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Inside the Race to Contain America’s First Coronavirus Case | Inside the Race to Contain America’s First Coronavirus Case |
(3 days later) | |
EVERETT, Wash. — It started with a stubborn cough. A visit to an urgent care facility. A test being sent off to the Centers for Disease Control and Prevention. And then a 35-year-old resident of Snohomish County, Wash., being named the first confirmed case of the coronavirus in the United States. | EVERETT, Wash. — It started with a stubborn cough. A visit to an urgent care facility. A test being sent off to the Centers for Disease Control and Prevention. And then a 35-year-old resident of Snohomish County, Wash., being named the first confirmed case of the coronavirus in the United States. |
Hollianne Bruce, the lone epidemiologist assigned to the control of communicable diseases in the county’s public health office, jumped into action. Declining to wait for a C.D.C. team to arrive from Atlanta, she dialed up the patient, who had been taken to an isolation unit at a hospital. | Hollianne Bruce, the lone epidemiologist assigned to the control of communicable diseases in the county’s public health office, jumped into action. Declining to wait for a C.D.C. team to arrive from Atlanta, she dialed up the patient, who had been taken to an isolation unit at a hospital. |
Seeking to establish a rapport, Ms. Bruce told him she knew he was not feeling well. She apologized for the disturbance. But she impressed on him how he might help save lives by sharing where he had been in recent days and with whom he had come into contact. | Seeking to establish a rapport, Ms. Bruce told him she knew he was not feeling well. She apologized for the disturbance. But she impressed on him how he might help save lives by sharing where he had been in recent days and with whom he had come into contact. |
“We don’t know a lot about this virus,” she told him. “We’d like to ask you some questions.” | “We don’t know a lot about this virus,” she told him. “We’d like to ask you some questions.” |
The man, who had been taken to the hospital the night before in a covered gurney intended for Ebola patients, agreed to help. It would be the first of several conversations he would have with Ms. Bruce, some by phone, others over a walkie-talkie as she stood outside his sealed room. Once, at his request, she bought him lunch at a nearby Panda Express. | The man, who had been taken to the hospital the night before in a covered gurney intended for Ebola patients, agreed to help. It would be the first of several conversations he would have with Ms. Bruce, some by phone, others over a walkie-talkie as she stood outside his sealed room. Once, at his request, she bought him lunch at a nearby Panda Express. |
In their conversations, she took him back six days, when he had returned from visiting family in Wuhan, China, the epicenter of the outbreak. | In their conversations, she took him back six days, when he had returned from visiting family in Wuhan, China, the epicenter of the outbreak. |
Could he tell her the dates of his travel? His flight number? His seat number? | Could he tell her the dates of his travel? His flight number? His seat number? |
How had he returned home from the airport? When did his symptoms start? Where did he work? Did he stop anywhere on the way to work? Did he stop on the way home? Had he gone out for any meals? | How had he returned home from the airport? When did his symptoms start? Where did he work? Did he stop anywhere on the way to work? Did he stop on the way home? Had he gone out for any meals? |
For Ms. Bruce, it was a relief to learn that the patient lived alone, that he took the stairs rather than the elevator to his office, and that he did not work in an open cubicle. | For Ms. Bruce, it was a relief to learn that the patient lived alone, that he took the stairs rather than the elevator to his office, and that he did not work in an open cubicle. |
But he had attended a group lunch the day he developed a cough, and all eight of his lunch partners would be tracked down. Once he developed a cough, he had walked into a crowded health clinic. Thirty-eight other people who were in the clinic that day would need to be monitored. | But he had attended a group lunch the day he developed a cough, and all eight of his lunch partners would be tracked down. Once he developed a cough, he had walked into a crowded health clinic. Thirty-eight other people who were in the clinic that day would need to be monitored. |
The coronavirus, which has killed hundreds of people in China and sickened more than 20,000 in countries across the world, has been declared a global health emergency. To slow its spread, the Trump administration has invoked a rarely used constitutional power to impose a quarantine on Americans returning from the area around Wuhan. | The coronavirus, which has killed hundreds of people in China and sickened more than 20,000 in countries across the world, has been declared a global health emergency. To slow its spread, the Trump administration has invoked a rarely used constitutional power to impose a quarantine on Americans returning from the area around Wuhan. |
