Coronavirus COVID-19 *Global Health Emergency* #13

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  • #681
Coronavirus College Guide: How To Avoid Getting Sick On Campus
Jill Grimes, MD, the urgent care physician at the University of Texas at Austin, offers medical advice amid heightened COVID-19 fears.

AUSTIN, TX —The dynamics of university life — living in dorms or other closed quarters, interacting daily with scores of people and attending classes in crowded, sometimes cramped rooms — have yielded heightened alarm among the college set in the wake of new coronavirus outbreak.


Enter Jill Grimes, MD, the urgent care physician at the University of Texas at Austin, in offering useful advice to students seeking to avoid infection. The respiratory ailment commanding headlines now renamed as COVID-19 is caused by a member of the coronavirus family that's a close cousin to the SARS and MERS viruses that have caused outbreaks in the past.

And on college campuses, it's causing nothing short of panic. The mother of two college-aged kids herself, Grimes has detected the fear even outside her professional physician's role, she told Patch during a telephone interview. "I'm getting texts from friends with kids in college, and they're freaking out over coronavirus," she said.

Given the lack of a vaccine or anti-viral to deal with the scourge, the fear is understandable. Moreover, a university setting is exceeded only by a daycare environment in terms of exposure to germs and constant interactions with different people, Grimes noted. Yet there are myriad, common-sense precautions that can be taken to prevent being infected, Grimes said.

"We're trying to stop people from touching their face," Grimes said succinctly in starting off the conversation. Then, she reiterated advice with the cadence of mantra: "Constant hand washing."


The face-touching avoidance is to prevent getting germs onto ones nasal passage or mouth that may have been picked up from contact with doorknobs or surfaces where the virus might lurk. Gross alert: The thing causing sickness are respiratory droplets emitted by an infected person that may carry the virus causing COVID-19.

The same advice dispensed to avoid getting the flu applies to this new virus, Grimes suggested, noting the greater threat posed by influenza than the exotic virus that's now commanding headlines. "I'm far more concerned about the flu," Grimes said. "Definitely part of my message is get your dang flu shot. We have an effective vaccine with a 45 percent efficacy, but that's better than zero." Vaccinations for treatment of the flu, she explained, don't necessarily avoid infection but lessen the severity of symptoms: "The vaccine prevent you from being hospitalized or dying."

As such, "I think the fear is certainly out of proportion to our current level of risk," she said of COVID-19. "The one thing that's scary about coronavirus versus the flu is we have no antii-viral known to work against it. It's scary because all we have is supportive treatment and not anything to kill the bug yet. But the magnitude of the flu is far more severe."


Also unknown is the life expectancy of the virus in an external setting — on desks, laptops, cell phones and other surfaces. Other versions of the virus were found to have a week-long lifetime outside the body, she said, but the longevity of COVID-19 once exposed is still unknown.

To counter the fear, she offered myriad tips on COVID-19 avoidance on campus:

  • Constant hand washing. "College students don't do some of the routine things their parents do," Grimes said. The key to avoid infection is to wash one's hands frequently. And that 20-second rule related to the length of time for hand-scrubbing is real, she agreed.
  • Cleaning your belongings. It's important for students to wipe down surfaces where their hands are in constant contact — desks in a classroom, for example. It's also important to wipe laptops and cell phones that are in constant use. "We're transmitting germs on our phone," she said. "If you have a plastic cover on it, use the wipe on the plastic.. She suggested wiping phone thoroughly with a wipe followed by drying with a paper towel. Patch asked about the effectiveness of the technique given the efficacy of anti-bacterial gels achieved with a minimum 60 percent alcohol content. Grimes' response: "My general take on that is that although we don't know specifics, wipes greatly reduce the leval of viable virus there."
  • Wash those pillowcases. One's face is sunk into a pillowcase at bedtime, making the tactics of hygiene paramount. Ideally, pillowcases should be washed once a week, she said. Short of that, twice a month is a good rule to follow. She also advised having extra, clean pillowcases on hand for the busiest of students in order to cut down on time at the laundry room.
  • Wear disposable gloves if you must. We've not reached a dystopian landscape amid COVID-19, but Grimes agreed wearing disposable gloves would prevent contact with germs. If going that route, students should take them off by inverting them carefully before disposal to avoid re-contamination. "For the intense germaphobe, disposable gloves might be the way to go," Grimes said, although adding she's not personally at that level of caution yet.
  • The myth of masks. In her recent travels, Grimes said she's seen an increasing number of people wearing surgical masks in their attempts to avoid sickness. On one recent flight, she estimates a quarter of the passengers wore the devices — but several without covering the noise, rendering the accessory pointless. The thing is, masks are more suited to those who are sick and seek to avoid infecting others by emitting their respiratory droplets into the air. "The only reason we want lay people using masks for is if they're coughing, to keep their respiratory droplets to themselves," Grimes said, adding that the top portion over the nose and the bottom part under the chin should be pinched for full effectiveness. Masks' status as as tool of prevention, however, are nil: "It doesn't prevent the teeny tiny particles that carry COVID-19," Grimes explained.
  • How about those real fancy masks? In light of the virus, some people have taken to securing heavy-duty masks of the so-called "respirator 95" variety. As the name implies, the masks block out 95 percent of the virus. But they're impractical, costly and cumbersome, she noted. "We're not recommending people wear them," she said. "They are difficult to breathe out of and they'r sweaty and uncomfortable."
The good news is college-age people are not among the most vulnerable groups to contract the virus, she said. So far, the virus has killed more men than women, and victims have largely been older people. But college students are not a monolith, among their members people with ailments such as Type 1 diabetes or who may have survived childhood cancer that render them more susceptible to infection, she noted.



