USS Theodore Roosevelt COVID-19 Recovery Frequently Asked Questions

As of

General Situation

What is the status of the USS Theodore Roosevelt?

USS Theodore Roosevelt (CVN 71) has been in-port Guam since March 27 for resupply and crew rest. Upon arrival pier side the ship implemented a phased and methodical approach to address the COVID-19 outbreak by moving groups of Sailors off ship to on base facilities starting on March 28 and then eventually out into local hotels in Guam for those Sailors who tested negative for COVID-19 on April 2. A portion of the crew remained onboard to assist with maintaining essential equipment and to clean the ship.

On April 23, TR completed testing of the entire crew and on April 29 initiated a crew swap with those Sailors maintaining and cleaning the ship with Sailors complete with their quarantine or isolation period. The movement of Sailors who were initially moved to hotels back to the ship was completed May 4.

As of 14 May, more than 2,900 Sailors have moved aboard USS Theodore Roosevelt (CVN 71). Each day we are returning more and more Sailors who meet the rigorous return to work criteria to include two negative exit tests and are symptom free for the required amount of time.

As we prepare to return the ship to sea our way forward is conditions-based and is dependent on the recovery of the crew. We want to ensure that when we return to sea, that we do so in a manner that ensures the ship remains clean and the crew remains healthy. We are taking every precaution known to us now to ensure all crew members are healthy before returning them to the ship. As we continue to learn more about this virus, the Navy will aggressively respond to COVID virus in accordance with the latest guidance and best practices.

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What are the latest numbers of positive and recovered Sailors?

The Navy updates the overall COVID-19 numbers at the Navy Live COVID-19 blog.

Regarding specific Theodore Roosevelt numbers, the Navy has tested 100% of the crew of Theodore Roosevelt and from now on we will only report significant changes. What I can tell you is that every day we continue to see more and more Sailors recover.

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What happens if a Sailor shows symptoms?

Sailors onboard the ship that go to medical with ILI symptoms are tested onboard and remain quarantined in medical pending results. The test results take about an hour to process. From there, they are moved off the ship until those symptoms subside and then will be re-evaluated by medical professionals prior to being allowed to return to the ship. Sailors onboard the ship are directed to seek the advice of shipboard health professionals if they believe they are experiencing flu-like symptoms.

If a Sailor develops symptoms at an off-base hotel, they are transported via military transportation to the U.S. Naval Hospital Guam for evaluation and testing.

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Why didn’t the Navy remove all the Sailors from the ship upon arrival to Guam?

There are essential tasks that must be performed on the ship even while pierside, including operating our two reactors, maintenance of utility and sanitation services, and emergency services in case of fire, flood, or electrical outages.

TR leadership carefully selected each portion of the crew required to optimally build our bubble of health and carryout necessary shipboard operations. Every Sailor is priceless and the teams built consider health and the mission which reduces the risk to our entire force.

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Why didn’t the Navy test the entire crew?

As of April 23, 2020 100% of the crew has been tested for COVID-19.

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What is the status of CAPT Crozier?

ASECNAV statement (29Apr): “After carefully reviewing the preliminary inquiry into the events surrounding the COVID-19 outbreak aboard USS Theodore Roosevelt (CVN 71), the Chief of Naval Operations, Adm. Mike Gilday, provided me with his recommendations. Following our discussion, I have unanswered questions that the preliminary inquiry has identified and that can only be answered by a deeper review.

Therefore, I am directing Adm. Gilday to conduct a follow-on command investigation. This investigation will build on the good work of the initial inquiry to provide a more fulsome understanding of the sequence of events, actions, and decisions of the chain of command surrounding the COVID-19 outbreak aboard USS Theodore Roosevelt.” – Acting Secretary of the Navy James McPherson (April 29, 2020)

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Crew Swap

Why was the initial crew swap date delayed?

Due to operational security concerns, the U.S. Navy does not address future ship movements or operations. As the ship prepares to return the ship to sea, their way forward is conditions based, and is dependent on the recovery of the crew. TR wants to ensure that when they return to sea, that they do so in a manner that ensures the ship remains clean and the crew remains healthy.

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What is the testing plan to clear Sailors to return to USS Theodore Roosevelt?

