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"content": "\u003cp>For most people, family health is top of mind during this pandemic. For many, that includes furry housemates like dogs, cats, rabbits, you name it.\u003c/p>\n\u003cp>Our animals are especially important companions now as people are forced to distance themselves from one another, and as pets like dogs motivate many of us to venture outside for some essential (socially distant) exercise.\u003c/p>\n\u003cp>But people still have many questions about the impact of COVID-19 on their pets, especially after the World Health Organization deleted a section on their \u003ca href=\"https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-busters\" target=\"_blank\" rel=\"noopener noreferrer\">“myth busters” webpage\u003c/a> on March 12 that said there was “no evidence that companion animals/pets such as dogs or cats can be infected with the new coronavirus.”\u003c/p>\n\u003cp>KQED spoke with veterinarians \u003ca href=\"https://ohi.vetmed.ucdavis.edu/people/brian-bird\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Brian H. Bird\u003c/a>, associate director of the \u003ca href=\"https://ohi.vetmed.ucdavis.edu/\" target=\"_blank\" rel=\"noopener noreferrer\">UC Davis One Health Institute\u003c/a>, and Dr. Dorrie Black of the San Francisco veterinary clinic \u003ca href=\"https://www.aimss-sf.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Animal Internal Medicine and Specialty Services\u003c/a>, about some common questions about COVID-19 and pets. Their answers are below, along with guidance from the \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/prepare/animals.html\" target=\"_blank\" rel=\"noopener noreferrer\">Centers for Disease Control and Prevention, \u003c/a>edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>Can I get COVID-19 from my pet?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> It does not seem like a likely transmission route, but we’re early on in an outbreak and we’re learning more and more every day.\u003c/p>\n\u003cp>There is evidence that at least two dogs from Hong Kong have tested intermittently positive for the virus. These were pets of COVID-19 patients.\u003c/p>\n\u003cp>Were they able to shed the virus into the environment in a way that could have infected someone else? That’s completely unknown.\u003c/p>\n\u003cp>\u003cem>Editor’s Note: For more on the Hong Kong story, see this March 24 \u003ca href=\"https://www.scmp.com/news/hong-kong/health-environment/article/3076480/coronavirus-hong-kongs-infected-dogs-were\" target=\"_blank\" rel=\"noopener noreferrer\">article\u003c/a> from the South China Morning Post. From a Hong Kong University virologist quoted in the story: ‘“Neither of the two cases had the disease caused by the coronavirus. The public might have confusion, but when dogs are infected, it does not mean they have the disease or they are sick.”\u003c/em>\u003c/p>\n\u003cp>\u003cem>CDC:\u003c/em> At this time, there is no evidence that companion animals, including pets, can spread COVID-19 or that they might be a source of infection in the United States.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>If someone coughs on my pet, could I get COVID-19 from their fur?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Dorrie Black:\u003c/em> This is where it gets a little difficult. Technically, yes. If [someone infected with COVID-19] coughed over a dog, viruses in that droplet can survive for — and it depends on which article you read — somewhere between three-and-a-half to four hours.\u003c/p>\n\u003cp>So for my staff, when we receive a pet, we actually take a cloth that has been sprayed with one of the common antivirals we use, or soap and water, and we do a very gentle wipe-down of the fur, but not the animal’s face.\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> The limited studies that are available have put [the new coronavirus] on solid surfaces and shown the virus can remain infectious for a period of hours to a couple of days. As far as I know, no one’s done any controlled experiments on hair.\u003c/p>\n\u003cp>If people are concerned about potential exposure, you could bathe your animal in regular soap or shampoo that’s appropriate for that pet.\u003c/p>\n\u003cp>\u003cstrong>Can my pet get sick from COVID-19?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Dorrie Black:\u003c/em> At this time, I feel relatively strongly that pets cannot come down with a disease associated with COVID-19. Coronaviruses do exist in pets: We have common coronaviruses in cats and dogs that cause respiratory as well as intestinal changes. They’re not novel to them, so they’ve adapted to them, and they’re not typically lethal at all. They’re usually transient processes.\u003c/p>\n\u003cp>We have no evidence that COVID-19 causes disease in a dog. Even if we detected it in their blood, they’re not dying of pneumonia, they’re not dying of gastrointestinal disease, not at all.\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> As far as we know, pets don’t get the disease caused by the virus.\u003c/p>\n\u003cp>People notice when their pets are sick. With the burden of human cases that we have, I think sick pets would start getting reported. I am not aware of any uptick in the overall reports of ill pets.\u003c/p>\n\u003cp>\u003cem>CDC:\u003c/em> CDC has not received any reports of pets or other animals becoming sick with COVID-19. Further studies are needed to understand if and how different animals could be affected by COVID-19.\u003c/p>\n\u003cp>\u003cstrong>Is it risky for my dog to go out with the dog walker?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Dorrie Black:\u003c/em> I think it’s OK as long as everyone is practicing what they preach. I would wipe down the leashes with peroxide, diluted bleach, or a high-alcohol concentration.\u003c/p>\n\u003cp>\u003cstrong>What precautions should I take when spending time with my pet?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Dr. Brian Bird:\u003c/em> Proper hand hygiene is always a wonderful thing in this kind of outbreak. After you play with your pet, whether it’s a horse or a dog or a frog, wash your hands and make sure that you’re not putting any other potential pathogens in your mouth.\u003c/p>\n\u003cp>When walking dogs, keep them on a leash.\u003c/p>\n\u003cp>\u003cstrong>I tested positive for COVID-19. Should I keep a distance from my pet?\u003c/strong>\u003c/p>\n\u003cp>\u003cem>CDC:\u003c/em> If you are sick with COVID-19, either suspected or confirmed, you should restrict contact with pets and other animals, just like you would around other people. 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"title": "Bay Area Hospitals: So Far, Coronavirus Cases Are Manageable. But It's Still Early",
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"content": "\u003cp>The number of confirmed coronavirus cases in California has nearly quadrupled in the past week, from 565 last Monday to more than 2,300, according to the latest counts from California health departments.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr. Bob Wachter, UCSF']‘We’ve heard about the tsunami and we’re kind of waiting on the beach to see what happens. We are seeing an increase in cases and nobody should take any of this and say it’s time to go out and party. That is not at all clear, yet.’[/pullquote]\u003c/p>\n\u003cp>Health officials in San Francisco say the number of patients infected with COVID-19 will only escalate over the next two weeks.\u003c/p>\n\u003cp>“I am sad to have to say that the worst is yet to come,” said Grant Colfax, the city’s public health chief, at a press conference Monday afternoon. “Every community where the virus has taken hold has seen a surge in coronavirus patients who need to be hospitalized. We expect that to happen in San Francisco in a week or two, or perhaps less.”\u003c/p>\n\u003cp>San Francisco’s major hospitals have logged a steady rise in the number of patients with COVID-19, but they have — so far — been spared the sudden surge of cases\u003cb> \u003c/b>that have overwhelmed emergency rooms in states like New York.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>New York Gov. Andrew Cuomo says the rate of confirmed cases in that state is \u003ca href=\"https://www.nytimes.com/2020/03/24/nyregion/coronavirus-new-york-update.html?action=click&pgtype=Article&state=default&module=styln-coronavirus-newyork&variant=show®ion=MID_MAIN_CONTENT&context=storyline_updates_newyork#link-4176a53a\" target=\"_blank\" rel=\"noopener noreferrer\">doubling\u003c/a> every three days and he has \u003ca href=\"https://www.nytimes.com/2020/03/23/nyregion/coronavirus-new-york-update.html#link-7cdbb132\" target=\"_blank\" rel=\"noopener noreferrer\">ordered\u003c/a> hospitals to double their capacity, The New York Times \u003cspan class=\"s2\">reports\u003c/span>.