What's more, she said antibacterial gel is being made available by professors for student use in classrooms, and they don't appear to be in short supply. "Most college campuses have the dispensers, and don't seem to have any shortage," she said. Additionally, those studying abroad arriving or recalled from countries of high COVID-19 concentration are carefully monitored before being returned to their dorms, she added.

On the subject of travel, Grimes said she's seen attendant fears centered on foreign students — particularly from countries with high COVID-19 cases such as China or Iran. "We're trying to dispel those fears," she said. "We're seeing bias against people from any of the infected areas. There's definitely misinformation, and a lot of fear."

With Spring Break right around the corner, students are especially advised to heed the doctor's advice. As students travel to other spots for their time off, their guards will be down as alcoholic beverages may be abundant as they seek to relax. Grimes advised students to adhere to the safety tips, but also to avoid sharing drinks during Spring Break to avoid getting infected by a carrier.

Finally, given the need to stay healthy now more than before, Grimes advised students to practice good diets, exercise and plenty of sleep. For more tips on staying healthy, Grimes referred to the healthyhorns.utexas.edu website replete with helpful advice.

As it happens, Grimes is the author of a book centered on college student's health that's set for upcoming release prepared long before the advent of COVID-19. The Ultimate College Student Health Handbook: Your Guide for Everything from Hangovers to Homesickness is available for pre-order ahead of a May 5 release from Skyhorse Publishing.

Editor's note: Don't miss the latest coronavirus updates from health and government officials in the Austin area. Sign up for Patch news alerts and newsletters for what you need to know daily.
 
  • #682
  • #683
I think the key phrase there is that they quarantining those already diagnosed with the virus?
Is it better to be quarantined around those already diagnosed with the virus? I don't know, but if it can be spread by air vents or sewage pipes, how will that help those trying to get well? Hopefully they will have medical people checking them daily, and hopefully they will be quarantined one to a room.

MOO
 
  • #684
You may be right about your chances. But for the millions who are over 50 or have a health condition, including young people, the odds aren’t as good. And when you’ve got schools closing because of the spread and major events being cancelled in first world countries, it’s clearly not like SARS.

Officials from the WHO are alarmed. CDC officials are alarmed. At first I felt like you do - this is going to be like SARS, the flu is worse and we’ve got systems in place to handle this. But not anymore.

There have only been 8,000 confirmed cases of SARS. There have only been 2,500 confirmed cases of MERS. Both had greater death rates so far. However, we now have over 90,000 cases of COVID19 and it’s spreading fast.

There have been big problems with getting information from the powers that be in the US and corporate interests are attempting to influence the dissemination of information about this crisis.

People are being made to isolate. Cruise ships are being held off port. My doctor told me to avoid travel.

At this point I am very concerned.
I am weary and frustrated by the way my friends and neighbors are not taking this epidemic seriously. I've lived a lot of years and I'm wondering what the He!! has happened to the American mentally!!!!
 
