Showing posts with label #LifeInTheAgeofCorona. Show all posts
Showing posts with label #LifeInTheAgeofCorona. Show all posts

Monday, April 20, 2020

Notations On Our World (Weekly Edition): #TogetherAtHome

The World's leading musical talent came together in support of the struggle against #COVD19. Our team is honored to feature this for our weekly edition of Notations on Our World as we know #WeWillGetThroughThisTogether:

Thursday, April 16, 2020

Notations On Our World (Special Thursday Edition): #RandomThoughts During #LifeIntheTimeofCorona ((Updated))

President Trump and Transportation Secretary Elaine Chao celebrate America’s truckers on the White House’s South Lawn | April 16, 2020 (courtesy:  The White House) 


We begin today with the latest from the White House as we also saw reports of Midwestern States led by the Governor Of Michigan enacted a compact to launch a restart of their states--as a follow up to what Northeastern Governors led by Governor of Cuomo did in New York and Governor Newsom in California as noted below: 



1600 Daily
The White House • April 16, 2020

President Trump’s Guidelines for Opening Up America Again!


Thanks to you, President Trump’s aggressive strategy to beat Coronavirus is working.

A quarter of U.S. counties have no Coronavirus cases reported. Half of American states have fewer than 2,500 cases total. New infections are declining across the New York metro area, as well as in the closely watched Houston and New Orleans communities.

While Americans must remain vigilant in following President Trump's Coronavirus Guidelines, the data suggests we have passed a nationwide peak on new cases. This progress means it’s time to help states prepare for how to reopen our country.

Today, President Trump unveiled just that: Guidelines for Opening Up America Again! White House Press Secretary Kayleigh McEnany explains:
 
 The guidance being put out today is in line with what the experts are saying. It’s in line with what the data is showing. And it’s a plan to put this economy back on track—put the economy back on track to the hottest in modern history that President Trump created and also protect American lives. 

Reopening America won’t happen everywhere overnight. President Trump’s plan calls for a phased return, outlining specific steps for state and local officials to follow in tailoring their response. The criteria include showing a downward trajectory of COVID-like symptoms reported over 14 days in a given state or region, as well as a decline in documented cases or positive tests during the same 14-day window.

A region’s hospital and healthcare system capacity is another important factor. The President’s guidelines specify that hospitals be able to treat all patients without crisis care before a state or region reopens for business. Robust testing programs, including emerging antibody testing, should be in place to protect at-risk healthcare workers.

When America reopens, core state preparedness responsibilities won’t change. The ability to set up safe, efficient screening and testing sites remains essential. States will continue to advise citizens on protocols for social distancing and use of face coverings.

No matter the situation in your state, all Americans must keep up the fight against this virus. Continue to practice strict personal hygiene, including frequently washing your hands and disinfecting commonly used items and surfaces. People who feel sick should stay home and follow the advice of their medical providers. Employers should follow industry best practices on social distancing, sanitation, travel, and use of shared spaces.

This war isn’t over, but it can and will be won. “We want to get our country back,” President Trump says. “And we’re going to do it, and we’re going to do it soon.”

See President Trump’s Guidelines for Opening Up America Again!

🎬 WATCHAll of America is mobilized against this invisible enemy
As our World continues to live through #LifeIntheTimeofCorona,  we present the following updates courtesy of the Association of the United States Army &   Johns Hopkins : 


COVID-19
Daily updates on the emerging novel coronavirus from the Johns Hopkins Center for Health Security.

The Center for Health Security is analyzing and providing updateon the emerging novel coronavirus. If you would like to receive these daily updates, please sign up here and select COVID-19. Additional resources are also available on our website.

EPI UPDATE The WHO COVID-19 Situation Report for April 15 reports 1,914,916 confirmed cases (70,082 new) and 123,010 deaths (5,989 new).

Pakistan reported 520 new cases on April 15, its second highest reported daily total. Overall, Pakistan’s epidemic appears to continue its acceleration. In total, Pakistan reported 6,505 cases and 124 deaths (17 new). Nearly half of Pakistan’s cases have been reported in the Punjab province (3,217 cases). India reported 12,380 confirmed cases (447 new), fewer than half of the new cases reported yesterday, and 392 deaths (22 new).