\u003c/p>\n\u003cp>That sort of influx has yet to hit UCSF’s medical system, said Bob Wachter, chair of the university’s department of medicine, on Monday.\u003c/p>\n\u003cp>“We’ve heard about the tsunami and we’re kind of waiting on the beach to see what happens,” he said. “We are seeing an increase in cases and nobody should take any of this and say it’s time to go out and party. That is not at all clear, yet.”\u003c/p>\n\u003cp>Wachter confirmed on Tuesday that the number of incoming cases hadn’t yet changed drastically.\u003c/p>\n\u003cp>The coronavirus can incubate for two weeks, which means the hospitals are treating individuals who contracted the disease two or even three weeks ago, Wachter says.\u003c/p>\n\u003cp>“We’ll have a better sense, within the next week, of our ultimate trajectory. But if you look at the curves of the numbers of cases and deaths in New York and compare it to California, it does look like our slope is much more benign than New York.”\u003c/p>\n\u003cp>https://twitter.com/Bob_Wachter/status/1242286233960599554?s=20\u003c/p>\n\u003cp>Chris Colwell, the medical director of Zuckerberg San Francisco General Hospital, is tracking coronavirus cases closely and has yet to see a “big jump in numbers,” he said Monday, and reiterated Tuesday.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr. Dean Blumberg, UC Davis']‘(W)e really won’t know [how successful they were] until about two weeks after these measures were put in place. Next week I think we’ll have a better idea.’[/pullquote]\u003c/p>\n\u003cp>“It is very reasonable to say that — as we sit here today — we have not seen a big surge in patients,” he said. “We’ve seen a steady increase in patients with respiratory issues coming in. The number hasn’t really decreased, but it hasn’t really spiked or increased in a way that we’ve been able to note.”\u003c/p>\n\u003cp>“We’re always cautiously optimistic,” he said, “and certainly always planning for the worst and hoping for the best.”\u003c/p>\n\u003cp>In Contra Costa County, the number of cases is “manageable,” says Will Harper, acting communications officer for Contra Costa Health Services, the county’s health department. At Contra Costa Regional Medical Center, a public hospital, there has been no influx of COVID-19 patients to date, he said in an email.\u003c/p>\n\u003cp>“Keep in mind, this is happening as we are testing more people. CCRMC is preparing for a surge in the near future, which seems inevitable given what we’ve seen happen elsewhere. But, as of now, we haven’t seen a big surge.”\u003c/p>\n\u003cp>Harper said there were 12 new coronavirus cases in 6 of 8 hospitals in the county as of Monday, with the other two yet to report. \u003c/p>\n\u003cp>Lucile Packard Children’s Hospital in Palo Alto says it’s “caring for a steady number of patients under investigation for COVID-19.”\u003c/p>\n\u003cp>“At this time we are not experiencing a spike or surge in the number of suspected or confirmed cases,” Samantha Beal, director of media and public relations, said in an email.\u003c/p>\n\u003cp>\u003cstrong>‘We’ll See If These Measures Were Applied in Time’\u003c/strong>\u003c/p>\n\u003cp>Dean Blumberg, a professor of pediatric infectious diseases at UC Davis, says he’s hopeful the “extreme social distancing measures” implemented in California have been put in place in time to prevent health care systems from being overwhelmed.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr. Bob Wachter, UCSF']‘We’ll have a better sense, within the next week, of our ultimate trajectory. But if you look at the curves of the numbers of cases and deaths in New York and compare it to California, it does look like our slope is much more benign than New York.’[/pullquote]\u003c/p>\n\u003cp>“Obviously, it’s too late in New York because they’re having such a surge in the number of patients,” Blumberg said. “(W)e really won’t know until about two weeks after these measures were put in place. Next week, I think we’ll have a better idea.”\u003c/p>\n\u003cp>Should no huge surge in coronavirus patients occur, Blumberg says, it doesn’t mean the unprecedented steps California has taken were unnecessary\u003c/p>\n\u003cp>“That [would mean] that it worked,” he said. “So it’s kind of like you see an accident coming and you slam on the brakes. If you don’t have the accident, that doesn’t mean that you shouldn’t have slammed on the brakes. I mean, you avoided the accident. ”\u003c/p>\n\u003cp>\u003cstrong>Stay Home, Save Lives\u003c/strong>\u003c/p>\n\u003cp>Even if Bay Area hospitals do not experience a sudden surge in cases in the coming days, officials do not want to see people get lax about the steps they are taking to protect themselves and others. The message from public health officials remains clear: Stay home to save lives.\u003c/p>\n\u003cp>“At this time we do not have a virus gone wild, but we don’t have anything really effective to treat it besides social distancing and personal hygiene,” said Jeff Smith, county executive officer for Santa Clara, during a Board of Supervisors \u003ca href=\"https://www.youtube.com/watch?v=Nl-RaKXiKOc\">meeting\u003c/a> Tuesday.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“There is no vaccination, which is likely to take many, many months, if at all,” he said. “And there is no treatment drug.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>New York Gov. Andrew Cuomo says the rate of confirmed cases in that state is \u003ca href=\"https://www.nytimes.com/2020/03/24/nyregion/coronavirus-new-york-update.html?action=click&pgtype=Article&state=default&module=styln-coronavirus-newyork&variant=show®ion=MID_MAIN_CONTENT&context=storyline_updates_newyork#link-4176a53a\" target=\"_blank\" rel=\"noopener noreferrer\">doubling\u003c/a> every three days and he has \u003ca href=\"https://www.nytimes.com/2020/03/23/nyregion/coronavirus-new-york-update.html#link-7cdbb132\" target=\"_blank\" rel=\"noopener noreferrer\">ordered\u003c/a> hospitals to double their capacity, The New York Times \u003cspan class=\"s2\">reports\u003c/span>.\u003c/p>\n\u003cp>That sort of influx has yet to hit UCSF’s medical system, said Bob Wachter, chair of the university’s department of medicine, on Monday.\u003c/p>\n\u003cp>“We’ve heard about the tsunami and we’re kind of waiting on the beach to see what happens,” he said. “We are seeing an increase in cases and nobody should take any of this and say it’s time to go out and party. That is not at all clear, yet.”\u003c/p>\n\u003cp>Wachter confirmed on Tuesday that the number of incoming cases hadn’t yet changed drastically.\u003c/p>\n\u003cp>The coronavirus can incubate for two weeks, which means the hospitals are treating individuals who contracted the disease two or even three weeks ago, Wachter says.\u003c/p>\n\u003cp>“We’ll have a better sense, within the next week, of our ultimate trajectory. But if you look at the curves of the numbers of cases and deaths in New York and compare it to California, it does look like our slope is much more benign than New York.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It is very reasonable to say that — as we sit here today — we have not seen a big surge in patients,” he said. “We’ve seen a steady increase in patients with respiratory issues coming in. The number hasn’t really decreased, but it hasn’t really spiked or increased in a way that we’ve been able to note.”\u003c/p>\n\u003cp>“We’re always cautiously optimistic,” he said, “and certainly always planning for the worst and hoping for the best.”\u003c/p>\n\u003cp>In Contra Costa County, the number of cases is “manageable,” says Will Harper, acting communications officer for Contra Costa Health Services, the county’s health department. At Contra Costa Regional Medical Center, a public hospital, there has been no influx of COVID-19 patients to date, he said in an email.\u003c/p>\n\u003cp>“Keep in mind, this is happening as we are testing more people. CCRMC is preparing for a surge in the near future, which seems inevitable given what we’ve seen happen elsewhere. But, as of now, we haven’t seen a big surge.”\u003c/p>\n\u003cp>Harper said there were 12 new coronavirus cases in 6 of 8 hospitals in the county as of Monday, with the other two yet to report. \u003c/p>\n\u003cp>Lucile Packard Children’s Hospital in Palo Alto says it’s “caring for a steady number of patients under investigation for COVID-19.”\u003c/p>\n\u003cp>“At this time we are not experiencing a spike or surge in the number of suspected or confirmed cases,” Samantha Beal, director of media and public relations, said in an email.