WEBVTT 00:06.490 --> 00:08.370 - Okay, good afternoon, everyone. 00:08.370 --> 00:09.970 I'm Lieutenant General Randy George, 00:09.970 --> 00:11.858 the Commanding General First Corps 00:11.858 --> 00:14.290 and Joint Base Lewis-McChord. 00:14.290 --> 00:16.690 I appreciate everybody joining us this afternoon. 00:16.690 --> 00:18.520 We try to do this at a time when we 00:18.520 --> 00:22.390 thought we could get max participation. 00:22.390 --> 00:26.090 Joining me today to my left is Colonel Erin Stainepyne, 00:26.090 --> 00:30.240 he's the Commander of the 62nd Airlift Wing. 00:30.240 --> 00:32.710 To her left is Colonel Skye Duncan, 00:32.710 --> 00:36.140 the Garrison Commander for Joint Base Lewis-McChord. 00:36.140 --> 00:37.990 And to my right is Colonel Tom Bundt, 00:37.990 --> 00:42.160 who is the Commander of Madigan Army Medical Center. 00:42.160 --> 00:44.240 I will mention up front we were gonna have someone 00:44.240 --> 00:47.760 here and in the future and we do plan on doing these again, 00:47.760 --> 00:49.640 to have somebody from Pierce County. 00:49.640 --> 00:53.283 We're in very close coordination with Pierce County. 00:54.400 --> 00:56.060 Right across the street here as well 00:56.060 --> 01:01.060 have a rep in the state EOC as we work through this. 01:01.170 --> 01:05.470 So we're very tightly linked with them. 01:05.470 --> 01:08.220 Okay, I wanna just kind of stay up front, 01:08.220 --> 01:10.360 what we're trying to get out of today's session. 01:10.360 --> 01:11.760 And we'll obviously are looking forward 01:11.760 --> 01:13.423 to all the questions. 01:14.400 --> 01:16.100 Three things that we would like you guys 01:16.100 --> 01:17.010 to take out of this. 01:17.010 --> 01:18.680 First... 01:18.680 --> 01:20.410 is that we want you to know 01:20.410 --> 01:23.210 all the measures that we're taking right now 01:23.210 --> 01:25.980 to make sure that we keep our community safe. 01:25.980 --> 01:29.448 Second, we wanna make sure that you guys know 01:29.448 --> 01:32.730 what steps you need to take for soldiers, 01:32.730 --> 01:37.730 airmen, civilians and our family members to stay healthy. 01:38.460 --> 01:41.240 And then third is we want to make sure that you know 01:41.240 --> 01:45.460 where to find the most up to date information 01:45.460 --> 01:48.090 on what is happening right now with COVID 01:48.090 --> 01:49.620 and what's going on in our community. 01:49.620 --> 01:52.230 So I'd like everybody to write down 01:52.230 --> 01:54.780 and we'll say this several times, 01:54.780 --> 01:59.780 home.army.mil/lewis-mcchord. 02:00.930 --> 02:04.580 Okay, that is the Joint Base Lewis-McChord website. 02:04.580 --> 02:07.570 On there we have everything that we'll talk about today 02:07.570 --> 02:11.500 to include frequently asked questions will be on there. 02:11.500 --> 02:13.510 We will continue to update these. 02:13.510 --> 02:15.050 Again we're in close contact with 02:15.050 --> 02:19.466 Washington State Health officials, Pierce County, CDC, 02:19.466 --> 02:22.470 as well as all the DOD assets that we have 02:22.470 --> 02:26.800 and we will post that and continue to update that. 02:26.800 --> 02:31.160 And then we also have two 24/7 hotlines 02:31.160 --> 02:33.630 that you will see on that website 02:33.630 --> 02:36.700 that you can access it at anytime. 02:36.700 --> 02:40.640 Okay, I'm gonna start off, I'm gonna ask the first question, 02:40.640 --> 02:43.950 and we have a lot of experts here 02:43.950 --> 02:45.960 that are off to our left. 02:45.960 --> 02:47.810 A lot of medical experts. 02:47.810 --> 02:52.460 So I'm gonna ask Dr. Paul Faestel to come up here 02:52.460 --> 02:54.520 and tell us... 02:54.520 --> 02:59.520 Doc answer this, how can we best protect ourselves? 02:59.720 --> 03:01.190 - Sir, thanks for this question. 03:01.190 --> 03:03.050 And I think it's really important to take a few 03:03.050 --> 03:06.130 very basic steps that we all can take. 03:06.130 --> 03:09.430 So first off, more hand washing, right, 03:09.430 --> 03:11.080 and less face touching. 03:11.080 --> 03:14.850 So the average person touches their face about 10 times 03:14.850 --> 03:18.530 every hour, and so taking a moment to think about that. 03:18.530 --> 03:21.860 Especially important as well, stay at home when you're sick. 03:21.860 --> 03:23.280 I think that's really important. 03:23.280 --> 03:27.470 Making sure that you know ahead, not to... 03:28.352 --> 03:29.950 go to work when sick. 03:29.950 --> 03:32.710 And stay away from ill individuals as well. 03:32.710 --> 03:34.830 Lastly, Sir I think it's important to recognize 03:34.830 --> 03:37.600 that people with other medical conditions, 03:37.600 --> 03:39.677 those are the people that really need to be seen 03:39.677 --> 03:42.760 and those are the people that we need to be careful of 03:42.760 --> 03:45.010 in making sure they get this information out. 03:47.550 --> 03:49.400 - Thanks Doc, I appreciate it. 03:49.400 --> 03:50.233 Okay. 03:51.560 --> 03:55.407 All right, we got a question here I'm gonna... 03:55.407 --> 04:00.407 a good question, "Is Madigan prepared for COVID-19 04:00.477 --> 04:02.590 "and do they have the test?" 04:02.590 --> 04:03.970 Mackenzie, thanks for that question. 04:03.970 --> 04:05.833 Let me pass it over to Colonel Bundt. 04:06.840 --> 04:07.673 - Thank you, Sir. 04:07.673 --> 04:11.200 Yes, to answer to your question is yes, 04:11.200 --> 04:14.140 Madigan is prepared for COVID-19. 04:14.140 --> 04:18.550 We do have tests available, those tests, 04:18.550 --> 04:23.550 primarily for service members, but also for beneficiaries. 04:23.610 --> 04:25.610 But the real issue with the test 04:25.610 --> 04:28.020 is whether or not the individual is exhibiting 04:28.020 --> 04:31.780 the actual symptoms that would be defined as COVID-19, 04:31.780 --> 04:33.680 and for that measure it's really important 04:33.680 --> 04:36.280 to contact your provider and make sure you talk through 04:36.280 --> 04:37.640 those screening questions with them 04:37.640 --> 04:40.240 and they can make sure you get where you need to go. 04:42.160 --> 04:44.690 - So, and the other thing that I'll highlight Mackenzie 04:44.690 --> 04:48.380 is that besides, everything that we're doing at Madigan 04:48.380 --> 04:51.660 and Colonel Bundt and his team are and again 04:51.660 --> 04:55.320 in contact with Washington State Health officials, 04:55.320 --> 04:57.640 as well as everybody across DOD... 04:59.020 --> 05:01.160 and the CDC. 05:01.160 --> 05:04.700 So whatever assets that we need here locally, 05:04.700 --> 05:06.130 we're tapping into all of those 05:06.130 --> 05:09.860 to take care of our soldiers, airmen, and our families. 05:09.860 --> 05:10.693 Okay. 05:12.630 --> 05:15.291 So we got another question here. 05:15.291 --> 05:16.867 Danny, thanks for the question, 05:16.867 --> 05:21.697 "We are over 65 should we stay away from public places, 05:21.697 --> 05:23.480 "how about casinos?" 05:23.480 --> 05:25.223 So I'm gonna hand this over. 05:26.090 --> 05:28.290 Dr. Leonard, you want to take this question? 05:31.810 --> 05:33.070 - So thank you, Sir. 05:33.070 --> 05:35.720 At this point in Pierce County, Thurston County, 05:35.720 --> 05:38.210 there is no current guideline for folks 05:38.210 --> 05:40.180 to stay away from large public spaces. 05:40.180 --> 05:43.270 In King County there has been recommendations to do so. 05:43.270 --> 05:45.500 If you're concerned that you may be exposed, 05:45.500 --> 05:49.080 it is an ounce of caution is usually worth a pound of cure 05:49.080 --> 05:50.820 in this situation. 05:50.820 --> 05:54.640 But at this point, there's no base wide recommendations 05:54.640 --> 05:55.473 for doing so. 05:56.500 --> 05:58.040 - Right, and the only caveat I would make, 05:58.040 --> 05:59.750 thank you Dr. Leonard, the only caveat I'd make 05:59.750 --> 06:01.610 that he did mention the King County elements. 06:01.610 --> 06:03.868 The King County recommendations as he stated, 06:03.868 --> 06:06.479 are a little different than Thurston or Pierce 06:06.479 --> 06:10.160 and they recommend that if you're a 60 or above 06:10.160 --> 06:12.790 and have other comorbidities that you stay away 06:12.790 --> 06:15.053 from crowded places at this time. 06:17.570 --> 06:20.970 - So I guess and I'm adding my own two cents in here. 06:20.970 --> 06:23.370 If you don't think you have to go to the casino, 06:24.980 --> 06:27.050 I would probably avoid it. 06:27.050 --> 06:29.150 Okay, so the next question here 06:29.150 --> 06:32.653 and I'm gonna pass this down to Colonel Duncan. 06:33.510 --> 06:35.087 Lisa, thank you for the question. 06:35.087 --> 06:39.529 "Do parents need to plan on getting daycare services, 06:39.529 --> 06:42.107 "if schools are suspended?" 06:45.690 --> 06:47.370 - Thank you, Lisa for the question. 06:47.370 --> 06:49.470 Right now we are in close communications 06:49.470 --> 06:51.630 with all of the surrounding school districts. 06:51.630 --> 06:53.490 We have 17 surrounding school districts 06:53.490 --> 06:56.100 that we send our students to throughout JBLM. 06:56.100 --> 06:57.860 We're in close communications with all of them 06:57.860 --> 07:02.210 so we will ensure that we message out as soon as we know 07:02.210 --> 07:03.893 about any school closure. 07:03.893 --> 07:07.520 The CDCs, the child development centers on base 07:07.520 --> 07:11.670 are not necessarily linked to the schools. 07:11.670 --> 07:14.030 We will be in close communication with the schools 07:14.030 --> 07:16.710 and if they determine they need to close a school 07:16.710 --> 07:20.480 we will make a determination at that time also 07:20.480 --> 07:22.170 if we need to close the CDC 07:22.170 --> 07:26.360 but they are not necessarily linked directly to each other. 07:26.360 --> 07:29.380 So will you need to find a babysitter if your school 07:29.380 --> 07:30.930 is closed? 07:30.930 --> 07:33.500 Yes, I would suggest you start looking at those options 07:33.500 --> 07:35.710 and start having some backup plans. 07:35.710 --> 07:39.563 This is in the case of any emergency preparedness, 07:40.410 --> 07:42.270 preparing for... 07:43.170 --> 07:45.490 this would come up with a lineup 07:45.490 --> 07:47.390 with preparing for any sort of emergency 07:47.390 --> 07:49.520 or any sort of family difficulty. 07:49.520 --> 07:52.213 I would say that would be a prudent measure to take, yes. 07:55.100 --> 07:57.120 - Okay, thanks Skye. 07:57.120 --> 08:00.660 Okay, our next question from Ashley is, 08:00.660 --> 08:05.660 "How do we actually get a hold of a provider for advice?" 08:06.110 --> 08:09.380 I'm gonna turn that over to our Madigan Commander. 08:09.380 --> 08:10.213 - Yes, Sir thank you. 08:10.213 --> 08:12.320 And thank you, Ashley for the question. 08:12.320 --> 08:14.480 There are several different methods in order 08:14.480 --> 08:16.740 to get a hold of your provider and ask for advice. 08:16.740 --> 08:18.250 And the first one I would recommend 08:18.250 --> 08:20.480 is using the nurse advice line. 08:20.480 --> 08:21.750 It's posted on the website. 08:21.750 --> 08:24.250 It's posted on the JBLM website 08:24.250 --> 08:25.240 and it's mentioned in the video 08:25.240 --> 08:28.120 that shows that our health care facility. 