The crisis is the #PPE shortage that many U.S. medical centers face
(due to abject failure of federal leadership).
A systematic review “Infection Prevention in the Emergency Department” w/ Dr. Stephen Liang
“All 41 health care workers were placed under home isolation for 2 weeks, with daily monitoring for [Sx]. In addition, they had NP swabs scheduled on day 1 of home isolation, & 2nd swab on day 14 after exposure.”
“NONE of the exposed health care workers developed symptoms, and all PCR tests were negative
March 26, “Transmission Potential of SARS-CoV-2 in Viral Shedding Observed at the University of Nebraska Medical Center”
NOTE: ***pre-print = no peer review, meaning anything besides methods is sorta like this thread***
…let’s dig deeper
For airborne transmission they collected “high volume air samples, and low volume personal air samples”
What about infectivity? They did cell-culture
“Taken together, these data indicate significant environmental contamination in rooms where patients infected w SARS-CoV-2 are housed & cared for, regardless of the degree of symptoms or acuity of illness.”
need cleaning & HH!
The 2 studies suggesting airborne transmission showed RNA particles can be amplified from air, but didn't infect live cells or humans.
Verdict: not enough evidence=uncertainty
@AtulGawande wrote an article “Keeping the Coronavirus from Infecting Health-Care Workers: What Singapore’s and Hong Kong’s success is teaching us about the pandemic” in which he reviewed the infection prevention practices in Singapore & HK.
Why so important? Bc in U.S. we are conserving N95 masks, so WE DON”T RUN OUT.
GREAT QUOTE! HCW psychology key
but what N95 shortage?
We want someone to blame.
There are people to blame --the federal leaders who did not do their jobs preparing our country, and delayed us locally in doing ours.
When me get more masks, I will re-examine.
good short article about what to do if you face N95 article
"This One Is for the Health Workers at the Front Lines"