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QUOTE FOR TUESDAY:

“Multiple sclerosis (MS) involves an immune-mediated process in which an abnormal response of the body’s immune system is directed against the central nervous system (CNS).  The CNS is made up of the brain, spinal cord and optic nerves.

Within the CNS, the immune system causes inflammation that damages myelin — the fatty substance that surrounds and insulates the nerve fibers — as well as the nerve fibers themselves, and the specialized cells that make myelin.”

National Multiple Sclerosis Society

QUOTE FOR MONDAY:

Brain Injury Awareness Challenges come across Significant Deficits in Memory provide the most significant barrier to developing Intellectual Awareness/Self-Knowledge.

In Emergency Awareness Episodes these are times of difficulty recognizing a problem while it is actually happening; trouble monitoring the connection between actions and environment and deficits at this level are the MOST FRUSTRATING to caregivers and clinicians.”.

Neuro Institute Continuing Education for Rehabilitation Professionals (https://www.neurorestorative.com)

 

 

QUOTE FOR THE WEEKEND:

“Check your health insurance to see if it includes international travel coverage, the CDC recommends. Also, consider travel health insurance and medical evacuation insurance. The CDC estimates that — without insurance, a medical evacuation can $100,000 or more.”

Consider traveling in the U.S.!

CDC Centers of Disease and Control Prevention

68 U.S. Cases now as of Friday now, no cure to Corona Virus but know the preventions!

The corona virus spreads continues to grow around the globe, there are steps you can take to protect yourself and your family.

“I told my children that while I didn’t think that they were at risk right now, we, as a family, need to be preparing for significant disruption of our lives,” says Dr. Nancy Messonnier of the Centers for Disease Control and Prevention.

The CDC plans to expand testing across the U.S. as a preventative measure.

Currently, if you live in the U.S. the risk of getting the virus remains very low, but public health officials say there will likely be outbreaks in the United States. So this is a good time to review your emergency game plan.

Here’s what you need to know to make good decisions to plan, prepare and even prevent the spread of the disease.

1. This virus is contagious, but it’s not as deadly as other outbreaks

In China, more than three quarters of the cases have been classified as mild. Symptoms include low-grade fever and a cough. Some people also experience fatigue, headaches and, less frequently, diarrhea.

Overall, the death rate in China is estimated at 2 percent, and the average age of death among those with COVID-19 is in the 70’s. People with underlying medical problems, and particularly smokers, seem to be at higher risk.

Compared to prior outbreaks of novel viruses, this coronavirus appears less deadly than other human coronaviruses that have spread in recent years. For instance, the death rate was about 34% for MERS, and about 10% for SARS.

The flu causes more than 12,000 deaths a year in the U.S. An annual vaccine is the most effective way to prevent flu, but there are other strategies to prevent it. So far, there’s no vaccine against the new coronavirus, but some of the same strategies to prevent flu can also protect against coronavirus.

2. To fend off coronavirus, follow flu prevention tips

The top tip: Wash your hands. Why? Viruses can spread from person to person via respiratory droplets. When an infected person coughs or sneezes, close contacts can be infected. In addition, the virus can end up on door knobs, elevator buttons and other surfaces. If you touch those surfaces then touch your eyes, nose or mouth, you can become infected.

This is why it’s important to wash rigorously. Here’s the CDC’s guidance.

“Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.”

“Americans are friendly. We not only shake hands, we also hug. These are ways we can transmit the virus,” Katz says. She recommends an elbow bump.

Here’s 5 more things to remember, per the CDC:

  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.

3. Don’t panic — start to prepare

This is not the time to panic, but it is a time to prepare – good old fashioned preparedness planning for your family,” says Rebecca Katz, who directs the Center for Global Health Science and Security.

Think about the threat of a possible outbreak in your community the way you’d think about a big snowstorm or a hurricane. If it never hits, great. But if it does, you’ll be glad you prepared.

