Spider
[PSA] [the whole covid-19 thing] An explanation of the basic public health measures y'all might be hearing about
Spider
hi! My dad's a primary care doc and he gave a nice little boilerplate PSA to a local group yesterday, which I'll try to distill here.
Spider
Covid-19 is primarily a respiratory infection, and it's spread via respiratory droplets: The stuff that comes out of people's mouths and nose when they sneeze or cough.
Spider
How does it get from person to person? Well, humans are dumb lil primates and love to touch their faces a whole bunch. The virus that causes covid-19 hitches a ride on your hands to make it to your mouth, nose, or eyes, and from there it can get to work.
Spider
This is why you hear public health officials telling you not to touch your face. If you really, really have to, take a paper towel or other clean disposable wipe and use that. It's probably best to wash your hands and face at the end of the day before you go whole hog on itching everything you've desperately wanted to itch.
Spider
How does the virus get on your hands if you're not sick already? Three main ways:
1. somebody who's sick coughs or sneezes on you directly. The droplets that spread from this hit the ground after about 2m/6ft. This is why public health officials recommend standing at least that distance from other people when you can.
Spider
2. somebody who's sick coughs or sneezes on a surface that you then touch. This is why the recommendations also call for regular cleaning of "high-touch" surfaces like public tables or door handles. If you have to touch something and you don't think you'll be able to clean your hands for a while, you can use a disposable napkin or clean tissue.
Spider
3. shaking hands with people and other similar contact. This is why you're advised to cough into your elbow rather than into your hand.
Spider
Now, please note that the main thing here that can be done to limit this risk to others is for those who are sick to wear masks: they catch the respiratory droplets that come out of your mouth and nose. Wearing a mask to protect against getting sick does not work.
Spider
This is not an airborne disease like measles, where a properly fitted, filtered and sealed mask can protect the wearer.
Spider
(Corollary: if that's true, why do healthcare workers wear masks so much? To protect you from catching anything they may have. They have a higher likelihood of coming in contact with those who are sick. so if they unknowingly end up as a carrier of something infectious, they're trying to keep you safe.)
Spider
So, this brings me around to proper handwashing technique: they say wash your hands for at least 20 seconds, but if you follow the proper techniques to thoroughly wash ever surface of your hands, you won't need to worry about counting it out:
Spider
Spider
Going through the list of steps laid out in videos like these will take you about 20 seconds, and give you a thorough wash. The one addition I've seen some healthcare workers do is to also specifically make sure to wash the heels of your palms.
Spider
NOTE: Antibacterial products not required. Antibacterial soap kills bacteria, and doesn't destroy viruses.
Spider
The main thing soap does is remove viruses and bacteria from your skin. Basically, the soap sticks to them and then both get washed away.
Spider
And a quality of life thing regarding washing: If your hands are feeling dry and awful from a lot of washing, consider a hydrating lotion. There are dermatologist-recommended, scent-free and hypoallergenic options available: I use Lubriderm, though depending on where you are there may be other brands.
Spider
(this PSA not paid for by lubriderm, which I accidentally got in my eye this morning. Do not do that kids, it sucks)
Spider
Now! If you come down with covid-19 and are asked to self-quarantine, figure out a room in your apartment or home that no one else will have to use for the duration. If you have more than one bathroom, ideally you should pick a room close to one of them and exclusively use that.
Spider
You are not 100% cloistered while you are in quarantine! You can go out into common areas as necessary, but it's best if you wear a mask if you have one. If you have other people living with you, it's best if they cook and leave meals outside your door, then thoroughly wash your dishes and laundry.
The Night Guard
...Damn
The Night Guard
so what if you don't have people with you?
The Night Guard
and what can those of us who work in the public do
Spider
The biggest thing to keep yourself healthy in a public-facing job is up at the top: limit physical contact, wash your hands regularly, and don't touch your face.
Spider
the face thing sucks. I know this dearly. One of my eyelids is itching right now.
