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med_cat: (Stethoscope)
med_cat: (Stethoscope)

Public service announcement

med_cat: (Stethoscope)
Right, folks, this is a public service announcement--

I'm sure everyone has heard this by now, but just thought I'd reiterate--

Wash your hands and/or use hand sanitizer, don't touch your face, keep 6 feet away from others, and only go somewhere if you have to.

Fresh air and exercise are always good, of course, by yourself and/or with your household members.

And of course, the usual general health measures, enough sleep, stress relief (hobbies, reading, films, virtual tours, etc.), keeping in touch with friends and family (phone, Skype, etc.), eating right, incl. fruits and vegetables, and drinking enough water.

I am not trying to sow panic, by any means, but--try not to catch this novel coronavirus--

Because, even though, yes, it causes severe disease in only a few percent of those who get infected...

...when it gets bad, it gets really bad, very very quickly.


And--yes, I'm an ICU nurse, and we're seeing cases ramp up. Quite rapidly.

Questions or comments are always welcome, via the comment feature below, or by PM.
~~
P.S. Please don't bleach your vegetables or spray yourself with Lysol. Bleach is toxic when applied/absorbed/consumed in significant amounts, both internally and externally. Wash your hands and scrub your fruits and veggies well under warm running water; that is sufficient in general.

Also, you don't have to leave your groceries outside for 3 days (what a completely daft idea!).

And you definitely shouldn't microwave your facemask to disinfect it.

Microwaving your mail is probably not a good idea either.

"If you have a face mask with no metal in it. Can you sterilize it in the microwave or with UV light for re-use?" — Van Lewis, Virginia

"Our mail is about the only thing we have coming into our home. Can we disinfect it, like by putting it in the microwave for one minute?" — Jack Elwell, California

We asked Benjamin Neuman, the chair of the Biological Sciences department at Texas A&M University at Texarkana. Neuman said there is actually some research that shows some viruses can be killed by being microwaved.

“One study from 2004 demonstrated that microwaving on high in a 900-watt microwave for as little as 5 seconds was able to inactivate a chicken coronavirus on cotton swabs,” Neuman told us via email.

But those experiments were done in a controlled lab setting, and the scientists knew exactly what they were microwaving and how much virus was on the swabs. There are a lot of unknowns in our own kitchens — how much wattage our microwaves are actually pumping out, how much virus is on the material and what that material is really made of.

“But any inactivation protocol would probably have to take into account the size and material to be sterilized," Neuman said. "And microwaving could be hard on some kinds of mail — there are some kinds of paper that print via heat rather than ink, and those would probably become unreadable if microwaved.”

Even if microwaving the virus kills it, which scientists haven't verified, there's still risk in microwaving anything other than food.

First, many masks — especially the super-effective N95 ones — have a little metal bar across the top that the wearer is supposed to use to form a seal around the top of the nose. Neuman said there's also a plastic box that holds the filter that will melt. So N95 masks absolutely cannot go in a microwave.

Second, the materials in other masks, even non-N95 masks, could be damaged by the heat of the microwave, rendering them ineffective.

Finally, mail and other paper could be damaged or even catch on fire if put in the microwave.

Some reassuring news: even though the virus lives on paper or cardboard surfaces for some amount of time, the risk of catching the virus from those surfaces is very low, according to Joseph G. Allen, an assistant professor of exposure and assessment science at Harvard University’s T.H. Chan School of Public Health. You can read his excellent op-ed on that subject here.

If you can't get past the idea of opening mail during the outbreak, the safest thing to do would probably be to quarantine it in a closet for two or three days and open it after the virus dies naturally.

Thanks to reporter Joel Achenbach for helping get to the bottom of these very good reader questions.

Comments

shirebound: (Default)
Apr. 1st, 2020 10:31 pm (UTC)
Common-sense advice is always good to reiterate!

*encouraging hugs for you and your colleagues*
med_cat: (Default)
Apr. 4th, 2020 10:18 am (UTC)
Thanks, and thanks!
Apr. 1st, 2020 10:50 pm (UTC)
This sucker seems to go from zero to sixty in 2.5 seconds. Take care of yourself.
med_cat: (Default)
Apr. 4th, 2020 10:18 am (UTC)
Yes, an odd variety of ARDS.

Thanks, you too
Apr. 2nd, 2020 03:34 am (UTC)
Thank you for the work you do; and thank you for this very informative post.

