Family Engagement

Family Resources During COVID-19

Dear Family,

It's more important than ever to provide families in our community with information, resources and facts to help you navigate important matters during uncertainty. The coronavirus has put our community into a temporary, new normal, and we are responding by providing you virtual resources to stay connected to the information you can use if and when you need it.

More than ever before, parents and caregivers need to take care of themselves and take care of family members. From childcare to food assistance to mental health support, the information in the pages below will direct you to those services.

Together, we will be an even stronger community in the days and weeks ahead. For now, we hope this information will help you through the challenges you may be facing today.


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COVID-19 Updates

Monitoring COVID-19 in Children

According to our partner, Wolfson Children’s Hospital which has outlined information and guidelines at https://www.wolfsonchildrens.com/covid19 , parents and other caregivers should be extra vigilant about monitoring for symptoms of COVID-19, which include fever, cough and shortness of breath. If your child demonstrates these symptoms, call your child’s health care provider for guidance about screening and treatment. 

As always, if your child is severely ill or is having another medical emergency, call 911 or head to your nearest emergency room.
 
Other things to remember:

  • Continue your child’s current medical treatment plan unless otherwise advised by his or her primary treating physician.
  • Make sure your child’s prescriptions are refilled so you have at least a two-week supply of medication on hand.
  • If you’re unsure whether your appointment has been affected by COVID-19, please contact your provider.
  • Follow CDC recommendations concerning travel, including avoiding cruise ships and air travel.
  • Practice social distancing, which means remaining out of congregate settings, avoiding mass gatherings, and maintaining distance (approximately 6 feet or 2 meters) from others when possible.
  • Ensure you have sufficient stock of prescription medications, over-the-counter medications, medical supplies, household items and groceries for the whole family.

Wondering about well child visits?

You can prepare to handle suspected cases in your patient population in the same way you prepare for other respiratory infection outbreaks, such as influenza or RSV. The same principles apply:

  • Keep children out of the health care system if it’s not necessary
  • Use telemedicine and other non-direct care, when appropriate
  • Review infection-control measures, including asking patients with symptoms to call ahead so they can be evaluation in isolation from other patients
  • Visual alerts to inform staff of symptoms upon registration and reminders about respiratory hygiene and cough etiquette. Collaborate with hospitals and health systems on local response and to prepare for surges
  • Check with local and state health departments for information on specific local and state responses

Source: American Academy of Pediatrics

Screenings for COVID-19

Child Screening:

If a child has mild symptoms of COVID-19, including fever, cough, or trouble breathing, we recommend parents/guardians call the pediatrician’s office during normal business hours or the Florida Department of Health’s hotline at 866-779-6121 for advice BEFORE heading to the doctor’s office or Emergency Center. 

After hours and on weekends, if a child is having mild symptoms, we urge parents/guardians:
Contact a child’s pediatrician to reach the after-hours assistance line (if applicable). OR
Complete a virtual visit via Telescope Health. Staffed by emergency medicine physicians, Telescope Health (www.telescopehealth.com) is open 7 days a week, 6am – midnight. Insurance is not required. 

For COVID-19 screening: 
1. Duval County Residents - $25 with promo code HERE4YOU and the City of Jacksonville will reimburse at a later date.  
2. Non-Duval County Residents - $25 with promo code HERE4YOU.
 
All non-COVID-19 Telescope Health visits cost $49. 
If a child is experiencing severe symptoms, refer the child to the nearest Emergency Center and call ahead to inform the clinicians. Health care providers should notify both infection control personnel at their health care facility and their County Health Department if they identify a person under investigation (PUI) for COVID-19. 

NCOV Provider Algorithm
Clinical Screening Provider Algorithm for Identifying Persons Under Investigation for Coronavirus Disease 2019 (COVID-19) per Centers for
Disease Control and Prevention (PDF)
Screening Form
Coronavirus Disease 2019 (COVID-19) Interim Person Screening Form (PDF) 

Individuals are strongly urged to not visit, but call their health care provider or local county health department (CHD) with concerns about COVID-19 if they meet one of the following criteria:

  1. Experiencing symptoms of fever, cough, and/or shortness of breath. These symptoms may appear 2-14 days after exposure to COVID-19
  2. Have returned from international travel or a cruise within the last 14 days and have the symptoms listed above
  3. Individuals has closely been around someone with a confirmed diagnosis of COVID-19

Local Florida Department of Health Contact Information

Baker County(904) 259-6291
Clay County(904) 529-2800 or (904) 272-3177
Duval County(904) 253-2276
Nassau County(904) 875-6100
St. Johns County(904) 209-3250
Florida Department of Health COVID-19 24/7 Hotline(866) 779-6121

