Connect with us

Covid-19

Going to the Beach During a Pandemic

Published

on

Planning a trip to the beach consists of packing the right sunscreen, snacks, but during a pandemic, what risks could you face and what safety measures should you practice?   

What is the risk going to the beach? 

Going grocery shopping or picking up your to-go food in most places, you are required to wear a face mask. Most companies have made this mandatory to prevent transmission and contraction of the virus in close quarters with others. The risk of going to the beach is no different due to crowds of beachgoers and vacationers. 

The beach is relatively safe, as long as you’re taking all the recommended safety precautions, says Joseph Khabbaza, MD, a pulmonary medicine specialist at Cleveland Clinic. Tania Elliott, MD, an infectious disease specialist at NYU Langone, adds it could be a better option than gathering in an enclosed public space. Dr. Elliot states the open-air breeze makes it less likely for respiratory particles to transmit in an open space to practice social distancing.

How to stay safe at the beach?

An easy thing to remember is to apply the same rules you would follow at restaurants while at the beach. One of the first rules you should follow is to practice social distancing when around others by staying at least six feet away. Ideally, it is easier to follow these measures when you are outside with more space to follow social distancing measures.

Face masks should be another item to put on your list. You don’t necessarily have to wear face masks if you are around other family members you have been in quarantine with. You can bring masks as a precaution to stay safe and to stay in the habit of taking a mask anywhere you go should you need it, according to Dr. Elliot. Make sure to pack items needed to protect yourself against COVID-19 like hand sanitizer and disinfectant wipes. 

If you’re concerned with contracting the virus while in the water, Dr. Khabbaza stated, the virus does not live very well in salty water. “The water-borne spread has not been shown at all,” says Khabbaza. Maintaining a distance of six feet from other beachgoers should still be applied even when in the water as you would in other public places.

Applying these small adjustments to your next beach trip could help you and your family stay safe and still enjoy your day of relaxation. 

Sources: 

  1. https://www.health.com/condition/infectious-diseases/coronavirus/is-it-safe-to-go-to-the-beach
  2. https://wordofhealth.com/2020/05/27/what-sunscreen-should-i-use/
  3. https://wordofhealth.com/2020/04/15/how-to-go-grocery-shopping-during-the-coronavirus-pandemic/
  4. https://wordofhealth.com/2020/04/04/do-i-need-a-face-mask/

Covid-19

New Promising COVID-19 Vaccine Selects Hoag Hospital for Trial

Published

on

UCI graduate Chen Cao became the first of 35 individuals to be vaccinated in NantKwest Inc. and ImmunityBio’s phase 1 clinical trial for COVID-19. This trial is only happening at Hoag Memorial Hospital Presbyterian in Newport Beach, CA.

According to the WHO, there are 44 vaccine candidates in clinical evaluation worldwide and another 154 in preclinical evaluation. Most are targetting the coronavirus’ signature spike protein, which leads to its name “corona,” meaning “crown” in Latin

NantKwest/ImmunityBio’s vaccine also does the same, but it also targets structures within the virus’ cytoplasm called nucleocapsids that have been shown to stimulate T-cell responses.

Philip Robinson, Hoag’s medical director of infection prevention and principal investigator for the vaccine trial, states, “This vaccine is novel because it stimulates the second arm of the immune system, the cell-mediated immunity, the T-cell response.” 

Based on SARS-CoV 1, he added that patients who developed that T-cell and cellular immune response have long-lasting immunity that can be measured 17 years after they got infected. T-cell responses are more durable than antibody responses activated by the spike protein alone and develop a much longer-term immunity, the company states. 

This vaccine’s dual-edged approach is a “key advantage” that could also prevail in mutations in the spike proteins, which might reduce the efficacy of “S-only” vaccines moving forward. There are several other features that the NantKwest/ImmunityBio vaccine has that is generating enthusiasm.

While several vaccine candidates are using adenoviruses — which cause the common cold — to transfer the coronavirus’ genetic material into the human body to hopefully induce an immune response, however, there’s a potential risk that the body’s immune systems could recognize the cold virus and attack before it can complete its task. This vaccine overcomes this challenge by making deletions to the adenovirus that render it invisible, Robinson said.

Similar to other vaccine candidates, this one will consist of two shots, three weeks apart. But apart from many others, it won’t need to be stored in frigid temperatures, which can pose significant logistical challenges. 

Instead, it just requires standard refrigeration and can remain viable at room temperature “for quite a long time,” Robinson said. Down the line might also be delivered by mouth or by nasal spray, rather than just by injection, making administration even easier.

