– CDC COVID19 Recommendations https://www.cdc.gov/coronavirus/2019-nCoV/index.html
The CDC recommends that you call your doctor. “Call your doctor: If you think you have been exposed to COVID-19 and develop a fever and symptoms, such as cough or difficulty breathing, call your healthcare provider for medical advice.”
“If you have symptoms of COVID-19 and want to get tested, try calling your state or local health department or a medical provider. While supplies of these tests are increasing, it may still be difficult to find a place to get tested.” They also have a Coronavirus self checker, which will ask you a series of questions to see if you should seek medical care.
– Several locations to be tested throughout the United States are listed here:
– Corona Virus FAQ, Misconceptions, information, from a statistical perspective
– Chart of symptoms (can we locally host?)
The CDC recommends calling your doctor unless you have a medical emergency or are experiencing severe symptoms.
If you are sick, you should wear a facemask around other people and before going into your healthcare provider’s office or any hospital.
“If you develop emergency warning signs for COVID-19 get medical attention immediately.
Emergency warning signs include*:
- Difficulty breathing or shortness of breath
- Persistent pain or, pressure in the chest
- New confusion or inability to arouse
- Bluish lips or face
*This list is not all inclusive.
Please consult your medical provider for any other symptoms that are severe or concerning.”
“Call 911 if you have a medical emergency: If you have a medical emergency and need to call 911, notify the operator that you have or think you might have, COVID-19. If possible, put on a facemask before medical help arrives.“
Hospital ER Wait Time Tracker
Handbook of COVID-19 Prevention and Treatment
Ibuprofen and Covid-19
Paracetamol and acetaminophen are different names for the same drug, they are sold under many brand names, check your product label. Ibuprofen is sold under many brand names as well, please check your product label. Remember that some other medications may contain these drugs as an ingredient, so check the label.
On the 14th of March the French Minister for Health tweeted (in French) that “taking anti-inflammatory drugs (ibuprofen, cortisone ) could be an aggravating factor for the infection. If you have a fever, take paracetamol. If you are already taking anti-inflammatory drugs, ask your doctor’s advice”
Without medications to specifically treat Covid-19 as yet, we are fully relying on our body’s immune system to fight it off. This study in 2009 showed evidence that ibuprofen can inhibit the immune system in ways that paracetamol doesn’t (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2693360/).
And on March 11 2020, a paper published in the lancet showed that taking ibuprofen can make it easier for covid-19 to bind to cells and the use of it risks causing more severe and fatal Covid-19 (https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30116-8/fulltext)
As of the 17th of March, the World Health Organization’s official stance is for those showing symptoms of Covid-19 to avoid self-medicating with ibuprofen and in the case of fever to take paracetamol. https://www.sciencealert.com/who-recommends-to-avoid-taking-ibuprofen-for-covid-19-symptoms
When treating young people, it’s also important to remember that aspirin should not be given to children or teens if they have or have recently had chicken pox or flu-like symptoms as it may cause a rare but life-threatening condition known as Reye’s Syndrome
– CDC Facts on Sanitizer https://www.cdc.gov/handwashing/pdf/hand-sanitizer-factsheet.pdf
Masks For Those Who Have None
Do I even need a mask?
YES and here is the real science behind it:
What to do when masks run out of supply.
Video from a prepper that contains some great ideas like how to create masks from radiator filters, and how to identify which radiator filters are made of fiber glass (absolutely unsafe for masks) and which are safe to use: https://www.youtube.com/watch?v=K-HRVrwxw9k
But I do not have access
to a mask, what is the most basic mask I can make?
https://btnmask.gitlab.io/ Paper towel face mask.
I am good at sewing, can I make my own mask? YES, watch this video:
I have a 3D printer, can I make my own? You can, start here to look for ideas or jump directly to videos
that show you 3D made masks:
https://www.thingiverse.com/thing:4167750 super advanced mask
https://www.thingiverse.com/thing:4151131 heavy duty mask
https://www.thingiverse.com/thing:4146711 respirator filter caps
https://www.thingiverse.com/thing:4157190 mask filter adapters
I have a combination of masks, can I wear them together? Yes, watch this video:
I have a mask, but how do I put it on?
https://www.youtube.com/watch?v=bttYhG1laJk Has english subtitles.