08:28.120 --> 08:30.836 I would recommend that as they follow the CDC guidelines 08:30.836 --> 08:33.390 and then if they determine based on that, 08:33.390 --> 08:35.300 you still require to speak to a provider 08:35.300 --> 08:36.670 they do what's called a warm handoff 08:36.670 --> 08:39.560 and they'll contact that provider and link you indirectly. 08:39.560 --> 08:41.764 The other method I would ask that you examine 08:41.764 --> 08:45.030 if you're a beneficiary and you're enrolled to Madigan 08:45.030 --> 08:46.400 you can use the patient portal. 08:46.400 --> 08:48.520 This is a perfect opportunity to use the portal. 08:48.520 --> 08:50.300 It's a great way to communicate with your provider 08:50.300 --> 08:51.860 and they... 08:52.710 --> 08:54.670 can communicate with you with PII and PHI 08:54.670 --> 08:57.280 type of information that otherwise you would not 08:57.280 --> 08:59.040 really want to relay on a telephone, 08:59.040 --> 09:00.640 hopefully that's helpful to you. 09:01.730 --> 09:05.340 - I just was, based on something that I've read, 09:05.340 --> 09:08.120 Tom, can you also comment on why you don't want to go, 09:08.120 --> 09:10.810 or you want to use some of these methods first 09:10.810 --> 09:12.593 over going to the emergency room. 09:13.650 --> 09:15.250 - Great question, Sir. 09:15.250 --> 09:17.740 You don't want to present at emergency room 09:17.740 --> 09:18.857 if you have the symptoms, 09:18.857 --> 09:21.373 'cause you could potentially expose other folks, 09:23.469 --> 09:25.820 in the unlikely event you actually have it. 09:25.820 --> 09:28.600 I would say that the you want to use these methods 09:28.600 --> 09:31.040 as a way to prevent the spread of the infection, 09:31.040 --> 09:33.509 and they found that that is very effective. 09:33.509 --> 09:35.690 And also gives an opportunity to talk to you 09:35.690 --> 09:37.800 because if you present in those environments 09:37.800 --> 09:39.930 and there are other illnesses out there that could help you 09:39.930 --> 09:43.180 avoid potentially in contracting basic flu or basic cold 09:43.180 --> 09:45.887 type of conditions, so hopefully that's helpful to you. 09:46.910 --> 09:50.730 - And I want to just add one other comment on that. 09:50.730 --> 09:53.830 Again for all of us and I should have mentioned it up front, 09:53.830 --> 09:55.870 if there's something out there especially soldiers 09:55.870 --> 09:57.833 and airmen and their family members, 09:58.810 --> 10:00.860 the chain of command if there's something you feel 10:00.860 --> 10:02.650 like you're not... 10:02.650 --> 10:03.930 you can't get an appointment 10:03.930 --> 10:07.350 or your something's not happening that you want 10:07.350 --> 10:08.570 to have happen. 10:08.570 --> 10:11.487 We want you, I want you to go to your chain of command 10:11.487 --> 10:14.530 and make sure that that gets up every... 10:14.530 --> 10:17.720 Our units have surgeons, doctors inside the units 10:17.720 --> 10:21.110 and the chain of command can also help with that. 10:21.110 --> 10:25.020 So we'll explore every avenue and we ask 10:25.020 --> 10:26.390 that you do the same. 10:26.390 --> 10:28.230 Okay, our next question is from Ally. 10:28.230 --> 10:29.620 Ally, thank you. 10:29.620 --> 10:34.117 And the question is, "Is there a case of coronavirus 10:34.117 --> 10:35.530 "at Madigan?" 10:35.530 --> 10:39.710 I say no but I'll pass it over as well to Colonel Bundt. 10:39.710 --> 10:41.390 - Yes Sir, that's the right answer. 10:41.390 --> 10:45.150 At this time there is no case presumptive positive 10:45.150 --> 10:48.080 or positive case of coronavirus on JBLM, 10:48.080 --> 10:49.543 as well as Madigan. 10:59.350 --> 11:03.047 - Okay, next question from Ashley is, 11:03.047 --> 11:07.497 "How will the coronavirus affect soldiers going overseas 11:07.497 --> 11:09.410 "to affected areas... 11:10.387 --> 11:13.930 "but does this put them and their dependents in danger?" 11:13.930 --> 11:16.090 Okay, I'll take this one. 11:16.090 --> 11:18.570 So Ashley, what we have already done, 11:18.570 --> 11:20.330 I've already restricted... 11:20.330 --> 11:23.450 So I'm the approval level for travel at this point 11:23.450 --> 11:24.283 in time. 11:25.121 --> 11:28.021 And the commander of the Airlift Wing is doing the same... 11:29.390 --> 11:33.040 for the airmen, that approve any movement. 11:33.040 --> 11:37.320 We are not sending soldiers in right now 11:37.320 --> 11:39.990 to any of the affected countries that are on there. 11:39.990 --> 11:42.400 So South Korea... 11:42.400 --> 11:43.680 Japan... 11:43.680 --> 11:44.700 Italy... 11:45.540 --> 11:47.050 China, 11:47.050 --> 11:48.490 I think Iran is on the list. 11:48.490 --> 11:50.603 We're not sending soldiers there anyway. 11:51.710 --> 11:54.370 But we're not sending any of our soldiers there. 11:54.370 --> 11:58.030 I've also directed that when any of soldiers 11:58.030 --> 12:01.730 that would return from any of those locations 12:01.730 --> 12:06.660 that we will have a 14 day quarantine, that are coming back 12:06.660 --> 12:10.850 and so we will work that and right now 12:10.850 --> 12:12.040 it's in smaller numbers. 12:12.040 --> 12:15.820 I know we have some larger units that are deployed, 12:15.820 --> 12:20.100 and will be coming back and you will need to stay up to date 12:20.100 --> 12:23.133 with your chain of command on exactly what that looks like. 12:24.880 --> 12:26.900 And how we'll go through that, but you will 12:26.900 --> 12:31.290 get the information, your soldier will get the information. 12:31.290 --> 12:33.300 And so with that quarantine and coming back 12:33.300 --> 12:36.610 then they will be screened and making sure before they come 12:36.610 --> 12:40.313 back into our community that after that quarantine 12:40.313 --> 12:45.313 that will keep our dependence and JBLM safe. 12:45.660 --> 12:46.740 So I don't know if you want to comment. 12:46.740 --> 12:47.773 - Yes, Sir. 12:48.784 --> 12:52.366 Obviously we also have a responsibility as our air crew 12:52.366 --> 12:55.210 and airmen travel around the world to ensure 12:55.210 --> 12:58.880 that they stay safe and that we don't bring something back 12:58.880 --> 13:00.830 into our families and communities 13:00.830 --> 13:03.080 and so we're definitely focused on ensuring 13:03.080 --> 13:06.410 we keep that risk as low as absolutely possible. 13:06.410 --> 13:08.120 If we do have to send a crew 13:08.120 --> 13:11.410 into one of those level three countries, 13:11.410 --> 13:14.290 we've made policies so that they don't remain overnight 13:14.290 --> 13:17.090 so that we limit their time on the ground, 13:17.090 --> 13:18.730 and that when they come home, 13:18.730 --> 13:21.200 they know how to do self-assessments 13:21.200 --> 13:24.900 in order to ensure that either they don't contract 13:24.900 --> 13:27.390 something first but if secondly if they are feeling ill 13:27.390 --> 13:30.550 they know the exact steps to take to keep themselves 13:30.550 --> 13:31.740 and their families safe. 13:31.740 --> 13:34.160 So we're watching that very closely 13:34.160 --> 13:35.780 as we try to continue the mission 13:35.780 --> 13:37.130 while keeping the risk low. 13:38.770 --> 13:39.995 - Thank you, Erin. 13:39.995 --> 13:44.897 Okay, next question is from Alondra, and the question is, 13:44.897 --> 13:49.400 "Are pregnant women at a higher risk?" 13:49.400 --> 13:52.090 And I'm gonna ask either Dr. Faestel or Dr. Leonard 13:52.090 --> 13:53.890 to come forward and answer that one. 13:56.020 --> 13:59.690 - Sir, I would say that this is very similar to the flu, 13:59.690 --> 14:02.170 so influenza and I would say that pregnant women 14:02.170 --> 14:05.290 are certainly a risk factor for influenza 14:05.290 --> 14:07.130 and complications related to influenza. 14:07.130 --> 14:10.230 So I would do what you would do otherwise 14:10.230 --> 14:11.960 if you are pregnant. 14:11.960 --> 14:13.970 Stay away from others who are sick. 14:13.970 --> 14:16.115 Wash your hands frequently. 14:16.115 --> 14:18.890 Don't touch your face very frequently, right? 14:18.890 --> 14:21.810 So the same recommendations are important. 14:21.810 --> 14:23.900 I think it's important as well to kind of a quick note 14:23.900 --> 14:26.160 about treatment here as well. 14:26.160 --> 14:29.490 And so there is no specific treatment for this condition 14:29.490 --> 14:30.750 at this time. 14:30.750 --> 14:32.940 There are some medications that are being looked at 14:32.940 --> 14:34.320 for potential treatment. 14:34.320 --> 14:36.730 So what would happen if you had a positive test 14:36.730 --> 14:38.460 versus you didn't have a positive test? 14:38.460 --> 14:40.670 Well, very much the same recommendations 14:40.670 --> 14:42.930 that I've said before, more hand washing, 14:42.930 --> 14:45.720 less face touching, the treatment of course 14:45.720 --> 14:47.330 would be supportive care. 14:47.330 --> 14:50.190 More hydration, staying away from sick people. 14:50.190 --> 14:53.215 I said it once more, and then more hand washing. 14:53.215 --> 14:55.980 You know, it's pretty uncommon to realize, 14:55.980 --> 14:58.600 but we don't really wash our hands very well, 14:58.600 --> 15:01.580 and it's about 20 seconds at a time 15:01.580 --> 15:03.690 to properly wash your hands. 15:03.690 --> 15:06.350 And so it's important to kind of take your time with that. 15:06.350 --> 15:08.110 And just to reteach you how to do that. 15:08.110 --> 15:10.420 So in summary, nothing specific, 15:10.420 --> 15:13.110 other than being very careful if you're pregnant, 15:13.110 --> 15:15.333 similar to, in flu season. 15:17.160 --> 15:18.890 - Thanks, Doc appreciate it. 15:18.890 --> 15:23.311 Okay, our next question is from Carmen. 15:23.311 --> 15:26.960 And the question is, will I'm gonna pass this down 15:26.960 --> 15:29.557 to Colonel Duncan and I got some comments on as well. 15:29.557 --> 15:34.047 "Will JBLM start checking temperatures of soldiers 15:34.047 --> 15:36.917 "and civilians coming through the gates?" 15:39.580 --> 15:43.460 - So we are aware of some facilities around the globe 15:43.460 --> 15:48.460 that are screening people when they come on to base. 15:48.830 --> 15:52.820 We have that in what we call our health protection 15:52.820 --> 15:54.860 conditions level. 15:54.860 --> 15:59.860 We have a very clearly delineated structure of HPCON. 16:01.210 --> 16:02.820 That's the abbreviation we'll use 16:02.820 --> 16:03.900 and you'll hear us say that 16:03.900 --> 16:06.610 health protection condition standards. 16:06.610 --> 16:10.750 Right now we are at HPCON Alpha. 16:10.750 --> 16:13.080 We were one of the first basis in the nation 16:13.080 --> 16:16.270 to go to that level in the CONUS to go to that level 16:16.270 --> 16:19.440 because of, we are surrounded by... 16:19.440 --> 16:23.440 we are near King County and they sort of surround us 16:23.440 --> 16:25.030 on the north and the east. 16:25.030 --> 16:28.740 So as the out of a look at the caution, 16:28.740 --> 16:30.860 out of an abundance of caution we decided to elevate 16:30.860 --> 16:34.420 HPCON Alpha, that does not have any screening criteria 16:34.420 --> 16:35.590 at the gates. 16:35.590 --> 16:37.840 And what we will do is as we go through 16:37.840 --> 16:42.170 and if we see the need to elevate to Bravo, or Charlie, 16:42.170 --> 16:45.080 because of something going on on base, 16:45.080 --> 16:46.710 or because of something going on, 16:46.710 --> 16:50.120 off base but very close to us, Pierce County 16:50.120 --> 16:54.130 maybe Thurston County, we're in communications with them 16:54.130 --> 16:56.070 with their emergency operations centers 16:56.070 --> 17:00.040 and the Madigan is in coordination with their health 17:00.040 --> 17:01.679 professionals, if we see that 17:01.679 --> 17:05.640 we have a ladder that we will look through here 17:05.640 --> 17:08.411 and we might institute screening at the gates 17:08.411 --> 17:11.930 in an elevated level of health prediction conditions. 