Preventing Coronavirus Disease 2019(COVID-19)

FOOD SERVICE WORKERS

OAKLAND COUNTY EXECUTIVE DAVID COULTER

Leigh-Anne Stafford, Health Officer

(248) 858-1280 | health@oakgov.com

North Oakland Health Center | 1200 N. Telegraph Road 34E | Pontiac, MI 48341-0432 | (248) 858-1280 | oakgov.com/health

South Oakland Health Center | 27725 Greenfield Road | Southfield, MI 48076-3663 | (248) 424-7000 | oakgov.com/health

March 9, 2020 Dear Oakland County Food Service partners, Oakland County Health Division (OCHD) is working closely with healthcare providers, Michigan Department of Health and Human Services (MDHHS), and Centers for Disease Control and Prevention (CDC) to actively monitor and prepare for the presence of coronavirus (COVID-19) in the community. OCHD is providing this toolkit to share information with you and your employees about how to stay healthy and prevent illness.

We encourage our foodservice industry partners to continue following local public health guidelines, including safety protocols, best practices and guidance from the National Restaurant Association. CDC has also created Interim Guidance for Businesses and Employers to Plan and Respond to Coronavirus Disease 2019 (COVID-19). These guidelines may help prevent workplace exposures to respiratory illnesses, including COVID-19. The guidance also provides planning considerations if there are more widespread, community outbreaks of COVID-19.

Recommended strategies for employers to use now include:

• Require sick employees to stay home or leave work if they become ill

• Emphasize respiratory etiquette and hand hygiene by all employees

• Perform routine cleaning of all work areas

• Advise employees before traveling to check the CDC’s Coronavirus Disease 2019 Information for Travel

• Provide disposable disinfectant wipes so that commonly used surfaces can be wiped down by staff before and after each use (Follow manufacturer’s directions. Wipes may not be approved for use on food contact surfaces).

The best way to prevent infection is to avoid being exposed to the virus. The simple everyday actions you can take to help prevent the spread of flu and other common illnesses will also help prevent the spread of coronaviruses. Please share the attached documents that can also be found on our website with your employees:

• Coronavirus Disease 2019 – What You Need to Know • Stop the Spread of Germs

• A Clean Work Environment is a Healthier Work Environment • Hand Washing Instructions

• Coronavirus Tips for Restaurants • Cover Your Cough

• Important Information regarding Coronavirus

This is an evolving situation and information/resources will be updated as available at www.oakgov.com/health. Our Nurse on Call is also available at 800-848-5533, Monday through Friday, 8:30 a.m. – 5:00 p.m. or noc@oakgov.com. Sincerely, OAKLAND COUNTY HEALTH DIVISION Department of Health and Human Services Leigh-Anne Stafford, M.S.A. Health Officer

Coronavirus Disease 2019 (COVID-19) What You Need to Know

What is Coronavirus Disease 2019 (COVID-19)?

Coronavirus Disease 2019, or COVID-19, is the disease caused by a new respiratory virus named SARS-CoV-2. COVID-19 was first identified in Wuhan, Hubei Province, China in December 2019.

What are the symptoms of COVID-19?

People diagnosed with COVID-19 have reported mild to severe respiratory illness 2 to 14 days after exposure. Symptoms include:

• fever

• cough

• shortness of breath

How is COVID-19 spread?

The virus is thought to spread mainly from person to person

• Between people who are in close contact with one another (within about 6 feet).

• Through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

• It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose or possibly their eyes.

Has anyone in the United States gotten infected?

The current case count of COVID-19 in the United States is available at: https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html The current case count of COVID-19 in Michigan is available at: https://www.michigan.gov/coronavirus

Am I at risk for COVID-19 infection?

This is a rapidly evolving situation and the risk assessment may change daily. The latest updates are available on CDC’s Coronavirus Disease 2019 (COVID-19) website.

Some people that may be at higher risk of getting very sick from this illness includes:

• Older adults

• People who have serious chronic medical conditions o Heart disease o Diabetes

Lung disease

The Oakland County Health Division will not deny participation in its programs based on race, sex, religion, national origin, age or disability. State and federal eligibility requirements apply for certain programs.

I:\Health\Admin\Materials Center\HPS_Fact_Sheets\fs_COVID-19.docx Rev. 3/9/2020

Can I still travel to countries where COVID-19 cases have occurred?

For the most up to date information related to Coronavirus Disease 2019 Travel check out CDC’s travel page at https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html.

What should I do if I recently traveled from an area with ongoing spread of COVID-19?

