The Wall Street Journal - 03.04.2020

(lily) #1

Q & A


Most people who
come down with
Covid-19 won’t be
going to the hospital.
They need to be
ready at home.

The first task is to isolate patients with
their own stash of tissues, disinfecting
wipes, paper towels, soap and warm water.
Another key piece of equipment: masks.
Patients should wear a face mask anytime
they leave their room, and these excursions
should be limited—in other words, bath-
room trips only. Anyone entering the room
should also wear a mask.
A simple surgical mask is recommended
for home use, but given shortages, you can
improvise with a scarf tied securely
around the face, says David Buchholz, se-
nior medical director at Columbia Univer-
sity Irving Medical Center. Even hardware-
store face masks used for projects like
painting or sanding are better than going
barefaced. The point is to keep the nose
and mouth well-covered, because “if the
sick person has a surprising cough or
sneeze, you may not be able to turn away
fast enough,” he says.
Tying a bandanna over the face outlaw-
style isn’t ideal because it will gape at the
chin, says Audrey Chun, a doctor in geriat-
rics and palliative medicine at Mount Sinai
Pleaseturntothenextpage

BYHILARYPOTKEWITZ


What to


Put in an


Emergency


Home-Care


Kit


hot-airandhigh-velocity air dryers.
At home,cloth towelscanbeusedbecause,
like paper towels, the mechanical action of
hand-drying removes germs. The cloth towel
can be reused if it is given time to fully dry be-
tween uses, he says. (If out in public, avoid
drying hands on cloth roller towels because
when the roll comes to an end it can transfer
pathogens to clean hands.) If someone is sick
or quarantined at home, a personal towel
should be used and laundered separately.
Another important takeaway:Hands should
be completely dried—not even damp. “The
wetter the hands, the more likely you are to
spread microorganisms,” he says. Wet hands
can also lead to cracked, chapped skin. Left un-
treated, sores or raw skin can invite and trans-
mit harmful microorganisms.
And, in case you’re wondering,drying your
hands on your pantsis a waste of time. “By do-
ing that, you’re nullifying the process of hand-
washing in the first place,” Prof. Gammon says.
“You are potentially recontaminating your hands
with what’s on your clothes.” —Beth DeCarbo

Navigating


The


Coronavirus


ISSUENo. 3


WSJ


EXTRA


Full-Time Everything


Whentheboundaries
betweenworkandfamily
disappear,balance
becomesimpossible. R2

No Coverage


Whenyouloseajob,
youalsooftenlose
healthinsurance. Here
aresomeoptions. R4

MissingConnections


Forthoseseekingjobsor
customers,theinability
tonetworkcanbe
devastating. R6

WhoIs Safe?


Peoplestruggleto
maintaininfection-free
circlesoffamilyand
friends. R7

R1


4/ 03


2020


I


fyou or a family membergets infected
with the coronavirus, it is very likely that
you’ll have to ride it out at home.
Most Covid-19 cases don’t require
hospitalization, and as intensive-care
beds fill, all but the most critical cases
are being sent home. So, people should
be prepared to care for themselves or
their loved ones under their own roof—and
that means having the right supplies to
nurse the ill patient and keep the rest of the
family healthy.
We asked doctors at top hospitals all over
the country what they would include in their
ideal Covid-19 home-care kit. We gathered
their best suggestions and advice to help you
organize your own.

Safety and cleaning
ISOLATION AND CLEANING SUPPLIES:bleach;
face masks that cover nose and mouth (surgi-
cal masks, home-improvement masks or
scarfs); gloves for entering sick room and do-
ing laundry (latex or nitrile rubber); hand sani-
tizer; laundry detergent (wash everything on
hot); nail brush; paper towels; soap; tissues.





HowTo


Inthe age of coronavirus, handwashing can
save lives. But proper hand-drying matters, too.
“It might sound pedantic, but it’s actually
critical,” says John Gammon, professor of infec-
tion prevention and control at Swansea Univer-
sity in the U.K., and the lead author of a review
of hand-drying research published in the Jour-
nal of Infection Prevention. His paper, “The Ne-
glected Element of Hand Hygiene,” examined
the effectiveness of paper towels, cloth towels
and dryers that use hot air or high-velocity air.
In a clinical situation, such as a hospital,
disposable paper towelsare generally the
quickest, most efficient and hygienic method of
hand drying. “The mechanical action of rubbing
with paper towels has an effect on reducing
microorganisms on hands,” Prof. Gammon says.
Paper towels are also less likely to spread
germs into the surrounding environment than

TheBest Way to


Dry Your Hands


EVERYDAY RISKS

Shouldwe be
wiping our
groceries down
afterweget
back from the
grocery store?

A: Doctors saygetting
the virus through the in-
gestion of contaminated
food seems unlikely, al-
though scientists are still
studying the virus. Randy
Worobo, a professor of
food microbiology at Cor-
nell University, says in-
stead of being preoccu-
pied with wiping down
packaging and containers,
focus on washing your
hands. “It’s much better
to treat your hands, wash
your hands, rather than
dealing with all the sur-
faces,” says Dr. Worobo.

Ifyou touch a
hard surface
that has the
virus on it,
and then touch
food and eat it,
can you expose
yourself to it?

A: No.Respiratory viruses
like the novel coronavirus
are believed to enter the
body and reproduce
through the respiratory
tract, not the digestive
tract. Experts say it is
possible that if the virus
rubs off from any object
to the inside of your
mouth, it could infect you
if it goes into your respi-
ratory system. But there
doesn’t appear to be any
risk of infection via your
digestive tract, according
to the Centers for Dis-
ease Control and Preven-
tion and the U.S. Depart-
ment of Agriculture.
Scientists are still
studying the virus, so
there is always the
chance they could find
otherwise. But doctors
say getting the virus
through ingestion of con-
taminated food seems
unlikely. Gregory Poland,
director of the Mayo
Clinic’s Vaccine Research
Group in Rochester,
Minn., speculates that
the gastric acid in the
stomach would kill it.
“My own speculation is
that the GI route would
be very low likelihood
compared to known and
efficient methods of in-
fection,” he says.
To be extra cautious,
you could heat food in
the oven or microwave,
though this hasn’t been
specifically studied, so
it’s unclear if there’s a
particular length of time
needed.

EMERGENCY

KIT: SONIA PULIDO; HAND DRY: RODRIGO DAMATI

ASPECIALSECTIONOF THEWALLSTREETJOURNAL.

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