NHỮNG ĐIỀU BẠN CÓ THỂ LÀM ĐỐI VỚI CORONAVIRUS

Dịch giả: Vân Anh Đỗ

(Kết hợp bài của báo The Atlantic ngày 3 tháng 3, 2020 và bài viết của BS James Robb của ĐH San Diego)

1. Không bắt tay (kinh nghiệm bản thân: nói dễ hơn làm☺️)
2. Dùng xương đốt tay hay khuỷu tay để nhấn nút thang máy, công tắc đèn, v.v..
3. Tránh dùng bàn/ngón tay để mở hay vặn nắm đấm các cửa công cộng. Dùng cơ thể, khuỷu tay, (kinh nghiệm bản thân: vạt áo), hay nếu có giấy để mở. Rất nhiều nơi bây giờ họ làm cửa đẩy ra chứ không cần kéo để mở hoặc có tay cầm.
4. Rửa tay với nước ấm, xà phòng, chà kỹ lưỡng ít nhất 20 giây; hoặc thuốc rửa khô với ít nhất 60% chất cồn. Không cần xà phòng chống vi khuẩn.
5. Tránh không sờ trên mặt (rất khó vì đa số là phản xạ tự nhiên).
6. Nên thường xuyên giặt sạch các khăn tay.
7. Dùng giấy sát trùng tất cả những nơi ta hay chạm vào: bàn ăn, countertops (tiếng Việt mình chịu thua🙂), đồ bấm TV, các loại điện thoại, các tay cầm của cửa, chìa khoá, xe đẩy trong chợ, v.v..
8. Nên để sẵn thuốc rửa khô với ít nhất 60% chất cồn ở cửa chính trong nhà và trong xe (ví dụ sau khi đổ xăng).
9. Đeo khẩu trang.
10. Nên dự trữ vừa đủ các loại thuốc, thức ăn, khẩu trang cho một khoảng thời gian không quá ngắn.
11. Nếu không tuyệt đối cần thiết, tránh du lịch, hay đến những nơi đông người (kinh nghiệm bản thân: nhất là nhà hàng không dùng muỗng đũa xài xong vứt đi.)
12. Khi có triệu chứng khác thường, nên liên lạc với BS gia đình hay trạm y tế gần nhất.
13. Quan tâm và kiên nhẫn đối với những người có thể cần giúp đỡ hơn mình.
14. Khi ho hay hắt-xì, nên dùng khăn giấy và vứt bỏ. Chỉ dùng tay áo nếu thật sự cần thiết vì vi rút có thể sống ở đó hơn 1 tuần.
15. Cần bao tay latex hay nitrite latex khi dịch bệnh bộc phát.
16. Nên mua zinc lozenges (Cold-Eeze hay các nhãn hiệu khác). Có hiệu nghiệm để chống vi rút tăng trưởng trong cổ họng và đường mũi miệng.
17. (Kinh nghiệm cá nhân mình) Kiểm trả lại tất cả giấy tờ bảo hiểm cũng như giấy tờ quan trọng liên quan đến bệnh tình, thuốc men cho mọi thành viên trong gia đình.

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The author of this coronavirus precautionary measures is James Robb, MD UC San Diego. It’s a really great read.

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

 

https://www.theatlantic.com/health/archive/2020/03/coronavirus-what-you-can-do-help-slow-outbreak/607369/

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