CORONA Main Coronavirus thread

Ragnarok

On and On, South of Heaven
- 2% of those patients succumb to Kung Flu = 817,500 deaths
- Yes, some people will die of non-COVID19 factors because the hospitals are overwhelmed

Yes, this bug is worse than the Flu. Yes, it will cause suffering and disruption. Yes, it will re-shape our political and social behavior a bit. It is not, however, going to be TEOTWAWKI.

It will be TEOTWAWKI for those 817, 500 + dead and their families...
 

Old Gray Mare

TB Fanatic
According to the CDC: Employers are advised to encourage employees to "telework" from home after they get sick.

"For employees who are able to telework, supervisors should encourage employees to telework instead of coming into the workplace until symptoms are completely resolved. Ensure that you have the information technology and infrastructure needed to support multiple employees who may be able to work from home."


Fair use.

Interim Guidance for Businesses and Employers to Plan and Respond to Coronavirus Disease 2019 (COVID-19), February 2020
This interim guidance is based on what is currently known about the Coronavirus Disease 2019 (COVID-19). The Centers for Disease Control and Prevention (CDC) will update this interim guidance as needed and as additional information becomes available.
CDC is working across the Department of Health and Human Services and across the U.S. government in the public health response to COVID-19. Much is unknown about how the COVID-19 spreads. Current knowledge is largely based on what is known about similar coronaviruses.
CDC Industry Guidance
CDC Business Sector


