Coronavirus: Facts, not Fear
PANEL OF EXPERTS YOUR QUESTIONS
SO YOU BETTER UNDERSTAND THE
RISK AND HOW RISK IS DEFINED
AND HOW YOU CAN PROTECT
YOURSELF.
FACTS, NOT FEAR.
SO FIRST LET'S BEGIN WITH THE
LATEST CORONAVIRUS HEADLINES.
THE CDC NOW SAYS THERE ARE MORE
THAN 420 CONFIRMED CASES
NATIONWIDE.
34 STATES IN DC HAVE PATIENTS
AND WE HAVE JUST LEARNED WITHIN
THE PAST QUARTER HOUR FIVE MORE
PATIENTS IN WAKE COUNTY HAVE
CONFIRMED CASES OF CORONAVIRUS.
A MAN FROM INDIANA WHO TESTED
POSITIVE AS A RESULTED WAKE AND
DURHAM COUNTIES LAST WEEK.
WHILE SHOWING SYMPTOMS AND IT
APPEARS THAT LED TO THOSE NEW
CASES WE JUST LEARNED ABOUT.
>> JOINING US ARE STATE HEALTH
DIRECTOR DR. ELIZABETH TILLSON
AND REGINA PETAWAY THE WAKE
COUNTY PUBLIC HEALTH DIRECTOR
AND DR. TIM SHEEHAN.
THANK YOU ALL SO MUCH FOR
JOINING US.
FIRST THOUGH WE WANT TO GET
STRAIGHT TO MARK BOYLE IN THE
LIVE CENTER WITH WHAT WE'RE
JUST LEARNING ABOUT THESE
ADDITIONAL WAKE COUNTY CASES.
MARK?
>> Reporter: DEBORAH, THERE'S
FIVE ADDITIONAL CASES AND JUST
CONFIRMED WITHIN THE PAST 15
MINUTES FROM WAKE COUNTY.
I WANT TO BRING EVERYONE UP TO
SPEED.
THIS IS THE HEADLINE RIGHT
HERE.
WAKE COUNTY BEGINS
INVESTIGATION OF FIVE PEOPLE
WITH COVID-19 AND THE AREA IN
BLUE.
THESE NEW CASES BRING THE TOTAL
COUNT OF PRESUMPTIVE POSITIVE
CASES TO SIX IN WAKE COUNTY.
THE FIVE BRAND NEW ONES ARE ALL
CONNECTED TO THE BIOGEN
CONFERENCE THAT WAS IN BOSTON
AT THE BOTTOM OF THIS RELEASE
RIGHT HERE, THAT'S WHAT THEY'RE
TALKING ABOUT RIGHT HERE.
ALL FIVE PEOPLE ATTENDED THIS
BIOGEN CORPORATE CONFERENCE IN
BOSTON IN FEBRUARY.
MORE THAN TWO DOZEN PEOPLE HAVE
CONFIRMED CORVID 19 CASES FROM
THAT CONFERENCE.
NOW IN ADDITION TO THAT, WE
ALSO MENTIONED THE ONE MAN WHO
WORKS FOR BIOGEN THAT FLEW
THROUGH RDU JUST A FEW DAYS
AGO.
ALSO CONNECTED TO THAT TECH
COMPANY AT RTP.
THIS IS THE STORY THAT I'M
GOING TO WORK ON THIS EVENING
FOR 10:00 AND 11:00 BUT THE NEW
INFORMATION JUST RELEASED.
FIVE NEW CASES BRINGING THE TEA
TOTAL CASES IN WAKE COUNTY TO
SIX.
BACK TO YOU.
>> THIS IS CHANGING BY THE
MINUTE.
AND BEFORE WE START WITH
QUESTIONS FROM YOU, LET'S TALK
ABOUT THE LATEST ON WHERE NORTH
CAROLINA STANDS.
>> THIS NEW INFORMATION ON THE
MAN FROM INDIANA WHO TRAVELED
HERE LAST WEEK WORKING AT
BIOGEN AND RTP LAST WEEK.
WITH DOES YOUR AGENCY DO WHEN
INFORMATION LIKE THIS IS PASSED
ON AND BEYOND WHAT WE HAVE JUST
LEARNED IN THE PAST 15 MINUTES
WHAT DO WE KNOW THAT YOU CAN
TALK ABOUT?
>> JUST TO CLARIFY THAT, THESE
NEW FIVE CASES WERE ALSO AT THE
SAME BIOGEN CONFERENCE AS THE
SAME MAN.
THEY ALL PROBABLY GOT EXPOSED
AT THE SAME TIME AT THE BIOGEN
CONFERENCE IN BOSTON.
