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TownTalk 04/29/20: GVPH ‘Virtual Town Hall’ COVID-19 Session (Audio/Video)

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Granville Vance Public Health (GVPH) hosted a “Virtual Town Hall” session live via its Facebook page today at 11 a.m.

GVPH Director Lisa Harrison, GVPH Medical Director Dr. Shauna Guthrie and Oxford Mayor Jackie Sergent addressed the on-going COVID-19 epidemic and answered questions that were submitted by the public.

Live for our Virtual Town Hall on COVID-19 in Granville County!

Posted by Granville Vance Public Health on Wednesday, April 29, 2020

Questions the government and health officials addressed in the session included:

Q: Is there mapping available that would show COVID-19 cases by location in the county?

A: That is not currently available because the population in Vance and Granville counties does not have a lot of variability in zip code. The numbers aren’t as high as more populated counties such as Mecklenburg or Wake.

Q: Why is GVPH not sharing the number of COVID-19 tests administered on its website?

A: The number of tests administered continues to increase and is hard to capture. One reason is that there are many providers – private practices, hospitals, health departments and groups in primary care – offering the test. Also, the Electronic Disease Surveillance System does not require labs and physicians to enter negative results, only positive.

Harrison reported that while there is not an official number, more than 500 tests have been administered across Vance and Granville counties.

Q: Will GVPH let us know if we’ve been in contact with someone who has tested positive?

A: It depends on the level of contact. Anytime someone tests positive, GVPH receives an alert. They contact the person who tested positive to see who they’ve been in contact with 2-3 days prior to symptoms starting. The biggest concern is those that have been in close contact with the infected person, either by standing closer than six-feet together for an extended period of time and/or being in a small room together.

People who are deemed at-risk are notified and advised to stay home and quarantine for at least 14 days.

Q: Have those who previously tested positive for COVID-19, and have since been lifted from isolation, been retested?

A: No, they have not been retested. GVPH is following the CDC’s guidelines to determine when a person is no longer contagious. The general rule is a person is considered no longer contagious when it has been at least seven days since testing positive and they’ve had no fever for 72 hours and symptoms have greatly improved.

Q: What can we do to make residents take stay at home and social orders seriously?

A: We need to keep emphasizing that the virus can be spread whether a person has symptoms or not; many are asymptomatic. We also need to be less quick to blame others and examine our own behaviors.

Q: Does our community have enough Personal Protective Equipment (PPE) – gowns, masks and gloves?

A: Yes, so far the requests that have been made have been fulfilled. There are also many volunteers in the community providing these supplies and their support is greatly appreciated.

Q: Have residents with COVID-19 at Pelican Health Nursing Home in Henderson been moved to another facility?

A: There are 66 residents and 150 staff (full-time, part-time and contractors) associated with Pelican Health Henderson. All residents and many of the staff were tested within 48 hours of identifying the first positive resident. All the residents who tested positive and are symptomatic have been isolated.

To hear the session in its entirety, including additional Q&A, please watch the video contained in this article, or visit the Granville Vance Public Health Department’s Facebook page (click here).

Click below for TownTalk audio:

 

Granville Vance Public Health Logo

Confirmed Vance COVID-19 Cases Increase to 79, Granville Remains Steady at 130

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-Information courtesy Granville Vance Public Health

As of April 27, 2020, Granville Vance Public Health reports 130 known cases of COVID-19 in Granville County, 79 cases in Vance County and 9,142 confirmed cases in North Carolina.

There are two outbreaks at congregate living facilities in the district – one at Federal Correctional Complex in Butner, NC and one at Pelican Health Nursing Home in Henderson, NC. Of the total positive cases in each county, 85 in Granville County are associated with the prison and 33 in Vance County are associated with the nursing home.

Of the 45 community-based cases in Granville County, 21 have been released from isolation and 46 of the 85 cases at the prisons have been released from isolation.

Of the 79 cases in Vance, 10 have been released from isolation* and 6 are hospitalized. There have been a total of 8 deaths in the health district – 3 in Vance County and 5 with the Bureau of Prisons in Granville County.