Spain has reported elevated daily COVID-19 incidence for 2 consecutive days, with 5,183 new cases reported today. Spain has had several periods with a period of decreasing incidence followed by 2-3 days of elevated reports before once again declining. If this trend continues, it can be expected that Spain will report fewer new cases in the next day or two. Spain also reported 551 new deaths, back in line with its recent trend after reporting more than 1,000 new deaths yesterday. In total, Spain reported 177,633 cases and 18,579 deaths. Italy has not published updated COVID-19 data since the totals reported yesterday—165,155 total cases and 21,645 deaths. 

Indonesia reported a total of 5,516 confirmed cases (380 new) and 496 deaths (28 new). This is the second consecutive day that the daily incidence has increased; it appears that Indonesia’s COVID-19 epidemic may be continuing to accelerate after a short period of decreased reports. Singapore reported 728 new cases of COVID-19, a considerable increase in daily incidence compared to recent days. Among these new cases, 654 (90%) were reported among residents of migrant worker dormitories. Cases among these facilities are a significant driver of Singapore’s growing epidemic. Singapore’s COVID-19 Situation Report is currently unavailable; however, the national total is expected to be 4,427 confirmed cases and 10 deaths (zero new). 

The US CDC reported 605,390 cases (26,385 new) and 24,582 deaths (2,330 new) on April 15. In total, 20 states have reported more than 5,000 cases (1 new), including 14 states with more than 10,000 (1 new). New York state reported 213,779 cases (11,571 new), including 11,586 deaths (752 new). New York City reported 111,424 cases (4,161 new), including 7,905 deaths (not updated since yesterday). Additionally, there are currently 33 states (3 new), plus Guam, reporting widespread community transmission. The Indian Health Service (IHS) has not published updated COVID-19 data since April 13—1,124 total cases, with more than half reported among the Navajo Nation (636 cases). The Johns Hopkins CSSE dashboard* is reporting 640,291 US cases and 31,015 deaths as of 11:45am on April 16.
*The Johns Hopkins CSSE also publishes US-specific data, at the county level, on a dedicated dashboard.

FIRST UN SOLIDARITY FLIGHT In yesterday’s WHO COVID-19 Situation Report, the WHO noted the departure of the first UN “Solidarity Flight,” which will deliver COVID-19 response supplies destined for all countries in Africa. The shipment consists of a variety of personal protective equipment (PPE)—including gloves, gowns, and masks—as well as other supplies and equipment, such as thermometers and mechanical ventilators. The flight, operated by the UN World Food Programme, departed Addis Ababa, Ethiopia, on April 14. The supplies were largely donated by the Ethiopian government and Jack Ma, co-founder and former CEO of Alibaba, and the African Union and Africa CDC are coordinating the distribution of the supplies across the continent. The Solidarity Flights are part of a US$350 million effort to establish “humanitarian hubs around the world” to provide material support for the COVID-19 response, but so far, the program has only received US$84 million in donations.

UPDATED WHO COVID-19 GUIDANCE The WHO published an update to its COVID-19 Strategic Preparedness and Response Plan. Among the changes is a new section that includes guidance regarding conditions and considerations that should inform decisions regarding efforts to relax existing social distancing measures. The document emphasizes that countries must eliminate or maintain low levels of community transmission in order to contain the pandemic and that community transmission necessitates “exceptional measures” to rapidly suppress it. Notably, the WHO explicitly states that the decisions regarding implementing and relaxing social distancing measures should be made at the lowest levels of government to ensure “a tailored and appropriate response depending on the situation and capacities to respond.” The guidance outlines 6 principal considerations and capacities to consider in order to maintain suppressed community transmission: (1) reducing transmission to sporadic transmission or clusters of cases; (2) establishing and maintaining sufficient public health and healthcare capacity, including testing, contact tracing, and quarantine/isolation; (3) mitigating transmission risk in vulnerable settings, such as healthcare facilities and nursing homes; (4) implementing necessary protective measures for workplaces and schools, including physical distancing, improved hygiene, and temperature/symptom screening; (5) reducing risk of imported cases, including traveler screening and monitoring; and (6) engaging and educating the public to ensure protective measures are implemented effectively as changes are made to existing policies and restrictions.