\u003c/p>\n\u003cp>\u003cstrong>‘We’ll See If These Measures Were Applied in Time’\u003c/strong>\u003c/p>\n\u003cp>Dean Blumberg, a professor of pediatric infectious diseases at UC Davis, says he’s hopeful the “extreme social distancing measures” implemented in California have been put in place in time to prevent health care systems from being overwhelmed.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Obviously, it’s too late in New York because they’re having such a surge in the number of patients,” Blumberg said. “(W)e really won’t know until about two weeks after these measures were put in place. Next week, I think we’ll have a better idea.”\u003c/p>\n\u003cp>Should no huge surge in coronavirus patients occur, Blumberg says, it doesn’t mean the unprecedented steps California has taken were unnecessary\u003c/p>\n\u003cp>“That [would mean] that it worked,” he said. “So it’s kind of like you see an accident coming and you slam on the brakes. If you don’t have the accident, that doesn’t mean that you shouldn’t have slammed on the brakes. I mean, you avoided the accident. ”\u003c/p>\n\u003cp>\u003cstrong>Stay Home, Save Lives\u003c/strong>\u003c/p>\n\u003cp>Even if Bay Area hospitals do not experience a sudden surge in cases in the coming days, officials do not want to see people get lax about the steps they are taking to protect themselves and others. The message from public health officials remains clear: Stay home to save lives.\u003c/p>\n\u003cp>“At this time we do not have a virus gone wild, but we don’t have anything really effective to treat it besides social distancing and personal hygiene,” said Jeff Smith, county executive officer for Santa Clara, during a Board of Supervisors \u003ca href=\"https://www.youtube.com/watch?v=Nl-RaKXiKOc\">meeting\u003c/a> Tuesday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“There is no vaccination, which is likely to take many, many months, if at all,” he said. “And there is no treatment drug.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "These Disinfectant Products Have Been Approved by the EPA to Kill the Coronavirus",
"headTitle": "These Disinfectant Products Have Been Approved by the EPA to Kill the Coronavirus | KQED",
"content": "\u003cp>You wash your hands now all the time. Check. You cover any cough or sneeze. Check. You stay at least 6 feet away from people anytime you go out. Check.\u003c/p>\n\u003cp>[pullquote]NOTE: If the 21 pages of EPA-approved products do not appear below in your browser, \u003ca href=\"https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2\" target=\"_blank\" rel=\"noopener noreferrer\">click here to see the full list\u003c/a> on the EPA website. [/pullquote]But how about cleaning inside your home?\u003c/p>\n\u003cp>The virus that causes COVID-19 can live \u003ca href=\"https://www.kqed.org/science/1959172/coronavirus-how-and-when-to-clean-your-home-and-wash-your-hands\">on surfaces\u003c/a> for a few hours to a few days. So, anytime you bring something new into your home — groceries, mail — it probably needs to be cleaned. The CDC also recommends cleaning and disinfecting frequently touched surfaces and objects as part of your everyday routine to prevent viral spread. These surfaces and objects include anything you might touch regularly. That would include tables, countertops, remotes, light switches, doorknobs, cabinet handles, desks, phones, keyboards, toilets, faucets and sinks.\u003c/p>\n\u003cp>The cleaning products below have been approved by the EPA for use against SARS-Cov-2, the official name of the new coronavirus. The EPA says these products have not been tested against SARS-CoV-2, but “they are expected to be effective based on demonstrated efficacy” against a harder-to-kill virus or a human coronavirus similar to SARS-Cov-2.\u003c/p>\n\u003cp>The list also has recommendations for how long the disinfectant should be left wet upon the surface to be cleaned and disinfected, called “contact time.” The durations range from 15 seconds to 15 minutes. When cleaning, wear gloves, open windows or turn on fans to ensure good ventilation. The list of cleaners from the EPA does not include information on “natural” cleaners.\u003c/p>\n\u003cp>From the EPA website:\u003c/p>\n\u003cp>\u003cem>When purchasing a product, check if its EPA registration number is included on this list. If it is, you have a match and the product can be used against SARS-CoV-2. You can find this number on the product label – just look for the EPA Reg. No. These products may be marketed and sold under different brand names, but if they have the same EPA registration number, they are the same product.\u003c/em>\u003c/p>\n\u003cp>[IFrameFullWidth src='https://ww2.kqed.org/app/uploads/sites/35/2020/03/ROTATED_Cleaning-Products-for-SARS-CoV-2.pdf' allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen]\u003cbr>\nIf appropriate for the surface or object, you can also use diluted unexpired household bleach as a disinfectant. You can make your own solution by mixing 4 teaspoons of bleach per quart of water (or 1/3rd cup of bleach per gallon of water). You can also use alcohol solutions with at least 70% alcohol. Never mix household bleach with ammonia or any other product, as this can cause poisonous gases to form.\u003c/p>\n\u003cp>If a surface is dirty, the CDC recommends, you should first clean it with soap and water before disinfecting with one of the products above.\u003c/p>\n\u003cp>The CDC has detailed \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-disinfection.html\" target=\"_blank\" rel=\"noopener noreferrer\">disinfection guidance\u003c/a> on how to clean your home if you live with someone who is sick with COVID-19.\u003c/p>\n\u003cp>\u003cstrong>And Still, Wash Your Hands \u003c/strong>\u003c/p>\n\u003cp>You’re probably sick of us saying this, but washing your hands is still one of the best ways to reduce the likelihood of contracting COVID-19. Water, soap and scrubbing for 20 seconds — including between your fingers — is the gold standard. When this is not available, hand sanitizer that contains at least 60% alcohol is a good second choice. For more on this, check out the \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\" target=\"_blank\" rel=\"noopener noreferrer\">CDC website\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Jon Brooks contributed to this post.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>You wash your hands now all the time. Check. You cover any cough or sneeze. Check. You stay at least 6 feet away from people anytime you go out. Check.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "NOTE: If the 21 pages of EPA-approved products do not appear below in your browser, \u003ca href=\"https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2\" target=\"_blank\" rel=\"noopener noreferrer\">click here to see the full list\u003c/a> on the EPA website. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But how about cleaning inside your home?\u003c/p>\n\u003cp>The virus that causes COVID-19 can live \u003ca href=\"https://www.kqed.org/science/1959172/coronavirus-how-and-when-to-clean-your-home-and-wash-your-hands\">on surfaces\u003c/a> for a few hours to a few days. So, anytime you bring something new into your home — groceries, mail — it probably needs to be cleaned. The CDC also recommends cleaning and disinfecting frequently touched surfaces and objects as part of your everyday routine to prevent viral spread. These surfaces and objects include anything you might touch regularly. That would include tables, countertops, remotes, light switches, doorknobs, cabinet handles, desks, phones, keyboards, toilets, faucets and sinks.\u003c/p>\n\u003cp>The cleaning products below have been approved by the EPA for use against SARS-Cov-2, the official name of the new coronavirus. The EPA says these products have not been tested against SARS-CoV-2, but “they are expected to be effective based on demonstrated efficacy” against a harder-to-kill virus or a human coronavirus similar to SARS-Cov-2.\u003c/p>\n\u003cp>The list also has recommendations for how long the disinfectant should be left wet upon the surface to be cleaned and disinfected, called “contact time.” The durations range from 15 seconds to 15 minutes. When cleaning, wear gloves, open windows or turn on fans to ensure good ventilation. The list of cleaners from the EPA does not include information on “natural” cleaners.\u003c/p>\n\u003cp>From the EPA website:\u003c/p>\n\u003cp>\u003cem>When purchasing a product, check if its EPA registration number is included on this list. If it is, you have a match and the product can be used against SARS-CoV-2. You can find this number on the product label – just look for the EPA Reg. No. These products may be marketed and sold under different brand names, but if they have the same EPA registration number, they are the same product.