New Rochelle, New York (Westchester County) Community Mitigation
CDC’s recommendations for the next 30 days of mitigation strategies for New Rochelle, New York (Westchester County), based on current situation with widespread COVID-19 transmission and affected health care facilities
Note: Westchester County has recently implemented many interventions for mitigation of COVID-19 in New Rochelle, New York, consistent with CDC’s recently posted guidance (https://www.cdc.gov/coronavirus/2019-ncov/community/index.html).
Recommendations from Westchester County are detailed at https://health.westchestergov.com/2019-novel-coronavirusexternal icon and those from the New York State Department of Health can be found at https://coronavirus.health.ny.gov/homeexternal icon
The following describes CDC recommendations for evidence-base community interventions for the situation in New Rochelle and will be the roadmap for other counties as needed.
Bottom Line Up Front:
Due to widespread transmission in New Rochelle, New York (Westchester County), CDC recommends extensive community mitigation activities to support slowing the spread of respiratory virus infections. These approaches are used to minimize morbidity and mortality caused by COVID-19 and minimize social and economic impacts of COVID-19. Individuals, communities, businesses, and healthcare organizations are all part of a community mitigation strategy. Given the widespread community transmission in New Rochelle, New York, including involvement of faith-based organizations and health care exposures, substantial interventions at the community level should be implemented at this time, based on the urgency of protecting the health care system with expected rise in cases by slowing the spread within the community.
The goals for using mitigation strategies for New Rochelle at this time are to protect:
- Individuals at risk for severe illness, including and persons of any age with underlying health conditions including immune suppression and especially seniors with underlying health conditions (See Appendix A).
- The healthcare workforce and critical infrastructure workforces
These approaches are used to minimize morbidity and mortality caused by COVID-19 and minimize social and economic impacts of COVID-19. Individuals, communities, businesses, and healthcare organizations are all part of a community mitigation strategy.
- Emphasizing individual responsibility for implementation of recommended personal-level actions,
- Empowering businesses, schools, and community organizations to implement recommended actions, particularly in ways that protect persons at risk of severe illness such as older adults and persons with serious underlying health conditions (e.g., people requiring dialysis , or those with congestive heart failure or emphysema)
- Focusing on settings that provide critical services to implement recommended actions to protect critical infrastructure and individuals at risk of severe disease
- Minimizing disruptions to daily life to the extent possible
Table. Community mitigation strategies for New Rochelle, New York (Westchester County)
|Every Individual and Family at Home||
|Every assisted living facility and adult day programs||
|Every Community and Faith-based Organization||
|Healthcare settings and healthcare provider (includes outpatient, nursing homes/long-term care facilities, inpatient, telehealth)||
Appendix A: Underlying medical conditions that may increase the risk of serious COVID-19 for individuals of any age.
- Blood disorders (e.g., sickle cell disease or on blood thinners)
- Chronic kidney disease as defined by your doctor. Patient has been told to avoid or reduce the dose of medications because kidney disease, or is under treatment for kidney disease, including receiving dialysis
- Chronic liver disease as defined by your doctor. (e.g., cirrhosis, chronic hepatitis) Patient has been told to avoid or reduce the dose of medications because liver disease or is under treatment for liver disease.
- Compromised immune system (immunosuppression) (e.g., seeing a doctor for cancer and treatment such as chemotherapy or radiation, received an organ or bone marrow transplant, taking high doses of corticosteroids or other immunosuppressant medications, HIV or AIDS)
- Current or recent pregnancy in the last two weeks
- Endocrine disorders (e.g., diabetes mellitus)
- Metabolic disorders (such as inherited metabolic disorders and mitochondrial disorders)
- Heart disease (such as congenital heart disease, congestive heart failure and coronary artery disease)
- Lung disease including asthma or chronic obstructive pulmonary disease (chronic bronchitis or emphysema) or other chronic conditions associated with impaired lung function or that require home oxygen
- Neurological and neurologic and neurodevelopment conditions [including disorders of the brain, spinal cord, peripheral nerve, and muscle such as cerebral palsy, epilepsy (seizure disorders), stroke, intellectual disability, moderate to severe developmental delay, muscular dystrophy, or spinal cord injury].