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Template & Sigil Prep Plan
- This has been declared a pandemic by the WHO.
- Wuhan had 4.8 beds for every 1000 people, the US has 2.3 beds.
- Our hospitals cannot cope and it’s up to us now to reduce spread and look after each other.
- There are lessons to be learned from countries that have turned this around and the US government response does not seem to be taking responsible measures.
Four phase plan
Phase 1 - Containment & Crisis Preparation
Phase 2 - Preparation for infection
Phase 3 - Hold the government accountable [2021 plans]
Phase 4 - Change the economy that allowed this to happen and take all the same measures for climate change. [2021 plans]
Time lines
Containment appears to no longer be an option. Advice from a panel at UCSF is that we move to care. We have no reason to believe the US will not be where Italy is in 2 weeks from now.
Phase 1 - Containment & Crisis Preparation [ this week starting today].
Goal - to take actions to try and prevent and slow spread, to ‘flatten the curve’
Rationale - to slow down serious cases cropping up so that the government and health care providers have
Develop new norms
Track temperature and symptoms
Prevention is our best and only mode of action. There is no vaccine and no cure and once you get this, you will be without symptoms for up to two weeks, passing it on to all your community members.
New norms save lives. Starting today:
: hand washing often and definitely on entry to the home (20 s with soap)
: once a day washing door handles, light switches and devices
: temperature tracking to detect a fever so can isolate quicker (let’s do this in a shared spreadsheet so that we can look after each other, start now bc we need baseline data)
: social distancing (no hugging, shaking hands etc)
: altered guest policy
: to put a bed down stairs in case anyone needs to isolate
CDC guidelines
- Washing hands often with soap and water for at least 20 seconds
- If soap and water are not available, using an alcohol-based hand sanitizer with at least 60 percent alcohol
- Avoiding close contact with people who are sick
- Avoiding touching your eyes, nose, and mouth
- Covering your cough or sneeze with a tissue, then throwing the tissue in the trash, and washing your hands
- Cleaning and disinfecting frequently touched objects and surfaces
- Staying home when you are sick
Roles for phase 1
Bert
- Hand washing stations at all locations
- Dispensers at all locations and signs
Eldridge
- Daily - Disinfect doors, switches and lights, surfaces - needs diluted bleach or at least 70% alcohol solution
Aaron
- Daily - Disinfect bathrooms 1x a day (bleach dilution - save all the alcohol for the medical supplies team)
Ondra ?
Bee
Print out hang washing signs and memes for good norms and place them at entry ways and bathrooms, ktivhens etc - Done! - Bee
Rachael?
Anyone else who wants a role?
Phase 2 - Preparation for infection [ make decisions by next week].
Goal - to minimise loss of life, be efficient about knowing who goes to the clinic when, keep the infected away from the uninfected and the at risk.
Rationale - we are weeks behind, containment is not apparent, we should try and learn from what china did.
Roles for phase 2
Eldridge is on the case here, Lou is helping
Theo - medical supplies and distribution
Upstairs Template - sanitized space.
: high on prevention
→ reduce chances of infection (see phase 1 above)
Downstairs Template - community quarantine space
: beds with own bathroom, entrance and kitchen area.
: totally separate from upstairs area
: china did not let people quarantine at home
: anyone with a temperature went to the community clinics
→ prepping this now.
Phase 3 - Hold the government accountable [2021 plans]
Phase 4 - Change the economy that allowed this to happen. [2021 plans]
Detection
The point here is to get early detection, so that a) you can get symptom relief and b) you can remove yourself from the main community spaces so prevent transmitting it to anyone else. So how to tell if you have allergies, cold/flu or corvid19?
- Track temperature twice a day and put in spreadsheet - allergies don’t come with a fever
- Symptoms are thought to appear between two and 10 days after contracting the virus, but it may be up to 24 days.