Online Resources

Centers for Disease Control and PreventionInformation for Pediatric Healthcare Providers
https://www.cdc.gov/coronavirus/2019-nCoV/hcp/pediatric-hcp.html
 
Update Guidance on Evaluating and Testing Persons for Coronavirus Disease 2019 (COVID-19)
http://emergency.cdc.gov/han/2020/han00429.asp
 
Interim Infection Prevention and Control Recommendations for patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings
https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html
 
Pregnancy & Breastfeeding: Information about Coronavirus Disease 2019
https://www.cdc.gov/coronavirus/2019-ncov/prepare/pregnancy-breastfeeding.html
American Academy of PediatricsCritical Updates on COVID-19
https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/
 
COIV-19 Pandemic – Clinical Guidance for Pediatric Patients
https://www.youtube.com/watch?v=9krOSPYrgH8
Florida Department of Healthhttps://floridahealthcovid19.gov/
 
For Healthcare Providers
https://floridahealthcovid19.gov/health-care-providers/
 
Duval County
http://duval.floridahealth.gov/
 
St. Johns County
http://stjohns.floridahealth.gov/
 
Clay County
http://clay.floridahealth.gov/
 
Nassau County
http://nassau.floridahealth.gov/
 
Baker County
http://baker.floridahealth.gov/
Wolfson Children’s HospitalCOVID-19 and Children
https://www.wolfsonchildrens.com/covid19

Testing for North/West Florida Region and Georgia

UF Health begins neighborhood testing sites

Emmett Reed Community Center in Northwest Jacksonville began testing and will return there Friday, then continue in the coming weeks as UF Health sets up other locations close to residents who might not be able to go downtown for drive-through tests.

The community center is located in the 32209 ZIP code, which has one of the highest poverty rates in the city. The zip code has had fewer than five COVID-19 cases among its residents, but more residents might be getting tested in other areas.

“You have folks walking around with the virus who don’t even know it because they can’t get to a testing center,” said Isaiah Rumlin, president of the Jacksonville chapter of the NAACP. “You’ve got to have more testing sites in the African-American community.”

To be eligible for the tests, people must be at least 65 years old or have a UF Health Jacksonville primary care physician. For information about testing sites and times, call (904) 244-4420.

City of Jacksonville, Baptist Health, and Telescope Health

COVID 19 Screening and Testing Process Info

Go to Telecscope Health website

For Duval County Residents
-If a pediatric or adult patient lives in Duval County and receives a testing order from Telescope Health, he/she will receive an appointment to go to the drive-thru testing site at the Prime Osborn Convention Center in downtown Jacksonville (1000 Water Street).
-Individuals must complete a screening and receive a physician order through Telescope Health in order to participate. No walk-ups without prior Telescope Health screening will be accepted.
-Location: Prime Osborn Convention Center (1000 Water Street), west parking lot

Federally-Sponsored Testing Site
-Individuals must meet the following criteria for testing: on-site temperature of 99.6 degrees or higher who are also exhibiting respiratory symptoms
-First responders and healthcare workers who have direct contact with patients will be tested regardless of the presence of symptoms (fever, cough, difficulty breathing)
-Location: TIAA Bank Field, Lot J

Ascension/St. Vincent’s

COVID 19 Screening and Testing Info

Patients must be pre-screened by an Ascension provider before they are directed to the testing site.
-Patients may also use the Ascension Online Care website for a screening
-Location: Determined in pre-screening consultation

Wolfson Children's Hospital
Pediatricians should call one of these numbers in advance if you have someone that needs to be tested at WCH Emergency Departments:
Main Campus: 904-202-9000 South: 904-271-6060 Clay: 904-516-1100
Town Center: 904-202-6790 North: 904-202-6891 Oakleaf: 904-516-1620

St. Johns County Testing Sites

https://www.news4jax.com/news/local/2020/03/24/getting-tested-here-are-the-spots-in-st-johns-county/

GEORGIA

Evaluation and testing for COVID-19 is not available at public health clinics.

Federal and state agencies are working on a plan to roll out widespread drive-through testing for COVID-19 across the United States. However, all testing for COVID-19 in Georgia at this time must be coordinated by a healthcare provider. You cannot walk into a pharmacy or commercial lab and request a test for yourself. 

Typically, testing is reserved for people who are sick with symptoms of COVID-19, people who have been in close contact with a person known to have COVID-19, or people who recently traveled to an area with ongoing spread.

The most common symptoms of COVID-19 are fever, dry cough, and shortness of breath. If you have symptoms of COVID-19, it’s important not to show up at your doctor’s office, urgent care, or emergency room without giving the facility advance notice. If you walk in the front door and are contagious, you could be putting other patients at risk of exposure. Call first and follow their instructions.

If you visit your doctor and a test is ordered, your nose and throat will be swabbed and the swab will be sent off to a laboratory to be tested for the virus.