Dr. Messonnier provides a situational update on COVID-19 for CDC private sector partners.
Coronaviruses are a large family of viruses that are common in humans 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 and SARS. COVID-19 is spreading person-to-person in China and some limited person-to-person transmission has been reported in countries outside China, including the United States. However, respiratory illnesses like seasonal influenza, are currently widespread in many US communities.
The following interim guidance may help prevent workplace exposures to acute respiratory illnesses, including nCoV, in non-healthcare settings. The guidance also provides planning considerations if there are more widespread, community outbreaks of COVID-19.
To prevent stigma and discrimination in the workplace, use only the guidance described below to determine risk of nCoV infection. Do not make determinations of risk based on race or country of origin, and be sure to maintain confidentiality of people with confirmed coronavirus infection. There is much more to learn about the transmissibility, severity, and other features of COVID-19 and investigations are ongoing. Updates are available on CDC’s web page at www.cdc.gov/coronavirus/2019-nCoV.
Recommended strategies for employers to use now:
  • Actively encourage sick employees to stay home:
    • Employees who have symptoms of acute respiratory illness are recommended to stay home and not come to work until they are free of fever (100.4° F [37.8° C] or greater using an oral thermometer), signs of a fever, and any other symptoms for at least 24 hours, without the use of fever-reducing or other symptom-altering medicines (e.g. cough suppressants). Employees should notify their supervisor and stay home if they are sick.
    • Ensure that your sick leave policies are flexible and consistent with public health guidance and that employees are aware of these policies.
    • Talk with companies that provide your business with contract or temporary employees about the importance of sick employees staying home and encourage them to develop non-punitive leave policies.
    • Do not require a healthcare provider’s note for employees who are sick with acute respiratory illness to validate their illness or to return to work, as healthcare provider offices and medical facilities may be extremely busy and not able to provide such documentation in a timely way.
    • Employers should maintain flexible policies that permit employees to stay home to care for a sick family member. Employers should be aware that more employees may need to stay at home to care for sick children or other sick family members than is usual.
  • Separate sick employees:
    • CDC recommends that employees who appear to have acute respiratory illness symptoms (i.e. cough, shortness of breath) upon arrival to work or become sick during the day should be separated from other employees and be sent home immediately. Sick employees should cover their noses and mouths with a tissue when coughing or sneezing (or an elbow or shoulder if no tissue is available).
  • Emphasize staying home when sick, respiratory etiquette and hand hygiene by all employees:
    • Place posters that encourage staying home when sick, cough and sneeze etiquette, and hand hygiene at the entrance to your workplace and in other workplace areas where they are likely to be seen.
    • Provide tissues and no-touch disposal receptacles for use by employees.
    • Instruct employees to clean their hands often with an alcohol-based hand sanitizer that contains at least 60-95% alcohol, or wash their hands with soap and water for at least 20 seconds. Soap and water should be used preferentially if hands are visibly dirty.
    • Provide soap and water and alcohol-based hand rubs in the workplace. Ensure that adequate supplies are maintained. Place hand rubs in multiple locations or in conference rooms to encourage hand hygiene.
    • Visit the coughing and sneezing etiquette and clean hands webpage for more information.
  • Perform routine environmental cleaning:
    • Routinely clean all frequently touched surfaces in the workplace, such as workstations, countertops, and doorknobs. Use the cleaning agents that are usually used in these areas and follow the directions on the label.
    • No additional disinfection beyond routine cleaning is recommended at this time.
    • Provide disposable wipes so that commonly used surfaces (for example, doorknobs, keyboards, remote controls, desks) can be wiped down by employees before each use.
  • Advise employees before traveling to take certain steps:
    • Check the CDC’s Traveler’s Health Notices for the latest guidance and recommendations for each country to which you will travel. Specific travel information for travelers going to and returning from China, and information for aircrew, can be found at on the CDC website.
    • Advise employees to check themselves for symptoms of acute respiratory illness before starting travel and notify their supervisor and stay home if they are sick.
    • Ensure employees who become sick while traveling or on temporary assignment understand that they should notify their supervisor and should promptly call a healthcare provider for advice if needed.
    • If outside the United States, sick employees should follow your company’s policy for obtaining medical care or contact a healthcare provider or overseas medical assistance company to assist them with finding an appropriate healthcare provider in that country. A U.S. consular officer can help locate healthcare services. However, U.S. embassies, consulates, and military facilities do not have the legal authority, capability, and resources to evacuate or give medicines, vaccines, or medical care to private U.S. citizens overseas.
  • Additional Measures in Response to Currently Occurring Sporadic Importations of the COVID-19:
    • Employees who are well but who have a sick family member at home with COVID-19 should notify their supervisor and refer to CDC guidance for how to conduct a risk assessment of their potential exposure.
    • If an employee is confirmed to have COVID-19 infection, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace but maintain confidentiality as required by the Americans with Disabilities Act (ADA). Employees exposed to a co-worker with confirmed COVID-19 should refer to CDC guidance for how to conduct a risk assessment of their potential exposure.
Planning for a Possible COVID-19 Outbreak in the US
The severity of illness or how many people will fall ill from COVID-19 is unknown at this time. If there is evidence of a COVID-19 outbreak in the U.S., employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their business response plans as needed. For the general American public, such as workers in non-healthcare settings and where it is unlikely that work tasks create an increased risk of exposures to COVID-19, the immediate health risk from COVID-19 is considered low. The CDC and its partners will continue to monitor national and international data on the severity of illness caused by COVID-19, will disseminate the results of these ongoing surveillance assessments, and will make additional recommendations as needed.
Planning Considerations
All employers need to consider how best to decrease the spread of acute respiratory illness and lower the impact of COVID-19 in their workplace in the event of an outbreak in the US. They should identify and communicate their objectives, which may include one or more of the following: (a) reducing transmission among staff, (b) protecting people who are at higher risk for adverse health complications, (c) maintaining business operations, and (d) minimizing adverse effects on other entities in their supply chains. Some of the key considerations when making decisions on appropriate responses are:
  • Disease severity (i.e., number of people who are sick, hospitalization and death rates) in the community where the business is located;
  • Impact of disease on employees that are vulnerable and may be at higher risk for COVID-19 adverse health complications. Inform employees that some people may be at higher risk for severe illness, such as older adults and those with chronic medical conditions.
  • Prepare for possible increased numbers of employee absences due to illness in employees and their family members, dismissals of early childhood programs and K-12 schools due to high levels of absenteeism or illness:
    • Employers should plan to monitor and respond to absenteeism at the workplace. Implement plans to continue your essential business functions in case you experience higher than usual absenteeism.
    • Cross-train personnel to perform essential functions so that the workplace is able to operate even if key staff members are absent.
    • Assess your essential functions and the reliance that others and the community have on your services or products. Be prepared to change your business practices if needed to maintain critical operations (e.g., identify alternative suppliers, prioritize customers, or temporarily suspend some of your operations if needed).
  • Employers with more than one business location are encouraged to provide local managers with the authority to take appropriate actions outlined in their business infectious disease outbreak response plan based on the condition in each locality.
  • Coordination with stateexternal icon and localexternal icon health officials is strongly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside. Since the intensity of an outbreak may differ according to geographic location, local health officials will be issuing guidance specific to their communities.
Important Considerations for Creating an Infectious Disease Outbreak Response Plan
All employers should be ready to implement strategies to protect their workforce from COVID-19 while ensuring continuity of operations. During a COVID-19 outbreak, all sick employees should stay home and away from the workplace, respiratory etiquette and hand hygiene should be encouraged, and routine cleaning of commonly touched surfaces should be performed regularly.
Employers should:
  • Ensure the plan is flexible and involve your employees in developing and reviewing your plan.
  • Conduct a focused discussion or exercise using your plan, to find out ahead of time whether the plan has gaps or problems that need to be corrected.
  • Share your plan with employees and explain what human resources policies, workplace and leave flexibilities, and pay and benefits will be available to them.
  • Share best practices with other businesses in your communities (especially those in your supply chain), chambers of commerce, and associations to improve community response efforts.
Recommendations for an Infectious Disease Outbreak Response Plan:
  • Identify possible work-related exposure and health risks to your employees. OSHA has more information on how to protect workers from potential exposuresexternal icon to COVID-19.
  • Review human resources policies to make sure that policies and practices are consistent with public health recommendations and are consistent with existing state and federal workplace laws (for more information on employer responsibilities, visit the Department of Labor’sexternal icon and the Equal Employment Opportunity Commission’sexternal icon websites).
  • Explore whether you can establish policies and practices, such as flexible worksites (e.g., telecommuting) and flexible work hours (e.g., staggered shifts), to increase the physical distance among employees and between employees and others if state and local health authorities recommend the use of social distancing strategies. For employees who are able to telework, supervisors should encourage employees to telework instead of coming into the workplace until symptoms are completely resolved. Ensure that you have the information technology and infrastructure needed to support multiple employees who may be able to work from home.
  • Identify essential business functions, essential jobs or roles, and critical elements within your supply chains (e.g., raw materials, suppliers, subcontractor services/products, and logistics) required to maintain business operations. Plan for how your business will operate if there is increasing absenteeism or these supply chains are interrupted.
  • Set up authorities, triggers, and procedures for activating and terminating the company’s infectious disease outbreak response plan, altering business operations (e.g., possibly changing or closing operations in affected areas), and transferring business knowledge to key employees. Work closely with your local health officials to identify these triggers.
  • Plan to minimize exposure between employees and also between employees and the public, if public health officials call for social distancing.
  • Establish a process to communicate information to employees and business partners on your infectious disease outbreak response plans and latest COVID-19 information. Anticipate employee fear, anxiety, rumors, and misinformation, and plan communications accordingly.
  • In some communities, early childhood programs and K-12 schools may be dismissed, particularly if COVID-19 worsens. Determine how you will operate if absenteeism spikes from increases in sick employees, those who stay home to care for sick family members, and those who must stay home to watch their children if dismissed from school. Businesses and other employers should prepare to institute flexible workplace and leave policies for these employees.
  • Local conditions will influence the decisions that public health officials make regarding community-level strategies; employers should take the time now to learn about plans in place in each community where they have a business.
  • If there is evidence of a COVID-19 outbreak in the US, consider canceling non-essential business travel to additional countries per travel guidance on the CDC website.
    • Travel restrictions may be enacted by other countries which may limit the ability of employees to return home if they become sick while on travel status.
    • Consider cancelling large work-related meetings or events.
  • Engage stateexternal icon and localexternal icon health departments to confirm channels of communication and methods for dissemination of local outbreak information.
Link to source:
 