17:11.930 --> 17:14.574 But again right now there are no cases on JBLM 17:14.574 --> 17:17.250 or very close to us so we are not screening 17:17.250 --> 17:18.550 at the gates at this time. 17:21.530 --> 17:23.680 - Okay, and Cameron I want to be clear that 17:26.189 --> 17:28.530 we'll post this on the website if... 17:28.530 --> 17:30.530 anything's gonna change that's out there 17:30.530 --> 17:34.286 that affects you know, we all know coming through the gate, 17:34.286 --> 17:37.830 this obviously will affect travel times, 17:37.830 --> 17:39.850 coming through the gate, so we'll be very clear about 17:39.850 --> 17:42.390 what we have to do when we have to institute it 17:43.340 --> 17:45.610 and be very clear about what's happening. 17:45.610 --> 17:47.710 So we you know we have talked about... 17:48.888 --> 17:53.233 We have a planning team that meets daily, all day, 17:54.336 --> 17:55.860 and has for about the last two weeks 17:55.860 --> 17:58.570 to kind of make sure that we're fully prepared for this 17:58.570 --> 18:00.350 and doing all the right things that condition, 18:00.350 --> 18:01.920 you know things change. 18:01.920 --> 18:04.440 And that allows us to adapt to that. 18:04.440 --> 18:07.100 And when we feel the conditions change and warranted 18:07.100 --> 18:11.490 we'll be ready and prudent to take all the necessary 18:11.490 --> 18:13.210 cautions to do that. 18:13.210 --> 18:16.223 Okay, the next question is from TC. 18:17.117 --> 18:22.117 "What is the plan if a case were to appear on JBLM?" 18:24.960 --> 18:28.091 Okay, I'm gonna start I think we all have a piece of that. 18:28.091 --> 18:33.091 And we'll start here with the medical first 18:33.140 --> 18:34.793 as far as if we had a case. 18:36.950 --> 18:39.640 - Yes Sir, from TC. 18:39.640 --> 18:43.340 If we had a case first line would be, 18:43.340 --> 18:45.550 based on how that case presents itself. 18:45.550 --> 18:47.580 Let's say the case was presented by someone 18:47.580 --> 18:49.320 thinking they had the symptoms, 18:49.320 --> 18:51.720 and they contacted their healthcare provider 18:51.720 --> 18:53.510 through many of the mechanisms that we've mentioned 18:53.510 --> 18:54.613 here already today. 18:55.720 --> 18:58.990 It was determined that they were exhibiting 18:58.990 --> 19:01.780 COVID-19 symptoms, but they were not severe enough 19:01.780 --> 19:05.280 to go to the facility, which 80% of the cases are. 19:05.280 --> 19:07.330 They would be advised to stay in their quarters, 19:07.330 --> 19:09.870 be quarantined, we will check on them twice a day 19:09.870 --> 19:13.530 especially defining that it's on post, 19:13.530 --> 19:16.080 assuming that'd be the case in this particular one. 19:16.960 --> 19:19.090 And to monitor them and quarantine 19:19.090 --> 19:21.240 from the rest of their family members. 19:21.240 --> 19:24.440 At that point in time will also advise the command here 19:24.440 --> 19:26.630 as well whose going to make some of the other determinations 19:26.630 --> 19:28.560 as far as the base threshold goes 19:28.560 --> 19:30.810 with the HPCON levels and I'll pass it 19:30.810 --> 19:32.023 on for those elements. 19:33.490 --> 19:35.430 - Okay, so the other related to this and again 19:35.430 --> 19:39.470 this is a good question TC, a broad question. 19:39.470 --> 19:42.680 So it also would depend on whoever that was 19:42.680 --> 19:45.820 that was as Colonel Bundt mentioned, 19:45.820 --> 19:47.290 is where they had been. 19:47.290 --> 19:50.850 So had they been to a location that was on this facility 19:50.850 --> 19:54.270 and we have had a lot of discussions about then 19:54.270 --> 19:56.490 what we would do to make sure that we would 19:56.490 --> 19:59.430 make those facilities, safe, 19:59.430 --> 20:01.300 and then be able to tell everybody else 20:01.300 --> 20:03.940 if something let's say it was a Post Exchange 20:05.110 --> 20:06.860 or some other place on post. 20:06.860 --> 20:09.710 So with that, I'm gonna pass it down to a Colonel Duncan. 20:12.050 --> 20:15.860 - So what we will do is if we have a positive case 20:15.860 --> 20:17.930 we will then go back immediately into what we call 20:17.930 --> 20:18.860 the tracing. 20:18.860 --> 20:22.750 So we will find out as much information we can 20:22.750 --> 20:24.370 from of course from the individual 20:24.370 --> 20:26.140 and then through any other ways 20:26.140 --> 20:27.200 any other people that they've had 20:27.200 --> 20:29.270 and said they've been in contact with. 20:29.270 --> 20:31.350 And we will advise those people, 20:31.350 --> 20:34.520 if they might also want to self quarantine. 20:34.520 --> 20:37.030 And so what we're advising is if somebody 20:37.030 --> 20:41.320 has been exposed to somebody who is sick. 20:41.320 --> 20:44.450 So there's levels here of quarantine. 20:44.450 --> 20:46.360 If you've been around somebody who is sick 20:46.360 --> 20:48.080 but you're not sick yourself. 20:48.080 --> 20:51.300 It might go into isolation if you are sick 20:51.300 --> 20:53.650 and we need to monitor you with medical care. 20:54.880 --> 20:56.892 This has different levels to it as well. 20:56.892 --> 20:59.818 So if it's a family member that's sick, 20:59.818 --> 21:02.190 we will ask you to add to quarantine at home 21:02.190 --> 21:04.800 and we will come to your home if you're on base 21:04.800 --> 21:07.660 and then take care of you with medical professionals. 21:07.660 --> 21:08.550 If you're a soldier. 21:08.550 --> 21:10.490 We will also ask you to quarantine at home 21:10.490 --> 21:13.271 but we might quarantine you in a barracks 21:13.271 --> 21:14.170 if needed. 21:14.170 --> 21:16.720 If it's a civilian we will ask you to quarantine at home 21:16.720 --> 21:18.450 and we will care for you 21:19.390 --> 21:20.750 in your home facility. 21:20.750 --> 21:23.160 Each person is a little bit different but as one team 21:23.160 --> 21:26.800 we will make sure that we communicate very clearly with you. 21:26.800 --> 21:28.840 If you want to self quarantine 21:28.840 --> 21:30.980 because you've been around somebody who is sick, 21:30.980 --> 21:33.390 or if we think you need to self quarantine, 21:33.390 --> 21:34.840 if we think you need to quarantine 21:34.840 --> 21:37.094 then we will definitely be in communication with you. 21:37.094 --> 21:40.600 We have capabilities for these 21:41.657 --> 21:42.623 if need be. 21:44.370 --> 21:45.430 - Sir if I may. 21:45.430 --> 21:48.780 I also just want to mention that this team up here 21:48.780 --> 21:51.920 has been lockstep with both the federal, 21:51.920 --> 21:55.020 state and county governments and public health officials 21:55.020 --> 21:58.340 to make sure that we're not only following their guidance, 21:58.340 --> 22:01.260 but we also understand the responses 22:01.260 --> 22:02.690 that they have right now too. 22:02.690 --> 22:04.639 And so that's really important to make sure 22:04.639 --> 22:07.373 we have the right response at the right time. 22:10.320 --> 22:11.153 - Okay. 22:13.410 --> 22:16.727 This next question is from Cecilia and it says, 22:16.727 --> 22:20.880 "Does Madigan have kits to test suspected cases?" 22:20.880 --> 22:22.540 I'll turn it over to Colonel Bundt. 22:22.540 --> 22:23.590 - Yes, sir thank you. 22:24.490 --> 22:26.020 It would be the same kit, 22:26.020 --> 22:28.560 and that test would be administered based 22:28.560 --> 22:32.500 on the symptoms that are identified by the provider 22:32.500 --> 22:34.470 and shared between the two of you to determine 22:34.470 --> 22:36.773 whether or not that threshold has been met. 22:38.108 --> 22:40.810 And that is a conversation between the provider 22:40.810 --> 22:41.780 and the actual patient. 22:41.780 --> 22:43.340 And is there anything else to add to that? 22:43.340 --> 22:44.930 Dr. Faestel is that pretty much standard? 22:44.930 --> 22:47.280 That's pretty much straight on, still the case. 22:48.238 --> 22:49.071 - Okay. 22:49.071 --> 22:51.980 And again, what I think what Erin just mentioned 22:51.980 --> 22:53.710 is important to that we have, you know, 22:53.710 --> 22:58.120 we're working very closely and have been with Pierce County, 22:58.120 --> 23:02.810 King County, and if we're sharing resources here. 23:02.810 --> 23:04.960 I think everybody saw the Vice President's 23:04.960 --> 23:07.110 visit here yesterday. 23:07.110 --> 23:09.810 So we have the ability to reach in, 23:09.810 --> 23:11.743 to all those assets as well. 23:12.690 --> 23:15.290 In our sharing and being great teammates all around. 23:16.290 --> 23:18.763 Okay, next question is from Kelly. 23:20.097 --> 23:22.767 "Is the base following any sanitizing procedures 23:22.767 --> 23:26.520 "to avoid an outbreak on post in the more populated areas?" 23:26.520 --> 23:29.530 So I will answer that, yes, we have instituted that 23:29.530 --> 23:32.430 over the last week and you'll see when you go to 23:32.430 --> 23:35.720 a lot of the public facilities, 23:35.720 --> 23:39.119 customer-facing facilities that we have put out, 23:39.119 --> 23:41.660 you'll see the flyers and the things that are posted 23:41.660 --> 23:43.583 very similar to what's on the website. 23:46.636 --> 23:48.593 Hand sanitization plused all that up and continued. 23:51.070 --> 23:53.630 And again, if there's places out there 23:53.630 --> 23:56.040 that you think we need to focus on, 23:56.040 --> 23:58.620 then obviously we would appreciate your feedback. 23:58.620 --> 24:01.250 But we've had all of our medical professionals 24:01.250 --> 24:05.653 have been going around preventive medicine, epidemiologist. 24:05.653 --> 24:08.960 Our surgeons, everybody has been out kind of looking 24:08.960 --> 24:10.390 to make sure that we're doing the right thing. 24:10.390 --> 24:12.413 I'm gonna pass it down to Colonel Duncan. 24:13.510 --> 24:14.343 - Yes, Sir. 24:14.343 --> 24:16.840 This is a good time to also reinforce 24:16.840 --> 24:18.910 the cleaning supplies that we have throughout base. 24:18.910 --> 24:21.000 I'll just use gyms for an example, 24:21.000 --> 24:24.030 if you've visited our gyms you know we already have 24:24.030 --> 24:26.240 paper towels and sanitizing solution 24:26.240 --> 24:27.640 that you spray on the paper towel, 24:27.640 --> 24:30.350 a disposable item that you wipe down the piece of equipment 24:30.350 --> 24:31.450 after you're finished. 24:31.450 --> 24:33.500 We will follow that same exact procedure, 24:34.500 --> 24:37.070 that is a sensitization spray, when you're doing that 24:37.070 --> 24:39.660 you're cleaning the piece of equipment for the next person. 24:39.660 --> 24:41.760 So, this is a good time to reinforce 24:41.760 --> 24:43.660 those same things that the doctors, 24:43.660 --> 24:45.260 the good doctors have mentioned. 24:46.644 --> 24:49.000 If you're sick with any symptoms, 24:49.000 --> 24:51.351 whether it's a common cold or the flu 24:51.351 --> 24:55.290 or something like this, again, self quarantine. 