The Director of the Pan American Health Organization, Carissa F. Etienne, commented that social distancing measures are the key factor in health systems being able to effectively respond to the COVID-19 pandemic within their existing capacity. Dr. Etienne emphasized that any efforts to “transition to more flexible measures should be taken with extreme caution” and that these decisions should be made in the context of the local situation, including level of community transmission, testing and surveillance capabilities, and healthcare system capacity. Additionally, Dr. Etienne called for substantial increases in testing capacity throughout the Americas, before countries face major epidemics.

BEST PRACTICES FOR HEALTHCARE FACILITIES OUTLINED The FEMA Federal Healthcare Resilience Task Force published the “COVID-19 Hospital Resource Package,” which is intended to provide publicly accessible guidance and tools to better enable the healthcare response to COVID-19. The document provides guidance on surge planning for the emergency department, critical care, and mortuary services; crisis standards of care; staffing surge and resilience; workforce protection; regulatory concerns; PPE and healthcare supply chains; and telemedicine to support US health systems’ efforts to combat the growing epidemic.

CHINA TIGHTENS CONTROL OF COVID-19 PUBLICATIONS A news article published by Nature discusses emerging reports that the Chinese government is providing direct oversight of scientific publications related to COVID-19 research. The article indicates that several documents issued by China’s Ministry of Education (and obtained by the journal) describe requirements for review and approval of prospective publications by university and government bodies—including the Joint Prevention and Control Mechanism, under China’s State Council—before they can be submitted for publication. According to the article, official documentation does not appear to be posted on relevant ministry websites.

CHINA CDC COVID-19 IMPORTATION RISK The majority of China’s reported COVID-19 cases over the past several weeks have been imported from other countries, as opposed to the result of local transmission. The journal China CDC Weekly published an assessment of the country’s risk of importing COVID-19 cases from various countries and regions, based on existing public data on national and sub-national COVID-19 incidence around the world. China has reported 1,101 total imported cases of COVID-19 (through April 8), including 262 in the previous week. Among the recently imported cases, 125 (47.7%) were imported via land border crossings from Russia. China CDC also reported the proportion of imported cases by region: 77% from Asia, 8% from Europe, 6% from North America, 5% from Oceania, and 2% from Africa. The analysis notes that the imported cases from the United States and United Kingdom remained relatively steady, despite growing epidemics in both countries, while “those from Russia increased dramatically.” The analysis notes that the severity of the US COVID-19 epidemic varies by state and city, and the analysis compares the situation in some areas of the country (e.g., New York City) to what has been observed in Wuhan, China, and Lombardy, Italy. The report concludes that travel restrictions instituted by China “seemed to be effective and led to a reduction in imported cases via airports”; however, many challenges remain with respect to mitigating this risk on a national level.

CANADA PREPARING TO REUSE N95 RESPIRATORS Hospitals in Canada are reportedly beginning to stockpile used N95 respirators and other PPE, in the event they need to be sterilized and reused. As the global demand for respirators remains high (or possibly increasing), health systems around the world are looking for alternate solutions to supplement existing supply chains. Hospitals across the country are evaluating prospective options for decontaminating various types of PPE, in the event they are unable to procure supplies in the future. Several techniques have been documented for decontaminating respirators; however, they are not yet in widespread use. According to this report, Canada’s Chief Medical Officer, Theresa Tam, recommended that hospitals start retaining used PPE, including N95 respirators, in case they can be disinfected in the future. Reportedly, supply-related challenges increased after the United States restricted the export of certain supplies.