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ktrapper

Veteran Member
Stay away from Chanka Piedra. I used it heavily (organic variety) to try to get rid of a big kidney stone. That was the only change in my diet. After a few months I got gastric cancer. I still have the stone. Now the big C is stage 4.
Oh crap. I use it three weeks on three weeks off. I have not read any thing about it causing cancer.
You are bumped up on our prayer list.
 

Ragnarok

On and On, South of Heaven
This is gonna set back the public involvement in CPR for years... just when save rates were beginning to increase for pre-hospital cardiac arrests.

Compression only CPR. Shown to be almost as effective as regular CPR as it keeps the blood circulating which is key.

And, you still come into close contact with the virus...

I almost posted the same reply but then I realized no one will even want to touch a victim.
 

Trivium Pursuit

Has No Life - Lives on TB
Just a heads up for Florida people -- there has been a case seen in an ER in Central Florida, very mild, probably the corona virus that goes around like all the other viruses. There are quite a few strains and only four are the bad ones. The test they use to determine flu will also indicate corona virus as well as other viruses, so there is testing available.

I do not want to give any location information on where the patient was treated. It is probably within 15 miles of me and I now live in Lakeland Highlands (no more EYW, now it is GIF -- LOL)
Source, please, for only 4 strains are the bad ones?
 

Squid

Veteran Member
One thing the US has done that I predict will not go down well with the public. HHS just testified that there was no shortage of PPE, however, N95 masks could become border line. That is not what the public is experiencing. They are very difficult to find, as are even surgical masks.

EVERY country has photos of the public wearing masks once the disease gets started. It is mandatory in many countries. Is the Administration going to be able to continue to say that everyday people don't need "protection" because it is of little value, but medical professionals need N95 masks to protect them? Ain't gonna fly when your kids go without but kids all over the world have protection.

What about transmittal? You know that telling Waldo to stay home when he feels sick is not going to happen if he needs a paycheck. (It doesn't now.) Surgical masks at least minimize droplet spread.

They have 1 US manufacturer of surgical masks in an almost empty factory in TX. Can they subsidize him in some way to expand production without leaving him vulnerable when the pandemic subsides to layoffs and bankruptcy? Can they secure contracts with the N95 mask makers who use US cotton and Mexico manufacturing to step that production up and ensure the Mexicans don't nationalize the production?
The last time he ramped up the US hospital’s immediately switched back to cheap Chinese suppliers after the crisis and forced the company to lay-off all the new capacity once the cheap China stuff was back in the pipeline.

Hell one time we used the defense budget to support US manufacturing but after a bunch of anti US news articles about $500 dollar hammers even they are buying the cheap Chinese crap cause it’s cheap and you won’t get toasted in NY Times for buying some cheap $5 hammer made by political prisoners, Christians and Muslims while they wait to harvest their organs.