24:55.290 --> 24:57.200 If you need to be in, around public 24:57.200 --> 24:58.700 that's when you would wear the mask. 24:58.700 --> 25:01.420 The person who is sick, use disposable tissues 25:01.420 --> 25:03.260 when you need to sneeze and cough. 25:03.260 --> 25:05.920 Stay six feet away from people. 25:05.920 --> 25:08.970 So, there's a give and a take here. 25:08.970 --> 25:12.340 We would ask you if you are showing symptoms, 25:12.340 --> 25:14.660 please don't come to the facilities, 25:14.660 --> 25:18.330 but if it's a critical mission that you need to come 25:18.330 --> 25:20.310 to a facility for like an ID card 25:20.310 --> 25:22.830 and you need an ID card in order to continue 25:22.830 --> 25:24.893 on with your daily life. 25:26.230 --> 25:28.420 Please communicate with us we will do everything we can 25:28.420 --> 25:31.470 to support you at your home if you need to quarantine. 25:31.470 --> 25:33.480 Or if you believe you have symptoms that you need 25:33.480 --> 25:35.600 to stay away we will work with you 25:35.600 --> 25:38.083 to bring the service to you if that is necessary. 25:42.490 --> 25:45.710 - Okay, next question is from Vanessa. 25:45.710 --> 25:47.817 And Vanessa asks, "Will service members 25:47.817 --> 25:50.420 "returning from Pathways be held in quarantine?" 25:50.420 --> 25:53.980 So again, I'll repeat right now what we're talking about 25:53.980 --> 25:57.840 with quarantine it's South Korea, Japan, 25:57.840 --> 26:02.150 anybody returning from Italy, China... 26:02.150 --> 26:03.220 and Iran. 26:03.220 --> 26:04.760 I'm not aware of anybody right now 26:04.760 --> 26:07.270 in the latter two countries. 26:07.270 --> 26:11.453 So, might that change for Pathways, it might. 26:12.400 --> 26:13.910 So I don't know. 26:13.910 --> 26:16.750 But right now we're watching this on a daily basis, 26:16.750 --> 26:18.687 I think this gets to the earlier question of, 26:18.687 --> 26:21.290 Hey what are we doing to make sure 26:21.290 --> 26:23.840 that we keep our families safe back here 26:23.840 --> 26:26.560 and that's exactly what we'll be looking at 26:26.560 --> 26:28.370 when they get back here 26:28.370 --> 26:30.150 is to make sure that if it's necessary 26:30.150 --> 26:32.610 and again we'll work with our medical professionals. 26:32.610 --> 26:36.120 CDC puts out a lot as far as where we're at 26:36.120 --> 26:39.840 with the different health threats in various countries 26:39.840 --> 26:42.880 and then we'll be prepared to institute whatever measures 26:42.880 --> 26:46.003 we feel is prudent moving forward. 26:47.610 --> 26:51.120 Okay, next question is from... 26:52.270 --> 26:53.860 Betty, 26:53.860 --> 26:55.620 and I'm an infantryman so I'm not gonna 26:55.620 --> 26:57.337 answer this question. 26:57.337 --> 27:01.120 "How high of a temperature is a concern?" 27:01.120 --> 27:03.523 So, Dr. Leonard or Dr. Faestel? 27:10.330 --> 27:11.163 - So thank you for the question. 27:11.163 --> 27:13.030 That's a very difficult question to answer 27:13.030 --> 27:15.600 because fevers tend to be very subjective. 27:15.600 --> 27:17.940 And at this point, we're using the term 27:17.940 --> 27:20.300 alpha subjective fever irrespective of the temperature 27:20.300 --> 27:22.170 to be considered a fever. 27:22.170 --> 27:24.300 The most important thing to worry about though 27:24.300 --> 27:26.600 is if you actually need to seek medical care 27:26.600 --> 27:28.370 that is if you have labored breathing 27:28.370 --> 27:29.640 or something that's very concerning 27:29.640 --> 27:31.770 that might require hospitalization. 27:31.770 --> 27:32.960 For the most part though however, 27:32.960 --> 27:35.553 we are still recommending that if you're ill 27:35.553 --> 27:38.433 with a mild to moderate symptoms 27:38.433 --> 27:39.680 that you continue to do 27:39.680 --> 27:41.440 all the things that we've been discussing. 27:41.440 --> 27:44.320 Self home quarantine, staying away from folks, 27:44.320 --> 27:45.690 washing your hands well, 27:45.690 --> 27:48.190 just exactly the same way you would treat the flu. 27:52.620 --> 27:54.760 - Okay, thank you, Doc. 27:54.760 --> 27:57.823 All right, we got a next question here is from Barbara. 27:58.740 --> 28:02.127 Barbara says, "My father is in the ICU in Chicago, 28:02.127 --> 28:04.927 "and they have suggested that I stay home. 28:04.927 --> 28:06.400 "So, should I?" 28:06.400 --> 28:09.410 And I assume that means should you stay home and not visit. 28:09.410 --> 28:11.583 So I'll pass it on to Colonel Bundt. 28:13.980 --> 28:16.930 - Honestly, those are facility-by-facility recommendations 28:16.930 --> 28:19.480 and if a facility put out that recommendation, 28:19.480 --> 28:20.530 I would tend to heed that. 28:20.530 --> 28:23.160 If there's any particular reason or severe need 28:23.160 --> 28:24.683 to be present in there, 28:24.683 --> 28:26.930 then I would coordinate definitely with that facility 28:26.930 --> 28:29.763 ahead of time so the proper PPE could be obtained 28:29.763 --> 28:31.620 as part of that visit. 28:31.620 --> 28:32.980 Most the time when they say that though 28:32.980 --> 28:35.300 is because they have active cases and the ICU 28:35.300 --> 28:37.730 is where we would isolate those particular cases. 28:37.730 --> 28:39.080 Dr. Faestel, would you add anything 28:39.080 --> 28:40.503 to that particular piece? 28:44.040 --> 28:47.870 - It's very accurate Sir, getting a correct location, 28:47.870 --> 28:49.390 making sure there's airborne isolation 28:49.390 --> 28:50.790 and precautions are taking place. 28:50.790 --> 28:53.020 And so the staff at Madigan are working very hard 28:53.020 --> 28:56.270 in making sure that we prepare and we prepare ourselves, 28:56.270 --> 28:57.330 making sure that we stay safe. 28:57.330 --> 29:00.300 We know that coronaviruses in general can be a problem 29:00.300 --> 29:01.490 in healthcare workers. 29:01.490 --> 29:04.560 And so ensure that we as Madigan employees are staying safe, 29:04.560 --> 29:05.880 so that we can continue to take care 29:05.880 --> 29:07.953 of the patients that come into our front door. 29:12.760 --> 29:15.773 - Okay, the next question is from Brooke. 29:17.110 --> 29:19.597 And Brooke asks, "Are the same policies in effect 29:19.597 --> 29:23.400 "at the National Training Center, in Yakima?" 29:23.400 --> 29:25.970 So I'll answer this, I'm gonna look around. 29:25.970 --> 29:27.470 I might throw out a lifeline for this one 29:27.470 --> 29:31.230 but as far as Yakima here and everything 29:31.230 --> 29:36.010 that falls under the first core and JBLM purview 29:36.010 --> 29:38.710 they will fall under the exact same rules. 29:38.710 --> 29:43.430 And whatever we put out from here, 29:43.430 --> 29:45.540 so that will be the same. 29:45.540 --> 29:48.160 National Training Center, again, I think that... 29:49.944 --> 29:51.780 And if you do have specific questions on there 29:51.780 --> 29:53.930 we can definitely link you to them but... 29:56.092 --> 29:59.207 I expect that there's going to be army wide... 30:01.920 --> 30:04.560 policy put out under the same as what we have already 30:04.560 --> 30:09.370 put out as far as travel to and from South Korea, 30:09.370 --> 30:10.590 Japan... 30:11.970 --> 30:14.780 China, Italy... 30:14.780 --> 30:19.133 Iran, the same countries because of the coronavirus cases. 30:20.330 --> 30:23.160 I think that the NTC will follow that. 30:23.160 --> 30:25.860 What they're specifically doing as far as travel 30:25.860 --> 30:29.480 that we're doing, I'm not as familiar with 30:29.480 --> 30:32.450 but we could certainly if you have a concern 30:32.450 --> 30:34.810 I would actually get with your chain of command 30:34.810 --> 30:37.930 and then, let us know and we could definitely 30:37.930 --> 30:40.280 follow up with you on more details on that one. 30:48.820 --> 30:51.560 Okay, this is a question from Jessica. 30:51.560 --> 30:55.060 I'm gonna pass it off to Colonel Bundt, 30:55.060 --> 30:58.117 the question is, "Has the visitation policy changed 30:58.117 --> 31:01.457 "at Madigan due to COVID-19? 31:01.457 --> 31:03.527 "What about labor and delivery?" 31:05.590 --> 31:06.580 - Thank you, Jessica. 31:06.580 --> 31:08.630 Great question, glad you asked especially 31:08.630 --> 31:10.940 as we have so many mothers out there. 31:10.940 --> 31:12.690 I would say at this time that visitation policy 31:12.690 --> 31:13.593 has not changed. 31:14.570 --> 31:17.040 But along those same lines is a very fluid situation 31:17.040 --> 31:19.770 so I would ask to keep an eye on the website. 31:19.770 --> 31:21.920 You call ahead with the staff just to validate 31:21.920 --> 31:23.840 and verify prior to any kind of visitation 31:23.840 --> 31:24.910 to make sure it's still all right. 31:24.910 --> 31:27.510 But right now the visitation policy has not changed. 31:29.847 --> 31:31.743 - Okay, thanks Tom. 31:37.990 --> 31:41.777 Okay, the next question is from Vyrence, it says, 31:41.777 --> 31:46.777 "Is there a team that can bring test kits off base?" 31:48.078 --> 31:49.917 And again we can throw this around a little bit 31:49.917 --> 31:52.180 and I know you can start this. 31:52.180 --> 31:53.853 - Try to help my team out here. 31:56.310 --> 32:01.060 Whether or not if you're off post and it is symptomology 32:01.060 --> 32:02.200 that's gone on over with a provider 32:02.200 --> 32:04.520 and it's determined that your case is one 32:04.520 --> 32:07.050 that would be subjected to a kit examination, 32:07.050 --> 32:08.790 that coordination will take place 32:08.790 --> 32:10.380 with the public health department 32:10.380 --> 32:12.160 for that particular county, each one having 32:12.160 --> 32:15.230 their different establishments, 32:15.230 --> 32:18.036 and we will coordinate to make sure that that is provided. 32:18.036 --> 32:20.693 At this time, that is what they've asked us to do. 32:22.330 --> 32:24.300 And there's no further follow up from Dr. Faestel, 32:24.300 --> 32:25.550 so that's still accurate. 32:26.620 --> 32:27.653 - Okay thanks, Tom. 32:31.530 --> 32:34.347 Next question is, "Is there a travel restriction 32:34.347 --> 32:36.887 "for PCS, TDY or deployments, 32:36.887 --> 32:38.127 "will soldiers coming home 32:38.127 --> 32:41.180 "be rerouted through unaffected countries?" 32:41.180 --> 32:42.180 Okay, good question. 32:43.860 --> 32:48.110 So, yes, right now, we're expecting that there will be 32:48.110 --> 32:53.110 a 30 day change right now for permanent change of station 32:55.150 --> 32:57.130 to the countries that I mentioned earlier. 32:57.130 --> 33:01.573 So specifically probably for us, Korea, South Korea, 33:02.550 --> 33:04.740 Japan, or Italy. 33:04.740 --> 33:09.740 Right now, PCS, just like we've had TDYs right now. 33:10.530 --> 33:14.863 Got word down from headquarters DA and FORCECOM, 33:15.820 --> 33:19.660 that there will not be any PCSs to those locations 33:19.660 --> 33:24.500 that there will be a 30 day or basically a reevaluation 33:24.500 --> 33:27.883 of that, is that right, in 30 days. 33:29.380 --> 33:32.030 So, and then will soldiers coming home be rerouted 33:32.030 --> 33:34.400 through unaffected countries? 33:34.400 --> 33:37.390 Obviously when our soldiers are coming home... 33:38.458 --> 33:42.750 that's what I mentioned earlier as far as the quarantine. 33:42.750 --> 33:46.453 And yes, they will be rerouted through unaffected countries, 33:47.580 --> 33:49.760 I think they've done this at Fort Hood 33:49.760 --> 33:52.200 as far as bringing soldiers home and what they're screening 33:52.200 --> 33:53.940 and the quarantining. 