Treating a COVID19 patient in a shared space

This story is from a Russian scientist working in London. Auto-translated but I though it was good.

COVID19. What to do if someone gets sick at home and is not taken to the hospital, because the case is not the worst?

Yesterday, closing the laboratory for an indefinite, possibly very long time, I thought that we all – physiologists, immunologists, virologists, microbiologists and epidemiologists, along with surgeons and infectious disease specialists – had unique knowledge … I turned off the laminar, twisted the carbon dioxide cylinder , drained the incubator and the water bath, pulled out the plugs of all centrifuges, weights, stirrers and other things, did the hands, and it turned in my head that the University of Cambridge was quarantined many times in 800 years. Those epidemics of the plague have passed, and this one will pass … And yet it is the twilight of mankind, and no matter how many times they come, and whatever name they carry – cholera, plague, foot and mouth disease, AIDS, COVID19 – the invisible enemy is scary and paralyzing, it seems that he is everywhere and can attack at any moment. But in fact, in war as in war, the enemy also has Achilles heels,
So what should I do if someone starts coughing in the house and his temperature rises? And you suspect it might be COVID19? How to minimize the likelihood of infection of everyone else, but at the same time be able to care for the patient?

1. Immediately provide the patient with a separate room. If your apartment consists of one room and a kitchen, move to the kitchen, and leave the room for him. Remove from this room all the things that you may need — your clothes from the closet, from the table — a computer, etc. Wipe cleaned items with a cloth dampened in detergent, then wipe dry. It is very important. Where there is water, the infection lives longer.
Therefore, rule number one – wipe everything dry.
Rule two – if you are afraid that the patient touched the clothes, then it can be ironed – the virus dies at 56C or 133F.
1a. After you have isolated the patient in a separate room, disinfect the whole house if possible. Do not vacuum in any case, only wet cleaning with disinfectants, see point 7. It is better to remove carpets from all rooms right now, so as not to suffer. Those with carpeted floors are only cleaned with a hot vacuum cleaner. Quartz and other ultraviolet lamps will help you a lot if you have them. Ultraviolet light C (any radiation wavelength from 100 to 280 nm) perfectly kills the virus.
2. There should be a lot of drink in the patient’s room – thermoses with hot water or a kettle. A lot of big bottles of cold water. A lot, because with illness you have to drink a lot, and you should not run there with every cup.
3. Get a double bag in the room to collect garbage (napkins, food debris, etc.). In England, the collection of the murder of patients with COVID19 occurs separately from the main garbage, in Russia – I do not know. In any case, the garbage should be very tightly packed and tied up when you throw it away. Garbage is a source of infection for both you and other people.
4. Open a double bag for collecting dirty laundry in the room. The virus, as already mentioned, dies at 56C or 133F, so wash the patient’s things at 60 degrees and above. If your things can withstand such a washing temperature – you can wash them together with the things of the patient.
5. The room should contain all the medicines. Most likely, the infection will get stuck in the trachea or bronchi, so collect everything that you usually use with bronchitis in a separate box and place it in the patient’s room. And all the medicines with which you treat colds, and all the antipyretic drugs – collect everything and take it to this room. Do not run around the house and into the patient’s room with every tablet or spoon of medicine. Put ants for brewing tea in the patient’s room, too.
6. Get the patient a set of dishes and also keep it in the room. Not one cup, plate, spoon, but several. A person is sick – do not be greedy , he will not manage one cup. When he stains a lot of dishes, then bring them to wash (do not run around the house with every dirty spoon, I beg you!). The dishes can be washed with your dishes in the dishwasher if it washes with water above 56C or 133F. If you wash the dishes in the sink, pour the patient’s dishes with boiling water for 5 minutes, then wash with detergent. Then disinfect the sink.
7. About disinfectants. Detergent washes the virus well. Chlorine is good, it also perfectly kills this virus. And of course, 70% alcohol is also wonderful; it kills this virus in 30 seconds. An article appeared on the Bioarchive that the virus also kills ordinary vodka, but it has not yet been reviewed. Reviewed – we will know for sure. In the meantime, you can use vodka if there is no alcohol, detergent and bleach, but suddenly there is vodka . Just do not mix it up – use it externally, not inside  . And wipe all surfaces after vodka dry.
8. If you had the urge to wash the floor in the patient’s room (you’d better refrain from any cleaning in his room, I swear), but if it’s impatient, wipe the surfaces with detergents and disposable rags and napkins. And throw them in the same double garbage bag that stands in the patient’s room.
9. But it is necessary to ventilate the patient’s room. And do not open the window, but arrange a real draft. Let the patient lie down for 3 minutes under the covers. Do not stand on this draft yourself – he blows out the infection, you do not need to cling to it.
10. How to enter the patient’s room ?. Oh, get ready, this is a whole process, you will always need 3 minutes to do this. A long-sleeved robe on a carnation on the inside of the story. Preferably not fluffy. Put gloves next to them. And if you are so unlucky in life that you have excellent eyesight, then sunglasses. All other bespectacled men can and should use their day vision devices – Remove the lenses until better times. And the mask, of course. Because it is unlikely that your patient will agree to be masked all the time, 24 hours a day. If you agree – honor and praise be to him, it will be happiness. But old people and children are intractable. They are stuffy, tickled, hurt, uncomfortable coughing and sleeping in a mask, and they can be understood. So wear the mask yourself. We entered the room, put on gloves, a bathrobe, glasses, a mask. Children should like this ghost very much. Wouldn’t the kerchief hurt your hair? – Men, you also very fit this outfit! Now you can read a book to them, measure the temperature, dilute the seagull, make a cough massage, feed and sing a song. It would be better if you didn’t sit there for a long time, but how will it turn out …
11. How to leave the patient’s room? In reverse order . Remove sun-protection glasses, a scarf, a dressing gown, gloves, a mask, leave them in the room on the door on the carnation and go out. [It would be nice to throw the mask into a double bag for rubbish, and the rudder too if you have a disposable supply. It would be better to make a transitional gateway from the patient’s room to the common space and keep a bathrobe and stuff there]. How did you get out – immediately go to the bathroom, wash your face, glasses and hands with soap. And eat the candy, you are well done, you are already almost a microbiologist, virologist, physiologist and immunologist combined! Keep it up!
12. The general rule for all entertainment items – that the patient’s room is missing. Books from his room cannot be taken out at all. And soft toys too. Do not take out anything made of cloth, cardboard and paper. Do not run around the house, showing everyone his children’s drawing. The child will recover, the virus will die in 2-3 days – then you will boast. Washable toys would also be better not to endure, but if it is impatient, then wash them with soap or bleach. Or vodka – what do you have there for such cases. IPad and other computer toys would be better if it were his individual. But if you really need to make it, then wipe it with 70% alcohol. Not vodka. If there is no alcohol – do not take it. Once again, that fell into the patient’s room, it disappeared.
13. Bathroom and toilet – there is an ambush. It’s good when the patient has his own bathroom and toilet. Because the bastard virus in the intestine lives as well as in the lungs. Therefore, if it so happened that you share a bathroom with a patient and a toilet, then you will have to wash the toilet with bleach every time, and the bath and sink also with bleach or detergent. Wipe handles and switches with disposable wipes. And get him separate towels, and soak them at 60C or higher.
14. Well, the last. Both you and the patient need to sleep well. Nothing destroys immunity like bad sleep. Therefore, use all the sedatives that you usually take if you are nervous and cannot fall asleep. I’m getting around valerian.

I do not think the list is complete. I will add if I remember or read something.
Do not be ill. And get sick – fight!

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