If you have traveled from an affected area (https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html), there may be restrictions on your movements for up to 2 weeks. If you develop symptoms during that period (fever, cough, trouble breathing), seek medical advice. Call the office of your health care provider before you go, and tell them about your travel and your symptoms. They will give you instructions on how to get care without exposing other people to your illness. While sick, avoid contact with people, don’t go out and delay any travel to reduce the possibility of spreading illness to others.

Is there a vaccine or treatments?

There is not a vaccine or specific treatment recommended for COVID-19. People with COVID-19 can seek medical care to help relieve symptoms.

How can I help protect myself and others?

The best way to prevent infection is to avoid being exposed to the virus. The simple everyday actions you can take to help prevent the spread of flu and other illnesses can help prevent the spread of coronaviruses. These include:

• Stay home when sick.

• Washing your hands often with soap and warm water for 20 seconds, and help young children do the same. If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol.

• Covering your nose and mouth with a tissue when you cough or sneeze, or cough/sneeze in your upper sleeve. Immediately throw away used tissues in the trash, then wash hands.

• Avoiding touching your eyes, nose, and mouth with unwashed hands.

• Avoiding close contact, sharing cups, or sharing eating utensils.

• Cleaning and disinfecting frequently touched surfaces, such as toys and doorknobs.

• Practice good health habits. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

• Be prepared with the following supplies: o Maintain a two-week supply of water and food at home o Routinely check your regular prescription drugs to ensure that you won’t run out o Keep non-prescription drugs and other health supplies on hand o Get copies and maintain electronic versions of health records o Talk with family members about how they would be cared for if they got sick and what would be

needed to care for them in your home

• CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory illnesses, including COVID-19.

HELP PREVENT THE SPREAD OF RESPIRATORY DISEASES

For more information: oakgov.com/health

The Oakland County Health Division will not deny participation in its programs based on race, sex, religion, national origin,age or disability. State and federal eligibility requirements apply for certain programs. 2/28/20

stop thespread of germs

Clean and disinfect frequently touched objects and surfaces.

Avoid touching your eyes, nose, and mouthwith unwashed hands.

Stay home when you are sick, except to get medical care. Call ahead before you visit your doctor

or emergency room.

Wash your hands often with soap and warm water for at least 20 seconds.

Cough and sneeze into your upper sleeve or cover your cough or sneeze with a tissue, then throw in

the trash. Wash hands.

Avoid contact with people who are sick.

The Oakland County Health Division will not deny participation in its programs based on race, sex, religion, national origin,age or disability. State and federal eligibility requirements apply for certain programs.

CLEAN ALL HARD SURFACES, SUCH AS:

TABLES, DESKS,AND CHAIRS PHONES DRINKING COOLERS COMPUTER EQUIPMENT

COFFEE MAKERS DOOR HANDLESAND HAND RAILS OFFICE EQUIPMENT ELEVATOR BUTTONS

IS A healthierA CLEAN WORK ENVIRONMENT

WORK ENVIRONMENT

©2019 National Restaurant Association Educational Foundation (NRAEF). All rights reserved. ServSafe® and the ServSafe logo are trademarks of NRAEF. National Restaurant Association® and arc design are trademarks of the National Restaurant Association.

Cleaning VS. Sanitizing

WHEN TO CLEAN & SANITIZE

For more information and resources on food safety, visit:

foodsafetyfocus.com

There’s a big difference between cleaning and sanitizing. Cleaning removes food and other types of soil from a surface such as a countertop or plate. Sanitizing reduces the number of pathogens on the clean surface to safe levels. To be effective, cleaning and sanitizing must be a 5-step process.

SCRAPE OR REMOVE FOOD FROM THE SURFACE1

WASH THE SURFACESANITIZE THE SURFACE

ALLOW THE SURFACETO AIR DRY

Everything in your operation must be kept clean, but any surface that comes into contact with food must be cleaned AND sanitized. These surfaces must be washed, rinsed, and sanitized:

•Each time you use them.•When you are interrupted during a task.•After handling different raw TCS fruits and vegetables.

•When you begin working with a different type of food.•As often as possible, but at least every four hours if items are in constant use.

2 4

5RINSE THE SURFACE3

©2019 National Restaurant Association Educational Foundation (NRAEF). All rights reserved. ServSafe® and the ServSafe logo are trademarks of NRAEF. National Restaurant Association® and arc design are trademarks of the National Restaurant Association.

Cleaning VS. Sanitizing

WHEN TO CLEAN & SANITIZE

For more information and resources on food safety, visit:

foodsafetyfocus.com

There’s a big difference between cleaning and sanitizing. Cleaning removes food and other types of soil from a surface such as a countertop or plate. Sanitizing reduces the number of pathogens on the clean surface to safe levels. To be effective, cleaning and sanitizing must be a 5-step process.