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nIf appropriate for the surface or object, you can also use diluted unexpired household bleach as a disinfectant. You can make your own solution by mixing 4 teaspoons of bleach per quart of water (or 1/3rd cup of bleach per gallon of water). You can also use alcohol solutions with at least 70% alcohol. Never mix household bleach with ammonia or any other product, as this can cause poisonous gases to form.\u003c/p>\n\u003cp>If a surface is dirty, the CDC recommends, you should first clean it with soap and water before disinfecting with one of the products above.\u003c/p>\n\u003cp>The CDC has detailed \u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-disinfection.html\" target=\"_blank\" rel=\"noopener noreferrer\">disinfection guidance\u003c/a> on how to clean your home if you live with someone who is sick with COVID-19.\u003c/p>\n\u003cp>\u003cstrong>And Still, Wash Your Hands \u003c/strong>\u003c/p>\n\u003cp>You’re probably sick of us saying this, but washing your hands is still one of the best ways to reduce the likelihood of contracting COVID-19. Water, soap and scrubbing for 20 seconds — including between your fingers — is the gold standard. When this is not available, hand sanitizer that contains at least 60% alcohol is a good second choice. For more on this, check out the \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\" target=\"_blank\" rel=\"noopener noreferrer\">CDC website\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Jon Brooks contributed to this post.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "After Six Weeks in Quarantine, a Coronavirus Patient Is Back Home in California",
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"content": "\u003cp>Carl Goldman’s coronavirus quarantine began on Feb. 4 aboard the Diamond Princess cruise ship in Japan. After nearly two weeks in his cabin on the ship, a feverish flight back to the U.S., and another month quarantined at a Nebraska medical center where he tested positive for the virus for 27 days, Carl is finally back home in Santa Clarita, California. That is, Carl is now sheltering at home for the foreseeable future along with 40 million other Californians.\u003c/p>\n\u003cp>“It feels wonderful to be back in Santa Clarita,” Carl said, then added, “I came back to California and here we are now quarantined in our state totally. So I’m the longest person in quarantine with corona, having been in quarantine now since February 4.”\u003c/p>\n\u003cp>Through the ordeal, he has not lost his sense of humor.\u003c/p>\n\u003cp>Carl, who owns the local radio station KHTS in Santa Clarita with his wife Jeri, has been \u003ca href=\"https://www.hometownstation.com/home-town-station/carl-goldman-coronavirus-journals-316093\" target=\"_blank\" rel=\"noopener noreferrer\">blogging\u003c/a> about his coronavirus experience since the couple was quarantined aboard the Diamond Princess. The trip through Southeast Asia was a Christmas present from Carl to his wife.\u003c/p>\n\u003cp>When we first \u003ca href=\"https://www.kqed.org/science/1958262/whats-it-like-to-be-in-quarantine-with-the-coronavirus-meet-carl-34-days-counting\" target=\"_blank\" rel=\"noopener noreferrer\">told you Carl’s story\u003c/a>, he was 34 days into his quarantine and doing well at Nebraska Medicine in Omaha, but still testing positive for the COVID-19 virus.\u003c/p>\n\u003cfigure id=\"attachment_1959718\" class=\"wp-caption alignright\" style=\"max-width: 620px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1959718\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/03/carl-blogging.jpg\" alt=\"\" width=\"620\" height=\"330\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/03/carl-blogging.jpg 620w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/03/carl-blogging-160x85.jpg 160w\" sizes=\"(max-width: 620px) 100vw, 620px\">\u003cfigcaption class=\"wp-caption-text\">While in quarantine with coronavirus, Carl Goldman blogged about his experience for KHTS in Santa Clarita, a radio station he owns with his wife. \u003ccite>(KHTS Radio)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He told us about his flight back to the U.S. spent in isolation with a 103-degree fever, celebrating his 67th birthday in biocontainment lockdown, and logging his 10,000 steps a day from the confines of a tiny hospital room.\u003c/p>\n\u003cp>Aside from the fever, which Carl said had broken by the time he got to Omaha on Feb. 17, his only symptoms were some shortness of breath early on and a lingering dry cough. For several weeks, he says, he’s felt pretty healthy. Yet Carl’s body was slow to shed the virus — something he says may be related to Guillain-Barré syndrome, an autoimmune disorder that gives him numbness in his hands and feet. But his doctors really aren’t sure.\u003c/p>\n\u003cp>Carl’s flight home to California left Nebraska on Monday, March 16.\u003c/p>\n\u003cp>So how does it feel to be back home after all this time?\u003c/p>\n\u003cp>“As much as I loved Omaha and would love to go back in a different time and different era and see everybody that were my angels there and actually get to see Omaha,” Carl said, “I was thrilled to be home.”\u003c/p>\n\u003cp>A good friend picked him up from Van Nuys Airport with a giant tub of peanut butter and chocolate ice cream from Cold Stone Creamery, Carl’s favorite.\u003c/p>\n\u003cfigure id=\"attachment_1959716\" class=\"wp-caption alignright\" style=\"max-width: 264px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1959716\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/03/carl-negative-test.jpg\" alt=\"\" width=\"264\" height=\"300\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/03/carl-negative-test.jpg 264w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/03/carl-negative-test-160x182.jpg 160w\" sizes=\"(max-width: 264px) 100vw, 264px\">\u003cfigcaption class=\"wp-caption-text\">Carl Goldman received his first negative COVID-19 virus test result after testing positive for 27 days. Medical staff delivered the news on a sticky note. \u003ccite>(KHTS Radio)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I dug into that and didn’t realize how much I’d missed stuff until I started re-experiencing things like that,” Carl said. “Then, of course, getting home, being able to hug my wife, pet my dogs, have them lick me, and just be back in my home after being away for two full months was just a delight. And being able to go outside.”\u003c/p>\n\u003cp>Jeri was also quarantined in Nebraska, but never tested positive for the virus and was discharged two weeks before her husband.\u003c/p>\n\u003cp>Carl had already made the decision to self-isolate at home for 14 days upon returning to Santa Clarita. While he says public support for what he has been through has been overwhelmingly warm, concerns from a small portion of the community prompted him to be extra cautious about his re-entry. With the entire state of California under stay-at-home orders, Carl’s time in quarantine of some form or other could extend even longer.\u003c/p>\n\u003cp>Still, he manages to look on the bright side — a perspective he says he’s maintained living through other disasters like earthquakes, floods and wildfires.\u003c/p>\n\u003cp>While he may be sheltering at home, Carl says he now has a lot more room to log his 10,000 steps. “I no longer have only 14 steps until I hit the wall.”\u003c/p>\n\u003cp>He offers this advice to those facing quarantine for the first time:\u003c/p>\n\u003cp>“Get into a routine. Get up, shower, dress like you’re going to work. Designate x amount of hours where you are going to work, whatever that looks like. If you’re not working, then same thing, set up some stuff for the kids.”\u003c/p>\n\u003cp>“And as a guy who owns a radio station, I shouldn’t be saying this, but my belief is that right now, with social media going crazy and the 24/7 all corona all the time, take time off from the media, you know, do 30 minute shots two or three times a day and call that the end.”\u003c/p>\n\u003cp>All the stress, he thinks, is bad for the immune system.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Carl Goldman’s coronavirus quarantine began on Feb. 4 aboard the Diamond Princess cruise ship in Japan. After nearly two weeks in his cabin on the ship, a feverish flight back to the U.S., and another month quarantined at a Nebraska medical center where he tested positive for the virus for 27 days, Carl is finally back home in Santa Clarita, California. That is, Carl is now sheltering at home for the foreseeable future along with 40 million other Californians.\u003c/p>\n\u003cp>“It feels wonderful to be back in Santa Clarita,” Carl said, then added, “I came back to California and here we are now quarantined in our state totally. So I’m the longest person in quarantine with corona, having been in quarantine now since February 4.”