COVID-19 CLINICAL AND EPI AMONG HOSPITALIZED PATIENTS Researchers from the University of California Berkeley, Imperial College London, the London School of Tropical Medicine, and Kaiser Permanente published (preprint) a study describing the clinical course and epidemiology of COVID-19 patients in California and Washington state. From a prospective cohort of more than 9.5 million individuals, the study identified 1,277 hospitalized COVID-19 patients (laboratory- or clinically confirmed). The study found the COVID-19 incidence of hospitalization to be between 10.6 and 14.6 per 100,000 (depending on the location). Consistent with other studies, the frequency of hospitalization increased dramatically with age—between 37.4 and 61.0 per 100,000 among those 80 years and older. The mean length of hospitalization was 10.7 days for survivors and 13.7 days for those who did not survive their illness. Notably, the authors observed significant declines in transmission in multiple locations between cases infected in early March and those infected several weeks later, suggesting that social distancing measures may be having the desired effect.

REPURPOSING VACCINES? We reported previously that 2 clinical trials are being conducted to evaluate the potential effect of the Bacille Calmette-Guérin (BCG) vaccine on preventing SARS-CoV-2 infection. In addition to these trials, a clinical trial will be conducted in the United States to similarly evaluate the oral polio vaccine. At this time, there is no evidence that either vaccine will provide benefit in terms of protecting against SARS-CoV-2 infection, but they are being evaluated for potential benefit.

US LOCAL GOVERNMENT ECONOMIC IMPACT Even with the recent emergency federal COVID-19 funding under the CARES Act, many local governments are struggling economically as a result of the pandemic and associated social distancing measures. The funding allocated to state and local governments may not adequately address the scope of the economic impact. States and larger local governments received funding directly from the federal government; however, smaller local governments received associated funding via their respective state governments, which are experiencing their own financial challenges. Additionally, the funding is reportedly restricted to COVID-19 response activities, but local governments are also experiencing financial losses due to decreased tax revenue, including lost sales tax. The National Association of Counties, representing more than 3,000 county governments, published a letter to US President Donald Trump calling on the federal government to provide additional financial support for local governments to help mitigate these losses, particularly as it is increasingly likely that economic impacts could persist for many months.


We Implore all to make sure to #StaySafe  #PracticeSocialDistancing, #WashYourHands.    Our team will do all all that it can to be a conduit/aggregate for updates throughout.

#WeWillGetThroughThis


Monday, April 13, 2020

Notations From the Grid (Special Edition): On #LifeInTheTimeofCorona Courtesy The Committee to Protect Journalists

ap_safety advisory 4.6_rs.jpg 
 Media tour a temporary hospital set up in the Ernest N. Morial Convention Center in response to the COVID-19 pandemic in New Orleans on April 4, 2020. (AP Photo/Gerald Herbert)

CPJ Safety Advisory: Covering the coronavirus outbreak

February 10, 2020 12:00 PM ET

Updated April 6, 2020

The World Health Organization (WHO) declared the COVID-19 (novel coronavirus) outbreak a pandemic on March 11, 2020, and the number of cases continues to rise globally, according to the WHO.

Journalists around the world are playing a crucial role in keeping the public informed about the pandemic and governments’ efforts to combat it, despite attempts by authorities in several countries to crack down on independent reporting and access to information, as documented by CPJ. Members of the media are facing a huge amount of pressure and strain, and are often potentially exposed to infection through travel, interviews, and the locations they find themselves working in, according to CPJ’s interviews with journalists.

As the situation continues to evolve and new information emerges, updated health advice and outbreak news will be issued by the relevant authorities. To keep up-to-date on the latest advice and restrictions, journalists covering the outbreak should monitor information from the WHO and their local public health body.

To keep up to date with the latest outbreak developments, the Johns Hopkins University Coronavirus Resource Center is a safe and reliable resource.

STAYING SAFE IN THE FIELD

Due to the imposition of wide-ranging international travel restrictions, the vast majority of media assignments will likely remain domestic-based for the immediate future. All assignments are highly likely to change or be cancelled with little or no notice, due to a fast-moving and rapidly evolving situation throughout the world.