But within the United States, containing the virus is a local responsibility. Across the country, where at least 11 more cases have since been confirmed, it is health officials at the county and municipal level who are scrambling to isolate the sick, learn where they have been and monitor those who have come into contact with them. Health workers are also debunking rumors, calming fears and bracing for the expected emergence of new cases. | But within the United States, containing the virus is a local responsibility. Across the country, where at least 11 more cases have since been confirmed, it is health officials at the county and municipal level who are scrambling to isolate the sick, learn where they have been and monitor those who have come into contact with them. Health workers are also debunking rumors, calming fears and bracing for the expected emergence of new cases. |
At the Snohomish Health District, the staff of 113 has poured 1,000 hours into coronavirus control since the patient’s test was sent to the C.D.C. over the Martin Luther King’s Birthday weekend. Food inspectors, human resource managers and opioid outreach specialists have pitched in. | At the Snohomish Health District, the staff of 113 has poured 1,000 hours into coronavirus control since the patient’s test was sent to the C.D.C. over the Martin Luther King’s Birthday weekend. Food inspectors, human resource managers and opioid outreach specialists have pitched in. |
“All responses are local,” said Dr. Satish Pillai, an infectious disease specialist who headed an eight-person team that was dispatched from C.D.C. headquarters in Atlanta to monitor the case. “What happened in Snohomish is emblematic of what we need to evolve and improve our ability to respond to a virus we are seeing for the very first time in the United States.” | “All responses are local,” said Dr. Satish Pillai, an infectious disease specialist who headed an eight-person team that was dispatched from C.D.C. headquarters in Atlanta to monitor the case. “What happened in Snohomish is emblematic of what we need to evolve and improve our ability to respond to a virus we are seeing for the very first time in the United States.” |
An account of the last two weeks at the Snohomish Health District — whose offices are festooned with messages like “Immunizations: They’re your best defense!” and “Save A Life: Give Your Blood” — offers a look at what may be in store for more of the nation’s 3,000 local health jurisdictions in the weeks to come. | An account of the last two weeks at the Snohomish Health District — whose offices are festooned with messages like “Immunizations: They’re your best defense!” and “Save A Life: Give Your Blood” — offers a look at what may be in store for more of the nation’s 3,000 local health jurisdictions in the weeks to come. |
The Wuhan coronavirus still seemed far away on the evening of Jan. 19 when Dr. Chris Spitters, the district’s interim health officer, was alerted that a local clinic had sent specimens to the C.D.C. from a resident who had recently returned from Wuhan. | The Wuhan coronavirus still seemed far away on the evening of Jan. 19 when Dr. Chris Spitters, the district’s interim health officer, was alerted that a local clinic had sent specimens to the C.D.C. from a resident who had recently returned from Wuhan. |
“In the first moments you kind of want to deny that this is happening,” Dr. Spitters recalled. | “In the first moments you kind of want to deny that this is happening,” Dr. Spitters recalled. |
Dr. Spitters, who was out of town for the holiday weekend, asked Katie Curtis, the district’s assistant director of prevention services, to check on the man, who had agreed to remain isolated at home until the test results came back. | Dr. Spitters, who was out of town for the holiday weekend, asked Katie Curtis, the district’s assistant director of prevention services, to check on the man, who had agreed to remain isolated at home until the test results came back. |
His symptoms were relatively mild. But health officials wanted to monitor him for fever and to make sure he had any supplies he might need so he did not need to leave his house. | His symptoms were relatively mild. But health officials wanted to monitor him for fever and to make sure he had any supplies he might need so he did not need to leave his house. |
He had plenty of food, the man told Ms. Curtis on the phone, but no thermometer. | He had plenty of food, the man told Ms. Curtis on the phone, but no thermometer. |
When Ms. Curtis knocked on his door the next morning after picking up a thermometer at a pharmacy, he answered wearing a face mask. He promised to text her his temperature every few hours. | When Ms. Curtis knocked on his door the next morning after picking up a thermometer at a pharmacy, he answered wearing a face mask. He promised to text her his temperature every few hours. |
His first text came a few minutes later. | His first text came a few minutes later. |
It was no cause for alarm. | It was no cause for alarm. |
