Novel Coronavirus (COVID-19) updates and information

COVID-19 in South Dakota | Community Impact Map
Precautions to Avoid Illness | If You Develop Symptoms
Community Guidance and Resources
Businesses Impacted by COVID-19
For Medical Providers | SD Healthcare Provider Guidance
CDC Healthcare Provider Guidance | CDC Website

The South Dakota Department of Health (SD-DOH) continues to respond to the emergence of the novel coronavirus. We are working with the CDC and our healthcare partners across the state to protect South Dakotans from COVID-19.

Updates include:

Combat the Spread of COVID-19: Follow the Governor's Executive Order
South Dakota FAQs: Recommendations, testing information, healthcare readiness, effects and symptoms.
Interested in volunteering your services? Join the State Emergency Registry of Volunteers for South Dakota.
What is Social Distancing? Infographic
What should I do? Infographic
COVID-19 Testing Facts
The number of cases and countries with infections worldwide is increasing and can be found on the WHO website.
Case counts and other information about the novel coronavirus can be found on the CDC website.
Travelers returning from High Risk Countries (See CDC Travel Advisories) should self-monitor for 14 days for novel coronavirus symptoms (e.g., fever, cough, or shortness of breath) and call their medical provider to discuss their symptoms.
COVID-19 Symptoms and Screening App and Website from Apple (in partnership with CDC and the White House).

COVID-19 in South Dakota

On March 4, 2020, CDC updated the clinical criteria for testing a symptomatic individual after evaluation by their healthcare provider. As a result, the South Dakota Department of Health (SD-DOH) expects the number of persons under investigation (PUI) being tested for COVID-19 to increase.

The number of PUI being tested does not reflect the level of risk to the public in the state. For more information about the outbreak, potential risks, and protective recommendations, visit the SD-DOH website or CDC website.
This table shows the total number of positive COVID-19 cases in South Dakota residents, the total number of persons that tested negative, and the total number of PUIs that are pending results.

SOUTH DAKOTA CASE COUNTS
Test Results	# of Cases
Positive*	730
Negative**	7823
Pending***	0
Positive test results include testing conducted by the South Dakota Public Health Laboratory and private laboratories. Negative test results include testing conducted by the South Dakota Public Health Laboratory and private laboratories. **Tests currently pending at the South Dakota Public Health Lab. This number does not include pending results at private labs. If you have been tested and are waiting for results, contact your healthcare provider

COVID-19 IN SOUTH DAKOTA
Number of Cases	730
Ever Hospitalized*	43
Deaths**	6
Recovered	197
Cumulative persons who have been hospitalized to date. *The Department does not report deaths until a certified death record has been filed. By law, a death record must be filed within 5 days of the date of death.

SD COUNTY OF RESIDENCE OF COVID-19 CASES
County	Total Positive Cases	# Recovered
Aurora	1	1
Beadle	21	19
Bon Homme	4	3
Brookings	8	6
Brown	14	10
Brule	1	0
Charles Mix	4	1
Clark	1	1
Clay	6	4
Codington	12	11
Corson	1	0
Davison	3	3
Deuel	1	1
Fall River	1	1
Faulk	1	1
Hamlin	1	1
Hughes	5	3
Hutchinson	2	2
Jerauld	3	0
Lake	2	1
Lawrence	9	9
Lincoln	46	19
Lyman	2	2
Marshall	1	1
McCook	2	1
Meade	1	1
Miner	1	0
Minnehaha	527	69
Oglala Lakota	1	0
Pennington	8	5
Roberts	4	3
Sanborn	1	0
Spink	3	2
Sully	1	0
Todd	1	1
Turner	5	1
Union	4	2
Walworth	1	0
Yankton	20	12

AGE GROUP OF SOUTH DAKOTA COVID-19 CASES
Age Range	# of Cases	# of Deaths
0 to 19 years	26	0
20 to 29 years	146	0
30 to 39 years	175	0
40 to 49 years	128	0
50 to 59 years	143	2
60 to 69 years	84	1
70 to 79 years	16	1
80+ years	12	2

SEX OF SOUTH DAKOTA
COVID-19 CASES
Sex	# of Cases	# of Deaths
Male	388	4
Female	342	2

COVID-19 DEATHS IN SOUTH DAKOTA BY COUNTY
County of Residence	# of Deaths
Beadle	2
McCook	1
Minnehaha	2
Pennington	1

Data is updated daily by about 12 noon and includes cases reported through 5 p.m. the previous day.
*Note: numbers are provisional & subject to change
Last updated: 11:30 a.m.; April 12, 2020

Community Impact Map

Everyone has a role to play to get ready, stay healthy, and protect yourself, your family, and your community from COVID-19. The goal is to slow the spread of COVID-19 to reduce illness and death, while minimizing disruptions to daily life.

