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General Safety Tips:

 

The world is mostly hibernating. We are waiting for it to be safe to go out. What will it take before it is really safe to go back to mingling?

It requires immunity or a very effective treatment- 

 Immunity-

  • First- We need to know what provides immunity (if anything).
  • Then we need to be able to test for immunity.
  • And finally we need a vaccine that works.
Currently there are more than 23 vaccine candidates in trials, 9 are in phase three (human efficacy) trials and 2 are nearing completion.

 

A good treatment will also help get things back on track again. Sorry- but hydroxychloroquine is not a good treatment and in fact has been found to hasten death in some situations.  

There are scientists and doctors throughout the country, including here in KC who are working hard, sometimes around the clock, to find treatment and vaccine options that will work.


Until then-

  • Each of us must do our part- We need to continue to take care with masks, social distancing and hand washing to protect lives.
  • We should use testing to identify hotspots to avoid. (Even shutting down some workplaces for a period of time.)

 

 

 

The only way to flatten the curve until we have vaccines and/or treatments available is to practice social distancing to reduce the spread of infection.

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COVID and Workplaces

 

When can health workers with COVID-19 go back to work? (CDC)...

 

CDC Guidance for Long-term Care Facilities

 

CDC Guidance for Out Patient and Ambulatory Settings

CDC Guidance for Dental Re-opening

CDC Guidance for Dental Settings

   

 

Here are some You-Tube videos for use of PPE- How to safely Don and Doff equipment.

1.5 min Per CDC How to put on Gown, mask, gloves

2.5 min Per CDC #1 How to remove PPE

1.5 min Per CDC #2 How to remove PPE

   
 

 

   


On this page - 

  • Workplace Safety 
  • Returning to Work After COVID-19 Illness
  • Safer Travel

 

 

 

 
   

Tips for work place control of COVID-19 :

  • Use masks whenever distancing of 6 or more feet is not possible.
  • Separate work spaces where possible. (Be creative)
  1. Develop space to allow for distancing –  
    1. The janitor’s closet can become an office by placing a small computer terminal desk.
    2. Wide hallways may be a good place for desks for people who can concentrate- particularly at the end of hallways and if a screen is used.
  2. Plexiglass “sneeze” protectors reduce droplet spread –
    1. Where there may be waist high dividers- add plexiglass to bring them up to standing height.
    2. Add file cabinets between desks to reinforce distancing and help reduce direct droplet spread. 
  • Reduce congregating.
  1. Reduce lobby seating. (Remove extra seating and scheduling.)
    1. Remove extra seating.
    2. Provide scheduling to stagger lobby use.
  2. Breaks require thought.
    1. Take breaks and lunchtimes at desks or if at tables, sit/stand at least six feet apart.
    2. Stagger break times.
    3. Outdoor breaks are an option.
    4. Avoid shared food containers or utensils.
  • Clean often
  1. Clean using EPA approved anti-viral disinfectants* frequently.
    1. Clean desks and other surfaces.
    2. Clean seating areas and chair arms.
    3. Clean phones, computers, and other shared equipment (use special products for cleaning computer screens).

* https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2-covid-19

  • Increase air exchanges
  1. Open doors and windows as appropriate.
  2. Increase AC flow.

 

 Sharon Lee, MD

 

Returning to work after COVID illness:

A test-based strategy is not recommended because frequently people continue to shed residual SARS-CoV-2 RNA remnants that may be detectable, but is no longer infectious. To determine a person who has tested positive may return to work, Sharon Lee Family Health Care recommends following the guidelines from the CDC: 

A) Symptom-based criteria- 

If symptoms are present with a confirmed or presumed positive- it is acceptable to leave isolation when

a) there have been no symptoms for 3 full days AND

b) it is at least 10 days since the initial symptoms OR

c) it is 14 days after a positive test and symptoms have abated.

B) Time-based criteria-

(For use when there are few or no symptoms)

If confirmed positive test- it is acceptable to leave isolation when

a) it is at least 10 days after the date of the positive test with no symptoms OR

b) it is at least 14 days after the date of the positive test with minimal symptoms.

Those with persistence of significant symptoms (fever, respiratory problems, fatigue) must see a physician. Changes in taste and smell may linger for several weeks-months.

 

Sharon Lee, MD

 

   
 

 

   

Safer AIR TRAVEL:
There are airline companies that are doing well and some that are not doing as much for our national effort to save lives. Travel is difficult in these times. Below is a list of airlines that are behaving well or badly.

 

Fact- A research paper from the Massachusetts Institute of Technology shows blocking out the middle seat on airplanes cuts the likelihood of passengers being infected with coronavirus by nearly half.

Other tips for air travel:

  • Take care not to put your hands around your face and practice good hand cleansing frequently.
  • There is some evidence the virus gets into the membranes around the eyes. So using goggles while flying may be helpful.
  • The airlines are mostly cleaning the seats and armrests between flights, but wiping down the areas where you may touch may also be protective.
  • Non-stops are better than multiple plane changes.
  • Finally see below re: safer use of public toilets. 

 

 

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 Almost all U.S. carriers now require passengers to cover their faces onboard, and Alaska, Delta and Southwest each are capping ticket sales - effectively blocking the middle seats except among families who wish to sit together.

Good Companies- praticing safe distancing and other measures to protect their customers.  Thank you to these carriers.

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American Airline

 

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Delta Airlines

 

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Southwest Airline

 
   

 

The companies listed below are NOT providing a safe environment. These airlines are selling the middle seats. It is very clear these organizations are more concerned about gernerating profits than protecting the lives of their customers. They should STOP selling the MIDDLE SEATS. If you chose not to buy from them, please let them know why - by sending a note to the Customer Services email.

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Motivated by greed?

 American Airline- Cares about your money- not you. 

 

Spirit Airline- Cares about your money- not you. 

 

United Airline- Cares about your money- not you. 

 

 
   


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