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TMA Task Force convenes to prepare for COVID-19 threat

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Physician Leaders Also Host Statewide Briefing for Doctors

The Texas Medical Association (TMA) has assembled the TMA COVID-19 Task Force to help Texas physicians prepare their practices to protect and treat their patients in the event of a community outbreak of the 2019 novel coronavirus. As a first step, the TMA Board of Trustees and the task force convened a statewide tele-town hall phone meeting Tuesday evening to update thousands of primary care doctors from across the state.

The call, hosted by TMA Board of Trustees Chair E. Linda Villarreal, MD, and TMA President David C. Fleeger, MD, featured situational reports from Texas Department of State Health Services (DSHS) Commissioner of Health John Hellerstedt, MD, and DSHS Infectious Disease Medical Officer Jennifer Shuford, MD. They highlighted epidemiological updates and evidence-based criteria to evaluate suspected COVID-19 patients, advising doctors how to set up their clinics for a possible community outbreak.

Dr. Villarreal said the call was a good first step to inform Texas physicians on how to protect their patients and the community. “Our goal is to help you be as prepared as possible for this serious public health threat,” Dr. Villarreal said.

The TMA COVID-19 Task Force is chaired by Wendy Chung, MD, chief epidemiologist at Dallas County Health and Human Services and chair of the TMA Council on Science and Public Health. Dr. Chung will lead the team of 12 front-line infectious disease and primary care physician experts who will stay informed of the latest epidemiological information regarding COVID-19 and advise fellow physicians across the state about developments. The idea is for this TMA blue-ribbon group to empower front-line physicians to have their practices ready to answer the call and help their community’s patients if cases develop in their hometown.

Dr. Fleeger said the task force will play a critical role in safeguarding the health of Texans.

We as physicians have an ethical obligation to provide urgent medical care during emergencies such as this. Though it puts us at risk, there are precautions and measures we can take to protect ourselves and still take care of our patients effectively,” Dr. Fleeger said. “The ethical obligation also includes neither stigmatizing nor ostracizing anyone from receiving needed medical care – no matter their race, ethnicity, culture, or infection status.”

TMA also has established and continuously updates an online Coronavirus Resource Center for physicians.

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covid19

President unveils plan to open up America again

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President Donald Trump on Thursday presented a three-phase plan to reopen America again, but it the decisions on how states proceed with those guidelines will remain with the state governors.
During a lengthy press conference the president called the recommendations, “the next front in our war, which is called opening up America again.” Surrounded by his pandemic task force, Trump explained the strategies will be based on hard, verifiable data and benchmarks must be met at each phase. He continued it is implementable on a statewide or county-by-county basis at the discretion of each state’s governor.
As of Thursday more than 32,000 people had died from Coronavirus in the United States. In addition, more than 22 million people have filed first-time claims for unemployment insurance during the last four weeks as the job market in every sector of the economy has been devastated by the pandemic and the resulting restrictions.
Before implementing any of these guidelines a “gating” criteria must be met by the state or the region. It includes a downward trajectory of documented case within a 14-day period or a downward trajectory of positive tests as a percent of total tests with a 14-day period (flat or increasing volume of tests) as well as hospital preparedness, which includes treating all patients without crisis care and a robust testing program in place for at-risk healthcare workers including emerging antibody testing.
The guidelines, it was reported, represent the “consensus of medical professionals,” including Dr. Deborah Birx, White House Coronavirus response coordinator; Dr. Anthony Fauci, the government’s top infectious disease expert and Dr. Stephen Hahn, head of the Food and Drug Administration.

Click on the link below to read the full plan to reopen America.

https://bowienewsonline.com/wp-content/uploads/2020/04/guildine-to-reopen-smaller.pdf

Read the full story on the guidelines and response from Texas Governor Greg Abbott from his Friday news conference in the weekend Bowie News.

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Sunset area virus patient dies late Friday afternoon

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Montague County experienced its first death from the Coronavirus Friday as Dr. Delbert McCaig, county health authority, reported a Sunset area patient died Friday while being treated in Wise County.
McCaig said it was very sad news to report, especially in light of other patients who have now been cleared. The 68-year-old patient was taken by ambulance to Wise Regional on April 15 and died April 17. He added they didn’t even know about it until now, explaining the only address on the state report was a post office box in Sunset.
As of Friday noon the county had seen a total of six positive cases of the virus. All three patients from Nocona are now cleared and no longer contagious along with one in Silver Lakes. One case at Ringgold earlier this week turned out to be a Wichita County resident who has a farm in Ringgold and was moved to that city’s stats.
The case of a Saint Jo patient who tested positive outside the county remains open, said McCaig, as the Department of Health Services has not been able to confirm the Saint Jo case based on the address and phone number presented by the person when they went to Denton Mid-Cities for testing. It will remain open until he is found.
There are two other pending cases where patients have been taken to hospitals in Wichita Falls and Decatur for treatment and awaiting test results.

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COUNTY LIFE

One new positive case reported today at Ringgold

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COVID-19 UPDATE – Montague County added one more positive COVID-19 case today as County Health Authority Dr. Delbert McCaig said the case was reported to him this afternoon by state officials and involves a person at Ringgold. This makes a total of six cases, plus one more positive for a patient reportedly at Saint Jo, but state officials have told McCaig they have not been able to confirm the person is at the address listed and the phone number does not respond.

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