\u003c/p>\n\u003cp>Through the ordeal, he has not lost his sense of humor.\u003c/p>\n\u003cp>Carl, who owns the local radio station KHTS in Santa Clarita with his wife Jeri, has been \u003ca href=\"https://www.hometownstation.com/home-town-station/carl-goldman-coronavirus-journals-316093\" target=\"_blank\" rel=\"noopener noreferrer\">blogging\u003c/a> about his coronavirus experience since the couple was quarantined aboard the Diamond Princess. The trip through Southeast Asia was a Christmas present from Carl to his wife.\u003c/p>\n\u003cp>When we first \u003ca href=\"https://www.kqed.org/science/1958262/whats-it-like-to-be-in-quarantine-with-the-coronavirus-meet-carl-34-days-counting\" target=\"_blank\" rel=\"noopener noreferrer\">told you Carl’s story\u003c/a>, he was 34 days into his quarantine and doing well at Nebraska Medicine in Omaha, but still testing positive for the COVID-19 virus.\u003c/p>\n\u003cfigure id=\"attachment_1959718\" class=\"wp-caption alignright\" style=\"max-width: 620px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1959718\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/03/carl-blogging.jpg\" alt=\"\" width=\"620\" height=\"330\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/03/carl-blogging.jpg 620w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/03/carl-blogging-160x85.jpg 160w\" sizes=\"(max-width: 620px) 100vw, 620px\">\u003cfigcaption class=\"wp-caption-text\">While in quarantine with coronavirus, Carl Goldman blogged about his experience for KHTS in Santa Clarita, a radio station he owns with his wife. \u003ccite>(KHTS Radio)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He told us about his flight back to the U.S. spent in isolation with a 103-degree fever, celebrating his 67th birthday in biocontainment lockdown, and logging his 10,000 steps a day from the confines of a tiny hospital room.\u003c/p>\n\u003cp>Aside from the fever, which Carl said had broken by the time he got to Omaha on Feb. 17, his only symptoms were some shortness of breath early on and a lingering dry cough. For several weeks, he says, he’s felt pretty healthy. Yet Carl’s body was slow to shed the virus — something he says may be related to Guillain-Barré syndrome, an autoimmune disorder that gives him numbness in his hands and feet. But his doctors really aren’t sure.\u003c/p>\n\u003cp>Carl’s flight home to California left Nebraska on Monday, March 16.\u003c/p>\n\u003cp>So how does it feel to be back home after all this time?\u003c/p>\n\u003cp>“As much as I loved Omaha and would love to go back in a different time and different era and see everybody that were my angels there and actually get to see Omaha,” Carl said, “I was thrilled to be home.”\u003c/p>\n\u003cp>A good friend picked him up from Van Nuys Airport with a giant tub of peanut butter and chocolate ice cream from Cold Stone Creamery, Carl’s favorite.\u003c/p>\n\u003cfigure id=\"attachment_1959716\" class=\"wp-caption alignright\" style=\"max-width: 264px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1959716\" src=\"https://ww2.kqed.org/app/uploads/sites/35/2020/03/carl-negative-test.jpg\" alt=\"\" width=\"264\" height=\"300\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2020/03/carl-negative-test.jpg 264w, https://cdn.kqed.org/wp-content/uploads/sites/35/2020/03/carl-negative-test-160x182.jpg 160w\" sizes=\"(max-width: 264px) 100vw, 264px\">\u003cfigcaption class=\"wp-caption-text\">Carl Goldman received his first negative COVID-19 virus test result after testing positive for 27 days. Medical staff delivered the news on a sticky note. \u003ccite>(KHTS Radio)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I dug into that and didn’t realize how much I’d missed stuff until I started re-experiencing things like that,” Carl said. “Then, of course, getting home, being able to hug my wife, pet my dogs, have them lick me, and just be back in my home after being away for two full months was just a delight. And being able to go outside.”\u003c/p>\n\u003cp>Jeri was also quarantined in Nebraska, but never tested positive for the virus and was discharged two weeks before her husband.\u003c/p>\n\u003cp>Carl had already made the decision to self-isolate at home for 14 days upon returning to Santa Clarita. While he says public support for what he has been through has been overwhelmingly warm, concerns from a small portion of the community prompted him to be extra cautious about his re-entry. With the entire state of California under stay-at-home orders, Carl’s time in quarantine of some form or other could extend even longer.\u003c/p>\n\u003cp>Still, he manages to look on the bright side — a perspective he says he’s maintained living through other disasters like earthquakes, floods and wildfires.\u003c/p>\n\u003cp>While he may be sheltering at home, Carl says he now has a lot more room to log his 10,000 steps. “I no longer have only 14 steps until I hit the wall.”\u003c/p>\n\u003cp>He offers this advice to those facing quarantine for the first time:\u003c/p>\n\u003cp>“Get into a routine. Get up, shower, dress like you’re going to work. Designate x amount of hours where you are going to work, whatever that looks like. 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"title": "Video: Marin's Public Health Officer Announces He Has COVID-19",
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"content": "\u003cp>https://www.youtube.com/watch?v=E2OvRR_ejzI&feature=youtu.be\u003c/p>\n\u003cp>Marin County’s top health officer is now one of the county’s 39 confirmed cases of COVID-19.\u003c/p>\n\u003cp>Matt Willis, Marin’s public health officer, has been in charge of the county response to the spread of the new coronavirus.\u003c/p>\n\u003cp>On Sunday night, he released a video announcing that he’d acquired the disease, and he included a direct appeal to the public.\u003c/p>\n\u003cp>“Here’s what you can do: Stay in place,” he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cb>\u003c/b>Willis says he began feeling “feverish with a worsening cough” last Friday. He recorded the message from his home a few hours after his test results were confirmed.\u003c/p>\n\u003cp>“I’m here on home quarantine as Marin’s 39th confirmed case,” he said. “My symptoms have actually improved somewhat since Friday, although I still have a cough. I don’t have any more fevers.”\u003c/p>\n\u003cp>Willis says he doesn’t know the origin of his exposure, but it could be from the community or from his interactions with frontline health workers and first responders.\u003c/p>\n\u003cp>“Either way is a clear sign of what we’ve been saying all along,” he said. “I didn’t necessarily think that I’d be such an early example of the fact that this is in our community.” He added that people need to stay at home and slow the spread of the coronavirus by limiting social contact.\u003c/p>\n\u003cp>He said he’s “frustrated to be sidelined at this important time, but I’m part of a very large and excellent team.”\u003c/p>\n\u003cp>Lisa Santora, the county’s deputy health officer, will be leading the county’s effort to slow the spread of the disease until Willis has recovered.\u003c/p>\n\u003cp>“According to the CDC, after three days without symptoms, I’m hoping that time comes soon after that I should be more immune and can be more confident to stay active as our local incidents increases, which we know it will,” he said. “So that’s a small silver lining. In the meantime, I’ll be quarantined for my wife and three kids here at home.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Marin County issued calls for residents to adhere to the stay-at-home orders after its parks saw a huge number of visitors over the weekend.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/E2OvRR_ejzI'\n title='//www.youtube.com/embed/E2OvRR_ejzI'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>Marin County’s top health officer is now one of the county’s 39 confirmed cases of COVID-19.\u003c/p>\n\u003cp>Matt Willis, Marin’s public health officer, has been in charge of the county response to the spread of the new coronavirus.\u003c/p>\n\u003cp>On Sunday night, he released a video announcing that he’d acquired the disease, and he included a direct appeal to the public.\u003c/p>\n\u003cp>“Here’s what you can do: Stay in place,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cb>\u003c/b>Willis says he began feeling “feverish with a worsening cough” last Friday. He recorded the message from his home a few hours after his test results were confirmed.\u003c/p>\n\u003cp>“I’m here on home quarantine as Marin’s 39th confirmed case,” he said. “My symptoms have actually improved somewhat since Friday, although I still have a cough. I don’t have any more fevers.”