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TEMPORARY MANAGEMENT OF THE WORLD HEALTH ORGANIZATION

of January 29, 2020

Recommendations about application of masks among the population, in the conditions of care of the diseased at home and in case of delivery of health care in the context of the outbreak of new coronavirus (2019-nok)

Introduction

This document contains operational recommendations about use of medical masks among the population, at home and in medical institutions in regions from which messages on the flashes caused by new coronavirus of 2019 (2019-nok) arrived. It is intended for specialists in the field of public health care and prevention of infections / infectious control (PIIK), organizers of health care, health workers and communal medical and sanitary workers. The document will be updated in process of receipt of additional data.

Taking into account information which is available now it is supposed what 2019-nok can be transferred from the person to the person in the respiratory and drop and contact way. Any person who is in close contact (within 1 meter) with person showing respiratory symptoms (for example, sneezing, cough etc.) risks to be affected by potentially infectious drops of the patient separated from airways.

Medical masks are surgical or procedural masks, flat or pleated (some of them have the cup-shaped form), which are fixed to the head by means of elastic bands.

General recommendations

Wearing medical mask is one of preventive measures for restriction of distribution of certain types of respiratory infections, including 2019-nok, in the struck areas. However use of mask as single means is not enough for ensuring adequate level of protection, it is also necessary to accept also others, at least important measures. For prevention of transfer of 2019-nok from the person to the person along with application of mask it is necessary to follow rules of hygiene of hands and to observe other requirements of PIIK. Specialists of WHO developed management on providing PIIK in the conditions of care of the diseased at home (2) and in case of delivery of health care 3 in case of suspicion of infection of 2019-nok.

Wearing medical masks in the absence of sufficient indications can be integrated to the excessive expenses and efforts connected with purchase and also can create false feeling of safety therefore the person neglects other important measures, such as hygiene of hands.

Besides, misuse of mask can reduce its efficiency in respect of decrease in risk of transmission of infection.

Recommendations for the population

In the absence of respiratory symptoms it is necessary to follow the following rules:

avoid places of accumulations of people and frequentation of the closed crowded spaces;

support distance at least 1 meter from any person with respiratory symptoms of 2019-nok (for example, such as cough, sneezing);

it is frequent to carry out hygienic processing of hands, using alcohol-containing disinfectants if hands have no visible contaminations, and in case of their availability - to wash hands with soap;

in case of cough and sneezing to cover mouth and nose with the hand bent in elbow or napkin; then at once to throw out napkin and to carry out hygienic processing of hands;

whenever possible not to touch mouth and nose;

the medical mask is not required as there are no proofs of its usefulness for protection against infection. However in some countries of mask carry according to local cultural habits. When using masks it is necessary to observe recommendations about their carrying, removal and utilization, and also about hygiene of hands after removal (see below recommendations about the proper address with masks).

Persons with respiratory symptoms shall:

wear medical mask and ask for medical care in case of fever, cough and the complicated breath - as soon as possible or according to local protocols;

follow the stated below advice of rather proper address with masks.

Care of the diseased at home

In view of the data which are available now about 2019-nok and its transfer, WHO recommends to give help in case of suspicion of this infection and to make observation of the patient with observance of requirements of isolation in stationary medical institution. It will provide as safety and quality of medical care (in case of deterioration

Recommendations about application of masks in the conditions of flash of nok of condition of the patient), and safety from line items of public health care.

However for a number of reasons, including situations when hospitalization is impossible or unsafe (that is in case of the deficit of potential and resources which is not allowing to meet demand for medical services), or in case of conscious refusal of hospitalization, there can be need of delivery of health care at home. At the same time it is necessary to adhere to specific recommendations about providing PIIK in house conditions.

Persons with suspicion of infection of 2019-nok with easy respiratory symptoms shall:

it is frequent to carry out hygienic processing of hands, using alcohol-containing disinfectants if hands have no visible contaminations, and in case of their availability

wash hands with soap;

keep as it is possible further (at least 1 meter) from healthy people;

the patient should provide medical mask which he shall wear whenever possible all the time if it well maintains it. If the person does not transfer availability on face of medical mask, he shall follow rules of respiratory hygiene strictly: cover mouth and nose in case of cough or sneezing with one-time tissue. Throw out napkin after use.

Process hands directly after contact with respiratory allocations;

provide the strengthened ventilation in living space, leaving doors and windows opened as long as possible.

Relatives and custodians of persons with suspicion of infection of 2019-nok with easy respiratory symptoms shall:

it is frequent to carry out hygienic processing of hands,

using alcohol-containing disinfectants if hands have no visible contaminations, and in case of their availability

wash hands with soap;

keep as it is possible further (at least 1 meter) from the diseased;

wear medical mask during stay in one room with the diseased;

utilize one-time conditioning agents right after use. Process hands directly after contact with respiratory allocations;

provide the strengthened ventilation in living space, leaving doors and windows opened as long as possible.

Medical institutions

Persons with respiratory symptoms should follow the following rules:

wear medical mask in zone of sorting or in waiting time, and also when transporting within organization;

wear medical mask during stay in rooms for suspects or the confirmed cases;

not put on medical mask, being in the isolated single rooms, but cover mouth and nose in case of cough or sneezing with one-time tissues. After that immediately to utilize napkins properly and to execute hygienic processing of hands.

Health workers shall:

put on medical mask in case of entrance to the room in which there are patients with suspicion or with the confirmed diagnosis of infection of 2019-nok, and in case of any assistance to such patients;

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