Last Wednesday, five volunteers received their first injections at Hoag, and five more will get their first injections this week, according to Deborah Fridman, Hoag’s director of clinical research. There will be a pause after each set of 10 to review the safety, side effects, and immune system reactions. 

This phase 1 trial’s primary goal is to confirm the vaccine’s safety and induces immunity, Fridman said. If proven successful, it will expand into phases 2 and 3 next year, recruiting hundreds, and then thousands, of participants.

Hoag Hospital has participated in more than 20 COVID-19 clinical trials since caring for the state’s first known COVID-19 patient in January. Hoag has given patients access to advanced therapies and innovative treatments, officials said. Though, this vaccine is its first COVID-related vaccine trial.

The hospital has expanded its research department in recent years. Hoag has a relationship with Los Angeles County-based NantKwest, Inc., and ImmunityBio is the only Orange County hospital. It is the only nonacademic institution to offer the companies’ phase 2 immunotherapy clinical trial for solid tumors.

Patient No. 1 Chen Cao must report any side effects to Hoag immediately. She has a diary to record how she’s feeling and will return regularly for evaluation and blood draws. 

Anyone interested in participating should email clincialresearch@hoag.org. 

Sources:

  1. https://www.ocregister.com/2020/10/21/hoag-memorial-selected-as-trial-site-for-promising-covid-19-vaccine/
  2. https://www.who.int/docs/default-source/coronaviruse/novel-coronavirus-landscape-covid-19cc0232c16129498983a6a0e30ca94000.pdf?sfvrsn=87aa8dc9_1&download=true
  3. https://nantkwest.com/immunitybio-study-shows-positive-t-cell-and-antibody-immune-responses-to-its-covid-19-vaccine-candidate-that-targets-both-spike-and-nucleocapsid-virus-proteins/
  4. https://www.hoag.org/news/clinical-trial-for-pancreatic-cancer-patients2/

Continue Reading

Covid-19

Health Officials in Orange County Warn Residents of Flu and Coronavirus ‘twindemic’

Published

on

Fall has officially begun with another flu season in store, but this year, public health officials and politicians are warning the flu could increase the demand on Orange County’s health care grid, which has been stressed due to the coronavirus pandemic.

A second outbreak is a primary concern with cooling temperatures approaching, and relaxing pandemic rules could lead to more people gathering in tighter quarters.

County leaders are urging residents to maintain their pandemic habits, to help prevent a so-called “twindemic” of influenza and the coronavirus, and advise residents to get a flu shot.

Andrew Noymer, an epidemiologist and professor of public health at UCI, states that the driving factor is COVID, a new virus, and the flu shot is not. 

Both are respiratory diseases with similar transmission modes such as coughs and sneezes spouting infectious droplets around – the flu has been around for centuries, and health systems know how to manage it, Noymer stated.

The COVID-19 countermeasures like wearing face masks, social distancing, and frequent hand washing will also work against the flu. 

One concern is that both diseases share symptoms that could cause the lesser-studied COVID-19 to spread undetected if a sick person believes they have the flu, Noymer said. That will be a challenge for an already stressed healthcare system, he said. 

Annual flu hospitalizations could cause hospitals to maintain pandemic surge plans that added beds and staff. Healthcare providers are spreading the message to their patients ahead of the expected strain. 

This week, Kaiser Permanente emailed Orange County members with a video explaining the differences between a seasonal cold, the flu, and COVID-19.

The differences between all three can be hard to distinguish, which is why mild coronavirus cases might go undetected, the video explains. The main symptoms of COVID-19 include fever, cough, shortness of breath, with onset up to two weeks after exposure. As with influenza or the flu, it starts suddenly with fever, cough, sore throat, nasal congestion, and body aches. 

Meanwhile, common colds slowly take hold with symptoms, including a runny nose, sore throat, sneezing, headaches, and high fevers are rare.

The flu kills 60,000 people per year nationwide, Noymer said, but “COVID-19 has killed 200,000, and the year is not even over yet,” 

According to public health data, since 2017, influenza and pneumonia have killed an average of 576 people per year in Orange County. Since March, the COVID-19 death toll among residents has climbed to more than 1,100 people.

For health experts, the coronavirus still is the wildcard as winter approaches. Noymer further added that the county’s population is more susceptible to COVID than the flu because they have flu shots and currently don’t have a COVID shot. 

The ongoing coronavirus spread could create a second wave of cases caused by business and school reopenings as well as changes in temperature and humidity.