I have a respirator, how do I put it on?
– How to sanitize Food:
We recommend an ozone machine. They can be readily purchased on ebay and amazon for approximately $60-$80
Use a large plastic storage bin, and drill a hole in the bottom to pull the power cord through.
Be sure to use it outside, or inside the garage.
Step 1) Put food in the box (Be sure it’s not too full).
Step 2) Run ozone machine for 30 Minutes
Step 3) When ready, hold your breath and then pop the cap. Retreat into the house.
Step 4) Wait for 5-10 minutes for ozone to dissipate
Step 5) Retrieve goods.
As a general reminder,
the virus lives on clothes for approximately a day, cardboard for a day, and plastics
and metals for 4 days. Decontaminate all foods before bringing them into the
house. Take out must be steamed or air fried until internal temps reach approx 140F for 10 minutes
Serious Eats Good guidelines
PSA Safe Grocery
Shopping in COVID-19 Pandemic https://www.youtube.com/watch?v=sjDuwc9KBps&feature=youtu.be
Clothes Sanitation regarding COVID 19
Scenario: I just passed through a place that may have been infected by COVID 19, what do I do with my clothes? This is a quick guide on how to sanitize articles of clothing.
A great way to approach this task is from the ground up, meaning, take your mask off last and any head protection last. As you begin to undress you may cause particles to float in the air so always remove your mask and gloves last. (added some illustrations
at the end to provide a visual reference).This guide is pretty much all encompassing, published by the CDC and is a great resource.
HIGHLY RECOMMEND STARTING HERE:
I do not have any bleach, what do I do? Find out here:
Here is a great resource for generalized cleanings: https://www.howtocleanstuff.net/
Dangerous chemical combinations and warnings.
You may be scared and think the more chemicals used the cleaner things will be but you can cause serious harm if you mix chemicals or use UV light or ozone machines to disinfect. The following are NOT RECOMMENDED and here are the links discussing why:
Do not forget watches, cell phones, purses and accessories. In fact, it is a good idea not to wear or use accessories if you think you will be in an area that could be exposed.
Finally, do not forget to clean the area you just got undressed in, whether its your house or a room, make sure the room is cleaned as well: https://www.reddit.com/r/China_Flu/comments/fgp6e1/now_is_the_time_to_give_your_house_a_good_deep/
Some excerpts from the Handbook of COVID-19 Prevention and Treatment: https://www.reddit.com/r/Coronavirus/comments/fl3f67/handbook_of_covid19_prevention_and_treatment_from/?utm_source=share&utm_medium=ios_app&utm_name=iossmf
Disinfection for Floor and Walls
(1) Visible pollutants shall be completely removed before disinfection and handled in
accordance with disposal procedures of blood and bodily fluid spills;
(2) Disinfect the floor and walls with 1000 mg/L chlorine-containing disinfectant through
floor mopping, spraying or wiping;
(3) Make sure that disinfection is conducted for at least 30 minutes;
(4) Carry out disinfection three times a day and repeat the procedure at any time when there is contamination.
Disinfection of Object Surfaces
(1) Visible pollutants should be completely removed before disinfection and handled in
accordance with disposal procedures of blood and bodily fluid spills;
(2) Wipe the surfaces of objects with 1000 mg/L chlorine-containing disinfectant or wipes with effective chlorine; wait for 30 minutes and then rinse with clean water. Perform disinfection procedure three times a day (repeat at any time when contamination is suspected);
(3) Wipe cleaner regions first, then more contaminated regions: first wipe the object surfaces that are not frequently touched, and then wipe the object surfaces that are frequently touched. (Once an object surface is wiped clean, replace the used wipe with a new one).
(1) Plasma air sterilizers can be used and continuously run for air disinfection in an environment with human activity;
(2) If there are no plasma air sterilizers, use ultraviolet lamps for 1 hour each time. Perform this operation three times a day.
Disposal of Fecal Matter and Sewage
(1) Before being discharged into the municipal drainage system, fecal matter and sewage must be disinfected by treating with chlorine-containing disinfectant (for the initial treatment, the active chlorine must be more than 40 mg/L). Make sure the disinfection time is at least 1.5 hours;(2) The concentration of total residual chlorine in the disinfected sewage should reach 1 O mg/L.