At this point, all swabs are sent to either the state health lab, or a private lab, like LabCorp. All positive test results are reported to the Georgia Department of Public Health.

Test results can take from 24 hours to several days. There is no rapid test for COVID-19 right now.

Go to Testing Site

The Health Department has testing and is referring individuals to their PCP or other qualified provider for screening.

- Due to testing capacity, the Health Department is only able to test patients meeting certain criteria.

- If the individual meets the state’s criteria, healthcare providers should complete an online testing request at the following link:  https://dhpexternal.dph.ga.gov/covid19_test_req.html

-If testing is approved, healthcare providers will receive information with laboratory forms and shipping instructions. 

Sites

If you experience fever, cough or shortness of breath call your health care provider

https://dph.georgia.gov/covid-19-online-testing-request

General Family Resources

RESOURCES
County by County Resources and Information

City of Jacksonville/Duval County Extensive Information and Resources for Residents
https://www.coj.net/recoveryresources

Nassau County:

http://nassau.floridahealth.gov/programs-and-services/wellness-programs/resource-guides/_documents/community-resource-guide-01-21-20.pdf

Duval County:

https://www.sahma.org/rc_files/105/duvalcountyfl.pdf

Clay County:

https://www.claytodayonline.com/stories/contact-information-for-clay-county-non-profit-organizations,16910

STATEWIDE RESOURCESStatewide information, links and resources from mental health services to housing and education. (attached COVID19 Resources ME List)

Childcare: 

EMERGENCY CHILDCARE SERVICES: call the Early Learning Coalition of Duval County at (904) 208-2040 Or you can visit their website here.

 YMCA: is providing limited options for first responders' childcare and 
SCHOOL'S OUT CAMP, with very limited seating, for healthy children at Dye Clay Family YMCA, Barco Newton YMCA, Ponte Vedra YMCA, duPont YMCA Youth Development Campus, YMCA Yulee Kids Campus, Flagler Center YMCA, YMCA at Flagler Health+ Village. Go to FCYMCA.org 

Food: 

Florida SNAP recipients are able to purchase groceries online through Walmart and Amazon with an EBT card effective April 21, 2020. For more details: https://www.myflfamilies.com/newsroom/pressreleases/2020/20200414-USDA%20Approves%20Florida%E2%80%99s%20Request.shtml Duval County Public Schools has free, "Grab and Go" lunches and snacks at all DCPS schools from 11 am until 1 pm, Monday through Friday. You must have a child present in order to be given a lunch, but you do not have to go to your child's specific school. 

Feeding Northeast Florida is providing "Family Meal Kits" that contain shelf-stable food items, produce, and meat when available. Click here to see the full list of participating agencies. 

FoodFinder is a national website that shows low-income families when and where to get free food from their closest pantry. There is also a mobile app, search for "Food Finder- Fighting Hunger."Text FLKIDSMEALS to 211-211 to find the closest participating Summer BreakSpot location with free meals available. Residents can also call 2-1-1 to speak with a live operator for additional information. 

Internet: 

Comcast is offering short-term free internet access for families that qualify. Find more details here. 

Xfinity WiFi hotspots across the country will be available to anyone who needs them for free – including non-Xfinity Internet subscribers. Once at a hotspot, consumers should select the “xfinitywifi” network name in the list of available hotspots, and then launch a browser. 

Mental Health: Florida Blue and New Directions Behavioral Health offer a hotline to help with anxiety over the uncertainty and stress of COVID-19. Specially trained behavioral health counselors will answer the phone 24-7 and offer assistance in both English and Spanish by calling 833-848-1762. 

Full Service Schools will continue to provide mental health therapists to DCPS students. Students should contact their school/therapist who are available via Telehealth.  

Get support regarding your anxiety or stress by speaking to a trained counselor at SAMHSA Disaster Distress Helpline at 1-800-985-5990 or by texting TalkWithUS 66746

Electric/Water: 

JEA will not disconnect service for customers unable to pay their bills during the COVID-19 situation. You should not have your power or water cut off for failure to pay. Click here for payment arrangements and payment extensions. 

Struggling Small Business Owners: 

Florida Small Business Emergency Bridge Loan program is currently available to small business owners located in all Florida counties statewide that experienced economic damage as a result of COVID-19 click here.

US Small Business Disaster Loan Assistance program, small business owners in Florida and Georgia, as well as many other states, are currently eligible to apply for a low-interest loan due to Coronavirus (COVID-19). Click here to apply. 

Unemployment: Click here to file an unemployment claim online. or call 1-800-204-2418 to file a claim by phone.  . 

Questions and Comments

Send in your questions and comments to our pediatric team.

