AppHealthCare's recent press release outlines the COVID-19 expanded testing strategy moving forward.

The full press release is as follows:

The COVID-19 (novel coronavirus) virus has led our community to rapidly respond and adapt
in order to slow the spread and lessen the impacts on public health. Healthcare providers have received
updated guidance from the NC Department of Health & Human Services that allows for expanded
testing.

Our public health strategy has needed to be flexible and responsive, and this expanded testing guidance
allows for more testing to occur. Expanded testing will allow us to continue to identify additional cases
of COVID-19, isolate them and quarantine close contacts to hopefully break the chain of infection.
Expanded testing allows a clinician to test when they suspect a COVID-19 test may help the course of
treatment for that patient.

“As we begin to ease restrictions in the coming weeks and months, it will be important to expand testing
so we can quickly identify cases and isolate them. We have been using a public health strategy called
mitigation over the recent weeks, but are now transitioning back to testing more as we plan for
reopening. Some of this has been based on available personal protective equipment and testing
supplies. We are working closely with a state team to scale up testing so that it can be coordinated and
responsive to state and local needs,” stated Jennifer Greene, Health Director, AppHealthCare.

Once a positive case is reported to AppHealthCare, public health nurses work on contact tracing to
determine a person’s close contacts and instruct them to quarantine. Since we will be expanding testing,
that means we will likely identify more cases so we expect our local numbers to increase in the coming
weeks.

At this point, we continue to offer tests to individuals experiencing fever and respiratory symptoms. We
are not broadly testing people without symptoms in our communities.

If you have symptoms consistent with COVID-19, we would recommend you be tested. This means if you
are sick with a fever, cough or other mild symptoms, call your healthcare provider or AppHealthCare.
Please do not just show up to a doctor’s office without calling first. This will help your provider prepare
should you need to be tested and lessen the potential exposure to others. AppHealthCare will serve
anyone, regardless of their ability to pay. As is our usual day-to-day practice, a patient will not be turned
away due to inability to pay.

If you have a medical emergency, please call 911 immediately.

How to Protect Yourself
● Practice social distancing which means avoiding gatherings of more than 10 people, keeping 6
feet or more between you and others and remaining at home to the greatest extent possible
● Frequent hand washing
● Cover your cough or sneeze
● Keep distance from others who are sick
● Avoid touching your face
● Clean and disinfect high touch surfaces in common areas like doorknobs, remotes, lightswitches,
tables and handles
● Wear cloth mask or face covering when out in public where you may be around people like
grocery stores or pharmacies - more information about face coverings can be found on the
AppHealthCare website.

COVID-19 Signs and Symptoms
Symptoms may appear 2-14 days after exposure. According to the CDC, people with COVID-19 have had
a wide range of reported symptoms.
● Fever
● Cough
● Shortness of breath or difficulty
breathing
● Chills
● Repeated shaking with chills
● Muscle pain
● Headache
● Sore throat
● New loss of taste or smell

People at high risk include anyone who:
● Is 65 years of age or older
● Lives in a nursing home or long-term care facility
● Have a high-risk condition that includes:
    ○ Chronic lung disease or moderate to severe asthma
    ○ Heart disease with complications
    ○ Compromised immune system
    ○ Severe obesity - body mass index (BMI) of 40 or higher
    ○ Other underlying medical conditions, particularly if not well controlled, such as diabetes,
      renal failure or liver disease

People who are at high risk should stay home to the greatest extent possible to decrease the chance of
infection.

Managing Your Overall Health

During this time, it is important to manage your overall health. There are resources available if you need
to reduce anxiety or stress, are experiencing suicidal thoughts, need to better manage chronic
conditions and more. Visit the North Carolina Department of Health and Human Services website.

AppHealthCare is available and on-call 24/7 to respond to public health emergencies. To reach us, call
(828) 264-4995 anytime and follow the prompts. AppHealthCare has set up a COVID-19 hotline at 1+
(828) 795-1970 for information during regular business hours. We will continue to monitor COVID-19 in
our community and will work to keep the public informed. Please visit our website for more information
- www.AppHealthCare.com. You can also follow us on Facebook and Twitter.

Questions from agencies requesting support on COVID-19 response, planning efforts, etc. can contact
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Additional Resources
Centers for Disease Control & Prevention (CDC) website at cdc.gov/coronavirus.
North Carolina resources can be found on the Division of Public Health website at
ncdhhs.gov/coronavirus. To view the case count for North Carolina, including a county map, please visit
the NC DHHS website here.
A COVID-19 toll free helpline has been set up to answer general, non-emergent questions at 1-866-462-
3821. To submit questions online, go to www.ncpoisoncontrol.org and select “chat.”