If this doesn’t wake us up that maybe we need less cheap electronic toy, than we need US manufacturing for critical items then we deserve the swift kick of Karma.
 

Ragnarok

On and On, South of Heaven
Saw story yesterday that drug co was starting human trials.


Moderna Surges After Shipping Coronavirus Vaccine For Human Trials

Call me skeptical...

Two weeks ago they sold off, IIRC, 250 million worth of stock because they were having cash flow issues. 14 days later they announce they have a vaccine and their stock rises 16%. IMHO, it was just a ploy to recoup their losses and the vaccine will not pass the trial...
 
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psychgirl

Has No Life - Lives on TB
I don’t have cable anymore. Our local channel cut away from potus after only speaking for about ten minutes.
I’m so pissec and trying to catch up!
 

Old Gray Mare

TB Fanatic
Fair use. From OSHA
COVID-19
Control and Prevention

Deathcare Workers and Employers
This section provides guidance for deathcare workers, such as coroners, medical examiners, autopsy technicians, funeral directors, and other mortuary workers. This guidance supplements the general, interim guidance for U.S. workers and employers of workers with potential occupational exposures to COVID-19, above.
Until more is known about how the COVID-19 spreads, CDC and OSHA recommend using a combination of standard precautions, contact precautions, airborne precautions, and eye protection (e.g., goggles or face shields) to protect mortuary and other deathcare workers with exposure to the virus.
Mortuary and other deathcare workers who have contact with the remains of people who have died from COVID-19 infection must be protected from exposure to infected blood and body fluids, contaminated objects, or other contaminated environmental surfaces.
Employers of mortuary and other deathcare workers are responsible for following applicable OSHA requirements, including OSHA's Bloodborne Pathogens (29 CFR 1910.1030), Personal Protective Equipment (29 CFR 1910.132), and Respiratory Protection (29 CFR 1910.134) standards. See the Standards page for additional information on OSHA requirements.
Prompt cremation or burial of the remains of individuals who have died of COVID-19 can help prevent worker exposure to the virus. (State and local requirements may dictate whether or not the remains of individuals who have died of certain infectious diseases can be buried or if they must be cremated.)
Follow recognized good biosafety practices to prevent or minimize transmission of infectious agents (i.e., COVID-19). To protect workers from COVID-19 exposure, OSHA recommends suspension of post mortem or autopsy procedures on patients with suspected/confirmed COVID-19 infection. Although the infection process is not fully understood, this recommendation considers the potential for very high viral load (i.e., the number of viral particles in the body) at death and sources of exposure to workers performing autopsy procedures. If deemed necessary and appropriate, OSHA recommends strict adherence to basic safety procedures used for any autopsy on human remains, the general guidanceapplicable to all workers provided at the beginning of this page, and the controls described below.
Engineering Controls
Perform autopsies on remains of people who have died from COVID-19 infection in autopsy suites that have adequate air-handling systems. This includes systems that maintain negative pressure relative to adjacent areas and that provide a minimum of 6 air exchanges (existing structures) or 12 air exchanges (new construction or renovation) per hour. Ensure that room air exhausts directly to the outside, or passes through a HEPA filter, if recirculated. Direct air (from exhaust systems around the autopsy table) downward and away from workers performing autopsy procedures. CDC's Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings provides guidelines for AIIR use and recommendations for air exchange rates, which are similar to what should be followed in autopsy suites. Section VIII - Infection Control for Laboratory and Pathology Procedures of CDC's Infection Control in Healthcare, Home, and Community Settings for SARS also provides guidance applicable to pathology work, including autopsies, for coronaviruses.
Use a biosafety cabinet for the handling and examination of smaller specimens and other containment equipment whenever possible.
Equipment, such as saws, should be equipped with vacuum shrouds to capture aerosols.
Administrative Controls
Restrict the number of personnel entering the autopsy suite. This may involve training mortuary workers, such as medical examiners or autopsy technicians, to perform environmental services tasks (e.g., cleaning and decontamination) in lieu of additional workers entering such areas.
Minimize aerosol-generating procedures (AGPs), performing only those that are necessary to perform the autopsy or prepare remains for cremation or burial.
Minimize the number of staff present when performing AGPs. Exclude those who may be necessary for other procedures but not specifically the AGP.
Safe Work Practices
Follow standard safety procedures for preventing injuries to/through the skin during autopsy. Use caution when handling needles or other sharps, and dispose of contaminated sharps in puncture-proof, labeled, closable sharps containers.
Personal Protective Equipment
All mortuary workers and other deathcare workers who have contact with human remains known or suspected to be contaminated with COVID-19 must wear appropriate PPE (see OSHA's PPE standards, 29 CFR 1910 Subpart I). For workers performing autopsies, this includes typical autopsy PPE, such as:
  • Double surgical gloves interposed with a layer of cut-proof synthetic mesh gloves
  • Scrub suit worn under an impermeable gown or apron
  • Goggles or face shield
  • Shoe covers
  • Surgical cap
Additionally, because of the sustained likelihood of aerosol generation during various steps of autopsy procedures, use respiratory protection as part of a comprehensive respiratory protection program that meets the requirements of OSHA’s Respiratory Protection standard (29 CFR 1910.134) and includes NIOSH-certified disposable N95 or better respirators, medical exams, fit testing, and training. Powered, air-purifying respirators (PAPRs) with HEPA filters may provide increased worker comfort during extended autopsy procedures.
Remove PPE before leaving the autopsy suite and follow appropriate disposal requirements. After removing PPE, always wash hands with soap and water, if available. Ensure that hand hygiene facilities (e.g., sink or alcohol-based hand rub) are readily available at the point of use (e.g., at or adjacent to the PPE doffing area).
For other workers handling human remains:
  • Wear nonsterile, nitrile gloves when handling potentially infectious materials.
  • If there is a risk of cuts, puncture wounds or other injuries that break the skin, wear heavy-duty gloves over the nitrile gloves.
  • Wear a clean, long-sleeved fluid-resistant or impermeable gown to protect the clothing.
  • Use a plastic face shield or a surgical mask and goggles to protect the face, eyes, nose and mouth from potentially infectious body fluids.
  • If there is a risk of aerosol generation while handling human remains, use respiratory protection as part of a comprehensive respiratory protection program that meets the requirements of OSHA’s Respiratory Protection standard (29 CFR 1910.134) and includes NIOSH-certified N95 or better respirators, medical exams, fit testing, and training. PAPRs with HEPA filters may provide increased worker comfort during extended autopsy procedures.
See the OSHA Fact Sheet, Health and Safety Recommendations for Workers Who Handle Human Remains, for more guidelines to ensure worker safety when handling human remains.