*Granville Vance Public Health (GVPH) does not have official guidance at this time to determine whether someone is ‘recovered’ since many details about this virus and its effects are still being discovered. GVPH shares the number of those who have been ‘released from isolation’ as determined by the CDC Guidance for discontinuation of isolation for persons with COVID-19.

GVPH updates its website daily with Vance and Granville COVID-19 statistics. Please visit www.gvph.org/COVID-19/ for the latest information.

What does the Health Department do when there is a positive case in our community?

Once a positive test result is received, the health department reaches out to the affected person to ensure they are isolating in their home. Families of individuals who are confirmed positive for COVID-19 are given information about isolation and quarantine and asked to monitor symptoms.

Local public health officials then conduct an interview with the patient to begin contact tracing – investigating any known contacts from the previous two weeks. GVPH determines any potential at-risk contacts and notifies them individually of that contact and that risk.

GVPH’s commitment to the public is to announce all positive cases as soon as the results are confirmed. Therefore, announcements may be made before contact tracing is fully completed. GVPH will share more information as it is appropriate.

To protect privacy, no additional information about the individuals will be shared by the health department.

Granville Vance Public Health Logo

COVID-19: 68 Cases, 3 Deaths in Vance; 130 Cases, 5 Deaths in Granville

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-Update from Lisa Harrison, director of Granville Vance Public Health

Vance County has 68 known cases of COVID-19 as of April 26, 2020.

10 of those 68 have been released from isolation;
7 of those 68 are inpatient (in the hospital);
28 of those 68 are associated with the Pelican Health Nursing Home outbreak.

There have been 3 deaths in Vance County related to COVID-19. A 72-year old male from Vance County died Sunday, April 12, 2020. He was hospitalized at the time and had multiple pre-existing health conditions that worsened as a result of COVID-19. An 82-year old male from Vance County died Thursday, April 23, 2020. He was in Hospice Care. An 81-year old female from Vance County died Saturday, April 25, 2020. She was in the hospital at the time of death and was the initial positive case identified at the Pelican Health Nursing Home on Wednesday, April 22, 2020.

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Granville County has 130 positive test results for COVID-19 in the NC Electronic Disease Surveillance System or NCEDSS as of April 26, 2020.

44 of those 130 are community-spread cases located across Granville County.

21 of those 44 have been released from isolation – enough time has passed since initial symptoms appeared and since test results came in. 21 individuals who were positive for COVID-19 in Granville County a few weeks ago report they are feeling better. GVPH does not have official guidance for ‘recovered’ at this time.

86 of those 130 cases are affiliated with the prison system in Butner, NC. More about their response can be found online at https://www.bop.gov/coronavirus/. GVPH numbers correlate with the NC Electronic Disease Surveillance System (NCEDSS) data and NC county map: https://www.ncdhhs.gov/covid-19-case-count-nc

46 of those 86 have been released from isolation.

There have been a total of 5 deaths reported by the Bureau of Prisons associated with the Federal Correctional Complex in Butner, NC:

April 11, 2020, an 81-year-old male died,
April 12, 2020, a 57-year-old male and a 78-year-old male died,
April 13, 2020, a 46-year-old male died, and
April 16, 2020, a 67-year-old male died.

All inmates died from complications related to COVID-19. All individuals were also hospitalized and experienced underlying health conditions.

Granville Vance Public Health Logo

Second COVID-19 Related Death Reported in Vance; Five at Butner Prison Complex

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-Information courtesy Granville Vance Public Health

As of April 23, 2020, there were 118 known cases of COVID-19 in Granville County, 37 cases in Vance County and 7,608 confirmed cases in North Carolina. Of the positive test results in Granville County, 76 are being reported at the Federal Correctional Complex in Butner, NC.

There have been a total of seven deaths in the health district – two in Vance County and five with the Bureau of Prisons in Granville County.