JUST TO CLARIFY THAT RISK.
WHEN WE FIND OUT, THIS IS
ACTUALLY BEEN A GREAT
VALIDATION OF THE STRENGTH OF
OUR PUBLIC HEALTH
INFRASTRUCTURE.
AND WE HAVE FOUND OUT ABOUT
DIFFERENT CASES AS DIFFERENT
STATE HEALTH DEPARTMENTS HAVE
BEEN CONTACTING US AND WE WORK
IN PARTNERSHIP WITH OUR LOCAL
HEALTH DEPARTMENTS.
FOR EXAMPLE.
THE FIRST MAN FROM INDIANA, WE
WERE CONTACTED BY THE INDIANA
STATE HEALTH DEPARTMENT TO LET
US KNOW THAT HE WAS DIAGNOSED
IN INDIANA.
ALLOWED US THEN TO HAVE THAT
INFORMATION TO DO THE CONTACT
TRACING IN WAKE COUNTY.
SAME THING WITH THESE CASES.
SO WHAT WE DO IS WHEN WE LEARN
AT IT AT A STATE LEVEL.
THEN WE IDENTIFY WHERE THAT
PERSON AND WE IMMEDIATELY
CONTACT THE LOCAL HEALTH
DEPARTMENTS AND OUR LOCAL
DEPARTMENTS PUT INTO PLACE ALL
OF THE THINGS THAT THEY'RE
REALLY GOOD AT.
WHICH IS THEN UNDERSTANDING
WHERE THAT PERSON WAS.
AND DOING ALL THAT CONTACT
TRACING AND MONITORING.
>> YOU KNOW, SO MANY PEOPLE
WANT TO KNOW SO MUCH
INFORMATION SO QUICKLY AND WE
UNDERSTAND THAT YOU HAVE TO
VERIFY.
YOU HAVE TO LIVE IN THE PIPPA
RULES AND YOU HAVE TO RESPECT
THE PRIVACY OF PEOPLE AND YET
THERE'S FEAR AMONGST A LOT OF
THE PUBLIC.
WALK US THROUGH HOW THE
DECISIONS ARE MADE OF WHAT YOU
CAN TALK ABOUT IT AND WHEN YOU
CAN TALK ABOUT IT IF YOU WOULD.
>> LET'S TALK ABOUT WHAT WHEN
REVEAL AND WHEN AND ALSO TALK
ABOUT RISK.
WE ALWAYS WANT TO BE AS
TRANSPARENT AS POSSIBLE
ESPECIALLY IN A SITUATION WHERE
PEOPLE ARE SCARED AND THINGS
ARE MOVING RAPIDLY.
WE UNDERSTAND PEOPLE GET REALLY
SCARED IF THEY DON'T HAVE
INFORMATION.
PEOPLE ARE MUCH BETTER IF THEY
HAVE THE INFORMATION SO WE WANT
TO BE ABLE TO PUSH OUT AS MUCH
INFORMATION AS POSSIBLE.
HOWEVER, WE ALSO WANT TO BE
SURE THAT WE ARE PROTECTING A
PERSON'S PRIVACY.
AND ESPECIALLY WHEN THERE'S
FAIRLY FEW CASES AND SUCH
HEIGHTENED MEDIA ATTENTION.
GETS PRETTY EASILY TO IDENTIFY
THAT PERSON.
WE WANT TO BE SURE WE'RE
PROTECTING THAT PERSON'S
PRIVACY.
ALSO WANT TO BE SURE ONE REASON
WE PROTECT THE PERSON'S PRIVACY
IS THAT -- AND WE HAVE FOUND IN
ANOTHER CASE THAT THE PERSON
WAS EASILY IDENTIFIED AND
STARTED GETTING HARASSED AND
THREATS AND WE'RE REALLY
WORRIED ABOUT THAT BECAUSE WE
WANT PEOPLE TO COME FORWARD.
WE WANT THEM TO COME FORWARD
BECAUSE THAT'S HOW WE DO THE
CONTROL MEASURES.
BUT THE OTHER SIDE IS WE ALSO
WANT TO RELEASE WHAT
INFORMATION WE NEED TO TO
PROTECT THE PUBLIC.
SO WHEN WE GET INTO THE ISSUE
OF RISK, SO WITH THIS
INFECTION, WE THINK THAT IT'S
SPREAD WHAT WE CALL BY
RESPIRATORY DROPLETS WHICH
MEANS YOU HAVE TO BE MANY
PRETTY CLOSE CONTACT WITHIN SIX
FEET FOR A PROLONGED PERIOD OF
TIME.