Don’t hoard, but do stock your cupboards with some extra food and cleaning supplies. Each time you grocery shop, buy a few extra items. Shelf stable foods such as beans and rice are good options. Also, utilize your freezer to preserve foods, everything from meats and vegetables to cooked grains and bread. Think about having enough on hand to last a few weeks.

  • Check the medicine cabinet to ensure you have basic medications such as aspirin or ibuprofen.
  • Think about a back up plan if schools were to close during an outbreak.
  • If you take a daily prescription medication, have as much of a supply on hand as possible.
  • Ask your employer about a work-from-home option.

“If there’s widespread virus in your community, you may not want to go to the [store]. You may want to distance yourself from others,” Katz says.

4. The uncertainty of masks to prevent illness

Overall, there’s not conclusive evidence that wearing a face mask can help prevent people from being infected by the virus. And public health officials give mixed messages about usefulness for the general public. As we’ve reported, masks may not fit the face tightly, so you’re still able to breath in infected droplets. And, experts worry that masks can give a false sense of security.

Health care providers are trained to use masks properly, and there’s evidence that they’re effective in clinical settings. For people at home, the CDC recommends using masks in certain situations. For instance, if you’re caring for an infected person at home, the proper use of masks can protect the caregiver.

5. Be smart about travel

The CDC updates its travel advisory information frequently. The federal government uses a 4 level scale to rank risk. Level 1 = lowest risk, Level 4, highest.

For Italy, where there’s been sustained spread of the novel coronavirus, there’s now a Level 2 Alert. The CDC advises that older adults and those with chronic medical conditions should consider postponing nonessential travel. “Travelers should avoid contact with sick people and clean their hands often by washing with soap and water for at least 20 seconds or using an alcohol-based hand sanitizer with 60%–95% alcohol.”

Check your health insurance to see if it includes international travel coverage, the CDC recommends. Also, consider travel health insurance and medical evacuation insurance.

The CDC estimates that — without insurance, a medical evacuation can $100,000 or more.

If you’ve planned a cruise or overseas travel consider the possibility of travel disruptions in the event of an outbreak. “Think about the consequences of being caught on ship or over a border when decisions are being made,” that could limit or disrupt your travel without much warning says Christopher Mores of George Washington University. If you were quarantined, what would your back-up plan be for your work and family responsibilities back home? This is definitely something to consider.

QUOTE FOR FRIDAY:

Affected Geographic Areas with Widespread or Sustained Community Transmission (Remember Widespread or Sustained and the U.S. is not a widespread yet).

Last updated February 26, 2020

  • China
  • Iran
  • Italy
  • Japan
  • South Korea”

 World Health Organization

Corona virus is now in California but don’t panic!

Image result for Coronavirus

Thanks through CDC (Centers for Disease Control and Prevention) as the reference for the update on 2/27/2020:

Limited information is available to characterize the spectrum of clinical illness associated with coronavirus disease 2019 (COVID-19). No vaccine or specific treatment for COVID-19 is available; care is supportive.

Affected Geographic Areas with Widespread or Sustained Community Transmission (Remember Widespread or Sustained and the U.S. is not a widespread yet).

Last updated February 26, 2020

  • China
  • Iran
  • Italy
  • Japan
  • South Korea

The CDC clinical criteria for a COVID-19 person under investigation (PUI) have been developed based on what is known about MERS-CoV and SARS-CoV and are subject to change as additional information becomes available.

Healthcare providers should obtain a detailed travel history for patients being evaluated with fever and acute respiratory illness. CDC guidance for evaluating and reporting a PUI for MERS-CoV remains unchanged.

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Contact your local or state health department

Healthcare providers should immediately notify their localexternal icon or stateexternal icon health department in the event of a PUI for COVID-19.

Criteria to Guide Evaluation of PUI for COVID-19

Local health departments, in consultation with clinicians, should determine whether a patient is a PUI for COVID-2019. The CDC clinical criteria for COVID-19 PUIs have been developed based on available information about this novel virus, as well as what is known about Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). These criteria are subject to change as additional information becomes available.