What does “community mitigation” mean?

Any actions that individuals, schools, businesses, and health care facilities take to slow the spread of the infection.

CDC has developed steps that can be taken based on the level of COVID-19 spread in the community. As more COVID-19 is spread in a community, additional preventive steps can be taken. Community spread is defined as three levels:

None: COVID-19 cases may occur in the community, but there is NO community transmission.
Minimal to Moderate: There is a single case of community-acquired COVID-19 in a county.
Substantial: There are five or more cases of community-acquired COVID-19 in a county or a distinct group of cases in a single area (e.g., city or county).

NOTE: this data is best viewed on a desktop or laptop computer.

Precautions to avoid illness

What can you do?

Wash your hands often with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer.
- Q&A for Consumers: Hand Sanitizers and COVID-19
Cover your coughs and sneezes with a tissue.
Avoid close contact with people who are sick.
Refraining from touching your eyes, nose and mouth.
Clean frequently touched surfaces and objects.
Individuals at higher risk for severe COVID-19 illness, such as older adults and people who have chronic medical conditions like heart, lung or kidney disease, should take actions to reduce your risk of exposure.
Create a family plan to prepare for COVID-19 and develop a stay at home kit with food, water, medication, and other necessary items.
Recommendation Regarding the Use of Cloth Face Coverings (CDC)

Cleaning and Disinfection Recommendations:

South Dakota Travelers Returning Home: What You Should Know?

South Dakota’s healthcare system is prepared to identify and treat cases of COVID-19.

WHAT TO DO IF YOU DEVELOP SYMPTOMS

If you develop symptoms:

Call your health care provider immediately and tell them about any recent travel or exposure.
Individuals who are concerned that they have COVID-19 should contact their healthcare provider via phone before going to a clinic or hospital to prevent spread in healthcare facilities.
Avoid contact with other people.
Follow the directions of your healthcare provider and public health officials.
Symptoms and Testing Guidance (CDC)
Symptom Checker Algorithm
10 Ways to Manage Respiratory Symptoms at Home (CDC)

Find Federally Qualified Health Centers in South Dakota - community-based primary care services in underserved areas providing care on a sliding fee scale based on ability to pay.

Self-Quarantine, Self-Isolation, and Self-Monitoring:

Personal Protective Equipment (PPE) Guidance:
CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies) especially in areas of significant community-based transmission. Visit the CDC website for more information.

Community Guidance & Resources

Guidance from the CDC is available for:

What is Social Distancing? Infographic

Behavioral Health

For Parents
For Adults

Communities

Retirement and Independent Living Facilities

Schools

CDC Guidance: Considerations for School Closure
Presentation for Schools

All Businesses and Employers

Workplace and Employer Resources & Recommendations
Families First Coronavirus Response Act: What does it mean for employers? A summary of how some of the key provisions like Emergency Family and Medical Leave (FLMA) Expansion Act and Emergency Paid Sick Leave Act impact employers.
Employee Screening Questions and Guidelines: questions to ask employees reporting to work and guidance to help reduce the spread of the virus that causes COVID-19.
- COVID-19 Daily Screening Log: a resource for employers to track symptoms of employees reporting to work.
- Symptom Checker Algorithm
Social Distancing at Work Poster

Food Service

COVID-19 Guidance for Food and Beverage Establishments in South Dakota

Are you a business impacted by COVID-19?

Governor Kristi Noem announced Friday, March 20, 2020 that small businesses and non-profit organizations in South Dakota that have been negatively impacted by the global COVID-19 virus are now eligible for economic assistance from the U.S. Small Business Administration (SBA).

Visit GOED’s website at sdreadytowork.com or call 605-773-4633.

March 20, 2020 - SBA Approves Economic Injury Disaster Loan Fund Program Access for South Dakota
March 16, 2020 - Governor Noem Works to Activate Small Business Administration’s Economic Injury Disaster Loan Fund Program in South Dakota

information for Medical Providers

Office for Civil Rights (OCR) Announces Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency

Medical providers who are concerned a patient may be infected with COVID-19 should:

Mask the patient
Isolate the Patient in a private room or separate area, and
Contact with SD-DOH (800-592-1861) immediately for consultation and guidance

Clinicians are strongly encouraged to test for other infectious causes of respiratory illness, such as influenza and RSV. Note: Asymptomatic patients are not eligible for testing at the SD Public Health Laboratory.
High-priority specimens for testing include:


Clinical Features	Risk Exposure

Fever OR Cough OR Shortness of Breath	-Individuals who are hospitalized OR -Persons in institutional settings (long-term care facilities, assisted living centers, etc.)