Enter – Exit
Exiting your Home
Choose designated outerwear and shoes for the sole purpose of going out in public and leave these clothes outside, on a balcony, patio, or in the garage when possible. Wear gloves, mask, goggles, and some form of outwear such as a
jacket. Bring only what you need to bring with you, it is easier to disinfect a cell phone, debit card, and keys over having to disinfect all of that as well as a wallet or purse.
**A note while you are out in public, avoid touching your face, keep six feet from other people, be aware of everything you touch while you are out in public.
Entering your Home
When you return home, open your door, remove shoes, outwear, mask, goggles and then gloves. Keep a box next to your front door and deposit all items that need to be disinfected that cannot go into the washing machine. Once inside be mindful of anything you touch, such as door knobs.
Turn your clothes inside out as you remove them and place them immediately into the washing machine. Wash your hands, disinfect all areas that you have touched, washing machine door, door knobs in your home. Disinfect items that
you left the house with such as keys and phone.
***If you can’t leave your outerwear and shoes outside, if possible throw outwear in the wash, have them inside out when touching them, disinfect shoes. Ozone your clothes before tossing them in the laundry if possible. After you finish disinfecting everything, shower immediately.
***Check out our printable checklist at the end of this article.
Why do I need to wash my clothes every time I come home?
Harvard Health notes that the virus is more likely to survive on hard services than softer ones like clothing fabric. Still, doctors suggest removing shoes and changing into clean clothes to prevent outside germs from
coming into your home.
“ Clothing, towels, linens and other items that go in the laundry
- Wear disposable gloves when handling dirty laundry from an ill person and then discard after each use.
If using reusable gloves, those gloves should be dedicated for cleaning and disinfection of surfaces for COVID-19 and should not be used for other household purposes. Clean hands immediately after gloves are removed.
- If no gloves are used when handling dirty laundry, be sure to wash hands afterwards.
- If possible, do not shake dirty laundry. This will minimize the possibility of dispersing virus through the air.
- Launder items as appropriate in accordance with the manufacturer’s instructions. If possible, launder items using the warmest appropriate water setting for the items and dry items completely. Dirty laundry from an ill person can be washed with other people’s items.
- Clean and disinfect clothes hampers according to guidance above for surfaces. If possible, consider placing a bag liner that is either disposable (can be thrown away) or can be laundered.”
Wait…I thought we were told wearing a mask will not help…
Dr. Fauci (American immunologist, employed by the National Institutes of Health of the United States) has stated wearing a mask is better than not wearing anything at all, however there are not enough masks for our healthcare workers let alone the general public. He can be heard on this video at 1:40:00, https://www.youtube.com/watch?v=cOoPbBMqB1o&feature=youtu.be.
How do I disinfect?
What about my dog?
It is okay to walk your dog, treat it as though you would when you leave your house and wet wipe your pups paws when you get home. Here is a quote from someone living in lockdown. “YES, we can take our dog for a walk, it’s comprehended in the necessities. You have to follow the rules (1 mete rule, avoid crowds etc) and have the autocertification. Can I go for a walk alone? I mean, the could possibly fine me but I don’t think it has happened; have your walk if you need, always respecting the rules, but it’s a health emergency so it’s better to avoid it if you can.”
Here is a great article from the College of Veterinary Medicine at the University of Illinois at Urbana-Champaign.
Checklist for Entering and Exiting the Home
– US Reported Statistics https://infection2020.com/
– Global Reported Statistics https://www.worldometers.info/coronavirus/
Comprehensive List of Departments of Public Health, by State. Find your state’s website for state-specific info
District of Columbia https://coronavirus.dc.gov/
New Hampshire https://www.dhhs.nh.gov/dphs/cdcs/2019-ncov.htm
New Jersey https://nj.gov/health/cd/topics/ncov.shtml
New Mexico https://nmhealth.org/about/erd/ideb/ncov/
North Carolina https://epi.dph.ncdhhs.gov/cd/diseases/COVID19.html
North Dakota https://www.health.nd.gov/coronavirus
Rhode Island https://health.ri.gov/diseases/respiratory/?parm=163
South Dakota https://doh.sd.gov/news/Coronavirus.aspx
Is it safe to go to grocery stores to buy food?