Clinical features and epidemiologic risk
Clinical Features & Epidemiologic Risk
Fever1 or signs/symptoms of lower respiratory illness (e.g. cough or shortness of breath) AND Any person, including health care workers2, who has had close contact3 with a laboratory-confirmed4 COVID-19 patient within 14 days of symptom onset
Fever1 and signs/symptoms of a lower respiratory illness (e.g., cough or shortness of breath) requiring hospitalization AND A history of travel from affected geographic areas5 (see below) within 14 days of symptom onset
Fever1 with severe acute lower respiratory illness (e.g., pneumonia, ARDS) requiring hospitalization6 and without alternative explanatory diagnosis (e.g., influenza)7 AND No source of exposure has been identified

The criteria are intended to serve as guidance for evaluation. In consultation with public health departments, patients should be evaluated on a case-by-case basis to determine the need for testing. Testing may be considered for deceased persons who would otherwise meet the PUI criteria.

Recommendations for Reporting, Testing, and Specimen Collection

Updated February 3, 2020

Healthcare providers should immediately notify both infection control personnel at their healthcare facility and their local or state health department in the event of a PUI for COVID-19. State health departments that have identified a PUI should immediately contact CDC’s Emergency Operations Center (EOC) at 770-488-7100 and complete a COVID-19 PUI case investigation form available below.

CDC’s EOC will assist local/state health departments to collect, store, and ship specimens appropriately to CDC, including during afterhours or on weekends/holidays.

Testing for other respiratory pathogens should not delay specimen shipping to CDC. If a PUI tests positive for another respiratory pathogen, after clinical evaluation and consultation with public health authorities, they may no longer be considered a PUI. This may evolve as more information becomes available on possible COVID-19 co-infections.

For biosafety reasons, it is not recommended to perform virus isolation in cell culture or initial characterization of viral agents recovered in cultures of specimens from a PUI for COVID-19.

To increase the likelihood of detecting COVID-19, CDC recommends collecting and testing multiple clinical specimens from different sites, including two specimen types—lower respiratory and upper respiratory. Additional specimen types (e.g., stool, urine) may be collected and stored. Specimens should be collected as soon as possible once a PUI is identified regardless of time of symptom onset.

QUOTE FOR THURSDAY:

“Think of your bones as a “bank” where you “deposit” and “withdraw” bone tissue. During your childhood and teenage years, new bone is added (or deposited) to the skeleton faster than old bone is removed (or withdrawn). As a result, your bones become larger, heavier, and denser.

For most people, bone formation continues at a faster pace than removal until sometime after age 20. After age 30, bone withdrawals can begin to go faster than deposits. If your bone deposits don’t keep up with withdrawals, you can get osteoporosis.”

National Institute of Arthritis, Musculoskeletal and Skin Diseases.

QUOTE FOR WEDNESDAY:

Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. A variety of organisms, including bacteria, viruses and fungi, can cause pneumonia.

MAYO CLINIC

QUOTE FOR TUESDAY:

“Without HIV medicine, people with AIDS typically survive about 3 years. Once someone has a dangerous opportunistic illness, life expectancy without treatment falls to about 1 year. HIV medicine can still help people at this stage of HIV infection, and it can even be lifesaving. But people who start ART soon after they get HIV experience more benefits—that’s why HIV testing is so important.”

HIV.gov

QUOTE FOR MONDAY:

“In late 2019, a new coronavirus emerged in central China to cause disease in humans. Cases of this disease, known as COVID-19, have since been reported across China and in many other countries around the globe. On January 30, 2020, the World Health Organization (WHO) declared the virus represents a public health emergency of international concern, and on January 31, 2020, the U.S. Department of Health and Human Services declared it to be a health emergency for the United States.”

KFF Global Health Policy