  • #685
Washington orders insurance companies to waive copays, deductibles for coronavirus testing

Washington’s insurance commissioner has issued an order requiring health insurers in the state to not charge copays or deductibles for people who require testing for the coronavirus.

Authorities also say people who have to see an out of network provider would have that visit covered as if it was within their insurance plan. The order is effective until May 4.

According to the order:

Insurers also must:
  • Allow a one-time early refill for prescription drugs.
    Suspend any prior authorization requirement for treatment or testing of COVID-19.
  • In addition, if an insurer does not have enough medical providers in its network to provide testing or treatment for COVID-19, it must allow enrollees to be treated by another provider within a reasonable distance at no additional cost.

JMO
The Federal Government needs to step in and force all insurance companies nationwide to do this.

This is the sort of thing where our tax money should be spent, so if the Federal Government has to subsidize the costs to make this happen nationwide, then please do it.

They spend and waiste so much money on other things, and when we finally need them to spend a little money on something worthwhile, its like pulling teeth to get them to do the right thing.

Kudos to the state of Washington for doing this. Not to be confused with Washington DC where our National Government officials work. For those who may not know where Washington DC is located, it is clear across the country on the East Coast. The state of Washington is on the West Coast near California. No Kudos for national officials until they make this a federal mandate for all 50 states here in the US.
 
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  • #686
Georgia

Compass Prep Academy in Canton sent a letter home to parents saying a homeschooled student in the area had been diagnosed with COVID-19, the coronavirus, and may have had contact with students inside the school.
Second metro school temporarily closes over possible coronavirus exposure

“Our belief is that all contact with the infected student and our community is secondary, through mutual students and staff,” the school said in the letter.
 
  • #687
This epidemiologist says that this virus is acting more like a bad pandemic of influenza which we have arguably experienced twice or three times in the 20th century. He says millions could potentially die from this.

 
  • #688
1918 flu pandemic. This is what it looked like.

 
  • #689
About to start.. just started. Sally is negative today, David is positive today. (Both were positive yesterday)

 
  • #690
Well, I just learned what works to start to convince close family members that there is a crisis out there. They basically have to see for themselves.

My wife just got back from a run to Walmart and I asked her if she could try to pickup some extra Clorox Wipes while she was there. She came home and said she could not get anything like that because the whole section of shelf was bare where they normally had that just a few days ago. She even looked apologetic for doubting what I have been trying to tell her that we will start to see impacts.

I was nice and didnt rub it in and just thanked her for trying. :) It was no real surprise to me that she couldnt find any.
Awwwwwwwwww, you are a good spouse. Sometimes we need to learn for ourselves. :)
 
  • #691
18 people (so far) infected from the original person; the lawyer who passed through Grand Central Station. Family members, neighbors and their family members. Schools and a university closed because of this connection.

ABC World News Tonight/ David Muir reporting.

Major hot spot - smart phones. Wash them and your hands.
 
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  • #692
NEW: Colorado has its first presumptive case of COVID-19. That means a positive test at the state lab, now headed for the CDC. Gov Polis and health officials will discuss it at 4:45pm. We'll carry it live on #9NEWS.
 
  • #693
1918 flu pandemic. This is what it looked like.

Great post. Since 1918, we've known that there would be another pandemic. We just didn't know when. But much was learned from studying the Spanish Flu.
 
  • #694
  • #695
GEORGIA

"No indication of wide community spread of #coronavirus".
Dr. Toomey with @GaDPH says they tripled the number of tests done today. (Thurs.)
She expects more cases b/c "the more tests you do the more you find." GA still stands at 2 confirmed cases. Both mild. #11Alive
 
  • #696
NEW: Colorado has its first presumptive case of COVID-19. That means a positive test at the state lab, now headed for the CDC. Gov Polis and health officials will discuss it at 4:45pm. We'll carry it live on #9NEWS.

🤬🤬🤬🤬

—-

I was just coming here to say I can’t keep up, that I’m going to have to skip some threads for now and hopefully have a chance to catch up later.

Was coming here to post this article.

Timeline: Tracking the Spread of COVID-19 in Tri-State
 
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Mandatory #coronavirus screening @ATLairport
from affected countries; both at customs, then
@CDCgov station.
So far, only 1 passenger taken to @emoryhealthcare as precaution. Test came back *negative.
Extra cleaning on planes & in airport. #11Alive
Cheryl Preheim on Twitter
 
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