Of the 41 community-based cases in Granville County, 18 have been released from isolation. At the Federal Correctional Complex, 41 of the 76 cases have been released from isolation.*

Of the 37 cases in Vance County, 10 have been released from isolation.*

*Granville Vance Public Health (GVPH) does not have official guidance at this time to determine whether someone is ‘recovered’ since many details about this virus and its effects are still being discovered. GVPH shares the number of those who have been ‘released from isolation’ as determined by the CDC Guidance for discontinuation of isolation for persons with COVID-19.

GVPH updates its website daily with Vance and Granville COVID-19 statistics. Please visit www.gvph.org/COVID-19/ for the latest information.

Granville Vance Public Health Logo

Total COVID-19 Cases Increase for Vance, Granville; Several Released From Isolation

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-Information courtesy Granville Vance Public Health and Brian Short, director of H-V Emergency Management

As of April 20, 2020, there are 113 known cases of COVID-19 in Granville County, 31 cases in Vance County, and 6,764 confirmed cases in North Carolina. Of the positive test results in Granville County, 74 are being reported at the Federal Correctional Complex in Butner, NC.

There have been a total of six (6) deaths in the health district – one in Vance County and five with the Bureau of Prisons in Granville County. Of the 39 community-based cases in Granville County, 11 have been released from isolation and 10 of the 31 cases in Vance have been released from isolation.

According to a recent update from Brian Short, director of Henderson-Vance Emergency Management, three individuals remain hospitalized in Vance County, while 18 individuals are currently isolated at home.

Granville Vance Public Health (GVPH) does not have official guidance at this time to determine whether someone is ‘recovered’ since many details about this virus and its effects are still being discovered. GVPH can share the number of those who have been ‘released from isolation’ as determined by the CDC Guidance for discontinuation of isolation for persons with COVID-19.

According to the CDC site, the decision to discontinue isolation should be made in the context of local circumstances. Options now include both 1) a time-since-illness-onset and time-since-recovery (non-test-based) strategy, and 2) test-based strategy.

Time-since-illness-onset and time-since-recovery strategy (non-test-based strategy):

Persons with COVID-19 who have symptoms and were directed to care for themselves at home may discontinue isolation under the following conditions:

  • At least three days (72 hours) have 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 seven days have passed since symptoms first appeared.

Test-based strategy:

Previous recommendations for a test-based strategy remain applicable; however, a test-based strategy is contingent on the availability of ample testing supplies and laboratory capacity as well as convenient access to testing. For jurisdictions that choose to use a test-based strategy, the recommended protocol has been simplified so that only one swab is needed at every sampling.

Persons who have COVID-19 who have symptoms and were directed to care for themselves at home may discontinue isolation under the following conditions:

Persons with laboratory-confirmed COVID-19 who have not had any symptoms may discontinue isolation when at least seven days have passed since the date of their first positive COVID-19 diagnostic test and have had no subsequent illness provided they remain asymptomatic.

For three days following discontinuation of isolation, these persons should continue to limit contact (stay six-feet away from others) and limit any potential dispersal of respiratory secretions by wearing a covering for their nose and mouth whenever they are in settings where other persons are present.

In community settings, this covering may be a barrier mask, such as a bandana, scarf, or cloth mask. The covering does not refer to a medical mask or respirator.

While the mainstream media has begun to have discussions about ‘reopening the country,’ Short stated that H-V Emergency Management continues to strongly encourage citizens to continue to observe social distancing parameters and closing orders.

To stay current on the number of cases in our state and local area, please visit the NC Department of Health and Human Services’ Coronavirus statistics page at https://www.ncdhhs.gov/covid-19-case-count-nc.

GVPH is also updating its website with Vance and Granville statistics daily at www.gvph.org/COVID-19/

Granville Vance Public Health Logo

Majority of Granville’s 95 COVID-19 Cases in Prison Complex; 21 Cases in Vance

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-Press Release, Granville Vance Public Health

UPDATE: As of April 13, 2020, there are 95 known confirmed cases of COVID-19 in Granville County. Sixty-six of the 95 cases in Granville County are inmates at the Federal Bureau of Prisons Complex in Butner, NC, while the other 29 are community-based cases.

Vance County has 21 confirmed active cases of COVID-19.