(I actually had been leaving my Amazon packages out on the balcony for three days)


I have two questions:

My face gets itches, mostly my nose but sometimes above the eyes and at the corners of my eyes. I can't not touch my face when that happens; especially when my nose needs to be blown. I try to fold a piece of paper towel or a kleenex and put it between my face and the skin of my hand. Sometimes I put a baggie over my hand and hold the kleenex or paper towel, use it against my face, then bag it up and throw it out. Am I still courting disaster? I do wash my hands frequently. I live alone, so very few people come into my home. (Just my dog walker once or twice a week, and my cleaning ladies; all of whom wash their hands before they touch anything inside my door). When I go out (just to walk my dog), I wear Nitrile gloves.

Is it possible to wash one's hands so often that protective layers or oils are stripped, rendering the hands even more vulnerable to infection? (a long shot, and I'm not trying to get out of washing my hands, but I read this on a forum somewhere, and thought I'd ask, though it sounds dubious).

med_cat: (woman reading)
Apr. 4th, 2020 10:22 am (UTC)
You are most welcome for both.

Wash your hands before you touch your face :) And if you you live alone, the risk is minimal. The advice about not touching your face is for public places, where you would have touched surfaces other people have touched.

Nor do you have to wear gloves while walking your dog; just wash your hands when you get back in. I'm guessing you're not touching any high-touch surfaces when you walk your dog.

And, yes, it's possible to over-wash or over-sanitize, whether it would make a person more vulnerable to this infection, I don't know; it does sound doubtful. It would cause problems to the hands themselves, and one could potentially get a bacterial infection (again, not terribly likely, but not impossible).

Hope this helps clarify things a bit; let me know.
Apr. 15th, 2020 07:44 am (UTC)
Actually, to go out and walk my dog, I have to pass through several areas where people have been breathing and touching; since I live in an apartment building. I've mastered the art of using my elbow to hit elevator buttons, but as the weather warms up, I won't have coats and sweaters between my body and commonly used doors, elevator walls, of my building. Will using soap and water (or hand sanitizer, if the ones I've ordered ever arrive) on my elbows mitigate the danger?

I've heard recommendations to remove one's clothes and put them in the laundry after every time one leaves one's home. Since that would necessitate my going into the common laundry room in the lobby of my building (we aren't allowed to have laundry machines in our apartments), I have been doing the laundry once a week. And I don't change my clothing every time I do a short walk - should I?

Sorry for more questions. It's hard finding individualized guidelines on the CDC website, or even from my doctors' nurses. Thank you for taking the time to help.
med_cat: (woman reading)
Apr. 16th, 2020 12:32 am (UTC)
Soap and water, or sanitizer, should work fine.

Re: clothes, there is no absolute recommendation--I'd say it depends on where you're going and how many people and/or commonly touched surfaces you're encountering. For those working in public jobs, they recommend changing clothes and showering when they come home, of course.

Hope that helps.
med_cat: (Default)
Apr. 19th, 2020 08:28 pm (UTC)

here's a good article re: laundry

Apr. 2nd, 2020 04:06 am (UTC)
I forgot, I have a third question:

At some point in the next month, I am going to run out of Clorox bleach cleaner/Clorox disinfectant wipes. I only have a half a bottle of 99% rubbing alcohol that I got months ago (I have another bottle, but it's past its expiration date). If the stores do not restock (and so far, I can't find those products anywhere, not to mention hand sanitizer), will the use of soap and water to scrub various surfaces (bathroom & kitchen counters, doorknobs, etc.) suffice to deter adherence of COVID19 germs?
med_cat: (Basil in colour)
Apr. 2nd, 2020 11:32 am (UTC)
Regular soap is fine.

Rubbing alcohol is also fine.

Any regular disinfectant (65% or more alcohol, or peroxide, or quaternary ammonium, etc.) is also fine. It doesn't have to be bleach.

Here's the full official list of disinfectants from the EPA:

https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2

Let me know if you've any further questions!
Apr. 2nd, 2020 01:19 pm (UTC)
Thank you for injecting some common sense into the YouTube that are currently doing their best to terrify everyone.
med_cat: (woman reading)
Apr. 4th, 2020 10:23 am (UTC)
You're most welcome! Feel free to share, etc.

...What is YouTube doing to terrify everyone, then? I'd not been keeping track...
Apr. 4th, 2020 01:34 pm (UTC)
I couldn't even tell you know. Urging folks to stockpile and end of the world warnings. it's not the first time we've faced major illness like this.
med_cat: (Default)
Apr. 9th, 2020 03:27 am (UTC)
Ah yes, I see. Yeah :/