Isolating in a home/hostel with no separate room or bathroom:
📌 Most recommendations on isolation assume that a separate room/bathroom is available. This is not always the case - many live in shared spaces.
In this thread we look at ways to isolate in a shared room.
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✅ Separate bedroom: If a separate bedroom is available, isolate the Covid +ve person there. Other residents have to temporarily use other rooms in the house, even if it means sleeping in the living/dining rooms. As much as possible do not share bedrooms.
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✅ No separate bathrooms: If the bathroom has to be shared with a Covid +ve person, here are some tips to minimize risk:
📌 Have an order for using the bathroom: Let the Covid +ve person use the bathroom last, after others.
📌 Sanitize bathroom after each use.
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📌 Use exhaust to provide ventilation. If bathroom has ventilator/windows - keep it open after use.
📌 Leave a gap of atleast 1 hour between use of bathroom.
📌 Sanitise any surface that has been touched.
📌 Do not keep items like brush/paste etc. inside bathroom.
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📌 Wear a mask inside a shared bathroom whenever possible.
📌 Do not share items like paste, soap, towels, bucket, mug.
📌 Consider using a spray disinfectant before using the bathroom.
📌 Ensure the Covid +ve person wears N95 mask when moving from room to bathroom and back.
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✅ No separate bedroom: This is a difficult situation to manage. This can occur in households without a separate bedroom and in shared accommodations like hostels/PGs.
📌 If there are senior citizens, see if they can be moved to another accommodation for safety.
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📌 Some state governments provide quarantine facilities for those who do not have such facilities. Call your state Covid helpline and ask for help.
📌 Ensure that all residents wear N95 masks and keep more than 6ft distance.
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📌 Do not share any items with the Covid +ve person like utensils, phone, newspaper, toiletries etc.
📌 Do not indulge in activities like loud talking, laughing, singing etc. that can increase risk of transmission.
📌 Open windows and provide adequate ventilation.
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📌 Stay away from line of air flow: It is possible that Covid19 aerosols travel further than 6ft and remain suspended in the air. This introduces a risk of transmission in a shared room. Ventilation can reduce this risk - but also carry the aerosols in the line of air flow.
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📌 To reduce this risk: (a) Ensure that all residents in a room are wearing N95 mask or a surgical + cloth mask combination. (b) Stay away from the direct line of cross ventilation in the room.
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📌 Put in place any temporary make shift partition like a curtain line if possible.
📌 Use a room sanitization spray periodically.
No safety measure is 100% fool proof, but we should try our best to minimize risk.
Now, we should stay healthy to take care of our loved ones.
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Staying healthy and safe in shared rooms is challenging and risky. But, it is what it is and we should take care of our family/friends while taking precautions, even while sharing space with them. Each one for the other.
Stay safe. We shall get through this. Together.
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📌 The tools we have to protect ourselves remain the same irrespective of the variant: Masks, Social Distancing, Hand hygiene, Ventilation.
📌 With a more virulent variant, we need to be more stringent about enforcing these safety norms at an individual and community level.
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📌 What it means for us as individuals:
➡️ Use double masks or N95s. Use of a single cloth mask should be avoided.
➡️ Avoid any kind of gatherings. This can include weddings, visits to crowded markets/tourist/religious spots. See it as a short term sacrifice!
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As per data released on 6th May, states had 1.18Cr doses of the vaccine available.
Taking the avg. peak daily vaccination rate of 36L doses/day, that translates to doses sufficient for just 3 to 4 days.
At the current avg. rate of 17L/day - it would suffice for a week.
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✅ As can be seen, the distribution between states is skewed as well. Of the 1.18Cr doses, UP alone has 11.44L doses, followed by MH with 9.98L.
✅ Let's take the eg. of KA which is recorded to have 5L doses. At 2L doses/day, this would suffice for 3 days.
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✅ KL had one of the highest utilisation of doses + 0 wastage. The state saw an avg. peak of 1.6L doses/day. With a balance of 3L doses, that translates to doses for 2 days.
The question is not whether vaccines are available. It is whether sufficient numbers are available.
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📢 DATA is critical to drive policy and communication initiatives. KA is one of the few states putting out demographic data of deceased. Data can be used to fight popular anecdotal myths.
📢 @MoHFW_INDIA PLEASE direct ALL states to release details deceased data.
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All of us have been hearing about persons testing positive after taking the vaccine, sometimes after both the shots. We are in the middle of a ravaging 2nd wave where the chances of getting infected has risen exponentially. The vaccine drive has unfortunately coincided with it.
Vaccines and persons who have had Covid19 - Few pertinent clarifications:
✅ Should a Covid survivor wait for a specific timeframe after recovery, to take the vaccine?
There is no specific guideline in India on this. As a matter of abundant caution, we recommend...
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....taking the vaccine shot atleast 30 days after diagnosis or 15 days after recovery.
While Covid survivors will have an element of natural immunity, we strongly urge them to take the vaccine for more targeted immunity.
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✅ If a person tests positive AFTER the first dose and BEFORE the second dose, can the 2nd vaccine dose be taken?
Yes, the 2nd dose can be taken. Wait till you recover. US CDC recommends the 2nd dose to be taken after the person has recovered from Covid19.
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While we hear and see distressing news on the extreme crunch of medical resources, here is a SILVER LINING:
📣 The vast majority of those who get infected will recover through treatment at home.
Here is a short thread to help you navigate home treatment 👇
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📌 When should I get tested?
(a) Within 2 to 3 days of having Covid19 symptoms. Test slots and reports are getting delayed across cities now, so plan in advance. Do not hesitate.
(b) Came in contact with a Covid19 +ve person: Test 5 days after last contact.
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📌 Not getting a slot for RT-PCR tests and I have symptoms. What should I do?
Consult a doctor. Do not delay getting treatment due to delay in test results. Doctors can advise medication based on symptoms, additional blood tests, medical condition etc.
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The effect of election campaigns in spike of Covid19 cases is best shown in the case of Kerala.
After a prolonged spike, cases were decreasing over Feb and early March 2021 in KL. TPR had dropped to around 4%.
Then, tests inexplicably dropped in the last 2 weeks of March.
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The case trajectory started to take a swift turn immediately after April 6th, the date of voting.
✅ Testing started to move up and with it, so did daily cases. Testing > 1L now.
✅ From a 7 day avg. TPR of 5.9% on April 6, 7 day TPR has spiked to 17% as of yesterday.
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✅ Active cases that were just short of 30k on April 6th, has now shot 6 times to 1.18L as of yesterday.
📣 The decreasing trajectory of cases in KL through Feb 2021 and subsequent increase immediately following the election campaign, directly points to the role played....