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Quarantine and self care at home

kiwibird

Editor, Senior Moderator
As we are starting to see increasing numbers of people self isolating this guide from CDC give some good advice;
https://www.cdc.gov/coronavirus/mers/hcp/home-care-patient.html

It is not specific to nCoV but we can add to the guidance as it becomes available.

[h=2]Prevention Steps for People Confirmed to Have, or Being Evaluated for, MERS-CoV Infection[/h]
If you are confirmed to have, or being evaluated for, MERS-CoV infection you should follow the prevention steps below until a healthcare provider or local or state health department says you can return to your normal activities.

Stay home
You should restrict activities outside your home, except for getting medical care. Do not go to work, school, or public areas, and do not use public transportation or taxis.

Separate yourself from other people in your home
As much as possible, you should stay in a different room from other people in your home. Also, you should use a separate bathroom, if available.

Call ahead before visiting your doctor
Before your medical appointment, call the healthcare provider and tell him or her that you have, or are being evaluated for, MERS-CoV infection. This will help the healthcare provider’s office take steps to keep other people from getting infected.

Wear a facemask
You should wear a facemask when you are in the same room with other people and when you visit a healthcare provider. If you cannot wear a facemask, the people who live with you should wear one while they are in the same room with you.

Cover your coughs and sneezes
Cover your mouth and nose with a tissue when you cough or sneeze, or you can cough or sneeze into your sleeve. Throw used tissues in a lined trash can, and immediately wash your hands with soap and water for at least 20 seconds.

Wash your hands
Wash your hands often and thoroughly with soap and water for at least 20 seconds. You can use an alcohol-based hand sanitizer if soap and water are not available and if your hands are not visibly dirty. Avoid touching your eyes, nose, and mouth with unwashed hands.

Avoid sharing household items
You should not share dishes, drinking glasses, cups, eating utensils, towels, bedding, or other items with other people in your home. After using these items, you should wash them thoroughly with soap and water.

Monitor your symptoms
Seek prompt medical attention if your illness is worsening (e.g., difficulty breathing). Before going to your medical appointment, call the healthcare provider and tell him or her that you have, or are being evaluated for, MERS-CoV infection. This will help the healthcare provider’s office take steps to keep other people from getting infected. Ask your healthcare provider to call the local or state health department.

Top of Page [h=2]Prevention Steps for Caregivers and Household Members[/h]
If you live with, or provide care at home for, a person confirmed to have, or being evaluated for, MERS-CoV infection, you should:
  • Make sure that you understand and can help the person follow the healthcare provider’s instructions for medication and care. You should help the person with basic needs in the home and provide support for getting groceries, prescriptions, and other personal needs.
  • Have only people in the home who are essential for providing care for the person.
    • Other household members should stay in another home or place of residence. If this is not possible, they should stay in another room, or be separated from the person as much as possible. Use a separate bathroom, if available.
    • Restrict visitors who do not have an essential need to be in the home.
    • Keep elderly people and those who have compromised immune systems or certain health conditions away from the person. This includes people with chronic heart, lung or kidney conditions, and diabetes.
  • Make sure that shared spaces in the home have good air flow, such as by an air conditioner or an opened window, weather permitting.
  • Wash your hands often and thoroughly with soap and water for at least 20 seconds. You can use an alcohol-based hand sanitizer if soap and water are not available and if your hands are not visibly dirty. Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Wear a disposable facemask, gown, and gloves when you touch or have contact with the person’s blood, body fluids and/or secretions, such as sweat, saliva, sputum, nasal mucus, vomit, urine, or diarrhea.
    • Throw out disposable facemasks, gowns, and gloves after using them. Do not reuse.
    • Wash your hands immediately after removing your facemask, gown, and gloves.
  • Avoid sharing household items. You should not share dishes, drinking glasses, cups, eating utensils, towels, bedding, or other items with a person who is confirmed to have, or being evaluated for, MERS-CoV infection. After the person uses these items, you should wash them thoroughly (see below “Wash laundry thoroughly”).
  • Clean all “high-touch” surfaces, such as counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables, every day. Also, clean any surfaces that may have blood, body fluids and/or secretions or excretions on them.
    • Read label of cleaning products and follow recommendations provided on product labels. Labels contain instructions for safe and effective use of the cleaning product including precautions you should take when applying the product, such as wearing gloves or aprons and making sure you have good ventilation during use of the product.
    • Use a diluted bleach solution or a household disinfectant with a label that says “EPA-approved.” To make a bleach solution at home, add 1 tablespoon of bleach to 1 quart (4 cups) of water. For a larger supply, add ? cup of bleach to 1 gallon (16 cups) of water.
  • Wash laundry thoroughly.
    • Immediately remove and wash clothes or bedding that have blood, body fluids and/or secretions or excretions on them.
    • Wear disposable gloves while handling soiled items. Wash your hands immediately after removing your gloves.
    • Read and follow directions on labels of laundry or clothing items and detergent. In general, wash and dry with the warmest temperatures recommended on the clothing label.
  • Place all used gloves, gowns, facemasks, and other contaminated items in a lined container before disposing them with other household waste. Wash your hands immediately after handling these items.
  • Monitor the person’s symptoms. If they are getting sicker, call his or her medical provider and tell him or her that the person has, or is being evaluated for, MERS-CoV infection. This will help the healthcare provider’s office take steps to keep other people from getting infected. Ask the healthcare provider to call the local or state health department.
  • Caregivers and household members who do not follow precautions when in close contact[SUP]2[/SUP] with a person who is confirmed to have, or being evaluated for, MERS-CoV infection, are considered “close contacts” and should monitor their health. Follow the prevention steps for close contacts below.
 