Sadly, we have had our first reported deaths due to complications from COVID-19 in both counties. A 72-year old male from Vance County died April 12, 2020. He was hospitalized and had multiple pre-existing health conditions that worsened as a result of COVID-19.

In Granville County, the Bureau of Prisons reported four deaths to Granville Vance Public Health today. On April 11, 2020, an 81-year-old male died; on April 12, 2020, a 57-year-old male and a 78-year-old male died; on April 13, 2020, a 46-year-old male died, all from complications related to COVID-19. All individuals were also hospitalized and experienced underlying health conditions.

Granville Vance Public Health maintains frequent communication with individuals who test positive. A number of people report feeling better and a few have been released from isolation. The communicable disease team at your local health department continues to perform contact tracing for individual cases with known positive test results.

Other than the outbreak at the federal prison, there is no concentration of COVID-19 cases in any one specific area.

Granville Vance Public Health continues to strongly encourage everyone to continue to stay at home unless absolutely necessary to leave, in accordance with the Governor’s Executive Orders. When you do travel to stores for essential services, you will notice they are implementing additional social distancing policies for your safety. 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. However, a cloth mask is not a substitute for social distancing and proper hand hygiene.

It is important to continue to practice regular and thorough hand washing, avoid touching your face and stay more than 6 feet apart from others at all times. The efforts everyone has participated in to stay home and stay healthy have helped flatten the epidemic curve and will continue to make a difference in stopping the spread of this virus.

Call your doctor if you have symptoms consistent with COVID-19 to see if you should be tested or need medical care. If you have mild symptoms, such as fever and cough, without shortness of breath or difficulty breathing, you may not need to be tested. Instead, you should isolate yourself at home and monitor how you are feeling. This will reduce the risk of making the people around you sick.

Testing is most important for people who are seriously ill, in the hospital, in high-risk settings like nursing homes or long-term care facilities, and for healthcare workers and other first responders who are caring for those with COVID-19.

Granville Vance Public Health will provide the most up-to-date and accurate information for COVID-19 in our district online at https://gvph.org/covid-19.

Granville Vance Public Health Hosts COVID-19 ‘Virtual Town Hall’

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Granville Vance Public Health hosted a “Virtual Town Hall” session live via its Facebook page today at 11 a.m.

Public Health Director Lisa Harrison, Henderson Mayor Eddie Ellington, Maria Parham Health (MPH) CEO Bert Beard, and Major Stephen Staton with the Vance County Sheriff’s Office addressed the COVID-19 epidemic and answered questions that were submitted by the public.

Brian Short, Henderson-Vance Emergency Management director, joined the conversation by phone.

Before beginning the question and answer session, Beard provided an update on protocol changes at MPH. “Currently, we are preparing ourselves for the potential surge that will come as a result of this pandemic. We’ve reevaluated all of our infection prevention protocols, implemented additional visitor restrictions and reduced entry points to the hospital. We’ve also modified our personal protective equipment or PPE policies to provide PPE to our staff, patients and, with limited exceptions, visitors.”

Questions the government and health officials addressed in the session include:

Q: Is it safe to go outside and exercise?

A: Yes, enjoy the outdoors and the weather but practice social distancing of at least 6 feet and wear a mask when around others, if possible. Also, avoid congregating in parks or playing sports together.

Q: How many have tested positive for COVID-19 in our area?

A: There are currently 12 confirmed positive cases in Vance County and 76 in Granville County. Of the Granville County cases, 59 are reported at the Federal Correctional Complex in Butner. These numbers can be deceiving as many infected with COVID-19 may be recovering at home without seeking testing or medical care.

Q: How many ventilators does Maria Parham Health have on-site?

A: Twenty-six ventilators with 10 being designated for emergency use.

Q: How can the public show appreciation to healthcare providers?

A: The number one way is by practicing social distancing and following stay at home orders. PPE donations, homemade mask donations for visitors, food donations and words of encouragement are also greatly appreciated.

Q: How long will we need to wear masks?

A: That is still to be determined. Homemade masks protect others from your respiratory droplets but unfortunately don’t offer much protection to you from the virus.