33:53.940 --> 33:57.393 And we'll definitely go through those processes. 33:59.573 --> 34:00.860 (indistinctive chatter) 34:00.860 --> 34:01.773 Yeah, go ahead. 34:03.053 --> 34:04.130 - This is a good chance to amplify 34:04.130 --> 34:05.760 if you are one of those group of people 34:05.760 --> 34:09.180 that might be under orders and this is new information 34:09.180 --> 34:10.930 that we're clarifying right now, 34:10.930 --> 34:13.210 is to this, 30 day moratorium on PCSs. 34:13.210 --> 34:15.040 If you're one of those people please communicate 34:15.040 --> 34:16.570 closely with your chain of command. 34:16.570 --> 34:18.510 And we have the military personnel director 34:18.510 --> 34:21.040 that does all the orders and works with human resources 34:21.040 --> 34:25.020 command for soldiers and if you're an Air Force airmen, 34:25.020 --> 34:27.160 we have the folks in building 100 34:27.160 --> 34:30.180 that are very closely tying in with Air Force personnel 34:30.180 --> 34:32.730 command to make sure that we get you 34:32.730 --> 34:34.100 the very latest information. 34:34.100 --> 34:35.400 So work with your chain of command please 34:35.400 --> 34:37.490 and then call either one of those offices 34:37.490 --> 34:39.563 and we will ensure you get the latest information. 34:42.670 --> 34:43.580 - Okay. 34:43.580 --> 34:45.797 Question from Young and the question is, 34:45.797 --> 34:49.777 "Is it possible to have a health screening for everyone 34:49.777 --> 34:54.280 "that's entering the schools and CDC?" 34:54.280 --> 34:56.067 So I don't know if it's possible again 34:56.067 --> 34:57.860 I'm just gonna reiterate, and I'll turn it over 34:57.860 --> 35:00.350 to Colonel Bundt and Colonel Duncan. 35:00.350 --> 35:03.210 We do have measures that we are working through 35:03.210 --> 35:07.310 and considering based on recommendations 35:07.310 --> 35:08.830 from our health professionals. 35:08.830 --> 35:12.560 We'll be very prudent about these and a caution 35:12.560 --> 35:15.190 for our soldiers, airmen and family members 35:15.190 --> 35:16.690 about implementing them. 35:16.690 --> 35:19.240 So we will increase measures and some of the measures 35:19.240 --> 35:22.751 that we increase will cause a little bit more delays 35:22.751 --> 35:26.410 and problems and these, but up to this 35:26.410 --> 35:28.372 specific health screening. 35:28.372 --> 35:31.067 Is it possible, I'll first go to Colonel Bundt 35:31.067 --> 35:32.813 and then we'll go to Colonel Duncan. 35:34.670 --> 35:37.450 - Well the first, it's almost like a two part question. 35:37.450 --> 35:40.680 Miss Young is, yes it is possible however 35:40.680 --> 35:42.160 this time it's not recommended. 35:42.160 --> 35:43.550 And then the other part of this 35:43.550 --> 35:45.560 that needs to be consideration for this is, 35:45.560 --> 35:48.787 every time we do kind of these changes of requirement 35:48.787 --> 35:52.830 that then adds the potential of gatherings of people 35:52.830 --> 35:54.420 and choke points and things like that. 35:54.420 --> 35:56.900 So we kind of dissuade that and in the fact 35:56.900 --> 35:58.910 that we're not in the area that is in 35:58.910 --> 36:01.910 what they would consider more of an active AOR, 36:01.910 --> 36:04.991 more like Seattle is and a couple other locations, 36:04.991 --> 36:06.970 but that's currently not the recommendation 36:06.970 --> 36:09.438 but that could very well change in the future depending, 36:09.438 --> 36:11.000 please keep an eye on the website. 36:11.000 --> 36:12.380 I can hand it down to Colonel Duncan 36:12.380 --> 36:13.853 if he's got anything else to add. 36:17.790 --> 36:18.623 - Thank you. 36:18.623 --> 36:20.440 So what I'll say is, if it's somebody... 36:20.440 --> 36:21.820 and we were talking about health screening 36:21.820 --> 36:24.080 for entering schools and CDCS, 36:24.080 --> 36:26.190 both of these capabilities, 36:26.190 --> 36:28.910 both of these entities of child development centers 36:28.910 --> 36:32.420 in our schools have nurses either on the facility 36:32.420 --> 36:35.453 or easily on call so they will make the call, 36:35.453 --> 36:37.610 if a child is showing symptoms, 36:37.610 --> 36:41.410 please go see that health care provider as soon as you can. 36:41.410 --> 36:45.030 And again, we would ask that the parent not bring the child 36:45.030 --> 36:46.980 if they're showing symptoms that they go, 36:46.980 --> 36:48.690 that they call their health care provider 36:48.690 --> 36:51.290 and go through the healthcare process before getting there. 36:51.290 --> 36:53.300 But if a child is showing symptoms there 36:53.300 --> 36:55.600 we will immediately call the nurses, again, 36:55.600 --> 36:59.963 either on site or bring one into to evaluate that child. 37:01.039 --> 37:03.060 But as of right now for a health screening 37:03.060 --> 37:06.280 to get into the CDC, no, we're not doing any of that. 37:06.280 --> 37:08.810 We're not doing any screenings to get into the schools. 37:08.810 --> 37:11.750 Because again there are no cases right now 37:13.125 --> 37:15.710 in the area close to us and certainly not on JBLM. 37:15.710 --> 37:18.610 So we do not see that as a necessary precaution right now. 37:22.310 --> 37:25.740 - Okay, kind of, Angie's asked a question here, 37:25.740 --> 37:27.557 that kind of relates to what we're just talking about. 37:27.557 --> 37:31.527 "How or will and how will we be informed 37:31.527 --> 37:34.500 "if a case tests positive on JBLM?" 37:34.500 --> 37:39.240 So, yes, we will make sure and I think we've mentioned 37:39.240 --> 37:40.600 up front we'll be transparent. 37:40.600 --> 37:42.880 We will tell you what we know. 37:42.880 --> 37:45.000 There'll be certain things that we obviously won't share 37:45.000 --> 37:45.900 with you... 37:47.190 --> 37:48.430 to protect... 37:49.310 --> 37:51.450 certain individuals. 37:51.450 --> 37:55.510 HIPAA and those pieces but we will tell you. 37:55.510 --> 37:57.690 It also gets back to what Colonel Duncan 37:57.690 --> 37:58.523 was mentioning earlier. 37:58.523 --> 38:00.210 Anybody who might have come in contact 38:00.210 --> 38:04.873 and done the retracing that will happen as well. 38:05.930 --> 38:07.830 Anything anybody wants to add to that? 38:14.860 --> 38:16.873 Okay, this next question's from Nikki. 38:19.817 --> 38:21.627 "Could people be walking around thinking 38:21.627 --> 38:24.577 "they have a cold slash flu 38:24.577 --> 38:27.167 "and actually have the coronavirus?" 38:29.580 --> 38:30.413 - Sorry. 38:31.279 --> 38:33.660 I'd say there's always a potential 38:33.660 --> 38:36.040 depends on whether they've had contact with an individual, 38:36.040 --> 38:38.260 who has active case, and they would be the first ones 38:38.260 --> 38:40.403 obviously to know that in those cases. 38:42.230 --> 38:46.720 However, the symptomology for the flu is very similar 38:46.720 --> 38:48.975 to that of COVID-19. 38:48.975 --> 38:51.420 And I think the important thing to do in those cases 38:51.420 --> 38:52.950 is the actions are still the same. 38:52.950 --> 38:54.410 They're still to self quarantine, 38:54.410 --> 38:56.460 they're still to kind of isolate yourself, 38:56.460 --> 38:58.460 to be cognizant of the public responsibility 38:58.460 --> 39:00.910 in that respect and then if it gets more severe, 39:00.910 --> 39:02.400 who to contact and when to contact. 39:02.400 --> 39:05.470 That's probably the best advice I can give you. 39:05.470 --> 39:07.270 That's pretty much it on our answer. 39:13.480 --> 39:17.080 - Okay, the next question is from Sylvia, 39:17.080 --> 39:20.101 and Sylvia asked, "Is there any concern for a food 39:20.101 --> 39:23.543 "or a water shortage at the commissary?" 39:23.543 --> 39:26.243 I've not heard any of this, but I'll pass it down to-- 39:27.560 --> 39:30.380 - We are definitely aware of the surrounding community 39:30.380 --> 39:33.240 having shortages on things like toilet paper, 39:33.240 --> 39:36.910 paper towels, water, bottled water. 39:36.910 --> 39:41.247 Right now the commissary has good stockages, 39:41.247 --> 39:44.177 the commissary specifically has good stockages 39:44.177 --> 39:47.310 of those water, antibacterial wipes, 39:47.310 --> 39:49.210 in fact they just put a couple pallets 39:49.210 --> 39:51.130 of antibacterial wipes out right out front 39:51.130 --> 39:53.155 where people can get to them easily. 39:53.155 --> 39:56.350 Right now they have good stockages and they are definitely 39:56.350 --> 39:58.540 doing all they can with their suppliers 39:58.540 --> 40:00.960 to ensure that those stockages remain. 40:00.960 --> 40:03.270 So we have great partnership with both, 40:03.270 --> 40:05.550 all the AFEs facilities on base and all the DeCA, 40:05.550 --> 40:06.667 the commissary's on base, 40:06.667 --> 40:10.300 and they are already putting in requisitions 40:10.300 --> 40:12.624 to bring in more of those highly needed supplies, 40:12.624 --> 40:14.453 as they categorize those. 40:19.060 --> 40:21.750 - Okay, next question is from Gracie 40:21.750 --> 40:23.637 and the question is, "Can family and friends 40:23.637 --> 40:26.160 "still visit here at JBLM?" 40:26.160 --> 40:28.697 The answer right now is, yes. 40:28.697 --> 40:32.397 "Can we travel within the United States?" 40:33.710 --> 40:35.123 The answer to that is yes. 40:36.850 --> 40:37.683 - Yes, Sir. 40:39.332 --> 40:41.253 There are often certain travel restrictions 40:41.253 --> 40:44.410 that'll come up and the CDC will work with 40:44.410 --> 40:47.540 the different locations of whether those are in existence 40:47.540 --> 40:50.410 or not but as of right now we don't have any restrictions 40:50.410 --> 40:51.373 that I'm aware of. 40:55.320 --> 40:57.370 - Yeah, no travel restrictions in the United States. 40:57.370 --> 40:59.920 I'm sure the airline industry would absolutely 40:59.920 --> 41:02.850 be interested in you still traveling if you'd like to. 41:02.850 --> 41:07.030 And a little known fact is that the air inside of aircraft 41:07.030 --> 41:09.640 is actually constantly recirculated 41:09.640 --> 41:11.775 and it is actually a pretty good environment 41:11.775 --> 41:15.610 for those to travel and so we hope that while 41:15.610 --> 41:17.682 we take the coronavirus seriously, 41:17.682 --> 41:20.390 and there is a risk, the risk is still low 41:20.390 --> 41:22.790 and you'll go on with your daily life right now. 41:24.256 --> 41:25.110 - Thanks, Erin. 41:25.110 --> 41:27.220 Okay, next question is from Erica, 41:27.220 --> 41:29.969 meant definitely to our health professionals here, 41:29.969 --> 41:32.987 from Erica the question is, "What are your recommendations 41:32.987 --> 41:37.117 "for those with pre-existing health conditions?" 41:39.423 --> 41:41.930 - Thank you, Erica for the question. 41:41.930 --> 41:44.320 I would say in that respect is, 41:44.320 --> 41:46.050 is to heed the same... 41:47.650 --> 41:51.580 methodology for those just basic protective measures, 41:51.580 --> 41:55.350 but also try to stay away from crowded areas 41:55.350 --> 41:58.710 and areas where there could be potential for transmission. 41:58.710 --> 42:00.970 Make sure you're washing your hands very regularly, 42:00.970 --> 42:02.243 and that you're following all those precautions 42:02.243 --> 42:04.190 that have been talked about in extensive detail 42:04.190 --> 42:07.350 by Dr. Faestel and team and I think that's probably 42:07.350 --> 42:08.183 the best recommendation. 