All Sailors in isolation must have two negative tests to return to the ship. TR Sailors who previously tested positive must meet all of the following criteria in order to receive the exit test 1) remained in isolation for a minimum of 14 days, 2) a minimum of 14 days has elapsed since the onset of symptoms and 3) is symptom free for a minimum of 3 days. Sailors who were in quarantine (no prior positive test) will be tested after 14 days prior to returning to the ship.

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What’s was the process for moving the Sailors back on the ship? Who was first?

Sailors who meet criteria to return to the ship are assigned to a transport schedule to return to the ship. Sizes of groups are optimized for processing. Once on the pier they are given another medical screening for influenza like illnesses and have their temperature taken before being allowed to board the ship. Essential watch standers were brought onboard first to conduct turnover.

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How long did it take to get the Sailors back on the ship?

We still have Sailors residing off-ship to ensure that the Sailors who were part of the caretaker crew are afforded their proper isolation and quarantine timelines. It took six days to get the returning crew from quarantine back onboard the ship as we conducted the movement out of the hotels in waves to ensure all Sailors are tested twice and are given a medical screening prior to returning onboard.

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Were masks provided to the crew?

All Sailors onboard are provided an N95 mask. Masks are being replaced as needed. Additionally, commercially-produced cloth masks have been delivered to the ship as well. At this time, CDC guidance recommends a cloth mask. The N95 masks have been distributed to Sailors onboard TR out of an abundance of caution.

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How did you protect Sailor’s health who had to remain onboard to support the caretaker crew?

Sailors who remained onboard were required to wear face coverings at all times as well as maintain 6-feet of social distance. Sailors were educated on how to take actions to protect themselves and those around them by employing protective measures including hand washing and taking appropriate actions if experiencing flu-like symptoms. We require our Sailors to seek the advice of shipboard health professionals if they believe they are unwell or experiencing flu-like symptoms.

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Is it true that some people who tested negative and were put back on the ship are now showing symptoms?

According to the Navy's COVID-19 Update released May 14, over 3,000 Sailors have moved aboard USS Theodore Roosevelt (CVN 71). This week, a small number of TR Sailors who previously tested COVID positive and met rigorous recovery criteria have retested positive. The Navy recovery criteria exceeds all CDC guidelines. Sailors are required to isolate for a minimum of 14 days, have no symptoms for a minimum of three days, and are required to have two consecutive negative tests in a greater than 48 hour period prior to returning to the ship. While onboard, these Sailors self-monitored and adhered to the strict social distancing protocols established by the Navy. These protocols resulted in a small number of close contacts who were also removed from the ship, quarantined and tested.

The Sailors developed influenza-like illness symptoms and executed their personal responsibility by reporting symptoms to medical. The Sailors were immediately removed from the ship and placed back in isolation, their close contacts were mapped, and they are receiving the required medical care. The patriots aboard TR continue to demonstrate their toughness and the discipline necessary to prevent the spread of this virus. We are committed to taking every measure possible to protect the health of our force. TR medical conducts multiple daily screenings for Sailors onboard the ship.

The Navy continues to exceed CDC and COVID Task Force guidelines and we continue to provide valuable data to help our nation fight this virus. As we continue to learn more about this virus, the Navy will aggressively respond to COVID virus in accordance with the latest guidance and best practices, and then evolve and adapt as experience is gained.

The ship remains on the road to recovery and will prepare to get back underway once a critical mass of crew with the required expertise is onboard.

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What is being done with TR Sailors after they recover from COVID-19?

Those Sailors who are complete with their isolation period and have tested negative are being kept in various lodging on Naval Base Guam until they return to the ship.

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The recovery plan

What was the Navy’s plan to return to a COVID-free ship?

Theodore Roosevelt Strike Group is working closely with Commander 7th Fleet, Joint Region Marianas, U.S. Naval Hospital Guam, Naval Base Guam and the government of Guam in order to isolate and quarantine the entire crew of Theodore Roosevelt in accordance with CDC standards.

The recovery of the ship is being conducted in phases for the crew. A number of Sailors remained onboard the ship to operate essential services, while other crew members and anyone who tested positive was removed from the ship to isolation or quarantine, as appropriate.