\u003c/p>\n\u003cp>Willis says he doesn’t know the origin of his exposure, but it could be from the community or from his interactions with frontline health workers and first responders.\u003c/p>\n\u003cp>“Either way is a clear sign of what we’ve been saying all along,” he said. “I didn’t necessarily think that I’d be such an early example of the fact that this is in our community.” He added that people need to stay at home and slow the spread of the coronavirus by limiting social contact.\u003c/p>\n\u003cp>He said he’s “frustrated to be sidelined at this important time, but I’m part of a very large and excellent team.”\u003c/p>\n\u003cp>Lisa Santora, the county’s deputy health officer, will be leading the county’s effort to slow the spread of the disease until Willis has recovered.\u003c/p>\n\u003cp>“According to the CDC, after three days without symptoms, I’m hoping that time comes soon after that I should be more immune and can be more confident to stay active as our local incidents increases, which we know it will,” he said. “So that’s a small silver lining. In the meantime, I’ll be quarantined for my wife and three kids here at home.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Marin County issued calls for residents to adhere to the stay-at-home orders after its parks saw a huge number of visitors over the weekend.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Pregnancy can sometimes be an uncertain and stressful period in the best of circumstances. But during a pandemic, that anxiety can quickly multiply. Researchers are working quickly to learn more about what the new coronavirus — as well as its impact on our daily lives — means right now for people who are pregnant. And health care providers are game-planning with mothers about how to best manage care in light of growing limits on public contact.\u003c/p>\n\u003cp>Here’s what we know so far.\u003c/p>\n\u003cp>\u003cstrong>Am I More at Risk If I’m Pregnant??\u003c/strong>\u003c/p>\n\u003cp>“The good news is that thus far there hasn’t been any indication that pregnant women are more severely affected” by the novel virus, says\u003ca href=\"https://med.emory.edu/departments/gynecology-obstetrics/profile/?u=DJAMIES\"> Dr. Denise Jamieson\u003c/a>, chair of the department of gynecology and obstetrics at Emory Healthcare and a senior author of a prepress\u003ca href=\"https://www.ajog.org/article/S0002-9378(20)30197-6/fulltext\"> review paper\u003c/a> slated to publish in the \u003cem>American Journal of Obstetrics & Gynecology\u003c/em>.\u003c/p>\n\u003cp>This comes as a welcome surprise, as the similar coronavirus that caused SARS had a much higher fatality rate for pregnant people (about 25%, according to the limited data available from the 2003 outbreak) than for the general population (about 10%).\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The current, hopeful assessments of the new coronavirus are based in large part on a\u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30360-3/fulltext\"> study\u003c/a> published online last month in \u003cem>The Lancet\u003c/em> of nine pregnant women in their third trimester in Wuhan, China, who had pneumonia caused by COVID-19. None of the women developed severe illness, and all of their babies were born healthy.\u003c/p>\n\u003cp>“According to the current evidence in China, the clinical performance of pregnant women with COVID-19 is consistent with that of ordinary adults,” says\u003ca href=\"https://icg.pku.edu.cn/en/research/faculty/269373.htm\"> Jie Qiao\u003c/a>, director of the National Clinical Research Center of Obstetrics and Gynecology Disease in China, who was not involved in that study but authored a\u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30365-2/fulltext#%20\"> commentary\u003c/a> about it in the same issue of \u003cem>The Lancet\u003c/em>.\u003c/p>\n\u003cp>Jamieson notes, however, that “we don’t have very much evidence from this coronavirus.” And although the data from third-trimester pregnancies appeared reassuring, we don’t yet know much about the first or second trimester during a COVID-19 illness. So Jamieson, Qiao and other experts are closely following the evolving data.\u003c/p>\n\u003cp>\u003cstrong>What Extra Precautions Should I Take While Pregnant? \u003c/strong>\u003c/p>\n\u003cp>The immune system’s efficacy dips during pregnancy, which places pregnant people at a higher risk for contracting many transmissible illnesses — whether foodborne or respiratory. “They should be considered an at-risk group,” Jamieson says.\u003c/p>\n\u003cp>Official recommendations during pregnancy are currently about the same as for the general population, including avoiding crowds, staying away from sick people, washing hands frequently and not touching the face.\u003c/p>\n\u003cp>Qiao takes these suggestions a step further, adding that she recommends avoiding public areas if possible — and wearing a face mask when out. And talk to your doctor about telemedicine, to avoid unnecessary visits to the office. “Except important pregnancy checkups,” she says, “consulting [your] doctors online is recommended.” Many offices are already working to consolidate in-person appointments (for example, if someone is coming in for an ultrasound, a routine prenatal check might be added to the same visit).\u003c/p>\n\u003cp>In addition to personal steps, Jamieson notes that it is important to consider how such a widespread outbreak could strain the health system, leading to disruptions in normal care. To prepare for that, she says, she advises that pregnant people have their medical records on hand.\u003c/p>\n\u003cp>\u003ca href=\"https://newsroom.ucla.edu/experts/preview/578561302cfac209100154a4/\">Neil Silverman\u003c/a>, a clinical professor of obstetrics and gynecology at the David Geffen School of Medicine at the University of California, Los Angeles, adds that hospitals are already ramping up to increase the capacity to care for pregnant women.\u003c/p>\n\u003cp>\u003cstrong>What Kind of Contingency Planning Should I Do for Delivery? \u003c/strong>\u003c/p>\n\u003cp>One big change that is already occurring in many labor and delivery wards is that they are limiting the number of visitors who can accompany anyone admitted for delivery — including through the postpartum stay. “This has been, reasonably, upsetting,” says \u003ca href=\"https://www.ohsu.edu/providers/rachel-pilliod-md\">Rachel Pilliod\u003c/a>, an OB-GYN who teaches obstetrics and gynecology at Oregon Health & Science University. “We understand that giving birth is more than a physiological process,” she says, and many families have expectations about sharing the occasion in person.\u003c/p>\n\u003cp>She advises women who might deliver during the pandemic to ask their provider and the place where they intend to deliver about current rules on visitors. Typically the limit has been to one other healthy adult for the duration of the hospital stay.\u003c/p>\n\u003cp>Ahead of delivery, Jamieson advocates that “every pregnant woman and her family should have a plan, which should include what would happen if she or an additional caregiver gets sick.” For example, if a partner becomes ill with COVID-19 and is trying to self-isolate, is there another caregiver who can step in to help care for a newborn and mother? And because the illness is riskier for older adults, if the other caregiver might have once meant a new grandparent, a younger adult might be a better backup if possible.\u003c/p>\n\u003cp>\u003cstrong>If I Do Get Sick, How Do I Protect My Newborn? \u003c/strong>\u003c/p>\n\u003cp>If you do get sick near your delivery date with confirmed or even suspected COVID-19, there are special precautions to be aware of. Though new mothers might not be at higher risk themselves, it is important to avoid passing the virus to a newborn.\u003c/p>\n\u003cp>Early research has not shown any evidence that the virus can be transmitted in utero, during delivery or through breast milk. But transmission can occur after birth when infants are in close contact with someone who has the illness.\u003c/p>\n\u003cp>This issue raises challenging decisions for families and health care providers. The practice of keeping a newborn in the same hospital room as the mother after birth (known as “rooming-in”) has become popular in many U.S. hospitals. But the U.S. Centers for Disease Control and Prevention currently recommends avoiding rooming-in for new mothers with diagnosed or suspected COVID-19 infections. The\u003ca href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html\"> guidelines\u003c/a> (as of publication) say these infants should be placed in isolation and themselves be treated as presumed coronavirus cases, being cared for by healthy caregivers and medical staff in protective garb. “The main purpose is to avoid close contact with mothers, isolating respiratory tract transmission and possible infection,” Qiao says.