Spider
If you live alone, if you're quarantined you should try not to go out unless you're going to a scheduled medical appointment. If you don't have enough food in the house to make it through 14 days, don't panic! You can still order out/get delivery groceries/ask friends to bring you shopping or food, just let them know to leave it outside your door.
Spider
Otherwise, limit your activity outside of your home as much as possible if you're in self-quarantine.
Spider
All the prevention recommendations count double for those who are vulnerable to complications from covid-19: smokers, those over the age of 60, and those with chronic lung disease, hypertension, diabetes, and cardiovascular disease.
Spider
If you or someone you're in regular contact with falls under these risk groups, you'll especially benefit from following public health recommendations.
Spider
But even if you don't fall in these categories and don't feel sick, please be careful! One mixed blessing about covid-19 is that a lot of people (potentially around 50% of those infected as per the Diamond Princess cohort) never display symptoms. This means that healthy people can still act as carriers, if the virus begins circulating in your neighborhood.
merry crimson
And if you feel sick, please call ahead to your doctor or the hospital to let them know so they can take precautions when you go in. My state just had a confirmed case at a walk-in clinic, which is now closing until they can do a deep-clean.
Spider
Yes! Call ahead if you have symptoms that potentially match covid-19:
Spider
in descending order of prevalence, symptoms are: fever, dry cough, fatigue, mucus in the lungs, shortness of breath, muscle or joint pain, sore throat, headache, chills, nausea or vomiting, nasal congestion,or diarrhea.
Spider
Any time you're running a fever, it's a good idea to call ahead to the doctor or hospital.
6LilacMimeLions
my husband's doctor's office proactively contacted all their patients to say if they had any symptoms matching the covid-19 list, to call and they would do a phone screen rather than expose anyone at the office
6LilacMimeLions
crickets from my doctor
6LilacMimeLions
so anyway i'm switching to my husband's doctor
Spider
nice doctor
Spider
If you start experiencing any difficulty breathing, report it. Again, this is advice you should follow even when we're not dealing with a novel disease.
Spider
If you have any two of the symptoms, you should stay home until at least 48 hours after symptoms resolve. This is what my office already pretty much mandates for the flu every year.
Spider
If you have an asshole employer that doesn't give paid sick leave (hello fellow wanderers of the american hellscape), please do what you can to get them to not be assholes. There's currently a push by democrats in the US congress to mandate paid sick leave, but we don't know if that will get through.
Spider
Also, through all of this, remember: one of the problems of diseases like this is the limited amount of resources available to medical workers. If you have mild symptoms, you will likely be told to quarantine at home. This leaves doctors and nurses with more time to care for those who are experiencing serious symptoms.
Spider
The northern hemisphere is also in the midst of flu season, which takes up a lot of doctors' time as well.
Spider
Also! For those who are vulnerable, there is a pneumonia vaccine! Pneumonia is a bacterial respiratory infection that is a potential complication of both the flu and covid-19. Recommendations on who should get the vaccine differ from country to country, but those over 60 can benefit a lot from it.
Spider
Also, if you're looking for more information directly from health experts following this topic, please check to make sure the sources have verified credentials. One place a lot of common questions have already been answered is here:
We are a team of medical experts following COVID-19
Spider
And one more note for keeping yourself safe: Currently there's no home treatments or cures for covid-19, but there are a bunch of hucksters out there trying to sell fake treatments. They put a hard sell on these things, but there's no proof backing them up.
Spider
oh, and one more thing: obviously, now is not the best time to be engaging in non-essential travel. Any trips you can put off should probably wait.
Spider
In the next few days I'm personally cancelling a business trip, especially because I'm in close contact with my 60+ year old parents.
merry crimson
I wish the spring break college crowd would listen to this advice.
Spider
I also wish that about the very first tourists of the year that I saw today (why. why. there's still snow on the ground. please do not.)
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