Coronavirus Newsletter Links - June

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If we thought we knew the ferocity of Covid information before, then we were wrong! Seemingly expanding at an exponential rate there is no shortage of great information out there, and we have provided a selection of what we think are some of the most relevant to first responders. It’s interesting to see the type of information change over the past few months. We initially saw an explosion of information on protection and mitigation against Covid, this has largely died down as we understand the agent better. Many of the papers now are low cost systems that have been built in the field, either for individual or collective protection, and may well hold value for agencies that are struggling to get their hands on proper equipment. Tactics and strategy continues to evolve, and there is some great information being produced on this.   

There is a lot of 'page one' information that has not been included, from the WHO, CDC, ECDC etc., as we assume that this will, rightly, be the first port of call for many people. Each month we will try and find sites away from the beaten track that deserve greater viewing. People that want to keep up on a weekly basis we’d recommend Ben Johnson’s column for Nature - https://naturemicrobiologycommunity.nature.com/users/17778-ben-johnson/content. If you have a favourite that you would like to be included please contact the editor This email address is being protected from spambots. You need JavaScript enabled to view it. 

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Top Tips -

Have a meat packing or processing facility in your area? https://thefern.org/2020/04/mapping-covid-19-in-meat-and-food-processing-plants/ Prepare to see Covid. Here’s why… - https://www.cebm.net/covid-19/what-explains-the-high-rate-of-sars-cov-2-transmission-in-meat-and-poultry-facilities/

Useful maps and graphs for mortality in Europe - https://www.euromomo.eu/graphs-and-maps/

Forecasting cumulative weekly deaths in US states - https://reichlab.io/covid19-forecast-hub/

Covid research funding opportunities - https://sirenetwork.ucsf.edu/COVID19FundingOpportunities

Dowload the ECDC Threat Report App! Even the ‘Member of the Public’ section has some great info - https://www.ecdc.europa.eu/en/publications-data/ecdc-news-palm-your-hand-download-our-app

Great resource for lots of toolkits and surveys/forms - https://www.phenxtoolkit.org/covid19

Wondering how you are going to learn and survive Covid while being entertained!? Wonder no more - https://martin-jacob.itch.io/can-you-save-the-world

The Skydio Emergency Response Program (ERP), is donating dozens of their Skydio 2 UAS and associated equipment to public safety agencies across the US. Email This email address is being protected from spambots. You need JavaScript enabled to view it. for more information

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Protection

Performance and impact of disposable and reusable respirators for healthcare workers.  https://www.medrxiv.org/content/10.1101/2020.05.21.20108233v1.full.pdf

An inexpensive, disposable, positive-pressure head isolation unit that can be rapidly constructed for under $5 - https://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/positivepressure-environment-disposable-shield-peds-for-covid19-health-care-worker-protection/B96C63018527BB4AB0B9AF67FCB3A146

Nice site with vetted suppliers of non-traditional US suppliers of PPE - https://www.ahrmm.org/covid-19-resources-non-traditional-suppliers-offering-ppe-and-other-critical-supplies

Guide to avoiding counterfeit respirators
https://www.iafc.org/topics-and-tools/resources/resource/guidance-to-avoid-counterfeit-respirators

Use of rice cookers to steam masks clean…  https://www.infectioncontroltoday.com/mask-respirators/whats-cooking-face-mask-decontamination-rice-cookers-ward-covid-19  

FEMA releases Exercise Starter Kit to help agencies conduct COVID-19 transition workshops
https://www.ems1.com/coronavirus-covid-19/articles/fema-releases-exercise-starter-kit-to-help-agencies-conduct-covid-19-transition-workshops-9hTvKjucQ22rEbi6/

Respiratory Protection Training Videos
https://www.osha.gov/SLTC/respiratoryprotection/training_videos.html

A novel, portable respiratory protection unit for prehospital use can be easily manufactured from easily sourced materials for less than $50. https://www.cureus.com/articles/30836-a-novel-inexpensive-portable-respiratory-protection-unit-for-prehospital-use-a-technical-note

Assessment of non-traditional materials for respiratory protection. Spoiler alert – it’s vacuum bags. https://www.journalofhospitalinfection.com/article/S0195-6701(20)30276-0/pdf

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Mitigation/Decon

CDC guidance on cleaning workplaces and businesses ready for opening - https://www.cdc.gov/coronavirus/2019-ncov/community/cleaning-disinfecting-decision-tool.html

Difficulty of transmission of Covid from inanimate surfaces - https://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(20)30286-X/pdf