Q: When we see evidence of the curve flattening, how long will the Stay At Home Order remain in place?

A: That is still to be determined. It’s advisable that we stay at home at least two weeks after we see the deceleration of this epidemic.

Q: What is the best way to protect children from COVID-19?

A: Hand washing and staying at home are the best ways to protect everyone. Other suggestions include keeping their immune system strong and making sure they get enough sleep and exercise. The good news is that most children with COVID-19 have mild cases, though there have been a few exceptions.

Q: Will COVID-19 decrease in the summer months or as temperatures rise?

A: We are still learning a lot about the virus. Many are hopeful that it will decrease with the heat and humidity like other viruses, but time will tell. This also means that like other viruses, it can return in the fall.

Q: Will there be an increase in testing?

A: An increase in the number of people tested and a faster testing turnaround time is expected. Testing results went from a 48-72 hour window up to 10 days, due to demand, and is now down to approximately one day. Testing with almost immediate results is expected in the next couple of months.

To hear the session in its entirety, including more detailed responses to the public’s questions, please watch the video contained in this article, or visit the Granville Vance Public Health Department’s Facebook page (click here).

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Nine of Granville’s 18 COVID-19 Cases in Prison Facility; 6 Confirmed in Vance Co.

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-Press Release, Granville Vance Public Health

UPDATE: As of April 1, 2020, there are 10 additional known confirmed cases of COVID-19 in Granville County bringing the total number of cases to 18. Nine of the cases in Granville County are inmates at the Federal Bureau of Prisons facility in Butner, NC. Vance County has two additional confirmed cases of COVID-19 for a total of six known confirmed cases.

All Granville and Vance county cases of COVID-19 are considered to be community spread. That means we do not know the exact point of exposure of the virus for any of the individuals who are positive. The communicable disease team at your local health department continues to perform contact tracing for individual cases with known positive test results.

For the 24 cases in the two-county district, local health department staff have notified hundreds of individuals who may have been in direct contact with someone who has been confirmed positive for COVID-19. It is clear that widespread transmission is occurring, and other than the outbreak at the federal prison, there is no concentration of COVID-19 cases in any one specific area.

Not all persons with COVID-19 will have severe symptoms, some individuals may only develop mild symptoms or show none of the symptoms at all. Individuals who are positive for COVID-19 are most likely to spread the virus when symptomatic (coughing) but those who are not coughing may also spread this extremely contagious virus.

Granville Vance Health Department strongly encourages everyone to adhere to the Governor’s Executive Orders by staying at home unless absolutely necessary to leave. While COVID-19 is a novel virus, studies show for any highly infectious disease the best way to stop the spread is to drastically limit human interactions. This will help protect you from exposure to individuals who have coronavirus, whether they are symptomatic or not showing any symptoms at all.

Additionally, this will help protect our community in the event that you may be carrying the coronavirus unknowingly. It will take our entire state working together to make the greatest impact and stop the spread.

Call your doctor if you have symptoms consistent with COVID-19 to see if you should be tested or need medical care. If you have mild symptoms such as fever and cough without shortness of breath or difficulty breathing, you may not need to be tested, but instead, should isolate yourself at home and monitor how you are feeling. This will reduce the risk of making the
people around you sick.

Testing is most important for people who are seriously ill, in the hospital, people in high-risk settings like nursing homes or long-term care facilities, and healthcare workers and other first responders who are caring for those with COVID-19.

Granville Vance Public Health will provide the most up-to-date and accurate information for COVID-19 in our district online at https://gvph.org/covid-19.

Granville Vance Public Health Logo

Public Health Update: Three Confirmed Cases of COVID-19 in Granville, Two in Vance

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-Press Release, Granville Vance Public Health

UPDATE: As of March 26, 2020, there were two additional known confirmed cases of COVID-19 in Granville County bringing the total number of cases to three. The two individuals are in the same household.

Vance County has a total of two known confirmed cases of COVID-19 as of March 26, 2020.

All individuals have cooperated with isolation restrictions since being tested and are currently in isolation at home. Families of individuals who are confirmed positive for COVID-19 have be given information about isolation and quarantine and asked to remain at home for 14 days.

