Ask An Expert 4: COVID-19 Infection Control and SCI

Описание: Everything you've ever wanted to know from an infectious diseases specialist about keeping safe and healthy during the COVID19 pandemic! SEE TIMECODES BELOW to jump to specific questions. This presentation contains information about COVID19 and spinal cord injury in British Columbia, Canada as of May 26 2020. Consult your local public health authorities for current information specific to your area.
(Thanks to Freepik for the doctor image used in our thumbnail http://www.freepik.com Designed by Freepik)

Check out the research papers and additional resources related to this video in our blog post: www.sci-bc.ca/askanexpert-4/

TIMECODES:
About COVID19 1:40
Who is at risk: 2:20
Should we consider stricter quarantine during fall/winter flu season? 4:34

Does COVID19 survive on hard surfaces? 6:10

I’m a quad living with a live-in caregiver, what precautions should be in place? 8:52
How long can the virus stay on doorknobs or keyboards? 11:11

I have a cervical injury with two school aged kids. Is it too dangerous for kids to go back to school before there’s a vaccine? 13:43

Am I immune compromised if I have SCI? 15:08
Would Asymptomatic children bring back virus to immune suppressed parents? Should they wear masks? 15:51

Can COVID get on my wheelchair? I’m nervous outside around others because many aren’t physical distancing. 18:14

How long would the virus stay on our rubber tires for manual wheelchair users. 20:34
Are people treated with immune suppression therapy at higher risk? 21:21

What are the differences (in risk) between levels of injury, ie high quad, low quad, high para, low para, etc. 21:53
Are some types of hand soap better than others? 23:24
Am I more likely to get COVID if I am prone to UTIs? 24:44

Visiting grandkids after they return from school and have exposure to other people. 25:26
Should I be wearing gloves while out in public wheeling my wheelchair? 26:20

Have Quads in the US and UK (or elsehere) had COVID19? 27:13
Is it safe to go to medical appointments, ie at hospitals? 27:48
Are fewer children infected by COVID19 or just more asymptomatic? 29:20
How much more is COVID spread by respiratory droplets from breath vs. contact with infected surfaces? 30:55
How to keep para athletes safe? 30:49

What are some best practices for cleaning the home, groceries etc. 32:12
Would you say that contact sports for quadriplegics like Quad rugby should wait until vaccine is available or could you see some form of return to sport might be possible? 33:30

What fabrics would be ideal when making masks? 34:54

Is it reasonable to expect a second wave of COVID, and if so, how should we prepare? 36:10
How long do droplets remain in the air? 37:28

Can you outline the process of getting to a safe vaccine in Canada? 38:25

Should my medical appointments (ie cystoscopy) be rescheduled? 39:48
Is there testing for immunity? 40:24 What's herd immunity? 41:39

In terms of immunity – if you get COVID19, do you get immunity, and if so, how long? 43:00

For those with severe comorbidities, if there’s no vaccine, is it a foregone conclusion that these people will get COVID 19 at some point? 43:38

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Spinal Cord Injury BC is a nonprofit organization that helps people with spinal cord injury and related physical disabilities adapt, adjust and thrive in their communities. Visit www.sci-bc.ca for more information.

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Why do some people seem to have extended periods of symptoms? 44:28

Can you explain the difference between HEPA filters, surgical masks and N95s? 45:27

RESEARCH PAPERS MENTIONED:
Aerosols and Surface Stability of SARS-CoV-2 As Compared With SARS-CoV-1
N Engl J Med 2020; 382:1564-1567
https://www.nejm.org/doi/full/10.1056...

COVID19 in Schools - The experience in New South Wales, Australia
http://ncirs.org.au/sites/default/fil...

How Do Children Spread the Coronavirus? The science still isn't clear.
https://www.nature.com/articles/d4158...

Children with COVID in Pediatric Emergency Departments in Italy
DOI: 10.1056/NEJMc2007617 May 1 2020
https://www.nejm.org/doi/full/10.1056...

Spread of SARS-CoV-2 in the Icelandic Population
N Engl J Med 2020; 382:2302-2315
https://www.nejm.org/doi/full/10.1056...

Clinical features of coronavirus disease 2019 (COVID-19) in a cohort of patients with disability due to spinal cord injury. Spinal Cord Series and Cases volume 6, Article number: 39 (2020). https://www.nature.com/articles/s4139...

Atypical Presentation of COVID-19 in Persons with Spinal Cord Injury
Spinal Cord Series and Cases 2020:6:38
https://rdcu.be/b5nYF