Those who are planning to cover the COVID-19 outbreak should consider the following safety information:

Pre-Assignment

● To minimize the risk of exposure, and wherever possible, phone or online interviews should be carried out rather than in person

● According to the U.S. Centers for Disease Control and Prevention (CDC), older people and individuals with underlying health conditions are considered high risk. If you fall into such categories, you should not participate in any assignment that puts you in direct contact with the general public. Consideration should also be given to any employees who are pregnant

● When selecting staff for any reporting on the COVID-19 outbreak, management should be mindful of racist attacks against certain nationalities, as highlighted by BuzzFeed, and the U.S. Embassy in Addis Ababa, which recently issued an alert about hostile and violent incidents targeting foreigners in the country. Such incidents will likely become more common as the outbreak continues to spread

● Discuss what plans your management team has in place to assist and support you should you fall ill while on assignment, taking into account the possibility of self-isolation and/or being grounded in a quarantine/lockdown zone for an extended period of time

Psychological Well-Being

● Even the most experienced journalists may struggle psychologically when reporting on the COVID-19 outbreak. Management should check in on their journalists on a regular basis to see how they are coping, and to offer guidance and support if and when necessary

● Family members will likely be concerned and/or stressed if you plan to cover the COVID-19 outbreak. Have a discussion with them about the risks and their concerns. If necessary, set up a conversation between family members and your organization’s medical advisers

● Journalists have told CPJ that when reporting on Covid-19, even family and friends have questioned the dangers, often reacting negatively. This can be dispiriting

● A useful resource for media workers covering traumatic situations can be found via the DART Center for Journalism and Trauma

Avoiding Infection & Infecting Others

Many countries are now practicing social/physical distancing. If reporting on location with the emergency services or visiting locations such as the following, inquire in advance about the necessary hygiene measures that are in place. If in any doubt, do not visit.

● Any kind of healthcare facility

● A care home for the elderly

● The home of a sick person, someone with health issues, or someone who may be pregnant

● A morgue, mortuary, crematorium, or funeral service

● A quarantine, isolation, or lockdown zone

● A densely packed urban dwelling (i.e. slum or favela)

● A refugee camp

Standard recommendations to avoid infection include:

● Maintain a minimum of at least 2 meters distance with everybody, being especially careful around those showing any signs or symptoms of respiratory illness, such as coughing and sneezing. Avoid shaking hands, hugging and/or kissing

● Try to stand at an angle to a subject during an interview rather than face-on, always maintaining the recommended 2 meters or more distance

● Journalists should be particularly conscious of maintaining a safe minimum distance when interviewing the elderly, those with underlying health conditions, anyone close to individuals who are symptomatic, health care workers treating COVID-19 patients, or workers in high risk locations

● Wash your hands regularly, properly, and thoroughly, for at least 20 seconds at a time using hot water and soap. Ensure hands are dried in the appropriate way. A very useful guide on how to wash and dry your hands properly can be found on the WHO website

● Use anti-bacterial gel or wipes if hot water and soap is not available, but always follow this up with a hot water and soap wash as soon as possible. (The CDC recommends the use of alcohol-based hand sanitizers with greater than 60% ethanol or 70% isopropanol.) Do not substitute a regular hand washing routine by using hand sanitizer in its place

● Always cover your mouth and nose when coughing and sneezing. If you cough or sneeze into a tissue, dispose of it immediately in a safe and appropriate manner, and remember to thoroughly wash your hands afterwards

● Avoid touching your face, nose, mouth, ears, etc., as highlighted by the BBC

● Avoid drinking/eating from cups, crockery, or cutlery that may have come into contact with other people

● Remove all jewelry and watches before any assignment, noting that the COVID-19 virus can remain live on many different surface types for varying lengths of time

● If you wear glasses, carefully clean them on a regular basis with hot water and soap.