Crew members who have tested positive will remain in isolation on base, under medical care. All treatment is being provided by Navy medical professionals.

Thanks to coordination with the Government of Guam and Joint Region Marianas, Sailors who have tested negative have been moved to quarantine in hotels off base, are restricted in movement to their individual hotel rooms, and are being evaluated daily. Service members from Joint Region Marianas commands are delivering food to the quarantined TR Sailors daily, with no contact.

During the 14+ day quarantine and isolation period, the ship has undergone a multi-pronged cleaning approach that balances efficiency and effectiveness of decontamination with prevention of long term damage (e.g. corrosion, electronic degradation, etc.). This approach includes isolation of certain space for seven days, which is four days longer than CDC recommends. This method takes into account all materials (porous, non-porous, painted, mattresses, etc.). Spaces that cannot be isolated (e.g. machinery spaces) will be cleaned in accordance with Navy guidance on coronavirus cleaning procedures. Continuously manned spaces were cleaned twice – once by the off going crew and again by the oncoming crew.

Once the on-coming team embarked, they conducted a virtual turnover with the off-going watch team to the maximum extent possible, creating an environment likely to be virus-free on board. We think of this as similar to painting our way out of a room – the ship was cleaned space-by-space and access to each space was closed off. The final spaces cleaned were at the ship exit points. When Sailors embarked from off-base quarantine, the process occurred in reverse, coming onboard via a different and previously cleaned entry point and cleaning (second pass) their way into the few continuously manned spaces on the ship, safeguarding our virus-free environment.

As we prepare to return the ship to sea our way is forward is conditioned based, not timeline driven. We want to ensure that when we return to sea, that we do so in a manner that ensures the ship remains clean and the crew remains healthy. We are taking every precaution known to us now to ensure all crew members are healthy before returning them to the ship.

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If a Sailor does not fully recover, what is the Navy’s plan to provide continued medical care?

We are committed to ensuring the full recovery of Sailors onboard USS Theodore Roosevelt. If a Sailor were to continue to show symptoms after the 14-day isolation, the Sailor will remain in isolation off ship on Naval Base Guam until they receive a negative test for COVID. They will continue to be provided medical care by military medical representatives.

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What are you doing to protect Sailors’ mental health?

USS Theodore Roosevelt Sailors have virtual access to their Chaplain team, a civilian resiliency counselor, and medical psychiatry staff. The crew is also being supported by Joint Region Marianas and Naval Base Guam Chaplains and Naval Base Guam counseling resources.

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Why didn’t the ship return to San Diego?

When members of the crew first tested positive for COVID-19, multiple options were looked at and the final decision was to pull into Guam due to the location of the ship was at that time as well as the resources available there, such as U.S. Naval Hospital Guam.

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Are you doing this just so you can deploy?

Our top priority is the health and wellbeing of our Sailors; they are our greatest strength, and we are responsible for ensuring they have the necessary care to overcome the challenge of this world-wide pandemic. A second-order effect of having a healthy crew is the ability to continue our mission.

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Once Sailors complete their isolation or quarantine will they be returned to the ship?

Each Sailor in quarantine or isolation must pass the exit testing criteria before returning to the ship. All Sailors in isolation must have two negative tests to return to the ship. TR Sailors who previously tested positive must meet all of the following criteria in order to receive the exit test 1) remained in isolation for a minimum of 14 days, 2) a minimum of 14 days has elapsed since the onset of symptoms and 3) is symptom free for a minimum of 3 days. Sailors who were in quarantine (no prior positive test) will be tested twice after 14 days prior to returning to the ship. Sailors who have two negative exit tests are assigned to a transport schedule to return to the ship. Sizes of groups are optimized for processing. Once on the pier they are given another medical screening for influenza like illnesses and have their temperature taken before being allowed to board the ship. Essential watch standers were brought onboard first to conduct turnover.

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Questions about Sailors who have tested positive for COVID-19

Where are the Sailors who tested positive being lodged while in Guam?

Crew members who have tested positive for COVID-19 remain in isolation at controlled locations on Naval Base Guam, where they receive daily medical care. These locations include individual and small groups, or larger group lodging facilities with 24-hour medical support on site. Navy medical professionals are providing all health care.