\u003c/p>\n\u003cp>Pilliod notes that in her practice, the CDC guidelines will be discussed with families so that they understand the risks and trade-offs of their care decisions. Healthy family members may have the choice to spend time with the newborns in isolation.\u003c/p>\n\u003cp>If an infant is taken to isolation directly after birth, the CDC recommends that ill women who would like to provide breast milk for their infant use a breast pump, being sure to practice good pumping hygiene. Direct breastfeeding could also be possible if the infected mother wears a mask, but it is not currently the CDC’s first choice. “It’s a difficult decision, and I think the mother needs to be involved in the conversation about the risks,” Jamieson says.\u003c/p>\n\u003cp>\u003cstrong>What Else Do I Need to Know If I Get Sick During Pregnancy?\u003c/strong>\u003c/p>\n\u003cp>Research is underway, but there is not currently a definitive treatment or vaccine for COVID-19. Once these do emerge, it’s a distinct possibility that they won’t initially be approved for use during pregnancy and lactation. “This is one of the big concerns,” Jamieson says.\u003c/p>\n\u003cp>For now, says Silverman, it is important to “be aware of the potential symptoms so [pregnant women] can call their health provider if they have any,” which include fever, respiratory symptoms or possibly even diarrhea. Additionally, he notes, if they learn they have been in contact with someone who has tested positive for COVID-19, they should monitor their own temperature and be especially aware of any respiratory symptoms. Their health care provider can advise best steps for care and testing.\u003c/p>\n\u003cp>Qiao notes that individuals should also be careful when selecting over-the-counter medications for treating symptoms, as many standard remedies should be avoided during pregnancy (including many cough and cold — as well as pain and fever — medicines).\u003c/p>\n\u003cp>With the large uptick in the number of cases of the novel virus, researchers are gathering more data about the disease’s impact on pregnant people, fetuses and newborns. Synthesizing all of that information will likely take additional time, but it will eventually help better guide public health and health care recommendations.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>In the meantime, the best offense remains a good defense. And that means pregnant people — and those around them — should follow the best current personal and social hygiene recommendations. “We keep pregnant women and their newborns safer by keeping everyone around them healthy as well,” Pilliod says. “It takes a village to keep us all safe.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2020 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Pregnant+And+Worried+About+Coronavirus%3F+How+To+Stay+Safe+And+Make+A+Game+Plan&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Pregnancy can sometimes be an uncertain and stressful period in the best of circumstances. But during a pandemic, that anxiety can quickly multiply. Researchers are working quickly to learn more about what the new coronavirus — as well as its impact on our daily lives — means right now for people who are pregnant. And health care providers are game-planning with mothers about how to best manage care in light of growing limits on public contact.\u003c/p>\n\u003cp>Here’s what we know so far.\u003c/p>\n\u003cp>\u003cstrong>Am I More at Risk If I’m Pregnant??\u003c/strong>\u003c/p>\n\u003cp>“The good news is that thus far there hasn’t been any indication that pregnant women are more severely affected” by the novel virus, says\u003ca href=\"https://med.emory.edu/departments/gynecology-obstetrics/profile/?u=DJAMIES\"> Dr. Denise Jamieson\u003c/a>, chair of the department of gynecology and obstetrics at Emory Healthcare and a senior author of a prepress\u003ca href=\"https://www.ajog.org/article/S0002-9378(20)30197-6/fulltext\"> review paper\u003c/a> slated to publish in the \u003cem>American Journal of Obstetrics & Gynecology\u003c/em>.\u003c/p>\n\u003cp>This comes as a welcome surprise, as the similar coronavirus that caused SARS had a much higher fatality rate for pregnant people (about 25%, according to the limited data available from the 2003 outbreak) than for the general population (about 10%).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The current, hopeful assessments of the new coronavirus are based in large part on a\u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30360-3/fulltext\"> study\u003c/a> published online last month in \u003cem>The Lancet\u003c/em> of nine pregnant women in their third trimester in Wuhan, China, who had pneumonia caused by COVID-19. None of the women developed severe illness, and all of their babies were born healthy.\u003c/p>\n\u003cp>“According to the current evidence in China, the clinical performance of pregnant women with COVID-19 is consistent with that of ordinary adults,” says\u003ca href=\"https://icg.pku.edu.cn/en/research/faculty/269373.htm\"> Jie Qiao\u003c/a>, director of the National Clinical Research Center of Obstetrics and Gynecology Disease in China, who was not involved in that study but authored a\u003ca href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30365-2/fulltext#%20\"> commentary\u003c/a> about it in the same issue of \u003cem>The Lancet\u003c/em>.\u003c/p>\n\u003cp>Jamieson notes, however, that “we don’t have very much evidence from this coronavirus.” And although the data from third-trimester pregnancies appeared reassuring, we don’t yet know much about the first or second trimester during a COVID-19 illness. So Jamieson, Qiao and other experts are closely following the evolving data.\u003c/p>\n\u003cp>\u003cstrong>What Extra Precautions Should I Take While Pregnant? \u003c/strong>\u003c/p>\n\u003cp>The immune system’s efficacy dips during pregnancy, which places pregnant people at a higher risk for contracting many transmissible illnesses — whether foodborne or respiratory. “They should be considered an at-risk group,” Jamieson says.\u003c/p>\n\u003cp>Official recommendations during pregnancy are currently about the same as for the general population, including avoiding crowds, staying away from sick people, washing hands frequently and not touching the face.\u003c/p>\n\u003cp>Qiao takes these suggestions a step further, adding that she recommends avoiding public areas if possible — and wearing a face mask when out. And talk to your doctor about telemedicine, to avoid unnecessary visits to the office. “Except important pregnancy checkups,” she says, “consulting [your] doctors online is recommended.” Many offices are already working to consolidate in-person appointments (for example, if someone is coming in for an ultrasound, a routine prenatal check might be added to the same visit).\u003c/p>\n\u003cp>In addition to personal steps, Jamieson notes that it is important to consider how such a widespread outbreak could strain the health system, leading to disruptions in normal care. To prepare for that, she says, she advises that pregnant people have their medical records on hand.\u003c/p>\n\u003cp>\u003ca href=\"https://newsroom.ucla.edu/experts/preview/578561302cfac209100154a4/\">Neil Silverman\u003c/a>, a clinical professor of obstetrics and gynecology at the David Geffen School of Medicine at the University of California, Los Angeles, adds that hospitals are already ramping up to increase the capacity to care for pregnant women.\u003c/p>\n\u003cp>\u003cstrong>What Kind of Contingency Planning Should I Do for Delivery? \u003c/strong>\u003c/p>\n\u003cp>One big change that is already occurring in many labor and delivery wards is that they are limiting the number of visitors who can accompany anyone admitted for delivery — including through the postpartum stay. “This has been, reasonably, upsetting,” says \u003ca href=\"https://www.ohsu.edu/providers/rachel-pilliod-md\">Rachel Pilliod\u003c/a>, an OB-GYN who teaches obstetrics and gynecology at Oregon Health & Science University. “We understand that giving birth is more than a physiological process,” she says, and many families have expectations about sharing the occasion in person.\u003c/p>\n\u003cp>She advises women who might deliver during the pandemic to ask their provider and the place where they intend to deliver about current rules on visitors. Typically the limit has been to one other healthy adult for the duration of the hospital stay.