● Avoid wearing contact lenses on assignment, if possible, due to the likelihood of touching your eyes and increasing your chances of infection

● Consider what clothing you will wear, taking into account that certain fabrics can be wiped clean easier than others. All clothing should be washed at a high temperature with detergent after any assignment

● If possible, try and avoid using cash on assignment, and ensure you clean your credit/debit cards, wallet, and/or purse on a regular basis

● Always try to interview people in an outside space. If you do need to interview indoors, select a location with some kind of airflow (e.g. open windows)

● Consider your mode of transportation to and from the assignment. Avoid traveling on public transportation at rush hour and make sure to use alcohol gel on hands when disembarking. If traveling in your own vehicle, be aware that an infected passenger can pass the virus onto the others inside the vehicle

● Take regular breaks and be mindful of fatigue/energy levels, taking into account that tired individuals are more likely to make mistakes with their hygiene regime. Also factor in that individuals may have long distances to drive before and after work

● Always ensure your hands are washed thoroughly with hot water and soap before, during, and after leaving an affected area

● If you develop symptoms, especially fever or shortness of breath, consider how you will seek medical treatment. Most government health bodies now recommend self-quarantine to prevent the infection of others. If you are in a heavily infected area you will likely encounter other COVID-19 infected patients at crowded treatment centers, therefore increasing your chances of exposure

● Only consume cooked meat and eggs

Equipment

The potential to spread COVID-19 via contaminated equipment is real. A strict cleaning and disinfecting regime should be implemented and adhered to at all times:

● Use directional ‘fishpole’ microphones from a safe distance instead of clip mics

● Microphone covers should be disinfected and washed at a high temperature with detergent at the end of every assignment. Seek guidance/training on how to safely remove the cover to prevent any potential cross contamination. Try and avoid the ‘wind muff’ type covers if possible, which are harder to clean

● Use low cost earpieces wherever possible and treat them as disposable, particularly for guests. Wipe down and disinfect all earpieces before and after use

● Use long sight lenses to help maintain a safe distance on location

● Wherever possible, use mobile equipment rather than those with cables

● Consider how you will store your equipment on assignment. Don't leave anything lying around and put everything back in its case and close it (i.e. some kind of hard sided flight case, which is much easier to wipe down and keep clean)

● If possible and practical, put some kind of plastic wrapping/protection around equipment when using it. This will minimize the surface area of the equipment that could become contaminated, and will be easier to clean and disinfect

● Carry fully charged spare batteries with you and avoid charging anything on site, as this is an additional item that could become contaminated

● Always decontaminate all equipment with fast-acting antimicrobial wipes such as Meliseptol, followed by thorough disinfection, including but not limited to cell phones, tablets, leads, plugs, earphones, laptops, hard drives, cameras, press passes, and lanyards

● Ensure all equipment is decontaminated again when returning it to base, making sure that those responsible for the equipment are made fully aware in advance and that they are trained in how to safely clean the equipment. Make sure that no equipment is just dumped and left lying around without being signed back in to the person responsible for cleaning

● If using a vehicle for the assignment, ensure that the interior is given a thorough clean after any assignment by a team who are properly trained. Particular attention should be paid to the door handles, steering wheel, gear stick, hand brake lever, wing mirrors, head rests, seat belts, dashboard, and window winder/catches/buttons

Personal Protective Equipment (PPE)

Safely putting on and taking off any PPE (such as disposable gloves, face masks, protective aprons/overalls/bodysuits, and disposable shoe covers etc) requires the strict observance of and adherence to best safety practices. Please click here for general guidance from the CDCThe risk of cross contamination is high, so do not be complacent about these measures. If in any doubt, seek expert guidance and training before going on any assignment.

● Always use reputable brands of PPE, paying attention to the minimum required safety specifications. Be aware of faulty equipment, as highlighted by Al Jazeera, as well as counterfeit produce, as reported by Interpol. Some of the leading and most respected brands can be seen here

● Use protective gloves if working in or visiting an infected site such as a medical treatment facility. Note that nitrile gloves offer a higher degree of protection than latex. Wearing two pairs improves safety

● If reporting from a high risk location such as a medical treatment facility, additional medical PPE such as a full bodysuit and full face mask will almost certainly be required

● Depending on the assignment, you may need to wear disposable footwear or use waterproof overshoes, both of which must be wiped/rinsed off as soon as you exit an affected location. If using waterproof overshoes, they should be disposed of in a safe manner before leaving the location