Speed of inactivity in Covid through sunlight, seven minutes in saliva - https://pubmed.ncbi.nlm.nih.gov/32432672/

Evaluating the effectiveness of three social distancing strategies - https://www.nature.com/articles/s41562-020-0898-6

A novel isolation bag device for use in CT that facilitates containment and reduce contamination - https://www.academicradiology.org/article/S1076-6332(20)30293-2/pdf

Long term CBRNe World writer, Dr Jose-Luis Sagripanti’s article on inactivation of Covid with solar radiation - https://onlinelibrary.wiley.com/doi/epdf/10.1111/php.13293

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Diagnostics

Most common mild and moderate signs of Covid. https://www.cebm.net/covid-19/in-patients-of-covid-19-what-are-the-symptoms-and-clinical-features-of-mild-and-moderate-case/

Verification on the use of saliva as an alternative specimen type - https://www.tandfonline.com/doi/full/10.1080/22221751.2020.1775133

Using AI and CT to detect Covid - https://www.nature.com/articles/s41591-020-0931-3

Home 3D scanners printed hundreds of face masks in the first wave, could swabs be the next cottage industry for the second one…? https://printedswabs.org/

FDA list of Antibody tests that should not be distributed https://www.fda.gov/medical-devices/emergency-situations-medical-devices/faqs-testing-sars-cov-2#nolonger

Using Antibody Tests for COVID-19
https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antibody-tests.html

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Therapeutics

ASPR’s portfolio of medical countermeasures under investigation - https://www.phe.gov/emergency/events/COVID19/investigation-MCM/Pages/default.aspx

Updated information on Covid therapeutics - https://www.covid19treatmentguidelines.nih.gov/whats-new/

A Comprehensive Review of N-COV-SARS2 - https://www.cureus.com/articles/31168-a-comprehensive-review-of-severe-acute-respiratory-syndrome-coronavirus-2

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Strategy

Tracking US states as to whether they are safe to reopen - https://www.covidexitstrategy.org/

Project Echo is a leading telemedicine initiative, they have a range of sessions that US and international professionals can join in with - https://echo.unm.edu/covid-19/institute-international 

‘The other side of the curve;’ preparing for re-opening healthcare and other facilities - http://www.ihi.org/resources/Pages/AudioandVideo/COVID-19-the-Other-Side-of-the-Curve.aspx and http://www.ihi.org/communities/blogs/the-challenge-of-reopening-health-care

Taking lessons from the service industry into the reopening of hospitals - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2766560

US & UK lessons from setting up alternative care sites - https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0224

Guidance for mass transit administrators - https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-mass-transit-administrators.html

Approaches to lift the lockdown in London - https://pubmed.ncbi.nlm.nih.gov/32461062/

Maintaining essential health services: operational guidance for the COVID-19 context https://www.who.int/publications-detail/10665-332240

Tactics

Great presentation with lots of information on ensuring healthcare safety throughout the COVID-19 pandemic - https://files.asprtracie.hhs.gov/documents/aspr-tracie-covid-19-healthcare-safety-webinar-ppt.pdf  

All kinds of useful resources here, including clinical care - https://www.covid19.medstarapps.org/

Some great webinars from NETEC (French and Spanish language versions available for some) - https://repository.netecweb.org/exhibits/show/ppe-cons/covidwebinars

Eight lessons from a COVID-19 surge hotspot in NY - http://www.ihi.org/communities/blogs/8-lessons-from-a-covid-19-surge-hotspot

Expanding palliative care during the outbreak - https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0204

Guidance for UK Ambulance Trusts
https://www.gov.uk/government/publications/covid-19-guidance-for-ambulance-trusts/covid-19-guidance-for-ambulance-trusts

Guidance for UK Search and Rescue Responders
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/884971/UKSAR_COVID-19_v2_120520.pdf

Interpol guidelines for law enforcement
https://www.interpol.int/en/News-and-Events/News/2020/INTERPOL-issues-international-guidelines-to-support-law-enforcement-response-to-COVID-19

National Fire Chiefs Council CPR procedure: First responders guidance UK https://www.frsa.org.uk/wp-content/uploads/2020/04/COVID19_CPR_PPE_first_responders_FINAL.pdf

Response Considerations: Incidents Involving Crowds During COVID-19 Pandemic https://www.iafc.org/topics-and-tools/resources/resource/response-considerations-incidents-involving-crowds-during-covid-19-pandemic


“Hey Hurricanes! We have our own thing going on here…” COVID-19 Pandemic Operational Guidance for the 2020 Hurricane Season. https://www.fema.gov/media-library/assets/documents/188203

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