Recently, Dr. Robert Redfield, the director of the US Centers for Disease Control and Prevention, told a Senate subcommittee he suspects a COVID-19 vaccine will be available in the U.S. by December in limited supply.

For more information on disinfecting and sanitization measures click here

Sources: 

  1. https://www.ocregister.com/2020/09/17/orange-county-health-officials-warn-of-coronavirus-and-flu-twindemic/
  2. https://www.ocregister.com/2020/09/08/orange-county-gains-ground-against-coronavirus-advances-from-purple-tier-to-less-restrictive-red-tier/
  3. https://healthy.kaiserpermanente.org/health-wellness/videos/covid-19/symptoms-cold-flu
  4. https://wordofhealth.com/2020/09/18/coronavirus-sanitize-or-disinfect/
  5. https://wordofhealth.com/2020/07/13/disinfecting-medical-masks-and-n95-respirator-masks/

Continue Reading

Covid-19

Coronavirus: Sanitize or Disinfect?

Published

on

During the COVID-19 pandemic, it is imperative that you wash your hands frequently or sanitizing them when soap and water are not available and cleaning commonly-touched-surfaces to keep yourself protected.

While sanitizers and disinfectants are commonly referred to as interchangeably, both products are different and should be used in separate circumstances.  

According to the CDC, cleaning, sanitizing, and disinfecting all have different definitions:

  • Cleaning eliminates germs, dirt, and other impurities from surfaces, but does not necessarily kill them.
  • Sanitizing decreases the number of germs on surfaces or objects by killing them or removing them—to a safe level, according to public health standards or requirements.
  • Disinfecting kills germs on objects or surfaces.

Diane Calello, MD, executive and medical director of New Jersey Poison Center and associate professor of emergency medicine at Rutgers New Jersey Medical School, states sanitizing does not kill everything. 

The Environmental Protection Agency (EPA) defines sanitizers as chemical products that can kill 99.9% of germs on hard surfaces. Again, disinfectants are more potent, killing 99.999% of germs on hard, non-porous surfaces or objects.

The difference comes down to that sanitizing solutions aren’t as potent as disinfecting solutions. Some products can be both sanitizers and disinfectants. Dr. Calello says concentrated bleach can be a disinfectant, but if it’s very diluted, it might be a sanitizer meaning it kills fewer bacteria and viruses.

Sanitize or Disinfect?

There are specific procedures for cleaning groceries, surfaces in your home like doorknobs, and your hands, and it’s crucial to get them right. When it comes to groceries, you don’t need to wipe them down with disinfectant wipes (or any other disinfectants) or a sanitizer. You can clean them using water, but no soap when you bring them to your home.

For highly-touched areas of your home like doorknobs, toilet handles, and even sinks, you want to save disinfectants for these areas. However, for countertops where surfaces are exposed to food preparation, its best to sanitize those so any chemical residue isn’t as powerful and potentially harmful.

As for your own hands, you should not use disinfecting wipes as it can be hazardous for your skin, according to Dr. Calello. She further adds that at the poison center, she works for has seen people’s adverse effects using disinfectants on their own bodies. She said there was a man who acquired powerful, industrial-use disinfectant wipes and developed a blistering rash.

Donald Ford, MD, family medicine doctor at Cleveland Clinic, states that you can wipe off surfaces but wash your hands. Due to the “good” bacteria that live on your skin, when you apply something that kills all the bacteria on your hands, you’re killing off some helpful and natural bacteria. 

Dr. Calello says there is a reason why we do not apply something that does not kill every organism like a hand sanitizer, which should contain 60% alcohol. However, it’s essential to remember that hand sanitizer is adequate if you’re out in public, but washing hands with soap and water for at least 20 seconds is preferred.

Since the COVID-19 pandemic, there has been an increase in people purchasing disinfectants and sanitizing products and knowing when to sanitize and disinfect surfaces or objects can help in practicing proper sanitation. 

Sources: 

  1. https://www.health.com/condition/infectious-diseases/coronavirus/sanitize-vs-disinfect
  2. https://www.cdc.gov/flu/school/cleaning.htm
  3. https://www.epa.gov/sites/production/files/documents/ece_curriculumfinal.pdf
  4. https://www.njpies.org/administrative-staff/
  5. https://rutgershealth.org/provider/diane-calello
  6. https://www.health.com/condition/infectious-diseases/coronavirus/how-to-use-cleaning-chemicals-safely

Continue Reading

Trending