42:08.183 --> 42:10.642 And if you do not have to go to a particular area 42:10.642 --> 42:13.042 I would probably try to avoid that at this time. 42:14.570 --> 42:18.100 - And again, if they need any specific questions, 42:18.100 --> 42:20.720 they can go to our hotline. 42:20.720 --> 42:21.960 We have a couple of them. 42:21.960 --> 42:24.470 And I know definitely get on the Madigan. 42:24.470 --> 42:28.050 From there the Madigan Army Medical Center website 42:28.050 --> 42:30.640 and get specific advice and oftentimes 42:30.640 --> 42:34.063 that's what's required for each individual. 42:37.350 --> 42:39.187 Okay, so the next question is, 42:39.187 --> 42:42.343 "What happens if the base gets shut down? 42:43.297 --> 42:45.567 "Can you get on or off?" 42:49.050 --> 42:53.050 - So we are consistently monitoring the priorities 42:53.050 --> 42:54.920 of ensuring we protect our force, 42:54.920 --> 42:57.370 ensuring we protect our families, our civilians, 42:57.370 --> 42:59.830 our contractors on base. 42:59.830 --> 43:03.360 And meanwhile, equally as important, 43:03.360 --> 43:06.540 making sure we maintain mission readiness. 43:06.540 --> 43:10.580 So, if for some reason we had to go to that extreme level, 43:10.580 --> 43:13.410 I would suggest that would be quite an extreme level 43:13.410 --> 43:18.410 if we had to lock down the base or close the gates. 43:18.420 --> 43:21.850 That means that this is progressing to a pretty high level 43:21.850 --> 43:24.540 which, if we go to that level, 43:24.540 --> 43:27.636 it means it is to protect the mission, 43:27.636 --> 43:30.683 protect our ability to still deploy forces, 43:30.683 --> 43:33.420 and to protect the people on the base. 43:33.420 --> 43:35.430 Again the civilians, the soldiers, 43:35.430 --> 43:38.513 the airmen and the contractors that work and live on base. 43:42.718 --> 43:45.890 That would be a large piece of information that we would 43:45.890 --> 43:48.720 heavily communicate through all available channels. 43:48.720 --> 43:51.200 We would communicate that through our community partners, 43:51.200 --> 43:55.610 through our counties, states, of course through federal, 43:55.610 --> 43:57.020 through federal government agencies. 43:57.020 --> 44:00.280 So that is something I would suggest if we got to that level 44:00.280 --> 44:02.700 we will work through to it gradually 44:02.700 --> 44:04.730 as we again progress through that ladder 44:04.730 --> 44:07.046 of health production condition levels. 44:07.046 --> 44:10.790 And if we get to that point it would be weeks down the road 44:10.790 --> 44:12.900 because things progressed slowly. 44:12.900 --> 44:15.174 And this is a very fluid thing that we're all 44:15.174 --> 44:17.587 adjusting to as it comes. 44:17.587 --> 44:20.817 But we will ensure that we communicate closely with you. 44:20.817 --> 44:22.950 And this is a good time to mention. 44:22.950 --> 44:26.690 Please continue to go to the websites to pull information 44:26.690 --> 44:29.750 from places like home.army.mil/lewis-mcchord 44:29.750 --> 44:32.160 from the CDC, from the Madigan website, 44:32.160 --> 44:35.650 from the Wing website, and also to sign up for alerts. 44:35.650 --> 44:39.970 That is the DOD capability to push information to you. 44:39.970 --> 44:43.040 How to sign up for alert, that is also on the webpage. 44:43.040 --> 44:45.420 I just suggest that's the one way we can push 44:45.420 --> 44:47.620 emergency information to you. 44:47.620 --> 44:48.880 Always free to sign up. 44:48.880 --> 44:51.330 We recommend everybody signs up for it at any time 44:51.330 --> 44:53.510 but if you're concerned about getting information 44:53.510 --> 44:54.870 in this particular case, 44:54.870 --> 44:56.870 great opportunity to sign up for it now. 44:59.140 --> 45:00.780 - Okay. 45:00.780 --> 45:03.613 Colonel Duncan I'm gonna come right back down to you. 45:03.613 --> 45:07.347 Question from Carmen, "Are the gyms on base 45:07.347 --> 45:09.940 "doing anything to prevent the spread of the virus?" 45:09.940 --> 45:11.240 I know you kind of mentioned this briefly 45:11.240 --> 45:12.740 but if you can hit that again. 45:14.541 --> 45:15.374 - Yes Sir. 45:15.374 --> 45:16.207 We are absolutely. 45:16.207 --> 45:19.920 So, again those disposable wipes that we have, 45:19.920 --> 45:24.610 disposable paper towels, you pull a roll or two off 45:24.610 --> 45:27.980 and you spray onto it with the antiseptic spray. 45:27.980 --> 45:29.917 You spray on to the paper towel, 45:29.917 --> 45:32.220 you wipe down the piece of equipment, 45:32.220 --> 45:34.460 and then you throw the paper towel away. 45:34.460 --> 45:36.860 That does multiple things that of course, 45:36.860 --> 45:39.470 it puts it onto a disposable item that you can throw away 45:39.470 --> 45:41.640 so in case that disposable item picks anything up, 45:41.640 --> 45:43.840 it cleans the piece of equipment so that you leave it, 45:43.840 --> 45:46.355 we leave it clean for the person that comes after us, 45:46.355 --> 45:50.010 and it spreads any disease, any flu symptoms, 45:50.010 --> 45:53.020 any flu type of disease, 45:53.020 --> 45:55.053 including COVID. 45:56.520 --> 45:58.360 And then also we are distributing 45:58.360 --> 45:59.960 throughout the gym facilities... 46:02.518 --> 46:04.380 the antiseptics pumps. 46:04.380 --> 46:06.880 Anything that is alcohol sort of 60% and above, 46:06.880 --> 46:10.881 60 to 80% alcohol content can kill this. 46:10.881 --> 46:13.130 So we are distributing those as well 46:13.130 --> 46:15.370 as an additional measure but please continue to use 46:15.370 --> 46:17.910 the paper towels and the antiseptic sprays 46:17.910 --> 46:19.720 that we have distributed through the gym facilities, 46:19.720 --> 46:21.273 that's a good question, thank you. 46:24.637 --> 46:27.220 - Okay, question from Chassidy. 46:28.788 --> 46:33.167 Question is, "If someone is confirmed having the virus, 46:33.167 --> 46:37.127 "when are they considered no longer a threat to spread 46:37.127 --> 46:42.127 "it to others, and can you get it more than once?" 46:42.180 --> 46:43.440 So two questions in there. 46:43.440 --> 46:45.150 When are they considered no longer a threat 46:45.150 --> 46:48.121 to spread it to others and can you get it more than once, 46:48.121 --> 46:50.763 and I'll hand it over to our hospital commander. 46:52.160 --> 46:54.960 - Thank you Sir and thank you Chassidy for the question. 46:56.300 --> 46:58.330 That's based on the timeline, 46:58.330 --> 47:00.940 as the illness would run its due course 47:00.940 --> 47:03.900 and as right now it stands at 14 days 47:03.900 --> 47:05.170 is the running of the course, however, 47:05.170 --> 47:06.850 that could be a little bit longer or little bit shorter 47:06.850 --> 47:09.167 depending on the type of indicators that you have 47:09.167 --> 47:13.080 from the illness and your discussions with your provider. 47:13.080 --> 47:14.841 Whether or not you can get it more than once, 47:14.841 --> 47:18.420 that part I do not know remember this a novel coronavirus 47:18.420 --> 47:19.813 so we know very little about it. 47:19.813 --> 47:23.270 It's been out only in existence actually for a few months 47:23.270 --> 47:25.070 for that matter that we're aware of. 47:25.070 --> 47:27.000 So, there's not a whole lot of information 47:27.000 --> 47:28.710 on that at this time but there are certain elements 47:28.710 --> 47:32.920 like any illnesses where antibodies build up 47:32.920 --> 47:35.208 and that is our immune protection system for that, 47:35.208 --> 47:37.720 but I will let Dr. Faestel kind of comment 47:37.720 --> 47:39.920 on that further being he is my professional. 47:40.940 --> 47:41.773 - Excellent question. 47:41.773 --> 47:44.250 So I think it's a very, very appropriate question. 47:44.250 --> 47:46.810 So these types of respiratory conditions spread 47:46.810 --> 47:50.280 by people who have fever and people who are coughing. 47:50.280 --> 47:52.417 And so we feel, I very much agree with Colonel Bundt 47:52.417 --> 47:54.360 who just mentioned this, there's very much 47:54.360 --> 47:57.170 that we have yet to learn about this novel condition. 47:57.170 --> 48:00.660 And so, we do know a lot however about the flu. 48:00.660 --> 48:03.030 And so those individuals who are fevering, 48:03.030 --> 48:05.000 those individuals who are coughing, 48:05.000 --> 48:06.950 those are the folks who spread conditions. 48:06.950 --> 48:10.550 So likewise once those conditions go away 48:10.550 --> 48:13.290 those people are thought to be less infectious. 48:13.290 --> 48:16.440 So I think, quick moment for a point of discussion 48:16.440 --> 48:18.080 so there's a lot of about what we don't know. 48:18.080 --> 48:19.970 We don't have a vaccine. 48:19.970 --> 48:23.470 We don't have medication to properly treat this yet. 48:23.470 --> 48:24.860 What do we have, right? 48:24.860 --> 48:26.860 What do we have to fight this? 48:26.860 --> 48:30.900 We have this kind of an event I think in my mind, knowledge. 48:30.900 --> 48:32.480 Once we gain this kind of knowledge, 48:32.480 --> 48:36.010 we ourselves are the best antiviral issue 48:36.010 --> 48:38.960 that we can work on together as a team, 48:38.960 --> 48:42.040 as a community of JBLM right, working on this condition. 48:42.040 --> 48:43.410 It's gonna take all of us. 48:43.410 --> 48:45.930 It's gonna take all of us being responsible 48:45.930 --> 48:48.470 and washing our hands, doing things properly 48:48.470 --> 48:50.970 like we've been kind of already mentioning 48:50.970 --> 48:55.060 and we ourselves through knowing what our enemy is, 48:55.060 --> 48:56.690 I think this is the best way forward. 48:56.690 --> 48:59.410 We're mission focused here, right on JBLM. 48:59.410 --> 49:00.770 And this is our mission right now. 49:00.770 --> 49:03.370 Our mission is to succeed against this virus, 49:03.370 --> 49:05.780 and we're gonna do just fine doing that, 49:05.780 --> 49:07.180 it's gonna take some time. 49:07.180 --> 49:09.150 It's gonna take a team of individuals 49:09.150 --> 49:12.510 that we have here today and we're gonna do just fine 49:12.510 --> 49:15.260 as long as we continue to follow these recommendations. 49:16.160 --> 49:17.953 - Okay, Doctor don't go anywhere. 49:20.460 --> 49:22.823 Got a question from Cassandra. 49:23.681 --> 49:26.147 It said, "If there is a breakout on base, 49:26.147 --> 49:28.740 "so some breakdown of the coronavirus on base 49:28.740 --> 49:32.670 'what happens to soldiers with children under five?" 49:32.670 --> 49:34.497 So imagine no different, but maybe they're-- 49:34.497 --> 49:36.250 - Right, right, great question. 49:36.250 --> 49:38.430 So, for some reason, kind of keep on going back 49:38.430 --> 49:40.460 to the novel coronavirus that we're facing 49:40.460 --> 49:44.983 and so for some reason children are less affected 49:44.983 --> 49:46.250 at this point. 49:46.250 --> 49:48.330 So from our experience from what we see, 49:48.330 --> 49:51.930 what we know since December 31 is that for some reason, 49:51.930 --> 49:55.420 younger individuals are considered really less of a problem 49:55.420 --> 49:58.150 so most of the individuals that in the outbreak 49:58.150 --> 49:59.720 that King County is currently facing 49:59.720 --> 50:01.730 is individuals who are older. 