Subject: CORONA VIRUS PRECAUTIONS
From a friend -
The best advice available from the doctor who has studied coronaviruses for 30 years.
Date: February 26, 2020 at 2:35:50 PM EST
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