● It is recommended that all PPE is donned/doffed under the supervision of a trained professional, taking into account that this may be the moment of exposure. This video from the Irish Health Service may be helpful, although should not be used as a replacement for training/supervision

● Never reuse gloves, bodysuits, aprons, shoe covers. Any equipment that is to be reused needs to be properly sanitized. Ensure all contaminated PPE is disposed of in the appropriate manner BEFORE leaving an affected site

Face Masks

There is no current consensus about whether members of the public without symptoms of COVID-19 should wear a face mask. The CDC recommends that people wear cloth face coverings—but not medical grade masks, which are in short supply—to cover their nose and mouth in a community setting. However, the WHO states that it is not necessary to cover your face, unless you are told to do so by the local authorities; you are in a high-risk area such as a hospital; or you are taking care of a person with suspected COVID-19 infection.

Unless used correctly, there are concerns that masks can actually become a source of infection. A recent study by the Lancet shows a detectable level of infectious virus still present on a surgical mask up to seven days after exposure. Based on this study, taking off, reusing or touching your face when wearing a mask could mean risking infection.

If you do wear a mask you should follow the following advice:

● If necessary, an N95 mask (or FFP2 / FFP3) is recommended over a standard ‘surgical’ mask. Ensure that the mask fits securely over the bridge of the nose and chin, minimizing gaps in the fit. Ensure facial hair is shaved off regularly to help ensure the mask forms a tight seal to the face

● Avoid touching the mask, and only remove it by using the straps. Never touch the front

● Always wash hands with soap and hot water after removing the mask. If not possible, use an alcohol-based hand sanitizer (greater than 60% ethanol or 70% isopropanol) but follow this up as soon as possible with a hot water and soap wash

● Replace the mask with a new, clean, dry mask as soon as it becomes damp/humid

● Never reuse masks, and always dispose of used masks immediately into a sealed bag

● Remember that the use of a mask is only one part of personal protection, which must be accompanied by regularly washing your hands with hot water and soap and avoiding touching your facial area, including your eyes, mouth, ears, and nose

● Be aware that face masks may be in short supply and/or subject to sharp price increases, depending on the location

Digital Security

● Be aware that journalists may face increased levels of online hostility in relation to their reporting on the COVID-19 outbreak. Review CPJ’s best practice for protecting yourself against attacks

● Governments and tech companies are increasingly using surveillance as a way to track the spread of COVID-19. This includes the NSO Group, which created Pegasus, a spyware that has been used to target journalists, according to Citizen Lab. Civil liberties groups are becoming concerned about how these surveillance techniques will be used to target people after this health crisis is over. Transparency International is tracking these global developments on their website

● Pause and think before you click on links or download documents containing information about COVID-19. Criminals are leveraging the current health crisis and panic to target individuals and organizations with sophisticated phishing attacks that could lead to malware being installed on your devices, according to the Electronic Frontier Foundation

● Exercise caution when clicking on any COVID-19 related links on social media or in messaging apps, some of which may direct you to sites that infect devices with malware

● Be aware of malicious apps that target individuals for ransomware, such as COVID-19 Tracker

● Maps showing up-to-date information on COVID-19 from reputable sources, such as the WHO, are reported to contain malware that could be used to steal passwords

● Be conscious of state-sponsored misinformation, as reported by The Guardian, as well as general misinformation, something that the WHO has specifically warned about and that the BBC has highlighted. A myth buster guide is available on the WHO website

● Be cautious of information about COVID-19 shared through chats on messaging apps, which may contain fake news and hoaxes

● Be aware that COVID-19 content on Facebook is now being moderated by artificial intelligence (AI) instead of human content checkers, which has led to legitimate content about the disease being removed in error

● Read up on online conferencing and privacy issues so you are aware of what these services are doing with your data, what they have access to, and how secure they are. Be aware that with an increasing number of people working from home, services have been targeted by hackers

● Be alert to the risks posed by reporting on and/or from countries with authoritarian regimes, which will likely be closely monitoring coverage of the COVID-19 outbreak. Certain governments may try to conceal the extent of any outbreak and/or censor the media accordingly, as highlighted by CPJ

Crime & Physical Security on Assignment

As the global economic situation continues to decline, with more people losing their jobs and falling into poverty, the likelihood of an increase in criminal activity is real.

