COVID-19 Update and Health Tips Mengping Ku School Nurse Jing Mei Elementary School
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COVID-19 Update and Health Tips
Mengping Ku
School Nurse
Jing Mei Elementary School
Resources:
John Hopkins University
CDC
Public Health Seattle & King County
Allergy and Asthma Network
Rethink Your Covid Bubble – PPT by Erin Ferguson, BSD School Nurse
Allergy and Asthma Foundation
National Institute of Health
Covid-19 Dashboard by The Center for Systems science and engineering (CSSE) at John Hopkins University https://coronavirus.jhu.edu/map.html
US Data Report – CDC Covid- 19 Data Tracker
In the News • As the United States adds a new coronavirus case every second, hospitals from West Texas to Wisconsin are overwhelmed with the soaring number of critically ill Americans. • In many cases, it’s not a lack of hospital beds, therapies, or equipment that worry manages amid the surge, with more than 250,000 deaths from covid-19 in the US. It’s the depleted and exhausted hospital staffs needed to care for those who need life- sustaining treatment.
In the News
• CDC – New Guidance
• Redefines “close contact”:
When a person is within 6
feet of an infectious person
over the course of 24 hours.
• Masks may protect you
from getting coronavirus—
not just protect others
when you wear a mask.
Thanksgiving Gathering Advice
Rethink your COVID “Bubble”
We’re not as
isolated as you
might think
What you
Your Family Your Parents think your
bubble is:Your Sister’s Family
The Neighbors
Your Parents Your actual
bubble
Sports Team
Your Dad’s Friends
Their Families/FriendsHow do contacts
outside the
household change
our bubble?
• The average American
household has 3 people
• As we increase the
contacts outside our
home, we dramatically
increase our “bubble” size1 contact outside of household
2 contacts outside of household
3 contacts
4 contacts
5 contacts
As we look at 1, 2, and 3 degrees of
separation, things get more concerning
Average # Your Close Their close The next level of Your (more
contacts outside Contacts/ contacts/ close contacts/ accurate)
of home Primary contacts Secondary contacts Tertiary contacts “bubble” total
0 2 0 0 2
1 3 4 6 14
2 4 10 26 54
3 5 18 66 89
4 6 28 132 166
5 7 40 230 277Please be mindful (especially as holidays approach) that you are not only adding your friend, coworker, or family but all of their contacts as well
Stay apart, Stand together
Try new ways to connect during the holidays: • Thanksgiving side dish exchange-drop off portions at friend’s doorsteps • Ask a family member for the recipe of the dish they make that you love so much! • Video conference minute to win it games, craft time, or pie time! • Teleparty a holiday movie/show together from your favorite streaming service • Random acts of kindness-Clean a yard or decorate a porch • Have an ugly holiday mask contest to go with your ugly sweater • Long distance boombox caroling • Read your favorite holiday books to friends/family over the phone • Create a new bedtime story with different families by writing a page/chapter and passing the story on-who knows what might happen! • Be creative! Make new traditions!
Overlapping symptoms between Covid-19, Cold, Flu, Allergies, and Asthma
Overlapping symptoms between Covid-19,
Cold, Flu, Allergies, and Asthma
• Covid-19 • Flu • Cold • Asthma
• Fever • Fever (often • Mild cough • Coughing
• Chills very high, 101
or above) • Sneezing • Wheezing
• Cough
• Headache • Runny or stuffy • Shortness or breath
• Shortness or breath
or trouble • Extreme nose • Rapid breathing
breathing tiredness • Sore throat • Chest tightness
• Feeling tired and • Chills
• A short fever
weak • Constant cough
• Aches and pains
• Muscle or body • Sore throat
aches • Runny or stuffy • Allergies
• Headache nose • Itching in the nose
• New loss of taste or • Body aches in and eyes
smell bones and/or
muscles • Sneezing
• Sore throat
• Diarrhea and • Stuffy nose
• Stuffy or runny
nose vomiting (more (congestion)
common in • Runny nose
• Diarrhea, nausea, children)
or vomiting • Mucus in the
throatDiagnosis of Flu and Covid-19
Flu diagnosis Covid-19 diagnosis
• Rapid Flu test (70% accuracy) • PCR test
• Instant results to rule out the flu • Detects genetic material of the
virus
• Standard Flu test
• Takes a few days for a result • Rapid antigen test
• Detects certain proteins of the
virus
• Quick results ~15 minutes
• Antibody test
• Tests recent or previous infection
with covid-19Flu Vaccine
• Routine annual influenza vaccination is recommended for
all persons aged ≥ 6 months who do not have
contraindications.