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How are Sailors being cared for? Who is checking up on them if they are isolated by themselves?

Sailors who have tested positive and who are displaying symptoms receive, at a minimum, twice daily checks that increase in frequency as symptoms progress. When necessary, Sailors are taken to the U.S. Naval Hospital for additional medical care.

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We are hearing reports from concerned families that the facilities on base are in poor condition and lack the sanitary needs to prevent personnel from becoming ill. Is this true?

The controlled locations on base for those in isolation are designed to provide around the clock medical support should Sailors experience complications from COVID. The facilities are also within close proximity to on base ICU facilities should they be required. The living accommodations meet prescribed military standards for sanitation and Naval Base Guam is working hard every day to improve the quality of life for our Sailors.

Specific Quality of Life improvements include the installation of WiFi in all locations to allow Sailors to keep in touch with family and friends. Washers and dryers were installed in those facilities that could support them. Additionally, the ship is providing Sailors in the various isolation locations with needed items to include toiletries, cleaning supplies, bottled water, pillows, blankets, coffee pots, coffee, sugar, creamer, etc. Guam United Service Organization is also distributing toiletries and snacks. All Sailors have also been provided a catalog from the Navy Exchange to order items. These items are packaged by the NEX and delivered to the Naval Base Guam Chaplain's office for delivery.

Naval Base Guam also created Task Force Quality Of Life (TF QOL) to ensure Sailors most basic needs are being met on base.

Joint Region Marianas and Naval Base Guam leadership continue to monitor and upgrade these facilities as resources become available. If you have specific questions on the status of your Sailor’s facility, please contact the NBG PAO at (671) 339-2663 or theresa.cepeda@fe.navy.mil

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If a Sailor is hospitalized, who will contact their next of kin (as documented on members NAVPERS 1070/602 Dependency Application/ Record of Emergency Data)?

The ship is working with their Sailors to ensure there are ways to communicate with their family members in the event they are hospitalized. If the Sailor gives the Chain of Command approval, then the Chain of Command is allowed to call on their behalf. Contact automatically occurs if Sailor is incapacitated.

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If a Sailor tested positive for COVID, where are they receiving medical treatment?

Crew members who have tested positive for COVID-19 remain in isolation at controlled locations on Naval Base Guam where they receive medical supportive care. These locations include individual and small group, or larger group isolation lodging facilities with 24-hour medical support on site. Navy medical professionals are providing all health care.

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What medical facilities are available in Guam to treat Theodore Roosevelt Sailors?

All medical care is being provided by medical personnel from the USS Theodore Roosevelt, U.S. Naval Hospital Guam, and elements of the 3rd Medical Battalion. At this time, the Naval Hospital Guam has six ICU beds and 16 ventilators, and the deployment of the 3rd Medical Battalion adds an extra 12 acute care/holding beds and six critical care beds with ventilators.

A team from 3rd Medical Battalion, 3rd Marine Logistics Group arrived in Guam April 1 to augment the current medical capabilities of USS Theodore Roosevelt and Naval Base Guam. This team of medical professionals will support Naval Base Guam and the USS Theodore Roosevelt with medical care and monitoring.

Approximately 60 Sailors and Marines from the battalion are supporting Theodore Roosevelt’s onboard medical staff in assessing, treating and managing COVID-19 cases while the ship is in port when a Sailor is isolated or quarantined.

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Are the medical facilities in Guam capable of providing the necessary support?

Yes. All medical care is being provided by Navy medical personnel from the USS Theodore Roosevelt, U.S. Naval Hospital Guam, and elements of the 3rd Medical Battalion. At this time, the U.S. Naval Hospital Guam has six ICU beds and 16 ventilators; 3rd Medical Battalion adds an extra 12 acute care/holding beds and six critical care beds with ventilators.

A team from 3rd Medical Battalion, 3rd Marine Logistics Group arrived in Guam April 1 to augment the current medical capabilities and provides extra acute care or holding beds and critical care beds with ventilators.

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Where can I find more information about U.S. Naval Hospital Guam?

You can see more information about the U.S. Naval Hospital Guam on their website.

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Questions about Sailors who have tested negative for COVID-19 and are in quarantine in off-base hotels

Where are Sailors being lodged?