MORE THAN -- MORE THAN TEN, 15
MINUTES.
AND SO IT'S NOT LIKE SOMETHING
LIKE MEASLES.
MEASLES IS DIFFERENT.
MEASLES IS AIRBORNE AND IT'S
EASILY SPREAD.
WITH MEASLES, THEN WE SAY, OOH,
IF YOU WERE IN THE LOCATION AT
THIS TIME, YOU NEED TO KNOW.
THIS IS NOT MEASLES.
THIS IS RESPIRATORY DROPLETS.
SO WHAT WE'RE DOING IS
IDENTIFYING WHO IS AT RISK.
WHO'S AT HIGH RISK WHICH WOULD
BE HOUSEHOLD CONTACTS AND WHO'S
AT MEDIUM RISK WITHIN SIX FEET
FOR 10 TO 15 MINUTES AND
IDENTIFYING THOSE.
PEOPLE WHO WERE LET'S SAY JUST
IN A RESTAURANT, MORE THAN SIX
FEET OR JUST WALKING BY IN
AGREESRY STORE, THEY'RE NOT AT
RISK.
SO THOSE ARE THE THINGS THAT WE
BALANCE AS WE THINK ABOUT WHAT
AMOUNT OF INFORMATION TO PUT
OUT.
>> REGINA, LET'S TALK ABOUT
TESTING THAT'S A QUESTION A LOT
OF PEOPLE HAVE RIGHT NOW.
DO YOU FEEL YOU HAVE THE TEST
KITS AVAILABLE THAT YOU NEED TO
BE ABLE TO TEST THE CASES?
>> ACTUALLY AT THE COUNTY
LEVEL, WE DO NOT TEST.
OUR JOB IS TO DO THE
INVESTIGATION AND THE TRACING
AND OUR STATE LAB HAS TESTING
CAPABILITIES NOW AND THE
CENTERS FOR DISEASE CONTROL.
I THINK AS WELL AS SOME PRIVATE
LABS.
>> SO YOU DID THIS
INVESTIGATION AND YOU SAID WE
NEED TO HAVE THESE PEOPLE
TESTED?
IS THAT HOW THAT WORKED?
>> YES.
SO WE DO THE INVESTIGATION AND
WE -- WE'RE WARRANTED, HAVE A
SAMPLE THAT WE SEND TO THE
STATE LAB.
AND THE STATE LAB TESTS.
IF IT COMES BACK POSITIVE WITH
THE STATE LAB, IT IS STILL
LABELED AS PRESUMPTIVE UNTIL
CDC ALSO TESTS IT.
I BELIEVE THAT'S STILL THE
CASE.
>> YOU KNOW, WE'VE HAD SEVERAL
PEOPLE EMAILING US AND ON
FACEBOOK TODAY QUESTIONING
SAYING IF I WERE TO DEVELOP
THIS VIRUS, IF IT PRESENTS IN
ME, AND I SELF-QUARANTINE OR
I'M QUARANTINED FOR 14 DAYS,
AND THEN THE VIRUS PASSES, CAN
I BE SUBJECT TO HAVING IT AGAIN
IN THIS SAME YEAR?
DO WE YET KNOW THAT?
>> IT'S UNLIKELY THAT YOU WOULD
GET REINFECTED.
SO SOME OF THE THINGS I'VE BEEN
READING TODAY SAY THAT YOUR
BODY -- YOUR BODY MAKES
ANTIBIOTICS TO THE VIRUS.
WHICH PROTECTS YOU, WHICH COME
UP MAYBE AFTER A FEW WEEKS.
AND ARE PRESENT THERE AT LEAST
UNTIL A MONTH AFTER YOU HAVE
RECOVERED.
SO IT'S UNLIKELY THAT YOU COULD
GET REINFECTED UNLESS OF COURSE
YOU HAD SOME UNDERLYING IMMUNE
DEFICIENCY WHICH MADE IT SUCH
THAT YOUR BODY DIDN'T REACT
APPROPRIATELY TO PROTECT
YOURSELF FROM FUTURE
INFECTIONS.
>> YEAH, AND I WANT TO GO BACK
TO SOMETHING FOR A MOMENT.
CORONAVIRUS ITSELF HAS BEEN
AROUND.
>> DOCTOR -- HAS BEEN TESTING
US FOR MANY YEARS.
>> YEAH.
THIS IS NOT NEW.
I MEAN, BUT IT'S THE COVID-19
THAT HAS OUR ATTENTION NOW.
