Milwaukee Journal Sentinel

Wisconsin health officials announce second confirmed case

- Madeline Heim

State health officials announced Monday that a second person in Wisconsin has contracted the new coronaviru­s that arose in China late last year.

A resident of Pierce County in western Wisconsin was exposed while traveling within the U.S. and is isolated at home, according to a release from the state Department of Health

Services sent Monday evening.

Local and state health officials will work to determine those who have been in contact with the patient to quarantine them if necessary, the release said.

Wisconsin had been testing

12 people for the COVID-19 virus as of Monday morning. Thirty-one others had already tested negative. One test had previously come back positive; that person has since recovered.

Earlier Monday, state public health officials walked back previous guidance on testing and announced that doctors will no longer need state approval to order a test.

“We need to test a lot more people than we have been,” said Ryan Westergaar­d, chief medical officer of the Bureau of Communicab­le Diseases at the DHS.

Last week, the state hygiene lab in Madison and the Milwaukee Health Department both got materials from the U.S. Centers for Disease Control and Prevention to conduct tests in-house. The state lab can perform about 100 tests a day; the city’s Health Department can perform 25 to 30.

Officials said neither site is reporting a backlog, but on Monday, they announced that two commercial labs with clinics in Wisconsin — Quest Diagnostic­s and LabCorp — also will offer the test.

The additional labs are meant to handle “more aggressive” efforts to find new cases and determine when and where possible transmissi­ons have occurred, Westergaar­d said.

Doctors can now use their judgment to determine whether a patient should have a test for the coronaviru­s and should still prioritize those with a relevant travel history, exposure to a confirmed case and people who are hospitaliz­ed with respirator­y issues that have no other known cause.

The DHS is still asking that health care providers report the number of COVID-19 tests they’re ordering and the results of those tests to the state.

The DHS website had previously listed the number of pending cases as well as confirmed positive and negative cases. Going forward it will report only confirmed cases.

The CDC has also altered its criteria for who can be tested, due to community spread of the disease — meaning people who did not travel to the original affected areas have contracted it. Now,

“We need to test a lot more people than we have been.” Ryan Westergaar­d Chief medical officer of the Bureau of Communicab­le Diseases at the DHS

anyone with a doctor’s approval can get the test if they show symptoms of fever, cough or difficulty breathing — an allowance that some experts have worried could overwhelm hospital systems and clinics, especially in the throes of flu season.

The state’s first confirmed case, announced a month ago, was a Dane County resident who had previously traveled to China. After several weeks in isolation at home, the patient has recovered.

The U.S. has reported more than 600 confirmed cases and 22 deaths as of Monday, according to the global case dashboard at Johns Hopkins University. A majority of those deaths have occurred in King County, Washington, where officials now believe the disease had been circulatin­g for weeks.

Community spread cases have also been identified in Illinois and California, and the number of states with confirmed cases is growing, supporting officials’ beliefs that it will continue to make its way throughout the country. Public health officials in Milwaukee have said there is little doubt the virus will appear in the state’s largest city.

Tests conducted at the state lab and at the Milwaukee Health Department are fee-exempt and the state insurance commission­er has asked Wisconsin insurance companies to remove cost barriers related to testing and treatment for the virus.

Health profession­als advise practicing basic health tips, like washing hands, covering one’s face when coughing or sneezing and remaining home while sick.

Confirmed cases worldwide surpassed 113,000 Monday, the majority of them still in China.

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