If you live in an area where #COVID19 is spreading:
➡️🚫mix w people outside of your household
➡️🚫crowds & gatherings
➡️stay🏠if you can (& open🪟) as many cannot bc of essential work
➡️reconsider travel
➡️💉when you can
➡️seek help when needed
play your part
😷🤧🤚🧼↔️🪟💉
Continued....
➡️isolate if a case (& call hotline or medical provider)
➡️quarantine if a contact
➡️help others where you can, but meet outdoors instead of indoors
➡️follow local guidance
Do what you can to help yourself, family and community
Do it for you, do it for them
Be kind
Be safe
Be informed
Be prepared
Be supportive
Be alert
Be ready
Have a plan, reach out for help and give yourself a break
We are in this together, and we will get through this together
3/ Let's take a closer look at location: studies show that the risk of #SARSCoV2 transmission is higher indoors compared to outdoors, and particularly risky in indoor settings with poor ventilation, especially where people spend long periods of time. #COVID19
Meta-analysis of 54 studies with 77 ,758 participants, the estimated mean secondary attack rate (SAR) for household contacts was 16.4% (95% CI, 13.4%-19.6%) & family contacts was 17.4% (95% CI, 12.7%-22.5%)
Household and family SARs were >3 times higher than for close contacts (4.8%; 95% CI, 3.4%-6.5%; P < .001)
2/ (Preprint of this has been available for some time, & peer-review paper available in Sept) but re-sharing to make a few points still critical today.
Infection can be prevented and even 1️⃣ case is 1️⃣ case too many
From day 1, @WHO has worked to protect health workers with IPC guidance first issued in early January, <2 weeks after @WHO learned about the cluster in Wuhan, 🇨🇳
1/
Even if local areas can only focus on identifying symptomatic cases & isolate & care for them; trace & quarantine close contacts; you can eventually catch up on finding mild & asymptomatic cases because they will already be in quarantine.
3/ Remember cases have highest viral loads (appear to be most infectious) -2 days before & up to 5-7 days after symptom onset for mild/moderate patients.
Severe/critical patients (who should be cared for in hospital) can be infectious for up to three weeks & possibly longer.