Spokane County Case Information and Provider Alerts




Spokane County COVID-19 Case Data
Find COVID-19 case counts and data analyses by cases per week, age range and hospitalizations.

Advisories and Alerts
See the most recent advisories and alerts for healthcare providers.

Reporting

Please report all positive COVID-19 cases to our 24/7 communicable disease report line at 509.324.1449 or by fax at 509.324.3623.


Testing

Testing Information for Patients

Please do not advise patients to call SRHD for consultation or testing. SRHD does not provide testing nor do we have nurses on staff to assess a patient’s clinical condition. Please advise patients according to the documents below:


Summary Updated Interim COVID-19 Testing Guidance for Providers

Please review the following for an overview of COVID-19 testing guidance.* You can find complete information by viewing the DOH Interim COVID-19 Testing Guidance for Healthcare Providers document.

  1. Test all patients with new onset of symptoms consistent with COVID-19, regardless of their age or health status. COVID-19 patients may present with cough or shortness of breath OR at least two of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell.
  2. Rapidly testing all patients with symptoms consistent with COVID-19 is critical to identifying and isolating cases, quarantining their contacts, and suppressing community spread.
  3. While this guidance expands groups of persons eligible for testing, prioritizing of certain symptomatic persons may be necessary until adequate test supplies are available.
  4. Limit testing of asymptomatic persons to those with exposure, including close contacts and individuals exposed during an outbreak in a congregate setting. (Note: close contacts still need to remain in quarantine for 14 days after their last date of exposure even with a negative test.)
  5. The guidance further outlines additional asymptomatic people who can be considered for testing if adequate testing supplies are available. Please consult the full document.
  6. Continue to educate all patients you test, including emphasizing isolation for ill persons and quarantine for exposed contacts:
  7. The preferred diagnostic test is a PCR-based test.
    • Specimens sent to CLIA-certified labs for PCR-based tests have demonstrated higher sensitivity and fewer false negatives than point-of-care tests.
    • Additionally, serology or antibody tests are not recommended for making a COVID-19 diagnosis or to reliably determine whether someone has experienced a past infection with COVID-19 (more below).
  8. The guidance further outlines the types of swabs preferred for COVID-19 testing and appropriate specimen collection and storage/transport, including self-collected nasal swabs under healthcare provider observation. Please consult the full document.

* Read the CDC overview of testing for SARS-CoV-2 (COVID-19) here.


Discontinuing Home Isolation

Consistent with CDC guidelines, Washington State DOH recommends persons with COVID-19 who have symptoms and were directed to care for themselves at home may discontinue home isolation under the following conditions:

  • At least 1 day (24 hours) has passed since recovery, defined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,
  • At least 10 days have passed since symptoms first appeared.
  • Additionally, in an abundance of caution, SRHD recommends patients who have recovered from COVID-19 consider refraining from social gatherings of ≥ 10 persons and individuals at high risk of severe outcomes (people over the age of 60, people with underlying health issues) and continue social distancing and other appropriate non-pharmaceutical interventions (NPIs) for an additional 10-14 days beyond the recommended period of self-isolation.


COVID-19 Testing, Quarantine and Return to Work Guidance for Non-Healthcare Personnel

Information about COVID-19 protocols for testing, quarantine or isolation and returning to work for non-healthcare personnel. Read the guidance document.


Resources



Infection Prevention and Control for Long-Term Care Settings



Case Tracking

GIS Mapping, Johns Hopkins Center for Systems Science and Engineering

US Cases

Global Cases