SO DOCTOR TOLD ME LAST WEEK, IF
YOU WERE INFECTED WITH THIS
YEARS PAST, THERE COULD BE AN
ANTIBODY WITHIN YOU.
IF YOU WERE TESTED AGAIN TODAY
BUT WEREN'T HAVING CURRENT
SYMPTOMS OF THIS STRAIN, IT
COULD STILL SHOW UP WITHIN YOU.
>> SO HAPPY TO TACKLE THAT AND
THEN YOU CAN -- SO THE
CORONAVIRUS IS A FAMILY OF
VIRUSES.
RIGHT?
SO THERE'S SEVEN DIFFERENT
CORONAVIRUS THAT CAN INFECT
HUMANS.
FOUR, COMMONLY CIRCULATE.
WE SEE THEM IN COLD AND FLU
SEASON.
AND THEY TEND TO CAUSE PRETTY
MILD SYMPTOMS AND THOSE ARE THE
ONES THAT THAT'S KIND OF
ROUTINE TESTS FOR.
SO THERE'S FOUR COMMONLY
CIRCULATING CORONAVIRUS.
THEN THERE HAVE BEEN THREE THAT
ARE NOVEL AND THAT WERE MORE
RARE.
SO WE HAVE SARS A WHILE AGO, WE
MRRS A WHILE AGO AND NOW WE
HAVE COVID-19.
THIS IS A NOVEL ONE.
THIS IS A NEW FORM OF THE
VIRUS.
THIS NEWLY IDENTIFIED IN
DECEMBER.
AND SO IT IS NEW.
GENETICALLY UNIQUE TO THE OTHER
CIRCULATING CORONAVIRUS AND SO
THE REASON THAT IT SPREADS
PRETTY EASILY IS THAT NOBODY
HAS THE ANTIBODY TO IT BECAUSE
NOBODY HAS BEEN INFECTED WITH
THIS PARTICULAR STRAIN BEFORE.
SO YOU HAVEN'T BUILT UP THAT
IMMUNITY.
SO THAT'S WHY YOU GET SPREAD
PRETTY EASILY BECAUSE NOBODY
HAS THAT IMMUNITY.
TO THIS PARTICULAR STRAIN.
>> ONE OF THE -- QUESTIONS THAT
WE'RE GETTING TOO IS THAT A LOT
OF THESE CASES OBVIOUSLY ARE
SHOWING UP IN WAKE COUNTY.
IN THE URBAN AREAS.
WHAT ABOUT CHELSEA WOULD LIKE
TO KNOW, WHAT ABOUT PEOPLE WHO
DON'T LIVE NEAR THE BIG CITY?
HOW READILY AVAILABLE SHE ASKS
ARE THE TESTS FOR CORONAVIRUS
IN THE RURAL PARTS OF NORTH
CAROLINA?
DR. TILLSON.
>> I'LL TAKE THAT.
SO AS REGINA SAID, RIGHT NOW
TESTING IS LIMITED TO WHAT WE
CALL HIGH COMPLEXITY LABS.
SO THE STATE LAB HAS THE
ABILITY TO TEST NOW.
IN NORTH CAROLINA WE HAVE
INCREDIBLY ROBUST LOCAL HEALTH
DEPARTMENTS.
IN ALL COVERING ALL 100 OF THE
COUNTIES.
SO EVEN IN OUR RURAL AREAS, IF
SOMEBODY THINKS THEY'VE BEEN
EXPOSED THEY CAN GO TO THEIR
DOCTOR AND THEY CAN GO TO THEIR
LOCAL HEALTH DEPARTMENT AND
THEY CAN GET THE SWABS AND GET
TESTED IN THAT LOCAL AREA AND
THEN WE GET IT SHIPPED TO THE
STATE LAB.
SO PEOPLE IN THE RURAL AREAS
HAVE AS MUCH ACCESS TO THOSE IN
THE URBAN AREAS AND NOW THAT
SOME OF THE COMMERCIAL LABS ARE
COMING ON BOARD, LAB CORPS IS
STARTING TO TEST AS WELL, AND
SO THOSE PROVIDERS CAN SEND IT
TO LAB CORPS AS WELL.
SHOULDN'T BE AN ISSUE OF ACCESS
TO TESTING WHERE YOU LIVE IN
THE STATE.
>> ON THAT POINT WE'RE GOING TO
TAKE A LOOK.
WHEN WE COME BACK A COUPLE MORE
QUESTIONS ABOUT TESTING AND WHY
IT APPEARS TO HAVE BEEN SO HARD
TO GET THE KITS AND JUST TO LET
PEOPLE KNOW WHERE WE STAND ON
THAT.
WE'LL BE RIGHT BACK.