This is long, but a lot of good information that I never thought about.
Got this via a friend. It contains lots of great and very calm info about corona virus. Worth the read! The author is James Robb, MD UC San Diego
Subject: What I am doing for the upcoming COVID-19 (coronavirus) pandemic
Dear Colleagues, as some of you may recall, when I was a professor of pathology at the University of California San Diego, I was one of the first molecular virologists in the world to work on coronaviruses (the 1970s). I was the first to demonstrate the number of genes the virus contained. Since then, I have kept up with the coronavirus field and its multiple clinical transfers into the human population (e.g., SARS, MERS), from different animal sources.
The current projections for its expansion in the US are only probable, due to continued insufficient worldwide data, but it is most likely to be widespread in the US by mid to late March and April.
Here is what I have done and the precautions that I take and will take. These are the same precautions I currently use during our influenza seasons, except for the mask and gloves.:
1) NO HANDSHAKING! Use a fist bump, slight bow, elbow bump, etc.
2) Use ONLY your knuckle to touch light switches. elevator buttons, etc.. Lift the gasoline dispenser with a paper towel or use a disposable glove.
3) Open doors with your closed fist or hip - do not grasp the handle with your hand, unless there is no other way to open the door. Especially important on bathroom and post office/commercial doors.
4) Use disinfectant wipes at the stores when they are available, including wiping the handle and child seat in grocery carts.
5) Wash your hands with soap for 10-20 seconds and/or use a greater than 60% alcohol-based hand sanitizer whenever you return home from ANY activity that involves locations where other people have been.
6) Keep a bottle of sanitizer available at each of your home's entrances. AND in your car for use after getting gas or touching other contaminated objects when you can't immediately wash your hands.
7) If possible, cough or sneeze into a disposable tissue and discard. Use your elbow only if you have to. The clothing on your elbow will contain infectious virus that can be passed on for up to a week or more!
What I have stocked in preparation for the pandemic spread to the US:
1) Latex or nitrile latex disposable gloves for use when going shopping, using the gasoline pump, and all other outside activity when you come in contact with contaminated areas.
Note: This virus is spread in large droplets by coughing and sneezing. This means that the air will not infect you! BUT all the surfaces where these droplets land are infectious for about a week on average - everything that is associated with infected people will be contaminated and potentially infectious. The virus is on surfaces and you will not be infected unless your unprotected face is directly coughed or sneezed upon. This virus only has cell receptors for lung cells (it only infects your lungs) The only way for the virus to infect you is through your nose or mouth via your hands or an infected cough or sneeze onto or into your nose or mouth.
2) Stock up now with disposable surgical masks and use them to prevent you from touching your nose and/or mouth (We touch our nose/mouth 90X/day without knowing it!). This is the only way this virus can infect you - it is lung-specific. The mask will not prevent the virus in a direct sneeze from getting into your nose or mouth - it is only to keep you from touching your nose or mouth.
3) Stock up now with hand sanitizers and latex/nitrile gloves (get the appropriate sizes for your family). The hand sanitizers must be alcohol-based and greater than 60% alcohol to be effective.
4) Stock up now with zinc lozenges. These lozenges have been proven to be effective in blocking coronavirus (and most other viruses) from multiplying in your throat and nasopharynx. Use as directed several times each day when you begin to feel ANY "cold-like" symptoms beginning. It is best to lie down and let the lozenge dissolve in the back of your throat and nasopharynx. Cold-Eeze lozenges is one brand available, but there are other brands available.
I, as many others do, hope that this pandemic will be reasonably contained, BUT I personally do not think it will be. Humans have never seen this snake-associated virus before and have no internal defense against it. Tremendous worldwide efforts are being made to understand the molecular and clinical virology of this virus. Unbelievable molecular knowledge about the genomics, structure, and virulence of this virus has already been achieved. BUT, there will be NO drugs or vaccines available this year to protect us or limit the infection within us. Only symptomatic support is available.
I hope these personal thoughts will be helpful during this potentially catastrophic pandemic. You are welcome to share this email. Good luck to all of us! Jim
James Robb, MD FCAP
Carl Goldman is the owner of KHTS radio in Santa Clarita, Calif.
Feb. 28, 2020 at 2:53 p.m. PST
I have the coronavirus. And it hasn’t been that bad.
I am in my late 60s, and the sickest I’ve ever been was when I had bronchitis several years ago. That laid me out on my back for a few days. This has been much easier: no chills, no body aches. I breathe easily, and I don’t have a stuffy nose. My chest feels tight, and I have coughing spells. If I were at home with similar symptoms, I probably would have gone to work as usual.