Local public health officials will notify any individuals if they may have been at risk of being in contact with these individuals in accordance with North Carolina Division of Public Health Coronavirus Disease 2019 (COVID-19).

Although the two family members traveled out of state recently, all of these cases are still considered community spread.

All 50 states have reported cases of COVID-19 to the CDC. Twenty-seven U.S. states are reporting some community spread of COVID-19. U.S. COVID-19 cases include:

  • Imported cases in travelers
  • Cases among close contacts of a known case
  • Community-acquired cases where the source of the infection is unknown

COVID-19 test results are coming from many different labs and provider offices. More than 13,000 lab tests have been completed across NC, and approximately 100 tests have been completed for residents of Granville and Vance Counties since March 11, 2020.

Granville Vance Public Health will provide the most up-to-date and accurate information for COVID-19 in our district online at https://gvph.org/. You can also see the latest case counts, a map of affected counties, and new guidance for our state online at https://www.ncdhhs.gov/covid-19-case-count-nc.

State guidance continues to require fever AND lower respiratory symptoms (cough or difficulty breathing) to be present in order to take a sample collection for testing. Although both counties have access to sample collection kits across different providers, testing is most important for people who are seriously ill, in the hospital, people in high-risk settings like nursing homes or long-term care facilities, and healthcare workers and other first responders who are caring for those with COVID-19.

Therefore, if you have mild symptoms such as fever and cough without shortness of breath or difficulty breathing, you should isolate yourself as if you have COVID-19. This will reduce the risk of making the people around you sick. You can call your doctor to see if you should be tested or need medical care.

If you are in isolation, you can stop isolating yourself when you answer YES to ALL three questions:

1. Has it been at least 7 days since you first had symptoms?
2. Have you been without fever for three days (72 hours) without any medicine for fever?
3. Are your other symptoms improved?

Call your doctor if your symptoms are getting worse or you have any concerns about your health. Emergency rooms need to be able to serve the most critically ill, so please do not use the emergency room unless you are very sick.

Granville Vance Public Health Logo

One Case of Coronavirus Confirmed in Granville County

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-Press Release, Granville Vance Public Health

As of March 20, 2020, there is one confirmed case of Coronavirus Disease (COVID-19) in Granville County. To protect privacy, no additional information about the individual will be shared by the health department. The affected person is currently in isolation at home.

“This is not a surprise, as we know what’s happening across the state and nation, said Granville Vance Public Health Director Lisa Macon Harrison. “We expect there will be more cases as testing continues to increase. Residents should be prepared; not scared. We want to remind everyone to continue to practice prevention measures and social distancing as we try to contain the spread of COVID-19.”

Families of individuals who are confirmed positive for COVID-19 will be given information about isolation and quarantine and asked to monitor symptoms. Currently, across the state and nation, there is not enough access to Personal Protective Equipment (PPE) or sample collection kits to test everyone across the district or state, so residents of Granville and Vance Counties are asked to not seek a test for Coronavirus unless they have symptoms of fever AND lower respiratory symptoms (cough or difficulty breathing). At this time, state guidance continues to require those symptoms be present in order to send in a sample for testing.

While the illness isn’t severe for most people, it can be really serious for some. GVPH is taking appropriate steps to stop its spread. “As seen in other countries and states with more cases, people often recover from Coronavirus,” Harrison says. “It is not yet understood why, but children tend to fare well, experiencing a lighter version of the virus and recovering more easily than adults from what is known so far.”

A global dashboard with real-time data is available on the GVPH web site at https://gvph.org/COVID-19/.

Granville Vance Public Health continues to work closely with partners across Granville and Vance counties, including hospitals, private providers, school systems, community health centers, senior centers, county and city governments, churches, emergency managers, and many others to provide education and guidance regarding mitigation efforts.

Please rely on accurate sources of information from the CDC (www.cdc.gov) and State Division of Public Health as well as your own local public health officials.

Granville Vance Public Health will provide the most up-to-date and accurate information for COVID-19 in our
district online at https://gvph.org/.