Notes from Today's (09/21/2021) Maine DHHS MD CallUnfortunately, we remain in a significant surge of COVID cases. In the up of 600-700 cases per day. This continues to be a majority of unvaccinated individuals but there are a fair number of breakthrough cases. There are several outbreaks in LTC homes.
Update from Maine CDC: Carrie Rice
Federal CDC and CMS have updated guidance for SARS-COV-2 (COVID-19) which include recommendations for the following:
- Fully Vaccinated residents with an exposure
- Testing Close Contacts
- Recommendations for outbreak response
- Updates to Optimize N95 Use
- Level of Community Transition Metric
- Surveillance Testing Guidance
- Outbreak Response
Maine CDC will NO LONGER be updating the table guidance for group A and group B facilities. There is no longer specific guidance laid out for group B homes. Group B homes should follow internal policies or adhere to the guidance set forth in the tools below. These tools and resource documents to reference can be found here: https://www.maine.gov/dhhs/mecdc/infectious-disease/hai/resources.shtml
Links to specific resources can be found here:
- LTC COVID-19 IPC Guidance Quick Reference (Excel)
- Federal CDC New Identification of SARS-CoV-2 Case Guidelines Summary (PDF)
- MeCDC Healthcare Worker Travel Work Restrictions Decision Tree (PDF)
- Serial Antigen Testing (PDF)
- CMS QSO 20-39 Visitation & Other Activities/Testing Guidance (PDF)
Assisted Living (Memory Care) units that are in a building with SNF/LTC units, should follow the SNF guidelines provided in today's update.
The supply of Monoclonal antibody (mAb) therapy, which has been noted as a strategy for decreasing the severity of COVID symptom and need for hospitalization or severe illness has been drastically depleted. Maine does not have adequate supply at this time but will continue to monitor, attempt to access and purchase supply as it becomes available.
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