\u003c/p>\n\u003cp>Ahead of delivery, Jamieson advocates that “every pregnant woman and her family should have a plan, which should include what would happen if she or an additional caregiver gets sick.” For example, if a partner becomes ill with COVID-19 and is trying to self-isolate, is there another caregiver who can step in to help care for a newborn and mother? And because the illness is riskier for older adults, if the other caregiver might have once meant a new grandparent, a younger adult might be a better backup if possible.\u003c/p>\n\u003cp>\u003cstrong>If I Do Get Sick, How Do I Protect My Newborn? \u003c/strong>\u003c/p>\n\u003cp>If you do get sick near your delivery date with confirmed or even suspected COVID-19, there are special precautions to be aware of. Though new mothers might not be at higher risk themselves, it is important to avoid passing the virus to a newborn.\u003c/p>\n\u003cp>Early research has not shown any evidence that the virus can be transmitted in utero, during delivery or through breast milk. But transmission can occur after birth when infants are in close contact with someone who has the illness.\u003c/p>\n\u003cp>This issue raises challenging decisions for families and health care providers. The practice of keeping a newborn in the same hospital room as the mother after birth (known as “rooming-in”) has become popular in many U.S. hospitals. But the U.S. Centers for Disease Control and Prevention currently recommends avoiding rooming-in for new mothers with diagnosed or suspected COVID-19 infections. 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Direct breastfeeding could also be possible if the infected mother wears a mask, but it is not currently the CDC’s first choice. “It’s a difficult decision, and I think the mother needs to be involved in the conversation about the risks,” Jamieson says.\u003c/p>\n\u003cp>\u003cstrong>What Else Do I Need to Know If I Get Sick During Pregnancy?\u003c/strong>\u003c/p>\n\u003cp>Research is underway, but there is not currently a definitive treatment or vaccine for COVID-19. Once these do emerge, it’s a distinct possibility that they won’t initially be approved for use during pregnancy and lactation. “This is one of the big concerns,” Jamieson says.\u003c/p>\n\u003cp>For now, says Silverman, it is important to “be aware of the potential symptoms so [pregnant women] can call their health provider if they have any,” which include fever, respiratory symptoms or possibly even diarrhea. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Newsom said the state has been conducting pandemic planning for a decade, using artificial intelligence and modeling. Planning projections show as many as 56% of people in the state could become infected by the novel coronavirus over a period of about eight weeks, if steps to mitigate the spread — like tonight’s order — are not taken.\u003c/p>\n\u003cp>Newsom said, with the hospitalization rate predicted by some models, the state would need an additional 19,543 hospital beds over and above current capacity. That need could be reduced, he said, by changing behavior.\u003c/p>\n\u003cp>“If we meet this moment, we can truly bend the curve to reduce the need to surge, to reduce the need to have to go out and cobble all those assets together,” the governor said. “Though I want you to know we are doing just that.”\u003c/p>\n\u003cp>This shelter-in-place order mirrors what’s happening in the Bay Area and elsewhere. Californians can go out for essential errands such as medical appointments, grocery shopping or to do critical jobs, but are otherwise advised to stay away from others.\u003c/p>\n\u003cp>“You can still take your kids outside, practicing common sense and social distancing. You can still walk your dog,” Newsom said of the state order.\u003c/p>\n\u003cp>Essental services such as gas stations, pharmacies, grocery stores, banks and laundromats can remain open. Dine-in restaurants, bars and nightclubs, entertainment venues and gyms are specifically mentioned as prohibited from opening.\u003c/p>\n\u003cp>Newsom’s executive order also defines workplace exceptions to the order as those included on the U.S. Department of Homeland Security’s list of “\u003ca href=\"https://www.cisa.gov/identifying-critical-infrastructure-during-covid-19\" target=\"_blank\" rel=\"noopener noreferrer\">critical infrastructure sectors\u003c/a>,” which would include a wide variety of jobs, from communications to finance to food and agriculture.\u003c/p>\n\u003cp>The governor said intense efforts are being made to arrange for more hospital beds and ventilators, and he said that Seton Medical Center in Daly City has been secured to provide around 700 more beds. He said the state will acquire access to a Southern California hospital in the coming days.\u003c/p>\n\u003cp>He said the state is also continuing to work to find motel rooms for people who are homeless, and added that officials are in talks with the University of California and California State University systems to reserve dormitory space for future virus patients.\u003c/p>\n\u003cp>Newsom said the state received the first national stockpile transfer of assets, which included hundreds of thousands of gloves and protective masks. Those items, along with protective gear from the state’s own supplies, is being distributed to communities throughout California, he said.\u003c/p>\n\u003cp>The governor said he knows the new shelter-in-place order is disruptive to families, especially to families with children.\u003c/p>\n\u003cp>“Check in on loved ones; check in on your neighbors,” Newsom said. He said the state will be announcing partnerships to aid residents, including with the neighborhood online site Nextdoor.com He added, “This is not a permanent state. This is a moment in time, and we will meet this moment together.”\u003c/p>\n\u003cp>\u003cem>Jon Brooks contributed to this post.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco is expanding its staff and beefing up efforts to slow the spread of the new coronavirus, Mayor London Breed announced during a Thursday press conference.\u003c/p>\n\u003cp>City leaders expect a surge in COVID-19-related hospitalizations in the coming weeks. Health officials urged residents to forgo visits to urgent care and hospital emergency rooms, except for “life threatening emergencies.”\u003c/p>\n\u003cp>In preparation for the spike, San Francisco has hired 70 nurses and is hosting a job fair this weekend to hire more “on the spot,” said\u003cspan class=\"s3\"> Grant Colfax\u003c/span>, San Francisco’s health department director.\u003c/p>\n\u003cp>“We know that the virus is here in our community and yet we still must fight aggressively to interrupt it,” he said.\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">Breed also pushed back on President Donald Trump’s repeated references to the new coronavirus as “the Chinese virus.”\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The president continues to stand by his messaging around his labeling of the coronavirus and we want to make it clear that that is not something that is acceptable or tolerated here in San Francisco,” the mayor said. “The longer we perpetuate this divisiveness, this racism, the words that continue to allow for the focus to be on that particular issue, the less we are able to deal with this together.”\u003c/p>\n\u003cp>In apparent defiance of critics, Trump opened his Thursday task force briefing, declaring that, “We continue our relentless efforts to defeat the Chinese virus.”\u003c/p>\n\u003cp class=\"p3\">“\u003cspan class=\"s2\">I really thought that we were already past the xenophobia that has existed since the beginning of learning about the coronavirus and its origin,” Breed continued. “It is very unfortunate that this continues to be an issue and it is offensive — not only to our Chinese community here in San Francisco; it’s offensive to our city as a whole, where we pride ourselves on our diversity.”\u003c/span>\u003c/p>\n\u003cp>San Francisco is moving its Emergency Operations Center from the location on Turk Street to the city’s downtown convention complex, Moscone Center. Breed said the move will help San Francisco meet “a significant challenge to our city.”\u003cspan class=\"Apple-converted-space\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>The convention center has more space and will allow staff to remain six feet apart from one other, per the city’s orders to practice “social distancing.”\u003c/p>\n\u003cp class=\"p1\">San Francisco now has 70 confirmed cases of COVID-19, according to Breed. The mayor reiterated that San Franciscans must follow the city’s mandate to stay home except for essential outings and exercise.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan class=\"s1\">“We want people to shelter in place and stay at home,” she said. “In every single instance. We are only on Day 3 and this is an evolving situation.”\u003cbr>\n\u003c/span>\u003c/p>\n\n",
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