcare providers should report via the CalREDIE Provider Portal or complete a COVID-19 Confidential Morbidity Report (CMR) found at www.smchealth.org/covid-19cmr and submit via fax to 650-573-2919 or secure email to SMCCDControl@smcgov.org. Attaching the laboratory report and relevant medical records to the CMR will help ensure the public health follow-up is able to move forward quickly.

For additional information about communicable disease reporting visit http://smchealth.org/communicablediseasereporting.

Hospitals

Information and Resources for Hospitals: 

Healthcare Facilities and Clinicians

Facilities may establish their own protocols. These guidelines are intended to support healthcare facilities that do not have internal protocols established. Employees should follow facility-specific protocols when available. 

Skilled Nursing Facilities

What to Report

  • Any probable or confirmed COVID-19 case in a staff member or resident, regardless of vaccination and whether or not symptoms are present, within one business day of the diagnosis or test date.
  • 3 or more cases of acute illness compatible with COVID-19 in residents with onset within a 72-hour period.

Follow any additional reporting guidelines provided by the CDPH or your licensing agency.

How to Report

As of April 2022, report all COVID-19 exposures and cases through the Shared Portal for Outbreak Tracking (SPOT). While in the past we have been accepting reporting through phone and email, due to the volume of cases, these are no longer viable reporting methods.

Effective Wednesday, July 20, 2022, the Shared Portal for Outbreak Tracking (SPOT) is updating a few details to the procedure of reporting COVID-19 cases through their SPOT Portal and SPOT Intake Form. These changes are intended to increase the efficiency and reduce redundancy of which facilities report cases to San Mateo County Health. To learn of the changes, please review the attached 1-page flyer explaining the changes as well as watch this demo video walking through and explaining each of the new updates. 

The first time you report through SPOT: 

  1. Review the SPOT Intake Form Overview, User Guide, and Demo for Liaisons (YouTube Video).
  2. Complete the SPOT Intake Form.
    • The Point of Contact listed should be the person who will handle confidential information and report exposure details. A SPOT Liaison Account will be created for this person.
  3. Verify that you have received a confirmation email.
  4. Monitor your email inbox for a Welcome to SPOT email and follow the instructions displayed in the screen to finish setting up your SPOT Liaison Account.
  5. Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.

Reporting through the SPOT Portal using your Liaison Account:

  • If you are submitting additional information for an ongoing exposure:
    1. Log into the SPOT Portal using your Liaison Account.
    2. Submit cases and contacts through the “Enter Information for an Existing Exposure” tab.
    3. Click on “Send Updates” to update or send new information about existing exposure events and/or records.
  • If you are reporting the start of a new exposure event at your facility:
    1. Submit a SPOT Intake Form with all details regarding the new exposure.
    2. Verify that you have received a confirmation email.
    3. Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.

Guidance

San Mateo County guidance for COVID-19 exposures and outbreaks in Skilled Nursing Facilities is entirely aligned with CDPH guidance. Please refer to CDPH licensing for specific guidance related to your facility.

Testing

Resources

Congregate Settings

Update 05/23/2022: Changes to the COVID-19 Response in San Mateo County and COVID-19 Reporting via the SPOT Portal

What to Report

  • Any probable or confirmed COVID-19 case in a staff member or resident, regardless of vaccination and whether or not symptoms are present, within one business day of the diagnosis or test date.
  • 3 or more cases of acute illness compatible with COVID-19 in residents with onset within a 72-hour period.

Follow any additional reporting guidelines provided by the California Department of Public Health (CDPH) or your licensing agency.

How to Report

As of April 2022, report all COVID-19 exposures and cases through the Shared Portal for Outbreak Tracking (SPOT). While in the past we have been accepting reporting through phone and email, due to the volume of cases, these are no longer viable reporting methods.

Effective Wednesday, July 20, 2022, the Shared Portal for Outbreak Tracking (SPOT) is updating a few details to the procedure of reporting COVID-19 cases through their SPOT Portal and SPOT Intake Form. These changes are intended to increase the efficiency and reduce redundancy of which facilities report cases to San Mateo County Health. To learn of the changes, please review the attached 1-page flyer explaining the changes as well as watch this demo video walking through and explaining each of the new updates. 

The first time you report through SPOT: 

  1. Review the SPOT Intake Form Overview, User Guide, and Demo for Liaisons (YouTube Video).
  2. Complete the SPOT Intake Form.
    • The Point of Contact listed should be the person who will handle confidential information and report exposure details. A SPOT Liaison Account will be created for this person.
  3. Verify that you have received a confirmation email.
  4. Monitor your email inbox for a Welcome to SPOT email and follow the instructions displayed in the screen to finish setting up your SPOT Liaison Account.
  5. Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.

Reporting through the SPOT Portal using your Liaison Account:

  • If you are submitting additional information for an ongoing exposure:
    1. Log into the SPOT Portal using your Liaison Account.
    2. Submit cases and contacts through the “Enter Information for an Existing Exposure” tab.
    3. Click on “Send Updates” to update or send new information about existing exposure events and/or records.
  • If you are reporting the start of a new exposure event at your facility:
    1. Submit a SPOT Intake Form with all details regarding the new exposure.
    2. Verify that you have received a confirmation email.
    3. Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.