But before the next one, Ms. Curtis called him with Dr. Spitters on the line. By then, a team of nurses and emergency medical technicians had been assembled. The simulation they had performed earlier in January on how to transport and quarantine a highly infectious patient was suddenly becoming reality. An isolation unit at Providence Regional Medical Center, meant for Ebola patients and never before used, was in the process of being erected. | But before the next one, Ms. Curtis called him with Dr. Spitters on the line. By then, a team of nurses and emergency medical technicians had been assembled. The simulation they had performed earlier in January on how to transport and quarantine a highly infectious patient was suddenly becoming reality. An isolation unit at Providence Regional Medical Center, meant for Ebola patients and never before used, was in the process of being erected. |
“We have your test results,” Ms. Curtis told the patient. | “We have your test results,” Ms. Curtis told the patient. |
The reactions among the dozens of people potentially exposed to the patient ranged from anxiety to irritation. Some expressed gratitude to Ms. Bruce and the other health workers who reached out to them. There were several jokes about Corona beer. | The reactions among the dozens of people potentially exposed to the patient ranged from anxiety to irritation. Some expressed gratitude to Ms. Bruce and the other health workers who reached out to them. There were several jokes about Corona beer. |
“Can I cure it with a lime?” one wanted to know. | “Can I cure it with a lime?” one wanted to know. |
Only one person earned the notation “resistant to public health intervention.” | Only one person earned the notation “resistant to public health intervention.” |
Everyone on Ms. Bruce’s “close contact” list received two phone calls from a public health worker to impress upon them the seriousness of the situation. They were required to take their temperatures twice a day and report any fevers or coughs. After that, they could opt to receive a text message, carefully worded so as not to raise alarm should another person see it. | Everyone on Ms. Bruce’s “close contact” list received two phone calls from a public health worker to impress upon them the seriousness of the situation. They were required to take their temperatures twice a day and report any fevers or coughs. After that, they could opt to receive a text message, carefully worded so as not to raise alarm should another person see it. |
“This is the Health District with your daily symptom check for your household,” it read. “Please reply with 1 if you have no symptoms, reply with 2 if someone in your household is ill.” | “This is the Health District with your daily symptom check for your household,” it read. “Please reply with 1 if you have no symptoms, reply with 2 if someone in your household is ill.” |
Across the county line, Ms. Bruce’s counterparts in King County were performing the same task with dozens of others who worked with the patient, were on his flight or rode with him from the airport. At least nine people who were exposed to the patient have developed symptoms that fell within the C.D.C.’s criteria for testing. Results for three of them are still pending; the others were negative. | Across the county line, Ms. Bruce’s counterparts in King County were performing the same task with dozens of others who worked with the patient, were on his flight or rode with him from the airport. At least nine people who were exposed to the patient have developed symptoms that fell within the C.D.C.’s criteria for testing. Results for three of them are still pending; the others were negative. |
In many ways, the coronavirus response was familiar ground for the local health workers, who routinely labor to prevent and control outbreaks of gastroenteritis, measles, tuberculosis and H.I.V. | In many ways, the coronavirus response was familiar ground for the local health workers, who routinely labor to prevent and control outbreaks of gastroenteritis, measles, tuberculosis and H.I.V. |
Updated June 12, 2020 | |
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. | |
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. | So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. |
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. | A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. |
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. | The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. |
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. | Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. |
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. | Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. |
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. | States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. |
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. | Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. |
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) | If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) |
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. | Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. |
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. | The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. |
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. | If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. |
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. | If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. |