I caught the virus on the Diamond Princess, the cruise ship that was quarantined outside Yokohama for 14 days, at the end of a 16-day cruise I took with my wife, Jeri. When I left the ship a couple of weeks ago, I felt fine. We checked our temperatures throughout our quarantine. Jeri and I got a swab test for the virus. Our temperatures were normal; they’d get the swab results back in 48 hours. Our test results had not arrived before we boarded buses for the airport, where two U.S. government planes waited for us.
As we took off from Tokyo, I had a bit of a cough, but I chalked it up to the dry air in the cabin. I felt pretty tired — but who wouldn’t, in our situation? I dozed off.
When I woke up, I had a fever. I made my way to the back of the cargo plane, where the Air Force had set up a quarantine area cordoned off with sheets of plastic. They took my temperature. It was over 103 degrees. So I took a seat in the quarantine area and fell back asleep until we touched down in California, at Travis Air Force Base.
Officials from the Centers for Disease Control and Prevention came onto the plane and said that three of us who had been cordoned off would fly to Omaha (with our spouses, if they wanted to come along). The CDC had a quarantine location at the University of Nebraska’s hospital. We arrived on Feb. 17, greeted by a fleet of ambulances and police cars. Officials put me on a stretcher and wheeled me into a van, which made for a very dramatic scene. I easily could have walked myself, despite my exhaustion.
On the hospital campus, they put me in a biocontainment unit. The space was sealed off, with two double-paned windows that looked out on the hallway, and a large, heavy, insulated door. Two cameras watched me at all times; a set of computer monitors were equipped with microphones, so that the medical staff and I could communicate with CDC officials at central command down the hall. The room had last been used for the Ebola outbreak in 2014.
A doctor and nurses reviewed my case with me and took a bunch of lab tests. They wore heavy-duty hazmat suits sealed with duct tape and equipped with motors that helped with air circulation. It looked like something out of “The Andromeda Strain.” When the test came back a few hours later, I wasn’t surprised to learn that I had the coronavirus. Later, the Tokyo swab confirmed the result — I had caught the virus even before I left the ship.
It didn’t scare me too badly. I knew my number was up. The way I saw it, I was going to get stuck in at least 14 more days of quarantine, even if I didn’t get the virus. So many fellow passengers had come down with the illness, including one of my friends, that I’d gotten somewhat used to the idea that I might catch it, too. My wife, however, tested negative and headed to quarantine at a separate facility a few blocks away. After those days being cooped up on the ship together, I think we both relished the alone time; we still could communicate through our phones.
During the first few days, the hospital staff hooked me up to an IV, mostly as a precaution, and used it to administer magnesium and potassium, just to make sure I had plenty of vitamins. Other than that, my treatment has consisted of what felt like gallons and gallons of Gatorade — and, when my fever rose just above 100 degrees, some ibuprofen. The nurses came to the room every four hours or so, to check my vitals, ask if I needed anything and to draw my blood. I got very good at unhooking all the monitors checking my oxygen level, blood pressure and heart rate so I could go to the bathroom or just pace around the room a little, to get my blood flowing. I never quite got the hang of hooking them back up without making a tangled mess. After 10 days, I moved out of biocontainment and into the same facility as Jeri. Now we can videochat from our separate quarantines, in neighboring rooms.
As of my most recent test, on Thursday, I am still testing positive for the virus. But by now, I don’t require much medical care. The nurses check my temperature twice a day and draw my blood, because I’ve agreed to participate in a clinical study to try to find a treatment for coronavirus. If I test negative three days in a row, then I get to leave.
The time has passed more quickly than I would’ve expected. With my laptop, I get as much work done as I can, remotely. I catch up with friends. I take walks around my room, trying to take a thousand more steps each day. I also watch the news. It’s surreal to see everyone panic — news conferences, the stock market falling, school closures — about a disease I have. It does seem likely that coronavirus will spread in the United States, but it won’t help anybody if we all panic. It’s true that the disease seems much more likely to be fatal for older people and those in poor health. I’m relatively fortunate: I’m still younger than the most at-risk groups, and I’m in good shape, giving me less cause for alarm. Others who contract the virus won’t be as lucky. At least six Diamond Princess passengers have died from the disease, of around 705 passengers who caught it.
Still, coronavirus doesn’t have to be a horrible calamity. Based on my experience, I’d recommend that everyone get a good digital thermometer, just as a comfort tool, so they can reassure themselves if their noses start running.
If you told me when I left home in January that I wouldn’t be back until March — that, instead, I would be confined for more than 24 days because I’d catch a novel virus at the center of what could become a pandemic — that would have completely freaked me out. But now that it’s happening, I’m just taking it one day at a time.
As told to Washington Post editor Sophia Nguyen.
(I bet she has survived quite a bit in her long life!)
