[karenbooth1@BIGPOND.COM Subject: Re: COVID-19 transmission – Latest WHO updates In-Reply-To:]

HI All,

The living guidelines for the National COVID19 Clinical Evidence Taskforce
flow charts have quick guides for HP for aerosol generating procedures or
patient encounters , patient transport, as well as evidence and research
papers paper supporting the recommendations. https://covid19evidence.net.au/

Regards

Karen

Karen Booth

RN BHSCN GAICD

President APNA

Australian Primary Health Care Nurses Association

M: 0411 898 884

karenbooth1@bigpond.com

Australian Primary Health Care Nurses Association (APNA)
Level 17/350 Queen Street, Melbourne VIC 3000
p: 1300 303 184 f: (03) 9322 9599
president@apna.asn.au |
http://www.apna.asn.au

Ferguson (Hunter New England LHD)
updates

Their 9/7/2020 scientific brief is a good read in full . I’m reassured
that we are on the right track.

Transmission of SARS-CoV-2: implications for infection prevention
precautions

Airborne transmission of the virus can occur in health care settings where
specific medical procedures, called aerosol generating procedures, generate
very small droplets called aerosols. Some outbreak reports related to indoor
crowded spaces have suggested the possibility of aerosol transmission,
combined with droplet transmission, for example, during choir practice, in
restaurants or in fitness classes.

Prevention summary:

. Identify suspect cases as quickly as possible, test, and isolate
all cases (infected people) in appropriate facilities;

. Identify and quarantine all close contacts of infected people and
test those who develop symptoms so that they can be isolated if they are
infected and require care;

. Use fabric masks in specific situations, for example, in public
places where there is community transmission and where other prevention
measures, such as physical distancing, are not possible;

. Use of contact and droplet precautions by health workers caring
for suspected and confirmed COVID-19 patients, and use of airborne
precautions when aerosol generating procedures are performed;

. Continuous use of a medical mask by health workers and caregivers
working in all clinical areas, during all routine activities throughout the
entire shift;

. At all times, practice frequent hand hygiene, physical distancing
from others when possible, and respiratory etiquette; avoid crowded places,
close-contact settings and confined and enclosed spaces with poor
ventilation; wear fabric masks when in closed, overcrowded spaces to protect
others; and ensure good environmental ventilation in all closed settings and
appropriate environmental cleaning and disinfection.

The 29/6/2020 WHO update is also relevant

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-gu
idance-publications

John Ferguson
Infectious Diseases Physician, John Hunter Hospital, Newcastle, Hunter New
England Health, Microbiologist, Pathology North, NSW
Conjoint Associate Professor, University of Newcastle
T: 61 2 49214444, F: 61 2 49214440, M: +61 (0)428 885573 @mdjkf
idmic.net, aimed.net.au

_____

> on behalf of Michael Wishart
<Michael.Wishart@SVHA.ORG.AU >

Hi Elizabeth

Anyone interested in the ‘droplet vs airborne’ debate about SARS-CoV-2
transmission should read this blog:
https://haicontroversies.blogspot.com/2020/07/a-tiresome-spat.html?spref=tw

&m=1&fbclid=IwAR38FYt_TVruTnDugyPy_sjlGumOGWdii3aSWsbQ1lhFvX9jfsTMvdy4SNc

Cheers

Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

T +61 7 3326 3068 | F +61 7 3607 2226

E michael.wishart@svha.org.au |

W https://www.svphn.org.au

> On Behalf Of Elizabeth Carroll

Hello all I’m following the recent developments re-the letter to the world
health organisation flagging that COVID-19 may be transmitted by the
airborne route. Is anyone else watching this and if so what do you think the
implications will be for ICP if COVID-19 does turn out to be airborne as
well as droplet and contact? What if anything are you doing to prepare for
this possibility? I work in residential and community aged care so would
particularly be interested in your feedback if you are also involved in
these fields. Thanks very much in advance.

Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer

p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131

Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

http://www.prescare.org.au

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