http://www.mychinanews.com/news/n/1/2414558
Yangtze River Daily-Yangtze River Network February 6th On February 6th, Hubei Province held a regular press conference on the prevention and control of new coronavirus infection and pneumonia. Some netizens asked how to disinfect after going home after shopping, and Tong Yeqing, deputy director of the Institute of Infectious Disease Control of Hubei Provincial Center for Disease Control and Prevention, gave advice.

According to Tong Yeqing, after going home to buy vegetables, first remove the mask, fold it tightly, put it in the trash, and wash your hands with running water. It is best to sterilize the surface of coats, shoes, including soles, and shopping bags by spraying the surface with 75% alcohol.

When performing household disinfection, first of all, keep the home ventilated, and ensure that it is ventilated in the morning and evening every day for at least 30 minutes each time, so that indoor air and outdoor air can be circulated. Household environment and articles are mainly clean, supplemented by preventive disinfection.

How to do home disinfection? Before household disinfection, clean your hands, wear household rubber gloves or disposable latex gloves and masks, and prepare a 1: 100 dilution of 84 disinfectant. For countertops, door handles, telephones, switches, kettles, handles and other commonly contacted surfaces, use 1: 100 84 disinfectant thinner to wipe and disinfect; use the floor to wipe disinfection method, also use 1: 100 84 disinfectant, the action time is 30 minutes, and then clean with clean water; for ordinary fabrics such as towels, clothing, quilts, etc., first soak with hot water, and then use a special laundry detergent disinfectant for soaking and washing, and Rinse well with water. After cleaning and disinfection, the relevant disinfection tools should be washed immediately, such as mops, rags, etc. to avoid secondary pollution, and then remove masks, gloves, and wash hands in order.

Boil and sterilize the tableware and tea set. The boiling time is generally 15 minutes to 30 minutes, or use a disinfection cabinet.
 
Ideas to help reduce cross contamination;
Big bags for laundry to transfer textiles directly into washing machine
Obviously alcohol gel or sanitizing soap
Gloves to handle dishes, uneaten food etc., being careful not to touch anything with gloves on - including dishwasher door and racks.
A fan to blow air into the room the quarantined person is occupying
A strip of tape across the floor as a visual reminder not to enter the room (or leave it)
....
Please add any other ideas. It is a big responsibility to care for someone who may have been infected - especially when you have no medical training.
 
If you’re able to do delivery then having things delivered and left at your door is excellent. Amazon has grocery delivery in larger cities. Several other chains also do this for a small fee. Also, When we all had the flu our neighbor left items on the fence for us that was helpful (yes we all vaccinated but flu B didn’t care).

I cannot emphasize enough for calling ahead to your doctor if you need to be seen. We let patients know with high risk diseases where to go and what to do as well as alert staff to be ready. You can also call your doctor for advice on what to do with symptoms.
 
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