Sailors from the caretaker crew who have tested negative have been moved to quarantine in hotels off base, are restricted in movement to their individual hotel rooms, and are being evaluated daily.

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Are they being kept alone in their room?

Yes, Sailors being quarantined in off-base hotels are being kept in single occupancy rooms in order to ensure they do not interact with anyone who may be contagious. Sailors are checked on daily via phone by a ship senior representative on each floor and in person by a medical representative. They also have virtual access to their Chaplain team, a civilian resiliency counselor, and medical psychiatry staff. The crew is also being supported by Joint Region Marianas and Naval Base Guam Chaplains.

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Who is looking after TR Sailors in isolation/ quarantine?

Military leadership are present throughout the lodging to support Sailors and ensure everyone is adhering to isolation / quarantine protocols and remaining in their rooms. Military medical representatives are conducting daily health evaluations for these Sailors.

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What medical support are these TR Sailors receiving?

Military representatives conduct daily medical assessments to include temperature checks for these Sailors.

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What happens if a Sailor in quarantine becomes symptomatic?

If a Sailor develops symptoms at an off-base hotel, they are transported via military transportation to the U.S. Naval Hospital Guam for evaluation and testing. If the Sailor is found to be positive the Sailor will be moved to one of the various on base isolation areas. The current agreement between the U.S. Navy and the Government of Guam does not allow COVID-19 positive Sailors to remain in isolation in hotel rooms.

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What process was used to determine if TR Sailors could move to hotels?

To meet the criteria for quarantine in Tumon hotels, the Sailor must 1) have a negative test result and 2) pass screening for any flu-like symptoms.

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What happens if the Sailor does not meet the initial criteria?

Any TR Sailor who tests positive for COVID-19 or has flu-like symptoms is moved into established isolation locations on board Naval Base Guam.

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If they met the criteria to move to a hotel in town, why are they tested a second time?

Sailors nearing the end of their isolation or 14-day quarantine are tested twice to ensure they are free of COVID-19 prior to returning to the ship, due to the virus’ extended incubation period.

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Have any TR Sailors tested positive for COVID-19 after moving to hotels in Guam?

A small number of TR Sailors who met the criteria to be quarantined in hotels off base (negative test for COVID-19 and no influenza-like symptoms) later developed symptoms and/or received positive results in secondary tests. Those Sailors were immediately returned to Naval Base Guam for isolation.

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How were these additional cases discovered?

Sailors staying at hotels in Tumon receive daily medical checks from U.S. Naval Hospital Guam or 3rd Medical Battalion personnel. The Sailors also have designated points of contact in the event they later develop symptoms.

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If a Sailor identifies symptoms or tests positive while quarantined at a hotel, what happens then?

Any quarantined Sailor who later develops flu-like symptoms or receives positive secondary test results is transported to Naval Base Guam and placed in isolation. Strict mitigation measures are taken to prevent additional infection. Service members providing transportation wear appropriate PPE in accordance with CDC guidelines. Service members who conduct the daily medical checks, deliver food, and provide other services to the quarantined Sailors at the hotels wear PPE and have no direct contact.

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Is the Navy informing the Government of Guam about TR Sailors in local hotels who later develop symptoms or test positive for COVID-19?

Yes. Joint Region Marianas Commander Rear Adm. John Menoni and Governor Lou Leon Guerrero are in regular contact. Rear Adm. John Menoni provides updates about the ship’s recovery and plan for future response requirements in this dynamic situation. Joint Region Marianas greatly values its relationship with the Government of Guam, who has been very supportive during these challenging times. We are committed to maintaining deliberate and careful screening of all Sailors in quarantine to minimize risk and prevent the spread of COVID-19 among our Sailors and the local community.

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Quality of Life Questions

How is the Theodore Roosevelt communicating with families?

The Theodore Roosevelt Strike Group has been communicating with their families through ombudsman channels as well as via email and social media. To reach a Theodore Roosevelt ombudsman please refer to the command webpage.

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Are Theodore Roosevelt Sailors receiving mail?

During the first few weeks in port the ship was able to receive mail but did not have the manning to distribute. Received mail was held in a secure location until postal services resumed onboard. Mail is now being distributed onboard and leadership is in the process of coordinating distributing mail to those currently residing off ship.