The novel nature of the coronavirus added urgency — and a disquieting uncertainty — to the work. Who is most at risk? How soon do symptoms arise in people who are infected? How, exactly, is the virus transmitted? | The novel nature of the coronavirus added urgency — and a disquieting uncertainty — to the work. Who is most at risk? How soon do symptoms arise in people who are infected? How, exactly, is the virus transmitted? |
During a season when nearly everyone has a sore throat, it was hard to know who among the contacts they were tracing needed to be tested and given the “PUI” designation, for “person under investigation.” | During a season when nearly everyone has a sore throat, it was hard to know who among the contacts they were tracing needed to be tested and given the “PUI” designation, for “person under investigation.” |
Those who were ordered to stay in their homes were taken care of. The groceries that the Seattle and King County public health department delivered to one prospective patient included hair conditioner, blueberries and 2 percent milk. | Those who were ordered to stay in their homes were taken care of. The groceries that the Seattle and King County public health department delivered to one prospective patient included hair conditioner, blueberries and 2 percent milk. |
Still, when Ms. Bruce could not reach one of the people she was monitoring over the weekend of Jan. 25, she grew alarmed. After leaving a message with the woman’s emergency contact, she received a call at home that night. The woman explained that she had been in the process of moving to Wisconsin, and that she had taken her flight as planned. | Still, when Ms. Bruce could not reach one of the people she was monitoring over the weekend of Jan. 25, she grew alarmed. After leaving a message with the woman’s emergency contact, she received a call at home that night. The woman explained that she had been in the process of moving to Wisconsin, and that she had taken her flight as planned. |
“You did what?” Ms. Bruce asked. The woman has subsequently tested negative. | “You did what?” Ms. Bruce asked. The woman has subsequently tested negative. |
The people of Snohomish County had questions. | The people of Snohomish County had questions. |
Why had local health officials not released the name of the clinic where the patient had received care? | Why had local health officials not released the name of the clinic where the patient had received care? |
Was this all a government scheme to sell vaccines? Was it safe to take children to the airport? Was the rumor at a local high school that a student had tested positive for the virus true? | Was this all a government scheme to sell vaccines? Was it safe to take children to the airport? Was the rumor at a local high school that a student had tested positive for the virus true? |
There was no reason to believe, health officials told residents, that the patient had posed a risk to people with whom he had not been in reasonably close contact. To disclose the clinic location could create a false sense of panic, officials said. | There was no reason to believe, health officials told residents, that the patient had posed a risk to people with whom he had not been in reasonably close contact. To disclose the clinic location could create a false sense of panic, officials said. |
There was no government scheme, officials made clear. They had tested no minors for the coronavirus, they said of the school rumors. And as for the airport, they said parents should encourage their children to wash their hands. | There was no government scheme, officials made clear. They had tested no minors for the coronavirus, they said of the school rumors. And as for the airport, they said parents should encourage their children to wash their hands. |
But it was hard for officials to keep up with the anxiety. | But it was hard for officials to keep up with the anxiety. |
“This is an evolving situation,” reads a post on the health office’s Facebook page. | “This is an evolving situation,” reads a post on the health office’s Facebook page. |
Carrie Parker, the outreach and preparedness supervisor for the Snohomish Health District, took on the role of “incident commander” over the last two weeks. On Tuesday, she told her 30-person team that they might soon be returning to their day jobs. | Carrie Parker, the outreach and preparedness supervisor for the Snohomish Health District, took on the role of “incident commander” over the last two weeks. On Tuesday, she told her 30-person team that they might soon be returning to their day jobs. |
The Snohomish County patient has been discharged from the hospital with instructions from Dr. Spitters to remain in isolation at home for now. Snohomish health officials declined to release his name, and his identity could not be determined. | The Snohomish County patient has been discharged from the hospital with instructions from Dr. Spitters to remain in isolation at home for now. Snohomish health officials declined to release his name, and his identity could not be determined. |
In a statement, the man said he was continuing to get better and he thanked those who had cared for him. He expressed a desire to return to his normal life and “not to be in the public eye.” | In a statement, the man said he was continuing to get better and he thanked those who had cared for him. He expressed a desire to return to his normal life and “not to be in the public eye.” |