50:01.730 --> 50:04.110 So even though your question is very appropriate 50:04.110 --> 50:07.340 and we would very much be full all hands on deck 50:07.340 --> 50:08.887 in that kind of scenario. 50:08.887 --> 50:12.020 Thankfully at this time, it's thought to be 50:12.020 --> 50:14.730 less of a problem in younger individuals. 50:14.730 --> 50:16.300 So we'll keep an eye on that. 50:16.300 --> 50:17.900 My department works very closely 50:18.900 --> 50:21.550 for the childcare centers and the public health nurses. 50:21.550 --> 50:24.130 And so I think we're just gonna keep a close 50:24.130 --> 50:25.923 eye on that, and then monitor. 50:27.770 --> 50:29.420 - Okay, don't go anywhere Doctor. 50:30.970 --> 50:33.207 Another question from Patricia. 50:33.207 --> 50:36.413 "How long can the virus live on surfaces?" 50:36.413 --> 50:37.810 - Once again, great question. 50:37.810 --> 50:38.710 Great question. 50:38.710 --> 50:40.940 And so, coronavirus in general 50:41.914 --> 50:44.540 are thought there is some persistence in the environment, 50:44.540 --> 50:48.230 called fomites, I guess and so there is not a lot of data 50:48.230 --> 50:51.440 in regards to this 2019 novel coronavirus 50:51.440 --> 50:54.760 in terms of how long it lives on surfaces. 50:54.760 --> 50:57.190 However, I think it's important to kind of recognize 50:57.190 --> 51:00.030 how would you get infected, if that were to happen? 51:00.030 --> 51:02.943 So let's say you're walking through a commissary 51:02.943 --> 51:06.000 or a place that that someone is coughing. 51:06.000 --> 51:08.590 So that person in coughs on your cereal box 51:08.590 --> 51:10.070 we'll just choose, and then you would 51:10.070 --> 51:13.170 pick that cereal box up, and then to be infected, 51:13.170 --> 51:15.660 what we think you would then touch your face, 51:15.660 --> 51:17.760 you touch your nose, you would touch your eyes, 51:17.760 --> 51:20.540 that as we've already talked about is not a good idea 51:20.540 --> 51:21.930 in today's day right? 51:21.930 --> 51:24.470 So that's kind of the more important question 51:24.470 --> 51:26.540 I'd like to focus on is 51:26.540 --> 51:30.590 there is some persistence of this virus in the environment, 51:30.590 --> 51:33.890 however it's thought to be less problematic. 51:33.890 --> 51:35.680 Certainly if it's a drier environment 51:35.680 --> 51:36.620 that's a big... 51:38.333 --> 51:40.580 it's a kind of a protective factor the more dry 51:40.580 --> 51:42.210 in a cereal box example. 51:42.210 --> 51:45.180 But certainly, you're more at risk if you go out 51:45.180 --> 51:47.730 and you touch your face after you've just touched something 51:47.730 --> 51:49.430 that someone else just coughed on. 51:50.740 --> 51:52.070 - Okay, thanks Doc. 51:52.070 --> 51:53.420 You can now take your seat. 51:55.200 --> 51:59.097 Okay, the next question is from Hero and Hero asks, 51:59.097 --> 52:02.787 "Can guards at the gates, check our IDs, 52:02.787 --> 52:05.160 "without touching them?" 52:05.160 --> 52:07.092 So I'm gonna turn over to Colonel Duncan 52:07.092 --> 52:10.140 but this is something that we do have the ability 52:10.140 --> 52:12.400 and this is one of the measures that he was talking about 52:12.400 --> 52:15.653 before that we can definitely move towards. 52:17.690 --> 52:19.760 - That's a good question and really quick 52:19.760 --> 52:21.180 before I answer that one I'd like to amplify 52:21.180 --> 52:22.820 a little bit of what what the Doctor said, 52:22.820 --> 52:24.840 but we are also expanding the cleaning 52:24.840 --> 52:28.750 of the main public areas, so to sort of amplify 52:28.750 --> 52:29.970 on what he was talking about. 52:29.970 --> 52:31.630 Make sure you don't touch your face, 52:31.630 --> 52:34.415 and your eyes after touching surfaces. 52:34.415 --> 52:37.950 We are cleaning, we are doing extra cleanings right now 52:37.950 --> 52:41.970 of common areas to ensure that we can we can keep this 52:41.970 --> 52:43.570 tamped down as much as possible. 52:44.690 --> 52:48.550 As far as screening without touching the ID card 52:48.550 --> 52:53.070 at the gate, that is something we might progress to again, 52:53.070 --> 52:53.903 I'll refer back to that 52:53.903 --> 52:56.250 health protection condition standard. 52:56.250 --> 52:58.310 The gates is a key part of that 52:58.310 --> 53:00.560 so I'm glad this question has come up a couple times 53:00.560 --> 53:02.460 because it is a key part. 53:02.460 --> 53:05.743 We have 55,000 vehicles on and off base every day. 53:07.160 --> 53:09.660 It's close to 75,000 people, 53:09.660 --> 53:11.780 so we have to make sure that we can allow those people 53:11.780 --> 53:13.880 to come on to enable the mission to continue, 53:13.880 --> 53:16.010 but we also have to ensure that we're protecting the people 53:16.010 --> 53:16.843 that are on base. 53:16.843 --> 53:18.570 So if somebody is coming on sick 53:18.570 --> 53:21.110 we might institute a screening criteria. 53:21.110 --> 53:26.110 And one of those steps might be that we scan the ID card, 53:26.700 --> 53:30.280 while the person that owns the ID card still holds it. 53:30.280 --> 53:32.190 So what we'll do first as a first measure, 53:32.190 --> 53:35.350 we'll probably just issue gloves, neoprene gloves 53:35.350 --> 53:37.970 out to all the people at the gates. 53:37.970 --> 53:40.610 So they can still grab the ID card and help to scan that 53:40.610 --> 53:42.820 quickly because we have to get vehicles through quickly, 53:42.820 --> 53:44.500 that's the other piece of this. 53:44.500 --> 53:46.810 If we have to go to and you know we elevate it 53:46.810 --> 53:49.130 one more level then we will probably go to something 53:49.130 --> 53:52.882 where we screen it while the person still holds the ID card 53:52.882 --> 53:55.310 and or the person uses the kiosks 53:55.310 --> 53:57.023 which are at most of the gates. 54:00.520 --> 54:01.710 - Okay, thanks Skye. 54:01.710 --> 54:05.727 Next question is from Kayla, and her question is, 54:05.727 --> 54:08.687 "If I'm quarantined, how long do I have 54:08.687 --> 54:10.450 "to be under observation?" 54:10.450 --> 54:13.556 And I'll turn it over to our hospital commander. 54:13.556 --> 54:14.430 - Yes, Sir. 54:14.430 --> 54:16.710 Thank you, Kayla for the question. 54:16.710 --> 54:19.710 That goes back to a previous, very similar previous question 54:19.710 --> 54:22.090 on the quarantine, you're still under observation 54:22.090 --> 54:24.250 for 14 days. 54:24.250 --> 54:26.720 That could change based on discussions 54:26.720 --> 54:30.790 and obviously, if you do not remain asymptomatic 54:30.790 --> 54:34.140 that would change that but right now it's at 14 days. 54:34.140 --> 54:38.030 Asymptomatic cases and then that discussion 54:38.030 --> 54:40.880 you have with your provider before the quarantine closes. 54:43.010 --> 54:43.843 - Thanks, Tom. 54:46.900 --> 54:49.403 Okay, next question is from Karen. 54:52.297 --> 54:55.177 "If a family member gets the virus, 54:55.177 --> 54:58.317 "are there special precautions I should take 54:58.317 --> 54:59.997 "in caring for them?" 55:00.930 --> 55:01.763 Good question. 55:02.600 --> 55:04.170 - Doctor, come on back up, you had chance 55:04.170 --> 55:05.311 to drink some water. 55:05.311 --> 55:07.870 - So for once again, very good question 55:07.870 --> 55:09.870 and really the recommendation at this point 55:09.870 --> 55:12.440 is that to really separate within the house. 55:12.440 --> 55:14.881 So the house is really felt to be the best location 55:14.881 --> 55:17.130 for that period of time. 55:17.130 --> 55:19.010 And so if there's a separate room, 55:19.010 --> 55:22.380 usually a separate bathroom and having a life support plan 55:22.380 --> 55:25.085 basically to make sure the food is properly, 55:25.085 --> 55:27.270 served in a separate location as well. 55:27.270 --> 55:28.130 We know that coronaviruses, 55:28.130 --> 55:30.320 it can spread during the process of eating. 55:30.320 --> 55:32.970 So really just separation during that period of time. 55:35.574 --> 55:39.360 - Okay, hang on to the mic Doctor. 55:39.360 --> 55:41.310 I'm confident this one's coming to you. 55:42.620 --> 55:44.550 This question's from Crystal. 55:44.550 --> 55:47.737 It says, "What is the difference between the flu 55:47.737 --> 55:52.680 "and coronavirus, if they present with similar symptoms?" 55:52.680 --> 55:55.710 So, there's been a lot of discussion about the flu 55:55.710 --> 55:59.580 vs coronavirus and I think it's important to recognize 55:59.580 --> 56:02.640 that influenza, I think a couple things 56:02.640 --> 56:04.240 so once again very appropriate question. 56:04.240 --> 56:07.987 So just last week we had about 40 cases of influenza, 56:07.987 --> 56:09.150 at Madigan. 56:09.150 --> 56:11.850 So flu is alive and well, it doesn't want to say 56:11.850 --> 56:15.390 goodbye to us this this year quite just yet. 56:15.390 --> 56:17.680 A bad flu year is... 56:18.610 --> 56:20.840 a significant issue every year 56:20.840 --> 56:24.810 in the US, right so... 56:24.810 --> 56:27.290 even here locally within Pierce County. 56:27.290 --> 56:29.550 We've had deaths related to influenza 56:29.550 --> 56:32.530 and about 50 deaths in the state of Washington, 56:32.530 --> 56:35.820 as far as I'm aware this year to be to influenza. 56:35.820 --> 56:37.870 So serious, serious issue that of course 56:37.870 --> 56:39.510 we have a vaccination for. 56:39.510 --> 56:41.280 So one of the first things is really to kind of 56:41.280 --> 56:44.610 make sure you get vaccinated but I think... 56:44.610 --> 56:46.070 If I could answer this question real quickly 56:46.070 --> 56:48.240 so for regards to influenza. 56:48.240 --> 56:53.020 So a bad flu year about 0.1% mortality. 56:53.020 --> 56:53.880 What does that translate? 56:53.880 --> 56:57.040 To a lot of deaths in the United States every year. 56:57.040 --> 56:59.690 Even though it's 0.1% mortality. 56:59.690 --> 57:02.430 This condition for coronavirus, 57:02.430 --> 57:05.200 for the novel coronavirus 2019, 57:05.200 --> 57:07.550 the mortality experience that they've had in China 57:07.550 --> 57:11.180 specifically was right around 2%, so quite a bit higher. 57:11.180 --> 57:14.190 But that being said it's important to recognize 57:14.190 --> 57:17.800 as a whole it was 2%, in a certain subgroups 57:17.800 --> 57:18.970 it's much, much higher. 57:18.970 --> 57:21.410 Around 14% in certain very sick subgroups 57:21.410 --> 57:22.920 in the individuals who are a lot older. 57:22.920 --> 57:27.480 So, in general, it's a lot more problematic, 57:27.480 --> 57:32.480 but it's still important to recognize the flu is still here, 57:32.630 --> 57:36.480 and very much a major contributor to why people are here 57:36.480 --> 57:38.380 presenting with fever and cough still. 57:39.510 --> 57:40.794 - Okay. 57:40.794 --> 57:43.490 So we have, we just got a couple minutes here left. 57:43.490 --> 57:45.630 Time for more questions, we'll take two, 57:45.630 --> 57:46.960 so we'll get another one. 57:46.960 --> 57:50.967 And the question from Deborah is, "Are the pools 57:50.967 --> 57:52.407 "save to swim in?" 57:56.011 --> 57:56.990 I'm getting a big head nod yes, 57:56.990 --> 57:58.440 come on up there Dr. Faestel. 