Link to source:
 

Old Gray Mare

TB Fanatic
Fair use from OSHA
COVID-19


Healthcare Workers and Employers
This section provides guidance for healthcare workers and employers. This guidance supplements the interim guidance for U.S. workers and employers of workers with potential occupational exposures to COVID-19, above.
Until more is known about how the COVID-19 spreads, CDC and OSHA recommend using a combination of standard precautions, contact precautions, airborne precautions, and eye protection (e.g., goggles or face shields) to protect healthcare workers with exposure to the virus.
CDC provides the most updated infection prevention and control recommendations for healthcare workers managing suspected or confirmed cases of COVID-19.
Employers of healthcare workers are responsible for following applicable OSHA requirements, including OSHA's Bloodborne Pathogens (29 CFR 1910.1030), Personal Protective Equipment (29 CFR 1910.132), and Respiratory Protection (29 CFR 1910.134) standards. See the Standards page for additional information on OSHA requirements.
Engineering Controls
Engineering controls are the first line of defense in healthcare facilities to shield healthcare workers, patients, and visitors from individuals with suspected/confirmed COVID-19. This includes physical barriers or partitions in triage areas to guide patients, curtains separating patients in semi-private areas, and airborne infection isolation rooms (AIIRs) with proper ventilation.
Place patients with suspected or confirmed COVID-19 in an AIIR if available at the healthcare facility. AIIRs are single-patient rooms with negative pressure that provide a minimum of 6 air exchanges (existing structures) or 12 air exchanges (new construction or renovation) per hour. Ensure that the room air exhausts directly to the outside, or passes through a HEPA filter, if recirculated.
If an AIIR is not available, isolate the patient in a private room. Keep the door closed.
Isolation tents or other portable containment structures may serve as alternative patient-placement facilities when AIIRs are not available and/or examination room space is limited. Ensure that the room air exhausts directly to the outside, or passes through a HEPA filter, if recirculated.
The CDC/Healthcare Infection Control Practices Advisory Committee (HICPAC) Guidelines for Environmental Infection Control in Healthcare Facilities contains additional information on negative-pressure room control for airborne infection isolation.
Administrative Controls
Consistent with the general interim guidance described above, isolate patients with suspected or confirmed COVID-19 to prevent transmission of the disease to other individuals. If possible, isolating suspected cases separately from confirmed cases may also help prevent transmission.
Restrict the number of personnel entering the room of a patient with suspected/confirmed COVID-19. This may involve training healthcare workers in appropriate use of PPE so they can perform tasks such as housekeeping and meal service to reduce the need for environmental and food service workers to enter areas where suspected or confirmed COVID-19 patients are isolated.
Follow CDC guidelines for signs for and labeling of patient room doors when transmission-based precautions (i.e., contact and airborne precautions) are in place.
Minimize aerosol-generating procedures (AGPs), performing only those that are necessary for clinical diagnosis and care of a patient. Minimize the number of staff present when performing AGPs.
Safe Work Practices
Perform as many tasks as possible in areas away from a patient with suspected/confirmed COVID-19 (e.g., do not remain in an isolation area to perform charting; use closed-circuit television systems to communicate with patients in an isolation area when a worker does not need to be physically present).
Work from clean to dirty (i.e., touching clean body sites or surfaces before touching dirty or heavily contaminated areas) and limit opportunities for touch contamination (e.g., adjusting glasses, rubbing nose, or touching face with gloves that have been in contact with suspected/confirmed COVID-19 patients or contaminated/potentially contaminated surfaces). Also, prevent touch contamination by avoiding unnecessary touching of environmental surfaces (such as light switches and door handles) with contaminated gloves.
Ensure that there are systems in place to: differentiate clean areas (e.g., where PPE is put on) from potentially contaminated areas (e.g., where PPE is removed); handle waste and other potentially infectious materials; and clean, disinfect, and maintain reusable equipment and PPE.
Use caution when handling needles or other sharps, and dispose of contaminated sharps in puncture-proof, labeled, closable sharps containers.
Train and retrain workers on how to follow the established protocols.
Personal Protective Equipment
Healthcare workers must use proper PPE when exposed to a patient with confirmed/suspected COVID-19 or other sources of COVID-19 (See OSHA's PPE standards at 29 CFR 1910 Subpart I).
CDC and OSHA recommend that healthcare workers wear:
  • Gowns
  • Gloves
  • National Institute for Occupational Safety and Health (NIOSH)-certified, disposable N95 or better respirators
  • Eye/face protection (e.g., goggles, face shield)
Use respiratory protection as part of a comprehensive respiratory protection program that meets the requirements of OSHA’s Respiratory Protection standard (29 CFR 1910.134) and includes medical exams, fit testing, and training.
When doffing potentially contaminated PPE such as a N95 respirator, do not touch the outside of the respirator without wearing gloves.
After removing PPE, always wash hands with soap and water, if available. Ensure that hand hygiene facilities (e.g., sink or alcohol-based hand rub) are readily available at the point of use (e.g., at or adjacent to the PPE doffing area).
Further Information
Emergency medical services (EMS) and medical transport:

  • Workers and employers involved in EMS or other medical transport operations will likely need to adapt guidelines for the mobile work environment. That may mean relying on PPE (e.g., respirators) to protect workers when use of AIIRs or other isolation mechanisms are not practical and when staff have potentially prolonged, close contact with suspected or confirmed COVID-19 patients in transit.
Home care:
  • CDC has developed interim guidance for healthcare providers who are coordinating the home care and isolation or quarantine of people confirmed or suspected to have COVID-19.
Cleaning and disinfection:
  • Follow standard practices for high-level disinfection and sterilization of semi-critical and critical medical devices contaminated with COVID-19, as described in the CDC Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008.
  • At this time, there is no EPA-approved list of disinfectants effective against COVID-19. EPA does not categorize disinfectants as hospital- or commercial-grade or keep a list of EPA-registered antimicrobial products registered for use in healthcare facilities. As a result, products effective at inactivating the virus must be determined based on data associated with inactivating similar or hardier (i.e., more difficult to inactivate) viruses. COVID-19 is a coronavirus and highly susceptible to inactivation by many commonly used disinfectants. Currently, OSHA recommends following SARS disinfection practices (see section D-10 in the linked document) for environmental areas contaminated with COVID-19.
The CDC advises the use of EPA-registered chemical germicides that provide low or intermediate level disinfection for SARS during general use (surface and noncritical patient-care equipment) because these products inactivate related viruses with similar physical and biochemical properties. CDC's Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 provides information on the effectiveness of germicides on coronaviruses.