During COVID-19, take extra measures to put distance between yourself and other people to further reduce your risk of being exposed to this new virus. Although there is no evidence that COVID-19 is transferred via food, it is transferred by all the people shopping and working in a grocery store. Therefore, whenever possible, consider ways of getting food brought to your house, such as commercial food delivery services, or curbside pickup.
What are some of the grocery delivery services that people are using?
- Amazon Fresh
- Walmart Grocery
- Costco Grocery
- Google Shopping
- Amazon Prime Now
- Amazon Prime Pantry
A quick Google search of “grocery delivery services” in your area should give you a good listing of who is available.
You can find an overview of grocery delivery services at the articles below (as well as many others online):
Also, many grocery stores offer curbside pickup, which greatly minimizes interaction with others.
Does getting my groceries delivered offer foolproof protection from COVID-19?
Although it is dramatically safer than going to the store yourself, it is not foolproof. Delivery services tell their deliverers to wash their hands, practice good hygiene, and stay home when sick, but they can’t monitor them for adherence to those practices.
So how do I protect myself during home grocery deliveries?
Avoid a direct hand-off. In order to avoid having to interact with a grocery delivery person, some grocery delivery services have options in which groceries are delivered without your having to come to the door or be at home. “Unattended Deliveries” and “Leave at My Door” options are available from Prime Now, Amazon Fresh, Whole Foods Market, Instacart, Doordash, and others.
Also, you can tip electronically to avoid having to hand the delivery person money. Opportunities to tip the delivery person are included in most of the delivery apps and online ordering systems.
What precautions can I take if when picking up an online, curbside order?
The steps are basically the same for this option as for delivery. If you’ve ordered and are merely having someone put the groceries in your car in a parking lot (such as at Walmart or Kroger), consider opening your car door yourself rather than having the person bringing the items to your car touch the handle. And if you can tip on a supermarket’s app, do so rather than handing over cash.
As always, keep a social distance of 6 feet or more.
When, during the depletion of my current food supply, should I place an order with a grocery delivery service?
When using a grocery delivery service, order earlier than you usually do. It’s not a health issue, but a high demand issue. With such a spike in delivery orders, delivery times and/or items can be limited. Plan ahead.
But still, if I must go to an actual store, what should I do to protect myself and others?
- Wash your hands before and after going to the store.
- Keep a 6-foot distance from all others.
- Don’t touch something at the store and then touch your face.
- Use a sanitizing wipe to disinfect the shopping cart or basket handle. Many stores now provide wipes, but you might want to come with your own supply just in case they’re out.”
- If you have them, wear a facemask and gloves. And bring reusable grocery bags with you so you don’t need to use a cart.
How can I minimize interaction with others while shopping at a store?
- Shop at off-peak hours so it’s easier to keep a 6-foot distance from others. If you type in the store’s name and location in Google search, a box often will pop up showing when foot traffic there is highest.
- If you’re over 60, see if stores in your neighborhood are offering shopping exclusively for seniors an hour before opening to all.
- Use a credit or debit card. That way, you don’t have to hand over bills or receive change.
- If you can, use a virtual payment system like Apple Pay so that you don’t have to open your wallet at all.
- Use your own pen to sign receipts.
Is the general food supply safe?
“Currently there is no evidence of food or food packaging being associated with transmission of COVID-19.
“Unlike foodborne gastrointestinal (GI) viruses like norovirus and hepatitis A that often make people ill through contaminated food, SARS-CoV-2, which causes COVID-19, is a virus that causes respiratory illness. Foodborne exposure to this virus is not known to be a route of transmission.
“The virus is thought to spread mainly from person-to-person. This includes between people who are in close contact with one another (within about 6 feet), and through respiratory droplets produced when an infected person coughs or sneezes.”
Will there be food shortages?
“There are no nationwide shortages of food, although in some cases the inventory of certain foods at your grocery store might be temporarily low before stores can restock. Food production and manufacturing are widely dispersed throughout the United States and no widespread disruptions have been reported in the supply chain.
The US FDA “is closely monitoring the food supply chain for any shortages in collaboration with industry and our federal and state partners. We are in regular contact with food manufacturers and grocery stores.”