Guidance

San Mateo County guidance for COVID-19 exposures and outbreaks in congregate settings is entirely aligned with CDPH guidance. Please refer to your licensing agency (CDPH or CDSS) for specific guidance related to your facility.

Testing

Resources

Schools and Child Care Facilities

Update 05/23/2022: Changes to the COVID-19 Response in San Mateo County and COVID-19 Reporting via the SPOT Portal

Reporting

Guidance

Employers and Businesses (Non-Healthcare)

Update 05/23/2022: Changes to the COVID-19 Response in San Mateo County and COVID-19 Reporting via the SPOT Portal

Reporting Requirements for Employers and Businesses

Reporting Threshold: Employers and businesses are required to notify the San Mateo County Health Communicable Disease (CD) Control Program when there are (3) or more cases of COVID-19 in the workplace within a 14-day period. For additional information about required reporting, please refer to the California Department of Public Health (CDPH) Responding to COVID-19 in the Workplace for Employers and California Assembly Bill No. 685

Clinicians, laboratories, healthcare facilities, congregate settings, schools, and child care facilities should refer to site-specific guidance documents available at www.smchealth.org/providers/covid19.

In general, other employers and businesses are not required to report individual staff members with suspected or confirmed COVID-19 to the local health authority if the reporting threshold of 3 or more cases within a 14-day period is not met. In these situations, employers/businesses should refer to the resources linked below for general guidance and ensure that the staff member with COVID-19 is isolated and close contacts are identified and quarantined. See www.smchealth.org/IQ for additional information about isolation and quarantine. 

Please note that Cal/OSHA has additional requirements for employers to report and respond to COVID-19 cases in the workplace. Please refer to Cal/OSHA directly for additional information. 

How to Report

As of April 2022, report all COVID-19 exposures and cases through the Shared Portal for Outbreak Tracking (SPOT). While in the past we have been accepting reporting through email, due to the volume of cases, this is no longer a viable reporting method.

The first time you report through SPOT: 

  • Review the SPOT Intake Form Overview, User Guide, and Demo for Liaisons (YouTube Video).
  • Complete the SPOT Intake Form.
    • The Point of Contact listed should be the person who will handle confidential information and report exposure details. A SPOT Liaison Account will be created for this person.
  • Verify that you have received a confirmation email.
  • Monitor your email inbox for a Welcome to SPOT email and follow the instructions displayed in the screen to finish setting up your SPOT Liaison Account.
  • Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.

Reporting through the SPOT Portal using your Liaison Account:

  • If you are submitting additional information for an ongoing exposure:
    1. Log into the SPOT Portal using your Liaison Account.
    2. Submit cases and contacts through the “Enter Information for an Existing Exposure” tab.
    3. Click on “Send Updates” to update or send new information about existing exposure events and/or records.
  • If you are reporting the start of a new exposure event at your facility:
    1. Submit a SPOT Intake Form with all details regarding the new exposure.
    2. Verify that you have received a confirmation email.
    3. Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.

San Mateo County Resources

California Department of Public Health (CDPH) Resources

Cal/OSHA Resources

Centers for Disease Control and Prevention (CDC) Resources

Personal Protective Equipment (PPE) Guidance

General information

Communicable Disease Reporting

The Communicable Disease Control Program staff works around the clock to receive and respond to communicable disease reports.

Medical providers and public health professionals are legally required by Title 17 (Section 2500) of the California Code of Regulations to report suspected, lab-confirmed and clinical diagnoses of specific diseases and conditions within specified time frames. Additionally, anyone in charge of any type of school is also required to report these diseases (Section 2508), as are Laboratories (Section 2505).

Post

Measles Information for Health Care Providers

Description of measles:

Due to a successful vaccination program, measles is rare in the US. However, since 2008, there has been a significant rise in cases due to outbreaks in several states. Clinicians should suspect measles in patients presenting with fever and morbilliform rash and should ask patients about recent travel and other possible exposures.

General information

Seasonal Flu Information for Providers

Prevention – Vaccine

According to the Centers for Disease Control and Prevention (CDC), routine annual flu vaccine is recommended for everyone aged ≥ 6 months. To permit time for production of protective antibody levels, vaccination should optimally occur before onset of influenza activity in the community. Therefore, providers should offer flu vaccine as soon as it is available. Vaccination should be offered throughout the influenza season (as long as influenza viruses are circulating in the community).

General information

Zika Information for Health Care Providers

Zika virus information for health care providers was highlighted at the inaugural Peninsula Infectious Diseases Conference on March 6th, 2018, Bridging the Gap: Integrating Clinical Care and Public Health to Improve Maternal & Pediatric Outcomes.

Please note that these recommendations are intended for medical providers in San Mateo County.  Providers in other counties should contact their local health department for guidance. 

General information

Rabies Information for Medical Providers

Information for medical providers

Please help the San Mateo County Health Communicable Disease Control Program by filling out and submitting an Animal Bite Report Form every time you provide care to an individual who has been bitten by an animal. Please fax the form to the Peninsula Humane Society and SPCA at 650-685-0102.