Deathcare Workers and Employers
This section provides guidance for deathcare workers, such as coroners, medical examiners, autopsy technicians, funeral directors, and other mortuary workers. This guidance supplements the general, interim guidance for U.S. workers and employers of workers with potential occupational exposures to COVID-19, above.
Until more is known about how the COVID-19 spreads, CDC and OSHA recommend using a combination of standard precautions, contact precautions, airborne precautions, and eye protection (e.g., goggles or face shields) to protect mortuary and other deathcare workers with exposure to the virus.
Mortuary and other deathcare workers who have contact with the remains of people who have died from COVID-19 infection must be protected from exposure to infected blood and body fluids, contaminated objects, or other contaminated environmental surfaces.
Employers of mortuary and other deathcare workers are responsible for following applicable OSHA requirements, including OSHA's Bloodborne Pathogens (29 CFR 1910.1030), Personal Protective Equipment (29 CFR 1910.132), and Respiratory Protection (29 CFR 1910.134) standards. See the Standards page for additional information on OSHA requirements.
Prompt cremation or burial of the remains of individuals who have died of COVID-19 can help prevent worker exposure to the virus. (State and local requirements may dictate whether or not the remains of individuals who have died of certain infectious diseases can be buried or if they must be cremated.)
Follow recognized good biosafety practices to prevent or minimize transmission of infectious agents (i.e., COVID-19). To protect workers from COVID-19 exposure, OSHA recommends suspension of post mortem or autopsy procedures on patients with suspected/confirmed COVID-19 infection. Although the infection process is not fully understood, this recommendation considers the potential for very high viral load (i.e., the number of viral particles in the body) at death and sources of exposure to workers performing autopsy procedures. If deemed necessary and appropriate, OSHA recommends strict adherence to basic safety procedures used for any autopsy on human remains, the general guidanceapplicable to all workers provided at the beginning of this page, and the controls described below.
Engineering Controls
Perform autopsies on remains of people who have died from COVID-19 infection in autopsy suites that have adequate air-handling systems. This includes systems that maintain negative pressure relative to adjacent areas and that provide a minimum of 6 air exchanges (existing structures) or 12 air exchanges (new construction or renovation) per hour. Ensure that room air exhausts directly to the outside, or passes through a HEPA filter, if recirculated. Direct air (from exhaust systems around the autopsy table) downward and away from workers performing autopsy procedures. CDC's Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings provides guidelines for AIIR use and recommendations for air exchange rates, which are similar to what should be followed in autopsy suites. Section VIII - Infection Control for Laboratory and Pathology Procedures of CDC's Infection Control in Healthcare, Home, and Community Settings for SARS also provides guidance applicable to pathology work, including autopsies, for coronaviruses.
Use a biosafety cabinet for the handling and examination of smaller specimens and other containment equipment whenever possible.
Equipment, such as saws, should be equipped with vacuum shrouds to capture aerosols.
Administrative Controls
Restrict the number of personnel entering the autopsy suite. This may involve training mortuary workers, such as medical examiners or autopsy technicians, to perform environmental services tasks (e.g., cleaning and decontamination) in lieu of additional workers entering such areas.
Minimize aerosol-generating procedures (AGPs), performing only those that are necessary to perform the autopsy or prepare remains for cremation or burial.
Minimize the number of staff present when performing AGPs. Exclude those who may be necessary for other procedures but not specifically the AGP.
Safe Work Practices
Follow standard safety procedures for preventing injuries to/through the skin during autopsy. Use caution when handling needles or other sharps, and dispose of contaminated sharps in puncture-proof, labeled, closable sharps containers.
Personal Protective Equipment
All mortuary workers and other deathcare workers who have contact with human remains known or suspected to be contaminated with COVID-19 must wear appropriate PPE (see OSHA's PPE standards, 29 CFR 1910 Subpart I). For workers performing autopsies, this includes typical autopsy PPE, such as:
  • Double surgical gloves interposed with a layer of cut-proof synthetic mesh gloves
  • Scrub suit worn under an impermeable gown or apron
  • Goggles or face shield
  • Shoe covers
  • Surgical cap
Additionally, because of the sustained likelihood of aerosol generation during various steps of autopsy procedures, use respiratory protection as part of a comprehensive respiratory protection program that meets the requirements of OSHA’s Respiratory Protection standard (29 CFR 1910.134) and includes NIOSH-certified disposable N95 or better respirators, medical exams, fit testing, and training. Powered, air-purifying respirators (PAPRs) with HEPA filters may provide increased worker comfort during extended autopsy procedures.
Remove PPE before leaving the autopsy suite and follow appropriate disposal requirements. After removing PPE, always wash hands with soap and water, if available. Ensure that hand hygiene facilities (e.g., sink or alcohol-based hand rub) are readily available at the point of use (e.g., at or adjacent to the PPE doffing area).
For other workers handling human remains:
  • Wear nonsterile, nitrile gloves when handling potentially infectious materials.
  • If there is a risk of cuts, puncture wounds or other injuries that break the skin, wear heavy-duty gloves over the nitrile gloves.
  • Wear a clean, long-sleeved fluid-resistant or impermeable gown to protect the clothing.
  • Use a plastic face shield or a surgical mask and goggles to protect the face, eyes, nose and mouth from potentially infectious body fluids.
  • If there is a risk of aerosol generation while handling human remains, use respiratory protection as part of a comprehensive respiratory protection program that meets the requirements of OSHA’s Respiratory Protection standard (29 CFR 1910.134) and includes NIOSH-certified N95 or better respirators, medical exams, fit testing, and training. PAPRs with HEPA filters may provide increased worker comfort during extended autopsy procedures.
See the OSHA Fact Sheet, Health and Safety Recommendations for Workers Who Handle Human Remains, for more guidelines to ensure worker safety when handling human remains.

Link to source:
 

ktrapper

Veteran Member
I agree. He sounds worse than the WHO a couple of weeks ago with their nonsense. And he was very unprepared to give this speech.

Regardless of how bad this virus gets here, even if it turns out to burn out here, I think it’s baked in the cake that we are fooked on the economic and supply front. We just haven’t seen the domino fall over here yet.
 

Shadow

Swift, Silent,...Sleepy
Smoke has been used for thousands of years to inhibit germ growth on animal flesh and preserve it. RIGHT?? If smoke inhibits germ growth there what makes anyone think it would not inhibit virus/bacterial growth in smokers lungs?
If you wish to preserve a lung so that you can eat it later smoking it may work. I do not know. However the damage to lung tissue, done by smoking, makes the lung more susceptible to infection.

