COVID-19: What a New Study Says and Doesn’t Say About the Possibility of Airborne Transmission

By Betsy Todd, MPH, RN, nurse epidemiologist and AJN clinical editor. Published: March 20. 

As we have become a little more comfortable with the concept of social distancing as a way to mitigate the spread of this new coronavirus, a new worry seemed to dominate conversations this week: the idea that the virus can linger in the air. The takeaway for many people, at least in the conversations I’ve been having, is that you can become infected by simply walking down the street. There is no evidence that this is true (unless, of course, someone sneezes in your face!).

Results of recent experiment deepen our understanding.

A March 17 research letter published in the New England Journal of Medicine reported on experiments in which SARS-CoV-2, the virus that causes COVID-19, was artificially aerosolized. (For comparisons, SARS-CoV-1, which causes SARS, was also aerosolized.) A nebulizer was used to aerosolize the virus, and the aerosol was fed into a rotating drum. The drum apparatus helps to keep the suspended aerosols from settling out of the air, so that their dynamics can be more closely studied.

Under these controlled conditions, the researchers were able to demonstrate that artificially aerosolized virus remained viable and infectious for three hours, and that therefore it’s “plausible” that, if something causes the virus to aerosolize outside of the lab, this could be another mode of […]

Addressing Nurses’ Urgent Concerns About Ebola and Protective Equipment

By Betsy Todd, MPH, RN, CIC, AJN clinical editor. (See also her earlier post, “Ebola: A Nurse Epidemiologist Puts the Outbreak in Perspective.”)

This is not a time to panic. It is a time to get things right.—John Nichols, blogging for the Nation, 10/12/2014

Scanning electron micrograph of filamentous Ebola virus particles budding from an infected VERO E6 cell (35,000x magnification). Credit: NIAID Scanning electron micrograph of filamentous Ebola virus particles budding from an infected VERO E6 cell (35,000x magnification). Credit: NIAID

For years, nurses have tolerated increasingly cheap, poorly made protective gear—one result of health care’s “race to the bottom” cost-cutting. Now the safety of personal protective equipment (PPE) is being hotly debated as the Ebola epidemic spills over into the U.S.

If all nurses had access to impermeable gowns that extended well below the knee (and could be securely closed in back, had real cuffs, and didn’t tear easily); faceguards that completely shielded; N95 respirator masks that could be properly molded to the face; and disposable leg and shoe covers, we might not be having the same conversation. Yet how much protection can we count on from the garb we now have available, especially considering the minimal donning and doffing training given to most nurses?

While there […]

Don’t Panic, Prepare: Edgy Moment for H1N1

By Shawn Kennedy, MA, RN, AJN editorial director & interim editor-in-chief

'Nuff Said by ElektraCute / Elektra Noelani Fisher, via Flickr.

While many people (including nurses) remain relatively unworried about the coming flu season, others, it seems, are on high alert. I do wonder about the millions of dollars being spent (and being made) in the name of H1N1 (swine flu). I’ve heard of several seminars touting “must-know” facts and bearing titles that might make hospital administrators feel negligent if they don’t send staff (at hefty registration fees). Many companies, including mine, are distributing bottles of hand sanitizer to employees. And I can’t even imagine how many N95 respirators have sold since the Institute of Medicine (IOM) recently recommended their use by health care workers caring for patients with pandemic (H1N1) 2009 influenza.

Take it seriously. Still, as a former emergency nurse, I’m all for being prepared for disasters. This influenza should be taken seriously. As of September 20, the World Health Organization reports there have been 3,917 deaths and more than 300,000 confirmed cases worldwide, although the actual number of cases is probably much higher.  The latest surveillance report from the Centers for Disease Control and Prevention indicates widespread flu activity throughout much of […]

2016-11-21T13:22:05-05:00September 29th, 2009|nursing perspective|0 Comments
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