Testing should be considered for any person with a fever and cough who belong to any of the following populations:
- Evidence of lower respiratory disease without alternative diagnosis, especially if hospitalized
- Any resident of a senior living facility, including skilled nursing facilities or assisted living facilities
- Persons who care for the elderly
- Persons living in congregate setting (homeless shelters, etc.)
- Health care workers
Multiple cases of COVID-19 illness have been reported in Orange County healthcare workers. Several had a history of potential community exposure, most did not have a history of exposure to a confirmed case. Any provider who develops fever and cough is recommended to immediately stop working and should consider being tested for COVID-19. Providers who are concerned that they may have COVID-19 due to symptoms or suspected exposure to COVID-19 are encouraged to talk with their occupational health provider or OCHCA at 714-834-8180 to discuss potential COVID-19 testing.
Close contacts of confirmed COVID-19 cases who develop symptoms are likely to be positive for COVID-19 as well. Testing is not required if the patient is not severely ill, in a priority population or high risk for complications. Symptomatic contacts should be instructed to isolate as if a confirmed case (see below). Providers can use their discretion in testing other individuals, and may consider testing people in groups at high risk for complications, such as older adults or individuals who are immunocompromised or have chronic diseases.