• The composition of the 2020-21 US influenza vaccines
includes updates to the influenza A (H1N1) pdm09,
influenza A (H3N2), and influenza B/Victoria lineage
components
• These updated components will be included in both
trivalent and quadrivalent vaccines. Quadrivalent
vaccines will include and additional influenza B virus
component from the B/Yamagata lineage, which is
unchanged from that included in quadrivalent influenza
vaccines used during the 2019-20 seasonCovid-19 Vaccine Update
https://www.nytimes.com/interactive/2020/science/coronavirus-vaccine-tracker.htmlVaccines Pfizer & BioNTech – Preliminary data • Coronavirus vaccine over 90% effective • An analysis of the first 94 cases of covid-19 in the trial yielded promising preliminary results • Pfizer is now expected to submit an application for an Emergency Use Authorization by the end of November • If their vaccine is authorized, Pfizer and BioNTech expect to manufacture over 1.3 billion doses of their vaccine worldwide by the end of 2021 • The vaccine will have to be chilled to minus 80 degrees Celsius (minus 112 degrees Fahrenheit) until it’s ready to be injected. Pfizer is designing boxes that will keep the vaccines cold as they’re being transported • The vaccine is two doses, one month apart • Phase one and two data shows that the vaccine provides better immunity than natural immunity (people who got covid-19 and have immunity) • How long immunity lasts is still unknown
Vaccines Moderna • Moderna is among several firms that joined the president’s initiative, which set out to put several manufactures and pharmaceutical companies in motion with federal financial support to rapidly produce vaccine candidates. • Results from a vaccine in drug trial phase from Moderna, supported by research from the National Institute of Allergy and Infectious Diseases, could be released within weeks.
Vaccines AstraZeneca & Johnson & Johnson • Testing of AstraZeneca’s vaccine candidate had been halted since early September, while Johnson & Johnson’s vaccine study was paused at the beginning of last week. Each company had a study volunteer develop a serious health issue, requiring a review of safety data. • The two coronavirus vaccines are among several candidates in final- stage testing, the last step before seeking regulatory approval • The drug makers said they got the go-ahead from the Food and Drug Administration to restart tests in the US
Covid-19 Vaccine News in Review
Novavax—delayed start of US late-stage trial for a month
Operation Warp Speed:
• The two farthest along are Moderna and Pfizer. Both of their vaccines are
based on messenger RNA technology, a technology that injects genetic
instruction from the coronavirus into people and coaxes the recipients’ cells
into producing proteins that resemble a virus but aren’t infections
• AstraZeneca/University of Oxford, Johnson & Johnson, Novavax, and
Sanofi/GlaxoSmithKline—are weeks to months behind Moderna and Pfizer
• Moncef Slaoui said it shouldn’t be long before the companies know if the
vaccines are working. “Nobody can really say when,” he said, “but the
expectation would be that this would happen between the month of
November and December.”Social Distancing
“Intermittent distancing may be required into 2022 unless
Harvard critical care capacity is increased substantially, or a
School of treatment or vaccine becomes available.”
Public “Even in the event of apparent elimination, SARS-CoV-2
surveillance should be maintained since a resurgence in
Health contagion could be possible as late as 2024.”
They are aware that such prolonged distancing, even if
intermittent would likely have “profoundly negative
economic, social, and educational consequences.”CDC Director
• Though coronavirus vases in the US have
been soaring, social distancing appears to be
effective
• Social distancing is “one of the most powerful
weapons” against Covid-19, said Robert
Redfield, director of the Centers for Disease
Control and PreventionWhen do you expect social distancing restrictions to ease up? (your best guess…) 1. End of 2020 2. 1st quarter of 2021 3. 3rd quarter of 2021 4. The restrictions will never ease up
In Search of a Return to Normalcy—
McKinsey Report
Two important definitions of an “end” to the pandemic -
An epidemiological end point when
herd immunity is achieved A transition to a form of normalcy
• Proportion of society immune to • When almost all aspects of social
covid-19 is sufficient to prevent and economic life can resume
widespread, ongoing without fear of ongoing
transmission mortality (when a mortality rate
• Vaccine = hope is no longer higher than a
country’s historical average)
• Public health emergency
interventions no longer needed • Long-term health consequences
related to covid-19In Search of a Return to Normalcy—
McKinsey Report
The “Next Normal”
• Might be different in surprising ways
• Getting there will gradual
• Transition allows businesses & services to
resume
• Air travel, bustling shops, humming
factories, full restaurants, and gyms
operating at capacityIn Search of a Return to Normalcy—
McKinsey Report
Beyond the impatience that most feel
Timeline will vary by location to resume normal life
• Not reached in a linear fashion • The longer it takes to remove
• Epidemiological end? Most likely the constraints on our
3rd or 4th quarter of 2021 economies, the greater the
economic damage
• Return to normalcy? Possibly in
1st or 2nd quarter of 2021Health tips during the winter season
• Get the flu shot
• Wash your hands
• Maintaining a healthy lifestyle (diet, exercise, and sleep) will decrease stress
• Warm liquids – helps to keep respiratory track clear
• Honey – helps control coughing, and has antibacterial properties
• Honey in tea
• Root vegetables – good to put in soup, easy to digest
• Dark green leafy vegetables – packed with nutrients, vitamins, and minerals
• Citrus fruits – vitamin C
• Dried fruits, nuts, and seeds – packed with nutrients like magnesium, zinc,
selenium, prevents dry skin
• Spices: ginger, cumin, cinnamon – increases body temperature and blood
circulation, and helps digestionZinc
• Zinc supplements
• 100 enzymes co-factors
• Protein synthesis
• DNA synthesis
• Wound healing
• Plays a role in immune function
• Zinc and Immunity
• Severe zinc deficiency depresses immune function
• Mild to moderate degrees of deficiency can impair macrophage and neutrophil
• Natural killer cells – antiviral function
• Body requires zinc to develop and activate T-lymphocytes
• Foods
• Sea food, beef, pork, baked beans, fortified cereals, pumpkin seeds, yogurt, cashew
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