1

Everything in your operation must be kept clean, but any surface that comes into contact with food must be cleaned AND sanitized. These surfaces must be washed, rinsed, and sanitized:

•Each time you use them.•When you are interrupted during a task.•After handling different raw TCS fruits and vegetables.

•When you begin working with a different type of food.•As often as possible, but at least every four hours if items are in constant use.

2 4

53

Cleaning VS. SanitizingThere’s a big difference between cleaning and sanitizing. Cleaning removes food and other types of soil from a surface such as a countertop or plate. Sanitizing reduces the number of pathogens on the clean surface to safe levels. To be effective, cleaning and sanitizing must be a 5-step process.

SCRAPE OR REMOVE FOOD FROM THE SURFACE

WASH THE SURFACE

RINSE THE SURFACE

SANITIZE THE SURFACE

ALLOW THE SURFACE TO AIR DRY

WHEN TO CLEAN & SANITIZEEverything in your operation must be kept clean, but any surface that comes into contact with food must be cleaned AND sanitized. These surfaces must be washed, rinsed, and sanitized:

• Each time you use them. • When you are interrupted during a task. • After handling different raw TCS fruits and

vegetables.

• When you begin working with a different type of food.

• As often as possible, but at least every four hours if items are in constant use.

For more information and resources on food safety, visit:

©2019 National Restaurant Association Educational Foundation (NRAEF). All rights reserved. ServSafe® and the ServSafe logo are trademarks of NRAEF. National Restaurant Association® and arc design are trademarks of the National Restaurant Association.

The Oakland County Health Division will not deny participation in its programs based on race, sex, religion, national origin,age or disability. State and federal eligibility requirements apply for certain programs.20-XXX • 3/3/20

Hand washingWhat You Need to Know

HAND WASHING STEPS

Rub your handstogether for at least

20 seconds using warm running water and soap.

Wash underfingernails, between

fingers, back of hands and wrists.

Rinse your handswell under warmrunning water.

Dry your handscompletely. In the

home, change hand washing towels often.

1. 2. 3. 4.

IN PUBLIC BATHROOMS• Dry your hands with a single-use paper towel (or with hot air blow dryer).

• If towel dispenser has a handle, be sure to roll the paper down before you wash your hands. This helps to ensure that you will not pick up new germs from the handle.

• For hand-held faucets, turn off water using a paper towel instead of bare hands so you will not pick up new germs on your clean hands.

• Open the bathroom door with the same paper towel.

ALWAYS PRACTICE HEALTHY HABITS• Cover your mouth and nose with a tissue when sneezing or coughing, or cough/sneeze into your upper sleeve. Immediately throw away used tissues, then wash hands.

• Teach and show children how to wash hands correctly.

When to wash handsWash hands after:• Coughing, sneezing, or touching objects and surfaces. You can also use hand sanitizer with at least 60% alcohol• Using the bathroom or helping a child use the bathroom• Changing a diaper; wash the child’s hands too• Handling items soiled with body fluids or wastes such as blood, drool, urine, stool, or discharge from nose or eyes • Arriving home from day care, friend’s home, outing, or school• Cleaning up messes• Handling a sick child• Touching an animal or pet

Wash hands before:• Preparing or serving food• Eating or drinking

The most important thing you can do to prevent the spread of illness is wash your hands oftenWashing hands is more effective than hand sanitizer.

CORONAVIRUS WHAT CAN YOU DO?

What is COVID-19 Coronavirus?Coronavirus is a respiratory illness first detected in Wuhan, China, and believed to have initially spread from animals to humans but now is spreading from person-to-person contact. According to the Centers for Disease Control and Prevention (CDC), it’s unclear how easily or sustainably this virus is spreading between people. Typically, respiratory viruses are most contagious when an individual is most symptomatic, but there have been reports of the virus spreading when the affected individual does not show any symptoms.

HOW IT SPREADS / SYMPTOMS

COVID-19 Coronavirus Spreads:• The virus primarily spreads via respiratory droplets

produced when an infected person sneezes or coughs.• It spreads between people who are in close contact

(within about 6 feet).

Symptoms may appear in as few as 2 days to as long as 14 days after exposure:• Fever, cough and/or shortness of breath

PREVENTION

Currently there is no vaccine for COVID-19. The best measure is to avoid coming in contact with the virus:• Wash hands with soap and water for at least 20 seconds

or use an alcohol based hand sanitizer that contains 60-95% alcohol when water and soap are not available.

• Avoid touching your eyes, nose, and mouth with unwashed hands.

• Stay home if sick.• Clean and disinfect objects and surfaces that have been

touched (counters, doorknobs, toilets, phones, etc.).

PREVENTION

MONITORING

Keeping Employees Safe: What to do if an employee shows flu-like symptoms• It is highly recommended that any employees who are showing flu-like symptoms should be excluded from the

operation until they are symptom free.

