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Covid-19

Key Questions Surrounding the Coronavirus

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Is travel safe at this time?

  • The CDC has frequently issued travel advisories for destinations where the coronavirus is spreading. The areas for “widespread transmission” include Iran, China, South Korea, Italy, and Japan. In particular, travelers from China that are coming to the United States will be monitored for 14 days after leaving China. 
  • Personal factors may also be considered when deciding to travel. For instance, elderly people with comorbidities or those with other health conditions may be at risk to travel. 
  • If you decide to cancel your travel plans, some airlines such as JetBlue have waived or canceled flights to South Korea and China. 

What are some of the economic impacts of the coronavirus? 

  • The Dow Jones Industrial Average plunged about 10%, dropping by nearly 900 points. Since the coronavirus is affecting global trade and travel, thus placing a burden on the global economy. Peter Oppenheimer, the chief global equity strategist of Goldman Sachs, also suggested that the risk of a correction is high. 
  • The virus has also affected many manufacturing plants in China, affecting other countries that buy and purchase goods from the country. For instance, Apple’s stocks, which also dropped recently, rely on materials from China to create their technologies. 

What is the status of the virus outbreak and what is being done about it? 

  • The World Health Organization has classified the risk assessment as “very high,” and urges governments to be prepared for the rapid transmission of the disease. 
  • As of now, more than 20 vaccines are being developed and will need to undergo clinical trials to ensure optimal results. 
  • The CDC has developed lab kits to begin testing for the coronavirus. 

What can I do to prevent it? 

  • Wash your hands thoroughly with soap and water because the virus can spread through respiratory droplets. This means that the droplets from coughs or sneezes can serve as the mode of transmission, especially if you have close contact with other people. 
  • Also avoid close contact with people that are sick and try to limit touching your nose, eyes, and mouth. 

Sources: 

  1. https://www.cnn.com/asia/live-news/coronavirus-outbreak-02-28-20-intl-hnk/index.html
  2. https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html
  3. https://www.cdc.gov/coronavirus/2019-ncov/travelers/from-china.html
  4. https://www.cnbc.com/2020/02/27/should-you-cancel-a-trip-to-italy-or-japan-amid-coronavirus-outbreak.html
  5. https://www.marketwatch.com/story/here-are-5-reasons-the-stock-market-is-having-its-worst-decline-since-2008-and-only-one-of-them-is-the-coronavirus-2020-02-27
  6. https://www.usatoday.com/story/news/nation/2020/02/28/coronavirus-whistleblower-complaint-prepared-covid-evacuees/4901176002/
  7. https://thehill.com/changing-america/well-being/prevention-cures/485171-cdc-sends-updated-coronavirus-test-kits
  8. https://www.npr.org/2020/02/27/810016611/coronavirus-101-what-you-need-to-know-to-prepare-and-prevent

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Covid-19

Anaheim Coronavirus Testing Site

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Orange County has just added a new site for coronavirus testing for residents. On Wednesday, July 15, the county will open a drive-through testing center at the Anaheim Convention Center. Spokeswoman Molly Nichelson said the new testing site is intended to test healthcare and nursing home workers, public employees, first responders, grocery, and other essential workers. It will also be open to people who are experiencing symptoms of COVID-19. 

The testing site will be staged in a parking garage at the southwest corner of the city-owned convention center. It is expected to handle 600 to 800 people per day and increase to a maximum of 1,200 people a day within two weeks, Mike Lyster announced. According to officials, the convention center is expected to be the first of several large-scale test sites within the county. There will be a second location that could open at the OC Fair & Event Center in the upcoming weeks.

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A partnership between Garden Grove-based Clinic 360 and the convention center testing will be contact-free Lyster said. The test center staff will take a nasal swab from people who drive up so they can take the specimen then place it in a bag, and then give it back to the staff member. The Anaheim site is expected to operate from 8 a.m. to 4 p.m. Wednesdays through Sundays for an initial run of 30 days. A registration website to make appointments is expected to be available by Tuesday, July 14.

County and city officials could not state how quickly test results would be delivered or how much the program is expected to cost. Those with health insurance would have their insurer billed for the test, and federal funding would cover the uninsured. County officials have said that while testing capacity was admittedly inadequate in the pandemic’s early weeks, it has improved significantly. 

County Health Care Agency Director Clayton Chau said there is no shortage of testing reagents or required equipment to conduct testing in Orange County. Chau added that there is a testing delay in getting testing due to the increase of individuals wanting to be tested.

Sources: 

  1. https://www.ocregister.com/2020/07/14/orange-county-announces-covid-19-drive-through-testing-site-to-open-at-anaheim-convention-center/

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Disinfecting Medical Masks and N95 Respirator Masks

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The use of the protective medical gear is essential for healthcare professionals to keep them safe, considering the novel coronavirus (SARS-CoV-2) spreads primarily via droplets

Respiratory viruses are spread through droplets that are dispersed by infected individuals through coughing and sneezing. Due to the current coronavirus pandemic and using protective equipment, there has been a significant shortage of masks. The lack of face masks makes it difficult for healthcare professionals to remain protected against the infectious disease. 