Shadow
 

Hogwrench

Senior Member
After this press conference, if it gets bad here, he will have a very hard time walking back what he just said. This is no different than the flu, China has been handeling this well, almost all the cases here have completely recovered here etc.

I personally believe this press conference was given to calm Wall Street. If I were on Wall Street I would be in more fear now than before due to unpreparedness and lack of knowledge. This was the first time I have watched Trump speak that he came across the way he did tonight. And it was not good.
 

Ragnarok

On and On, South of Heaven
After this press conference, if it gets bad here, he will have a very hard time walking back what he just said. This is no different than the flu, China has been handeling this well, almost all the cases here have completely recovered here etc.

I personally believe this press conference was given to calm Wall Street. If I were on Wall Street I would be in more fear now than before due to unpreparedness and lack of knowledge. This was the first time I have watched Trump speak that he came across the way he did tonight. And it was not good.

That is EXACTLY what it was for...

Trump Furious with CDC for "Spooking" the Market
Trump Furious With CDC For 'Spooking' Market: WaPo
 

Jubilee on Earth

Veteran Member
After this press conference, if it gets bad here, he will have a very hard time walking back what he just said. This is no different than the flu, China has been handeling this well, almost all the cases here have completely recovered here etc.

I personally believe this press conference was given to calm Wall Street. If I were on Wall Street I would be in more fear now than before due to unpreparedness and lack of knowledge. This was the first time I have watched Trump speak that he came across the way he did tonight. And it was not good.

I totally agree. I said on the other thread that at a crucial time when masses were finally starting to get it and step up precautions and preparedness, he comes out and tells everyone it’s no big deal and it’s not any worse than the flu. Now all these sheeple who were on high alert are going to relax again, and say it’s no worse than the flu because that’s what the president said. This could have some really negative repercussions if all they think they have to do is cover their mouth when they cough or sneeze and stay home if they get sick.

Maddening!!
 

1-12020

Senior Member
California reports 1 new case of coronavirus in someone with no recent travel, no known links to previous cases.

Does anyone know what city or county? Is this the Fairfield one?
Thanks
Been trying to keep up did a search couldn't find.
 

TxGal

Day by day
I could be wrong, of course, but this presser didn't seem to provide enough info that would scare the sheeple into heading for the stores and cleaning them out. I expected much, much more, honestly.

Our window to wrap up preps has maybe - just maybe - been extended a wee bit. Time to hustle, IMHO.
 

Jubilee on Earth

Veteran Member
Or perhaps just trying to maintain calm as long as possible until the really bad stuff happens that China has been trying to hide.

Mr Tripps, calling Mr. Tripps

I said that, too. I think he made the decision to make a gamble. He’s gambling on the chance that it MIGHT not be bad, because he doesn’t want social and economic collapse to happen under his watch. If he took the other route, then people would be at the stores in droves and canceling their spring break and Easter vacation plans.

I sure hope his gamble pays off. I’m guessing in his mind it’s better to be super positive and confident while we wait to see if things catch fire, than to pour gasoline on the spark now. Problem is, if you can control the small fire even just a little bit, then you might have a chance at putting it out. But if you wait until it’s raging to address it, then it’s too late.
 

psychgirl

Has No Life - Lives on TB
Just an aside.
A yr old kitten died in my arms yesterday at work.

Owners called in that he was breathing funny, we said come right away. It was my appointment when they arrived, I saw his little body heaving , trying to breath, went immediately to get my Dr without further questions for the owner..... Cats, when they are heaving with labored breathing or with an open mouth IS an emergency. Little guy was only about 8 months old.

Dr came in, listened to his heart, said we needed to go to X-ray ASAP. I bundled him up in a towel and up we went.

Not ten minutes later, he had a seizure of sorts, contorted in my arms, made a terrible gurgle sound...and went more silent... I yelled for Dr that he was going, dying.

Two injections of atropine...... I’d already ran to turn on the oxygen tank and then had him in a mask.....still, nothing but the faintest of heartbeat.

He was gone.

She took a quick X-ray. His lungs... were nothing BUT a huge fluid filled mess. He’d been treated for a “run of the mill URI” last month. Never did get his little “kitten mojo back”, apparently.

Dr, and quick diagnosis after reading his history again??

FIP.

Look it up.
Corona virus in felines. No cure, no treatment. Very similar to a cytokine storm when death comes, which is very rapid.

It’s a long, long, walk back down to exam to tell an owner their pet just died. I cried with him. He had no idea how sick his little guy was....

It’s a nasty death, a living being gasping for air for its very life, in pain, scared, and disoriented.
Im still kind of melancholy about it today.
 

CapeCMom

Veteran Member
Do you think he was so uncomfortable with the virus subject because he is such a germaphobe? Did you notice that he cut off another expert starting to go to the podium by pointing at a reporter and getting it side tracked to a question and answer session before the experts who were there were finished with their presentation? I think they wanted to say more but he cut them off.
 
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