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How is the Theodore Roosevelt maintaining food and lodging standards?

Theodore Roosevelt Strike Group is working closely with Naval Base Guam to care for the Sailors during this extraordinary time. When the ship first arrived in Guam TR was working within the finite but needs-matched resources as Joint Region Marianas and Naval Base Guam quickly worked with GovGuam and others to build capacity off ship to host a larger volume of personnel in a short time. The TR Strike Group and Naval Base Guam are continuously working to improve these processes to include contracting out delivered meals to Sailors on-base. On-base Sailors at specific locations are also able to purchase from certain on-base food establishments for delivery. For Sailors in off-base hotels, meals are prepared by hotel staff and delivered by military personnel.

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What kind of access do they have to basic needs (food/water, access to phone/internet)?

Food and water are being provided to all Sailors. The TR Strike Group and Naval Base Guam have contracted out food delivery to Sailors on-base. On-base Sailors at specific locations are also able to purchase from certain on-base food establishments for delivery. For Sailors in off-base hotels, meals are prepared by hotel staff and delivered by military personnel. All Sailors have been provided a catalog from the Navy Exchange to order items. These items are packaged by the NEX, delivered to the Naval Base Guam Chaplain's office and then distributed.

Sailors are allowed to use their phones and other electronic devices while in quarantine and isolation. Those who are staying off-base have access to internet and most Sailors staying on base have access.

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How are Sailors getting toiletries/snacks/magazines/books?

The ship is providing Sailors with various needed items to include toiletries, cleaning supplies, bottled water, pillows, blankets, coffee pots, coffee, sugar, creamer, etc. but all Sailors have been provided Naval Base Guam points of contact information to deliver additional necessities. Guam United Service Organization is also distributing toiletries and snacks to the different quarantine and isolation locations. All Sailors have been provided a catalog from the Navy Exchange to order items. These items are packaged by the NEX, delivered to the Naval Base Guam Chaplain's office and then distributed.

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Is there a way Sailors can report concerns?

Military leadership is present throughout the facilities to support TR Sailors and ensure they adhere to isolation and quarantine protocols. Sailors also have access to their leadership via phone, in most cases, chat and email to report concerns or communicate needs.

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How can I get in touch with my Sailor if I haven’t heard from them yet?

If you haven’t heard from your Sailor and have concerns, please contact the Navy Family Ombudsman at 619-206-9037 (Laura), 619-204-0432 (Bernice), 619-762-8285 (Patrigna), 619-203-6395 (Brittney) or cvn71ombudsman@gmail.com.

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Questions about who to contact in an emergency or to tell leadership about my concerns for my Sailor

What if my question wasn’t answered here?

If you are a family member of a USS Theodore Roosevelt Sailor, please reach out to the Navy Family Ombudsman at 619-206-9037 (Laura), 619-204-0432 (Bernice), 619-762-8285 (Patrigna), 619-203-6395 (Brittney) or cvn71ombudsman@gmail.com. Family members can also reach out to ask.co@cvn71.navy.mil, however Ship leadership is not allowed to provide information on a Sailor's medical condition without their approval - except for a Sailor who is incapacitated.

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We have an emergency situation at home and I need to alert my Sailor. How can I do that?

For a medical emergency at home, please visit the Red Cross webpage to find out how to send a Red Cross message to your service member.

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Serology test

What is the serology test? What do you hope to achieve by conducting this test?

As the Navy continues to work to fully understand the outbreak of COVID-19 onboard the USS Theodore Roosevelt, the Navy and Marine Corps Public Health Center in coordination with the Centers for Disease Control conducted a COVID-19 public health surveillance and epidemiologic study April 20-24. The results of the study will inform medical professionals to facilitate better decision making for this ship and advise broader COVID-19 surveillance and mitigation strategies for the TR and the Navy. It consisted of a short survey and two forms of laboratory testing. This specific study is expected to provide a better, data-driven understanding of this outbreak and guide decision making for Navy health professionals. Additionally, this study will inform future mitigation strategies and operational planning for the Theodore Roosevelt and the Fleet. Participation was completely voluntary.

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