Family Financial Assistance

Check your bank account — CARES Act economic impact payments are now being deposited. https://www.nbcnews.com/politics/politics-news/check-your-balance-coronavirus-stimulus-money-starts-flow-bank-accounts-n1182001

Free public benefits application assistance for Medicaid, SNAP, TCA.
Call 904-202-5001 to get help with the application.
Download Public Benefits Application Assistance info

COVID-19 Case Heatmap for Northeast Florida

COVID-19 Health Equity and Cultural Competence Resources

Health Justice Strategies To Combat COVID-19: Protecting Vulnerable Communities During A Pandemic

https://www.healthaffairs.org/do/10.1377/hblog20200319.757883/full/

This article emphasizes health justice, laws and policies, that should be enacted to protect vulnerable populations during the COVID-19 pandemic.

Talking About Coronavirus: Centering Inclusion Language Around Inclusion, Power and Justice

This article provides communication strategies to advocate for vulnerable populations during the COVID-19 pandemic.

https://www.opportunityagenda.org/explore/resources-publications/ten-lessons-talking-about-race-racism-and-racial-justice

Anti-Stigma Social Media Tool-Kit Campaign 

This site includes anti-stigma materials to use on social media to reduce racial stigma and discrimination.

https://kingcounty.gov/depts/health/communicable-diseases/disease-control/novel-coronavirus/anti-stigma/toolkit.aspx

Countering COVID-19 Stigma and Racism Tips for  Parents and Caregivers

This resource provides concrete tips for parents and caregivers to use with children in combating COVID-19 stereotypes, stigma and racism.

https://www.nasponline.org/resources-and-publications/resources-and-podcasts/school-climate-safety-and-crisis/health-crisis-resources/countering-covid-19-(coronavirus)-stigma-and-racism-tips-for-parents-and-caregivers

Five Things to Know about Coronavirus and People with Disabilities

https://www.forbes.com/sites/andrewpulrang/2020/03/08/5-things-to-know-about-coronavirus-and-people-with-disabilities/#6af43d071d21

This article increases cultural awareness towards people living with disabilities during the COVID-19 pandemic.

National Public Radio – When Xenophobia Spreads Like a Virus

Since the COVID-19 pandemic, harassment has been intense towards Asian-Americans regardless of age, location, or ethnicity. This segment highlights the lived experiences of Asian-Americans since the COVID-19 pandemic.

https://www.npr.org/2020/03/02/811363404/when-xenophobia-spreads-like-a-virus

Long Standing Racial and Income Disparities Seen Creeping into COVID-19 Care

https://khn.org/news/covid-19-treatment-racial-income-health-disparities/

Government Urged to Release, Race Ethnicity Data on COVID

https://www.washingtonpost.com/politics/government-urged-to-release-race-ethnicity-data-on-covid-19-cases/2020/04/06/7891aba0-7827-11ea-b6ff-597f170df8f8_story.html

Letter to Secretary Azar from Policy Makers and Doctors on COVID and Collection of Demographic Data

https://pressley.house.gov/sites/pressley.house.gov/files/2020.03.27%20Letter%20to%20HHS%20re%20racial%20disparities%20in%20COVID%20response.pdf

We’re flying blind: African Americans may be bearing the brunt of COVID-19 but access to data is limited

https://www.statnews.com/2020/04/06/flying-blind-african-americans-disparities-covid-19-data-limited/

Black America Must Wake Up to this Viral Threat

https://www.cnn.com/2020/04/06/opinions/african-americans-covid-19-risk-jones/index.html

Greater Good Science Podcasts

https://greatergood.berkeley.edu/podcasts/item/staying_close_connection_while_self_distancing

Asian-Americans Leaders Condemn COVID-19 Racism

This article emphasizes the importance of avoiding racism towards Asian-Americans during the COVID-19 pandemic.

https://www.colorlines.com/articles/asian-american-leaders-condemn-covid-19-racism

U.S. Schools Trying to Teach Online Highlight the Digital Divide

This article addresses equity issues related to the digital divide across various socioeconomic strata.

https://www.bloomberg.com/news/articles/2020-03-26/covid-19-school-closures-reveal-disparity-in-acces

UCLA Professor Explains Racism’s Role in the Coronavirus Crisis

This PBS video segment and transcript is led by Professor Gee, UCLA Professor, discussing the history of racism and public health and the danger in stigmatizing racial groups.

http://www.pbs.org/wnet/amanpour-and-company/video/ucla-prof-explains-racisms-role-in-the-coronavirus-crisis/

Faith-Based Resources

https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/

https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/index.html

SAMHSA Faith-Based Leaders and Spiritual Leaders

https://www.samhsa.gov/dbhis-collections/faith-based

Faith Leaders and Self-Care (Duke University Faith and Leadership series)

https://faithandleadership.com/self-care-not-self-ish

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