Keeping Customer Safe: What to do if a customer shows flu like symptoms in the restaurant

• Provide the customer with additional napkins or tissues to use when they cough or sneeze• Make sure alcohol-based hand sanitizer is available for customers to use• Be sure to clean and sanitize any objects or surfaces that may have been touched

According to the CDC, the spread of COVID-19 occurs when people are in close contact (less than 6 feet) with an infected person. Some basic steps that could be taken are:

Bodily Fluid Event: What to do if there is a bodily fluid event

• Ensure the employee who is cleaning up the area is using Personal Protective Equipment (PPE)• Segregate the area that has been contaminated• Dispose of any food that has been exposed• Ensure any utensils that might have been exposed are cleaned and sanitized• Frequently clean and sanitize the area to include the floor, walls and any other objects contaminated by the incident• Properly dispose any of the equipment that was used to clean up the area

If a customer or employee vomits or has diarrhea it is recommended (AT THIS TIME) that the operations follows protocols that are in place for Norovirus be used

For additional recommendations and resources, please visit www.cdc.gov/coronavirus

• Cover nose and mouth when coughing and sneezing with a tissue, then immediately dispose of the tissue and wash hands for at least 20 seconds..

• It’s currently flu and respiratory disease season and CDC recommends getting a flu vaccine, taking everyday preventive actions to help stop the spread of germs, and taking flu antivirals if prescribed.

• The CDC does not recommend the routine use of respirators (facemasks): https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirator-use-faq.html

updated 3/3/20

For people who are ill with COVID-19, please follow CDC guidance on how to reduce the risk of spreading your illness to others: https://www.cdc.gov/coronavirus/2019-ncov/about/steps-when-sick.html

How does COVID-19 spread? • Coughing and sneezing without proper cover.• Close personal contact (within six feet of a

laboratory confirmed person).• Touching an object or surface with the virus on

it, then touching your mouth, nose or eyes.

Symptoms People who have been diagnosed with COVID-19 have reported fever, cough and difficulty breathing. These symptoms may appear in as few as two days or as long as 14 days after exposure.

How do I help prevent the spread ofillnesses?• Wash hands often with soap and warm water

for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing or sneezing.

• Use an alcohol-based hand sanitizer with at least 60% alcohol if soap and water are not readily available.

• Avoid touching your eyes, nose and mouth.• Stay home when you are sick.• Clean and disinfect frequently touched objects

and surfaces.

What about facemasks?• CDC does not recommend that healthy people

wear a facemask.• Facemasks should be worn by healthcare

workers and people taking care of someone with COVID-19.

• If you are sick with respiratory illness and visit a healthcare provider, you may be asked to wear a facemask during your visit.

IMPORTANT INFORMATION REGARDING CORONAVIRUS (COVID-19)

Michigan.gov/Coronavirus

WASH YOUR HANDS OFTEN WITH SOAP and warm water for at least 20 seconds.

For food establishments:• Employees who are sick or showing respiratory

symptoms should not work until they are symptom free.

• Make sure alcohol-based hand sanitizers and extra napkins/tissues are available for customers to use.

• Continue to regularly clean and sanitize any objects or surfaces, with special attention to surfaces that may have been touched by an ill worker or customer.

• Follow safe food handling requirements, including handwashing with warm, soapy water for at least 20 seconds.

What about my food?The Food and Drug Administration isn’t aware of any reports of human illnesses transmitted by food or food packaging. It is always important to follow good hygiene practices, i.e., wash hands and surfaces often, separate raw meat from other foods, cook to the right temperature, and refrigerate foods promptly, when handling or preparing foods.

What about my pets?There is no evidence that companion animals including pets can spread COVID-19. However, since animals can spread other diseases to people, it’s always a good idea to wash your hands with soap after being around animals. Restrict contact with pets and other animals while you are sick with COVID-19, just like you would around other people.

WHEN IN DOUBT, WASH YOUR HANDS! Handwashing is your best defense against illness.

For more information, visit Michigan.gov/Coronavirus or CDC.gov/Coronavirus.

The Oakland County Health Division will not deny participation in its programs based on race, sex, religion, national origin,age or disability. State and federal eligibility requirements apply for certain programs. 2/28/20

stop thespread of germs

COVER YOUR COUGH

Or

Cover your mouthand nose with a tissue

when you coughor sneeze

cough orsneeze into yourupper sleeve, not

your hands

WASH YOUR HANDSAFTER COUGHING OR SNEEZING

Washing hands with soapand warm running water

is most effective

Or use alcohol-basedhand sanitizer when soap

and water not available

Handsanitizer60% alc.

Throw awayused tissue