58:01.281 --> 58:02.114 - I just got some information from 58:02.114 --> 58:03.160 Washington State Health Department 58:03.160 --> 58:04.390 echoing everybody sentiment here, 58:04.390 --> 58:06.390 these are some experts in the local county, 58:06.390 --> 58:07.853 Washington State Department of Health 58:07.853 --> 58:10.670 and leading the way in the nation in my opinion 58:10.670 --> 58:12.280 for Department of Health and so, 58:12.280 --> 58:13.940 the answer is as far as we know, 58:13.940 --> 58:16.050 the water is not felt to be a main contributor 58:16.050 --> 58:17.050 for the coronavirus. 58:18.800 --> 58:20.210 Question that was asked and they've already answered 58:20.210 --> 58:21.043 it for me. 58:21.043 --> 58:22.313 - Okay, thank you. 58:23.320 --> 58:27.150 Okay, last question here is from Rachel. 58:27.150 --> 58:29.687 And the question is, "Do the schools have the necessary 58:29.687 --> 58:34.240 "support with supplies like, hand sanitizers and wipes 58:35.469 --> 58:37.137 "and would it be productive for the community 58:37.137 --> 58:38.723 "to bring donations? 58:39.820 --> 58:41.193 Good question, Rachel. 58:43.640 --> 58:45.330 - I really love the second part of that question, 58:45.330 --> 58:46.623 we haven't thought about that yet. 58:46.623 --> 58:50.070 We need to look at maybe soliciting, 58:50.070 --> 58:51.630 if people have extra supplies, 58:51.630 --> 58:54.030 if it gets to the point where we need to 58:54.030 --> 58:55.420 distribute that out, that's a great point. 58:55.420 --> 58:56.710 Thank you for bringing that up. 58:56.710 --> 58:58.170 But to answer the first part of the question, 58:58.170 --> 58:59.330 yes the schools definitely, 58:59.330 --> 59:03.900 the schools just like JBLM Broad have the supplies. 59:03.900 --> 59:07.950 We have either the cleaner that does it as a contract, 59:07.950 --> 59:11.210 they have the antiseptic supplies and the cleaning supplies 59:11.210 --> 59:13.660 to do regular cleaning and they are doing 59:13.660 --> 59:14.493 deep cleanings. 59:14.493 --> 59:16.643 We've been in contact with many of the school districts, 59:16.643 --> 59:20.340 they're doing deep cleanings in between large gatherings, 59:20.340 --> 59:22.675 even though again no cases reported. 59:22.675 --> 59:25.960 They're just as a precaution they are deep cleaning 59:25.960 --> 59:27.760 in between large gatherings, 59:27.760 --> 59:30.950 and they are definitely thoroughly cleaning classrooms, 59:30.950 --> 59:32.920 and they have the capability to do that 59:32.920 --> 59:34.430 with their current cleaning contracts, 59:34.430 --> 59:37.970 just like we do here on JBLM and our cleaning contractor 59:39.101 --> 59:42.180 is gathering up any of the necessary supplies 59:42.180 --> 59:44.010 to be able to continue that for a long time, 59:44.010 --> 59:45.760 regular cleaning and deep cleaning. 59:48.580 --> 59:49.720 - Okay thanks, Skye. 59:49.720 --> 59:51.367 All right, we're gonna take one more question 59:51.367 --> 59:53.303 because it's a really good one. 59:54.370 --> 59:57.887 Hasn't been asked yet from Nancy, 59:57.887 --> 01:00:01.572 "What does the test for coronavirus entail 01:00:01.572 --> 01:00:04.350 "and do I need to give blood?" 01:00:04.350 --> 01:00:05.550 Turn this over here to-- 01:00:07.150 --> 01:00:11.240 - So thank you, Nancy, and it does not require 01:00:11.240 --> 01:00:13.040 a blood donation for the test. 01:00:13.040 --> 01:00:15.810 It is a nasal swab test. 01:00:15.810 --> 01:00:18.240 But on that same guidelines I want to do a shameless plug 01:00:18.240 --> 01:00:21.860 for yes, you can still also donate blood 01:00:21.860 --> 01:00:25.260 as it is not transmissible, right? 01:00:25.260 --> 01:00:27.920 And they do them regular just as if you were sick, 01:00:27.920 --> 01:00:29.120 and you want to donate blood 01:00:29.120 --> 01:00:31.750 they do a screening questionnaire for you, 01:00:31.750 --> 01:00:34.003 and run you through it and you're healthy. 01:00:34.890 --> 01:00:36.500 You can go ahead and donate blood. 01:00:36.500 --> 01:00:38.650 If you become ill or think you're going to be ill 01:00:38.650 --> 01:00:40.770 or you think you are ill at a later date 01:00:40.770 --> 01:00:42.748 and you contact the blood folks, 01:00:42.748 --> 01:00:44.790 they can pull that particular sample 01:00:44.790 --> 01:00:46.000 but right now they're telling me 01:00:46.000 --> 01:00:47.800 they can still take blood donations. 01:00:49.130 --> 01:00:50.303 - Okay, we're gonna close it up, 01:00:50.303 --> 01:00:54.310 I'm gonna pass it over to our Airlift Wing Commander first 01:00:54.310 --> 01:00:55.410 for a couple comments. 01:00:56.630 --> 01:00:58.530 - Sir, first of all, thanks for your leadership 01:00:58.530 --> 01:01:01.550 on this topic and for hosting this event. 01:01:01.550 --> 01:01:04.110 I think it's really important that we ensure 01:01:04.110 --> 01:01:07.860 that our airmen, soldiers, family members, 01:01:07.860 --> 01:01:10.600 dependents and contractors that you know how seriously 01:01:10.600 --> 01:01:15.060 we're taking this issue, that our goal here is transparency 01:01:15.060 --> 01:01:17.770 to make sure that you can make educated decisions 01:01:17.770 --> 01:01:20.400 for you and your family, and that you know 01:01:20.400 --> 01:01:22.470 that we're taking very measured steps 01:01:22.470 --> 01:01:26.370 that we're lockstep with the public health officials 01:01:26.370 --> 01:01:28.180 in the county and the state. 01:01:28.180 --> 01:01:31.070 And that we'll continue to watch this very closely 01:01:31.070 --> 01:01:33.410 and take prudent and measured actions. 01:01:33.410 --> 01:01:37.640 And so, again, we want you and your families to be safe. 01:01:37.640 --> 01:01:40.460 That's our number one priority here and yet we still 01:01:40.460 --> 01:01:41.680 have a mission to get done 01:01:41.680 --> 01:01:43.460 and we'll continue to do that also. 01:01:43.460 --> 01:01:44.473 Thank you again sir. 01:01:46.120 --> 01:01:48.140 - Very well stated Erin, thanks. 01:01:48.140 --> 01:01:50.850 Tom, you got a couple things you want to-- 01:01:50.850 --> 01:01:53.600 - Yes sir, I just want to as a couple last bars. 01:01:53.600 --> 01:01:56.390 Thank you, this has been just been a great opportunity 01:01:56.390 --> 01:01:57.640 for us to be able to share with the community 01:01:57.640 --> 01:02:00.620 just another form of communicating, 01:02:00.620 --> 01:02:03.340 but also a great thanks for all the questions that came in 01:02:03.340 --> 01:02:04.700 those questions were fantastic, 01:02:04.700 --> 01:02:08.840 spot on exactly what we want, and keep those coming right? 01:02:08.840 --> 01:02:10.700 Also want to give a big thanks for the team here 01:02:10.700 --> 01:02:13.420 that supported, all these activities today 01:02:13.420 --> 01:02:16.210 and they've been working hard, many of them, 24/7, 01:02:16.210 --> 01:02:18.500 and so with that I think we owe them 01:02:18.500 --> 01:02:21.900 a great deal of our thanks and they do it for you. 01:02:21.900 --> 01:02:23.760 Please keep an eye on the website for any changes 01:02:23.760 --> 01:02:24.943 or updates of information. 01:02:24.943 --> 01:02:26.730 It's a very fluid situation, 01:02:26.730 --> 01:02:28.870 and what could be happening one day 01:02:28.870 --> 01:02:29.960 could change very well the next. 01:02:29.960 --> 01:02:32.670 So please be vigilant about that I know our teams 01:02:32.670 --> 01:02:34.490 are being very vigilant of updating those sites, 01:02:34.490 --> 01:02:36.100 so please take advantage of it. 01:02:36.100 --> 01:02:38.210 Please heed the recommendations and discussions 01:02:38.210 --> 01:02:40.120 for protection measures. 01:02:40.120 --> 01:02:41.383 Those are very important. 01:02:41.383 --> 01:02:43.480 The more we're in compliance with those, 01:02:43.480 --> 01:02:46.370 the less likely the spread of this particular illness. 01:02:46.370 --> 01:02:48.350 The hotlines available for you out there as well 01:02:48.350 --> 01:02:51.540 as the CGN mentioned, for any vulnerabilities, 01:02:51.540 --> 01:02:53.837 you might see in terms of missing a sanitizer station 01:02:53.837 --> 01:02:55.880 or something's run out, or what have you. 01:02:55.880 --> 01:02:58.290 And so we need a real community force effort 01:02:58.290 --> 01:03:01.700 in order to get after this as Colone Stainepyne mentioned. 01:03:01.700 --> 01:03:03.720 Please do not present at the emergency room 01:03:03.720 --> 01:03:06.300 if you believe you have that particular illness 01:03:06.300 --> 01:03:07.823 'cause you could jeopardize others, 01:03:07.823 --> 01:03:10.700 current medical conditions so I just ask that please again 01:03:10.700 --> 01:03:14.370 you follow the protocols and safeguard the community. 01:03:14.370 --> 01:03:16.120 Household cleaners are very important, 01:03:16.120 --> 01:03:20.340 and nearly all of them are effective. 01:03:20.340 --> 01:03:23.336 You can just read the label, the 60 to 65% alcohol contain, 01:03:23.336 --> 01:03:25.510 and many of them will actually mention on there 01:03:25.510 --> 01:03:28.500 effective against coronavirus because it's very common 01:03:28.500 --> 01:03:30.660 virus family. 01:03:30.660 --> 01:03:32.490 And if you're sick, please stay home, 01:03:32.490 --> 01:03:35.620 we're honored to serve you, our community, our family. 01:03:35.620 --> 01:03:36.453 Thank you. 01:03:37.550 --> 01:03:41.410 - Okay, I'm gonna close out where we started. 01:03:41.410 --> 01:03:44.423 There's three things we wanted to get at today. 01:03:45.430 --> 01:03:48.480 And the first was, make sure you know what steps 01:03:48.480 --> 01:03:52.130 we're taking to ensure everyone's safety. 01:03:52.130 --> 01:03:55.280 Again it's been mentioned, it's going to be on the website 01:03:55.280 --> 01:03:57.750 we will communicate, there will be very transparent 01:03:57.750 --> 01:03:58.900 about what we're doing. 01:03:59.750 --> 01:04:02.840 I think we've communicated the steps and procedures 01:04:02.840 --> 01:04:06.530 that we recommend you take to keep your soldier, 01:04:06.530 --> 01:04:09.220 airman, family members safe. 01:04:09.220 --> 01:04:11.250 If you have any questions though again, 01:04:11.250 --> 01:04:13.780 hit the hotlines, go on the website. 01:04:13.780 --> 01:04:16.430 We have a lot of resources that are available to you. 01:04:17.510 --> 01:04:19.910 And last was where do you find that most up to date 01:04:19.910 --> 01:04:21.660 information and we're continuing to hit that. 01:04:21.660 --> 01:04:25.447 We want to make sure that all the information as we get it 01:04:25.447 --> 01:04:29.460 is available to all of you and at your fingertips. 01:04:29.460 --> 01:04:30.990 If you have specific questions, 01:04:30.990 --> 01:04:33.520 I think you've seen that we've had 01:04:33.520 --> 01:04:37.930 a team that's been responsive on our social media sites, 01:04:37.930 --> 01:04:41.350 answering questions for you. 01:04:41.350 --> 01:04:42.980 I would encourage you if there's somebody else 01:04:42.980 --> 01:04:47.283 if you thought this was helpful over the last hour plus, 01:04:48.810 --> 01:04:52.930 it will be on the site, so they can go back 01:04:52.930 --> 01:04:55.820 and if you've joined us late, they can go back right 01:04:55.820 --> 01:05:00.410 and watch this video from start to finish. 01:05:00.410 --> 01:05:03.480 And you'll get a lot of the questions, 01:05:03.480 --> 01:05:05.320 some really great questions today answered. 01:05:05.320 --> 01:05:09.290 So again, we are honored to serve with you 01:05:09.290 --> 01:05:11.330 and serve all of you. 01:05:11.330 --> 01:05:12.250 Have a great weekend. 01:05:12.250 --> 01:05:13.083 Thank you.