How can masks be disinfected and re-used?

To conserve face masks, healthcare workers are currently extending face masks use to more than one patient encounter though they are considered ‘single-’use’ items. This method may increase the risk of infection due to the constant face mask touching, which may become contaminated after prolonged use. Frequent use increases the chances the masks’ surfaces could become infected with virus particles, which can lead to infection if the user touches these surfaces and then touches their face

The possibility of disinfecting and reusing masks as a method of prolonging their use has recently been considered. Systematic scientific research is necessary to clearly define the best possible methods to decontaminate the masks while maintaining the masks’ integrity to ensure they stay effective each use. 

Using steam and heat for decontamination

A recent study reported that wrapping N95 masks in protective peel pouches and then steam sterilizing them may be a successful disinfection method. Another study tested the sterilizing masks process, where N95 respirator masks and medical masks were placed in plastic bags and steamed on a pot of boiling water for five minutes

This disinfecting process keeps the masks dry, ensuring they remained effective while the researchers found a total inactivation of avian coronaviruses that were used to simulate contamination. Furthermore, researchers investigated whether a rice cooker could be used to steam-sterilize masks, comparing this with dry-heat decontamination

The steam treatment took 15 minutes max, which included five minutes of active steaming. Dry heat contamination was conducted in an oven by exposing the masks to 100-degree heat for approximately 15 minutes. The researchers found the steam treatment to be a preferred method of decontaminating the masks compared to the dry heat. Researchers reported that the steaming method was more effective than UV light decontamination. This study did not evaluate the effectiveness of the masks following decontamination.

Decontamination using UV irradiation has been used before for drinking water and air. A recent study found that using a UV-C disinfection cabinet effectively decontaminated N95 masks by using a 31-minute decontamination cycle.

Another study utilizing a UV-C germicidal lamp, researchers found that this method could achieve the decontamination of masks with SARS-CoV-2 particles. Researchers reported that the decontamination of masks took longer than hard surfaces. It may also depend on how contaminated the masks are, to begin with.

Sources: 

  1. https://medicalnewsbulletin.com/can-masks-be-disinfected-and-reused/
  2. https://wordofhealth.com/2020/03/27/3d-printing-to-help-with-surgical-mask-shortage/
  3. https://wordofhealth.com/2020/06/17/how-to-fix-this-type-of-n95-mask-to-limit-the-spread-of-the-coronavirus/
  4. https://wordofhealth.com/2020/04/04/do-i-need-a-face-mask/

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Covid-19

Pink Eye Symptom of COVID-19

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Those diagnosed with COVID-19 can experience mild to moderate symptoms. Just recently, Canadian scientists have come across new information and have identified pink eye as a primary symptom of COVID-19

Internationally there have been over 8.5 million cases of COVID-19 recorded and more than 465,000 deaths. In January, when the first cases were reported, the World Health Organization compared the virus to other respiratory illnesses such as SARS and MERS. Symptoms, including fever, cough, fatigue, headache, and diarrhea.

One symptom not widely reported is conjunctival congestion, which has been found in 0.8% of COVID-19 patients. One Chinese expert in the early investigation of Wuhan COVID-19 patients contracted the virus even though he wore an N95 mask. However, he did not wear protective eye gear. Before displaying any respiratory signs of COVID-19, he developed a red-eye.

Researchers from the University of Alberta Faculty of Medicine and Dentistry published a case study recently that discovered pink eye is an early symptom of COVID-19. The study was published in the Canadian Journal of Ophthalmology.

The study focused on a young woman who came back from a one-month vacation to the Philippines in February. A day after she returned, she started experiencing congestion, a runny nose, and pink eye symptoms in her right eye, but no fever. She went to her family physician the first day symptoms began and was referred to an ophthalmologist. When she visited the ophthalmologist, her pink eye symptoms had worsened and tested negative for strep. She was given a prescription to treat her pink eye.

Her symptoms were still not improving, and her physician tested her for other diseases that can result in pink eye and returned negative. Health authority recommendations testing for COVID-19 had been updated to include any out of country travel which prompted her to be tested. The young woman tested positive for COVID-19

This case study highlights the potential risk for healthcare professionals for increased chances of infection not only through established pathways of air and person to person contact but including transmission through the eyes. The study also presents evidence of pink eye as a symptom of COVID-19.

Authors of the study advise that all healthcare practitioners wear appropriate eye protection and other forms of personal protective equipment. Proper disinfecting methods should also be followed for any patient presenting symptoms of pink eye. 

Sources: 

  1. https://wordofhealth.com/2020/05/14/how-does-covid-19-affect-the-lungs/
  2. https://medicalnewsbulletin.com/pink-eye-a-symptom-of-covid-19/
  3. https://www.cdc.gov/conjunctivitis/about/symptoms.html
  4. https://www.canadianjournalofophthalmology.ca/article/S0008-4182(20)30305-7/fulltext
  5. https://www.ualberta.ca/medicine
  6. https://wordofhealth.com/2020/06/17/how-to-fix-this-type-of-n95-mask-to-limit-the-spread-of-the-coronavirus/

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