Day 8 or 9 - shortness of breath (comes from this interview with a ICU medic)
“The flu and the novel coronavirus, these affect other systems and the lower respiratory tract, Poland says. “You probably won’t have a runny nose, but what you might have is a sore throat, a cough, a fever or shortness of breath. So it’s a subtly different clinical diagnosis. Pay attention to your temperature: Poland says it’s very unlikely that allergies would result in a fever. They usually don’t cause shortness of breath either, unless you have a preexisting condition like asthma.”
Who has has flu jabs?
Rahel
Bee
Aaron
Can you hold your breath for 10 seconds without coughing << this is a myth don’t be fooled
Most people (about 80 per cent) recover from the disease without needing special treatment. However, around one out of every six people (16 per cent) becomes seriously ill and develops difficulty breathing.
Older people, and those with underlying medical problems like high blood pressure, heart problems, lung complaints or diabetes, are more likely to develop serious illness.
Treatment once symptoms arise
Isolate - we will create designated areas in each house, as SOON as you feel any symptoms coming on, please head to those areas.
How are patients treated during early stages of the disease?
Early stage disease is predominantly symptom based treatment and supportive care with medications to reduce fever (acetaminophen) and symptoms of cough. Adequate oral hydration is strongly recommended and self-quarantine as well.
CDC guidelines - stay home except to get medical care
People who are mildly ill with COVID-19 are able to isolate at home during their illness. You should restrict activities outside your home, except for getting medical care. Do not go to work, school, or public areas. Avoid using public transportation, ride-sharing, or taxis.
Separate yourself from other people and animals in your home
People: As much as possible, you should stay in a specific room and away from other people in your home. Also, you should use a separate bathroom, if available.
Animals: You should restrict contact with pets and other animals while you are sick with COVID-19, just like you would around other people. Although there have not been reports of pets or other animals becoming sick with COVID-19, it is still recommended that people sick with COVID-19 limit contact with animals until more information is known about the virus. When possible, have another member of your household care for your animals while you are sick. If you are sick with COVID-19, avoid contact with your pet, including petting, snuggling, being kissed or licked, and sharing food. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with pets and wear a facemask. See COVID-19 and Animals for more information.
Questions for the group
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At what point do we move all at risk people to one space to keep them safe?
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Where is our quarantine location and who can volunteer and get ready to look after them
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I’d like each person to take on one new norm settings in the house
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Who has had their flu shot? This is important to know bc if you have had it and get flu like symptoms, it’s possible that you have CV19
Underlying medical conditions that may increase the risk of serious COVID-19 for individuals of any age.
Blood disorders (e.g., sickle cell disease or on blood thinners)
Chronic kidney disease as diagnosed by your doctor. Patient has been told to avoid or reduce the dose of medications because kidney disease, or is under treatment for kidney disease, including receiving dialysis
Chronic liver disease as de ned by your doctor. (e.g., cirrhosis, chronic hepatitis) Patient has been told to avoid or reduce the dose of medications because liver disease or is under treatment for liver disease.
Compromised immune system (immunosuppression) (e.g., seeing a doctor for cancer and treatment such as chemotherapy or radiation, received an organ or bone marrow transplant, taking high doses of corticosteroids or other immunosuppressant medications, HIV or AIDS)
Current or recent pregnancy in the last two weeks
Endocrine disorders (e.g., diabetes mellitus)
Metabolic disorders (such as inherited metabolic disorders and mitochondrial disorders) Heart disease (such as congenital heart disease, congestive heart failure and coronary artery disease)
Lung disease including asthma or chronic obstructive pulmonary disease (chronic bronchitis or emphysema) or other chronic conditions associated with impaired lung function or that require home oxygen
Neurological and neurologic and neurodevelopment conditions [including disorders of the brain, spinal cord, peripheral nerve, and muscle such as cerebral palsy, epilepsy (seizure disorders), stroke, intellectual disability, moderate to severe developmental delay, muscular dystrophy, or spinal cord injury].