A person (who has not had a laboratory test) 69 April 1, 2020 U.S. Department of Health and Human Services Centers for Disease Control and Prevention. One or more of the following exposures in the 14 days before onset of symptoms: **Close contact is defined as being within 6 feet for at least a period of 10 minutes to 30 minutes or more depending upon the exposure. Ongoing surveillance of illness, risk factors, and epidemiologic linkage is needed to characterize the disease transmission in the United States, and to inform intervention and mitigation strategies. Zhonghua Liu Xing Bing Xue Za Zhi. The virus is distinct from both severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV), although closely related. CSTE realizes that field investigations will involve evaluations of persons with no symptoms and these individuals will need to be counted as cases. Not applicable (N/A) until more virologic data are available. Surveillance case definitions are not intended to be used by healthcare providers for making a clinical diagnosis or determining how to meet an individual patient’s health needs. Surveillance case definitions enable public health officials to classify and count cases consistently across reporting jurisdictions. Severe respiratory illness with at least one of the following: Laboratory evidence using a method approved or authorized by the U.S. Food and Drug Administration (FDA) or designated authority: *Serologic methods for diagnosis are currently being defined. Detection of severe acute respiratory syndrome coronavirus 2 ribonucleic acid (SARS-CoV-2 RNA) in a clinical specimen using a molecular amplification detection test, Detection of specific antigen in a clinical specimen, Detection of specific antibody in serum, plasma, or whole blood indicative of a new or recent infection*. DOI:10.3760/cma.j.issn.0254-6450.2020.02.003. At least twoof the following symptoms: fever (measured or subjective), chills, rigors, myalgia, headache, sore throat, new olfactory and taste disorder(s) OR At least oneof the following symptoms: cough, shortness of breath, or difficulty breathing OR Severe respiratory illness with at least one of the following: 1. Regional Office for Africa (‎ World Health Organization. Epidemiological reports from the field are demonstrating a growing importance of presymptomatic and asymptomatic infections from two lines of evidence: the serial interval of COVID-19 appears to be close to or shorter than its median incubation period and clusters linked to presymptomatic and asymptomatic index cases2, 3. Serial interval of novel coronavirus (COVID-19) infections. Refer to the testing guidance for advice on who to test. [1] Additional less specific symptoms may include headache, chills, muscle pain, fatigue, vomiting and/or diarrhoea. The case definition document identifies those with a higher risk of having COVID-19 and outlines the reporting and self-isolation requirements for those with symptoms who meet the Higher Index of Suspicion (HIS) criteria. updated in Public health surveillance for COVID-19, published 7 August 2020 WHO has published revised interim guidance on public health surveillance for COVID-19 cases. At least two of the following symptoms: fever (measured or subjective), chills, rigors, myalgia, headache, sore throat, new olfactory and taste disorder(s), At least one of the following symptoms: cough, shortness of breath, or difficulty breathing. Case definition for coronavirus disease 2019 (COVID-19), as of 29 May 2020, © European Centre for Disease Prevention and Control (ECDC) 2020, Case definition coronavirus disease 2019 (COVID-19), Contact tracing: Public health management of persons, including healthcare workers, having had contact with COVID-19 cases in the European Union’, sudden onset of anosmia, ageusia or dysgeusia, close contact [3] with a confirmed COVID-19 case in the 14 days prior to onset of symptoms, having been a resident or a staff member, in the 14 days prior to onset of symptoms, in a residential institution for vulnerable people where ongoing COVID-19 transmission has been confirmed. Close contact** with a confirmed or probable case of COVID-19 disease; linkage to a confirmed case of COVID-19 disease. The position statement included a case definition and made COVID-19 a nationally notifiable disease. Questions received by ECDC from the Member States regarding laboratory topics on SARS-CoV-2 by 21 February 2020. Acute respiratory distress syndrome (ARDS). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a newly identified pathogen and it is assumed there is no existing human immunity to the virus. A notifiable disease or condition is one for which regular, frequent, and timely information regarding individual cases is considered necessary to prevent and control the disease or condition. Wycliffe E. Wei; Zongbin Li; Calvin J. Chiew; Sarah E. Yong; Matthias P. Toh; Vernon J. Lee. Centers for Disease Control and Prevention, Office of Public Health Scientific Services (OPHSS), Center for Surveillance, Epidemiology, and Laboratory Services (CSELS), Division of Health Informatics and Surveillance (DHIS), U.S. Department of Health & Human Services. Note: Javascript is disabled or is not supported by your browser. Case definition. Data are insufficient to precisely define the duration of exposure that constitutes prolonged exposure and thus a close contact. Clinical or radiographic evidence of pneumonia. AND No alternative more likely diagnosis Acute respiratory distress syndrome (ARDS). A previous COVID-19 position statement pdf icon external icon issued by CSTE on April 5, 2020, included a case definition and made COVID-19 a nationally notifiable disease. Disease in children appears to be relatively mild, and growing evidence that a significant proportion of infections across all age groups are asymptomatic. The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. They are not intended to replace clinical or public health practitioner judgment in individual patient assessment and management. How do I view different file formats (PDF, DOC, PPT, MPEG) on this site? However, cases have been reported in the United States with no direct epidemiologic link to confirmed cases. 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