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CORONA VIRUS GUIDANCE FOR STAFF AND PATIENTS

Latest Updates on Corona Virus

COVID-19 VISUAL DAMAGE TO LUNG

Coronavirus: A View from the Front Lines

https://www.aamc.org/professional-development/events/aamc-press-conferences-coronavirus-covid-19

Latest guidelines from DOH NY for Axzons Employees to report every day their symptom status even if symptom free. Please check this important notice.

https://axzonshomecare.com/wp-content/uploads/2020/03/Corona-Virus-Guidance-for-Axzons-Staff-03-24-2020-1.pdf

Corona Virus and Chloroquine

Chloroquine is a medication used to prevent and to treat malaria in areas where malaria is known to be sensitive to its effects. Certain types of malaria, resistant strains, and complicated cases typically require different or additional medication.

Chloroquine is also effective in preventing the spread of SARS CoV in cell culture. Favorable inhibition of virus spread was observed when the cells were either treated with chloroquine prior to or after SARS CoV infection. In addition, the indirect immunofluorescence assay described herein represents a simple and rapid method for screening SARS-CoV antiviral compounds.

Prophylactic effect of chloroquine.
(A) The concentration of chloroquine used is indicated on the top of each panel. (B) SARS-CoV antigen-positive cells at three random locations were captured by using a digital camera, the number of antigen-positive cells was determined, and the average inhibition was calculated.
Post-infection chloroquine treatment reduces SARS-CoV infection and spread.
 (A) The concentration of chloroquine is indicated on the top. (B) Percent inhibition and SEM were calculated as in Fig. 1B. (C) The effective dose (ED50) was calculated using commercially available software

The above testing with chroroqunine was done on SARS-CoV infection that was the earlier corona virus which was similar to the SARS-CoV2.

This information has been assembled from Journal of Virology at biomed central.

https://axzonshomecare.com/wp-content/uploads/2020/03/Corona-Virus-guidance-DOH-03-16-20.pdf

About Corona Virus- SARS-CoV-2

Coronaviruses are a large family of viruses that are common in people and many different species of animals, including camels, cattle, cats, and bats. Rarely, animal coronaviruses can infect people and then spread between people such as with MERS-CoVSARS-CoV, and now with this new virus (named SARS-CoV-2).

How COVID-19  Spreads

Person-to-person spread

The virus is thought to spread mainly from person-to-person.

  • Between people who are in close contact with one another (within about 6 feet).
  • Through respiratory droplets produced when an infected person coughs or sneezes.

These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

Can someone spread the virus without being sick?

  • People are thought to be most contagious when they are most symptomatic (the sickest).
  • Some spread might be possible before people show symptoms; there have been reports of this occurring with this new coronavirus, but this is not thought to be the main way the virus spreads.

Spread from contact with infected surfaces or objects

It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.

The virus could possibly survive in the air, a new study suggests.

The coronavirus can live for three days on some surfaces, like plastic and steel — though the amount of viable virus decreases sharply over this time — suggests a new study.
When the virus becomes suspended in droplets smaller than five micrometers — known as aerosols — it can stay suspended for about 30 minutes, before drifting down and settling on surfaces where it can linger for hours, the researchers said. The finding is inconsistent with the World Health Organization’s position that the virus is not transported by air.

How easily the virus spreads

How easily a virus spreads from person-to-person can vary. Some viruses are highly contagious (spread easily), like measles, while other viruses do not spread as easily. Another factor is whether the spread is sustained, spreading continually without stopping.

The virus that causes COVID-19 seems to be spreading easily and sustainably in the community (“community spread”) in some affected geographic areas.

 Community spread means people have been infected with the virus in an area, including some who are not sure how or where they became infected. 

Symptoms

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Watch for symptoms

Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases.

The following symptoms may appear 2-14 days after exposure.*

  • Fever
  • Cough
  • Shortness of breath

Call your doctor if you…

Develop symptoms, and have been in close contact with a person known to have COVID-19

OR

Have recently traveled from an area with widespread or ongoing community spread of COVID-19.

Prevention

There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19). The best way to prevent illness is to avoid being exposed to this virus. However, as a reminder, CDC always recommends everyday preventive actions to help prevent the spread of respiratory diseases, including:

  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Follow CDC’s recommendations for using a facemask.
    • CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory diseases, including COVID-19.
    • Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to  others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).
  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
    • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.

These are everyday habits that can help prevent the spread of several viruses. CDC does have specific guidance for travelers.

Treatment

There is no specific antiviral treatment recommended for COVID-19. People with COVID-19 should receive supportive care to help relieve symptoms. For severe cases, treatment should include care to support vital organ functions.

People who think they may have been exposed to COVID-19 should contact their healthcare provider immediately.

Axzons Homecare Personnel with Potential Exposure in a Homecare setting to Patients with Coronavirus Disease 2019 (COVID-19)

All Axzons Health Care Providers (Aides, Nursing Staff) are at some risk for exposure to COVID-19, whether in the workplace or in the community.

All  Axzons HCP are advised to report recognized exposures, regularly monitor themselves for fever and symptoms of respiratory infection and not report to work when ill.

Report to work only after reporting absence of fever and symptoms prior to starting work each day. Send a report by text to 347-829-9667 Everyday. All Asymptomatic HCP who have had an exposure to a COVID-19 patient to continue to work after consultation with your Primary Care Physician. However you should still report temperature and absence of symptoms each day prior to starting work by text to 347-829-9667 . Exposed HCP are advised to wear a facemask while at work for the 14 days after the exposure event if there is a sufficient supply of facemasks( Call 1-866-429-9667 to ask for availability of facemasks ). If an Aide/Nurse develops even mild symptoms consistent with COVID-19, you must cease patient care activities, don a facemask (if not already wearing), and call 1-866-429-9667 or your immediate supervisor at Axzons prior to leaving work.

Tips to submit a report on a PUI, Presumptive Positive Case, or Laboratory-Confirmed Case

Axzons Healthcare providers who are concerned that a patient may have COVID-19 should contact their local Health Department or call 1-866-881-2809 at New York health department 24 x 7 line immediately for consultation and guidance.

Helpful information below

https://www.who.int/emergencies/diseases/novel-coronavirus-2019

https://www.who.int/news-room/detail/03-03-2020-shortage-of-personal-protective-equipment-endangering-health-workers-worldwide

https://ec.europa.eu/info/live-work-travel-eu/health/coronavirus-response_en

https://www.as-coa.org/articles/where-coronavirus-latin-america

https://www.dha.gov.ae/Pages/coronavirus.aspx

https://www.cdc.gov/coronavirus/2019-ncov/hcp/index.html

https://www.nih.gov/health-information/coronavirus

https://icelandmonitor.mbl.is/news/news/2020/03/04/total_number_of_covid_19_cases_16/

https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection.html

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