Fever OR Cough OR Sore Throat OR Shortness of Breath	-Healthcare workers and first responders

SD Guidance for Healthcare Providers

Guidance on specimen collection and testing, infection control practices, and other considerations are available at:
- SD-HAN 20-007: Guidance on Evaluating Persons for COVID-19 Infection (Updates SD-HAN 20-003)
- SD-HAN 20-006: Healthcare Facility Checklist
- SD-HAN 20-005: CDC COCA Call

SD-HAN 20-004: Webinar for Healthcare
SD-HAN 20-003: Evaluating Persons for COVID-19
SD-HAN 20-002: Monitoring and Movement Guidance on Novel Coronavirus
CDC Clinician Call: What Clinicians Need to Know to Prepare for COVID-19
CDC HAN 427: Updated and Interim Guidance on Outbreak of 2019 Novel Coronavirus
CMS: Prioritization of Survey Activities (3/23/20)
CMS: Guidance for Infection Control and Prevention of COVID-19 in nursing homes (Revised 3/13/20)
CMS: COVID-19 Emergency Declaration - Healthcare Providers Fact Sheet (3/13/20)

Archived COVID-19 Conference Calls

SARS-CoV-2 Laboratory Requisition and PUI Evaluation Form (Updated 3/26/20)
- SD Public Health Lab Specimen Guidance
- Order Medical Shipping Supplies
Personal Protective Equipment (PPE) optimization strategies: Provides options for extended use, reprocessing, and reuse of the various PPE components given current shortages of PPE being reported in many areas of the country.
Public Health reminder: CDC urges healthcare facilities and clinicians to delay and reschedule elective ambulatory visits, surgeries and admissions, and routine dental and eye care to preserve staff, personal protective equipment, and patient care supplies, ensure staff and patient safety, and expand available hospital capacity during the COVID-19 pandemic.

Cleaning and Disinfecting 3M Powered Air Purifying Respirators following Potential Exposure to Coronaviruses

South Dakota Public Health Lab website

Symptom Checker Algorithm
SD-DOH would like to remind medical providers, hospitals, and laboratories that cases of COVID-19, caused by the SARS-CoV-2 virus, are considered immediately reportable in South Dakota (under Coronavirus Respiratory syndromes).

Emergency Management Assistance Compact

On March 23, 2020, Governor Noem issued Executive Order 2020-07 which recognizes the licenses of medical professionals licensed in another state in accordance with the Emergency Management Assistance Compact. The following professions licensed in other states have the authority to practice in SD based on an active license in another state. They do not need to gain another license in SD. It is recommended that if you are utilizing the services of one of the professionals licensed in other states that you verify the licensure status of that individual. Please contact the board office with any questions that you have during this Coronavirus Pandemic.

Physicians and Surgeons (SDCL 36-4)
Physicians Assistants (SDCL 36-4A)
Advance Life Support Personnel (SDCL 36-4B)
Respiratory Care Practitioners (SDCL 36-4C)
Registered and Practical Nurses (SDCL 36-9)
Certified Nurse Practitioners And Certified Nurse Midwives (SDCL 36-9A)
Medical Assistants (SDCL 36-9B)
Physical Therapists (SDCL 36-10)
Dietetics and Nutrition (SDCL 36-10B)
Pharmacies and Pharmacists (SDCL 36-11)
Social Workers (SDCL 36-26)
Psychologists (SDCL 36-27A)
Occupational Therapists (SDCL 36-31)
Professional Counselors (SDCL 36-32)
Marriage and Family Therapists (SDCL 36-33)
Addiction and Prevention Professionals (SDCL 36-34)
Speech-Language Pathologists (SDCL 36-37)
Basic Life Support (SDCL 34-11)

Important LISTSERVs for Healthcare Providers

The Department of Health maintains a variety of LISTSERVs that provide useful information on COVID-19, including current guidance and scheduled calls.

ATTENTION RETIRED OR INACTIVE MEDICAL PROFESSIONALS:

Governor Noem is reaching out to our state’s licensed medical professionals (physicians, nurses, EMTs, etc.) who are willing to volunteer their services during this COVID-19 pandemic through the Department of Health’s Statewide Emergency Registry of Volunteers in South Dakota (SERV SD). SERV SD coordinates the pre-registration of medical and health care professionals who may be willing to volunteer in the event of an emergency.

Whether you work in a health field or not, active or retired, if you have an interest in assisting your community or state during the COVID-19 pandemic, we invite you to join SERV SD. SERV SD will create a database of medical and health care volunteers who can be mobilized immediately in response to an emergency. Participation in a deployment opportunity is optional. You may decide at the time a call is made to volunteer if you are willing and able to respond.

Registering with SERV SD is easy. Go to https://volunteers.sd.gov/.