● Many urban areas are now all but deserted and police resources stretched. There is a risk that criminals may take advantage of this situation. Some journalists report having been verbally harassed and criminally targeted, as well as assaulted, so do not take safety for granted

● Be particularly careful if reporting from rural areas. People may be suspicious and/or angry toward ‘outsiders’ for fear that you could be bringing COVID-19 with you

● Be aware of a potentially heavy-handed response from the police relating to COVID-19 lockdown measures, such as physical assault and the use of tear gas and rubber bullets

● If reporting from a prison or detention center, journalists should be alert to the dangers posed by inmates protesting and/or rioting regarding the COVID-19 outbreak, as seen recently in ItalyNigeriaColombia, and India

● Be aware of a potential increase in crime levels, noting that countries such as the U.S.IrelandIndonesiaEthiopia, PalestineSomaliland, and Iran have released inmates to ease the prison population during the COVID-19 outbreak

● Note that supplies could start running low, increasing the chances of looting and robbery, as seen recently in Italy

● Journalists in countries with an authoritarian regime should be alert to the threat of detention, arrest, and/or deportation when reporting on the COVID-19 outbreak, as highlighted by CPJ

● If you can travel for an international assignment (see below), research the latest security situation in your destination. To date there have been isolated violent incidents and protests in BoliviaIsraelBrazilPakistan, Cyprus, Reunion, and Ukraine. Ongoing protests in both Iraq and Hong Kong have, on occasions, been exacerbated by the COVID-19 outbreak

International Travel Assignments

Due to global travel restrictions, international travel is now extremely challenging and increasingly rare. If an overseas assignment is possible you should consider the following:

● Identify all medical treatment facilities in the area you’ll be operating in. Note that healthcare workers may strike with little or no notice, as seen in countries like IndiaZimbabweIvory Coast and Papua New Guinea. Access to medical PPE may be limited and/or nonexistent

● Ensure all relevant vaccinations and disease prophylaxis are up-to-date for your destination in good time. Consider getting the flu vaccine to prevent confusion over any symptoms you may develop

● Check your travel insurance policy. Most governments have issued varying levels of travel advice and alerts against international travel. This includes the British Foreign and Commonwealth Office, the U.S. State Department, and the French Affaires EtrangeresBe aware that obtaining cover for COVID-19 related travel may not be possible

● Regularly check the status of any event you plan on attending, taking into account that many countries have banned public gatherings altogether, or gatherings above a certain number of people

● Check on any existing and/or upcoming travel bans for your intended destination. Additional bans and/or restrictions on foreign nationals are likely to increase on a global level going forward

● Ensure you have a contingency plan in place, taking into account that urban centers, specific regions, and/or entire countries can be locked down and quarantined with little or no notice. Some organizations and employers have increased their evacuation preparedness level for any personnel based around the world

● Many land borders have closed around the world. Additional closures are likely going forward, something that should be factored into your contingency planning

● Do not travel if you are sick. Most international and regional airports, as well as other transportation hubs, have implemented strict health screening measures. Travelers will almost certainly face testing and/or enforced quarantine/self-isolation on arrival

● Global travel options have massively reduced due to airlines cancelling flights to/from many destinations. Further cancellations are likely as cases of COVID-19 increase

● You should purchase fully refundable flight tickets. COVID-19 is causing significant financial distress for many airlines, according to IATA, and is said to have contributed to the recent collapse of Europe’s biggest regional airline, FlyBe

● Consider what supplies you may need to take with you. Shortages of certain items have been reported along with incidents of panic buying, including face masks, hand sanitizers, soap, canned food, and toilet paper. Note that strike action and/or a shortage of workers due to COVID-19 infections could exacerbate the situation in your destination

● Be aware that countries with limited water supplies, such as Jordan, may start to experience increased demand and shortages

● Check on the latest visa situation for your destination, noting that numerous countries have stopped issuing visas and suspended visas that have already been issued for travel

● Check if your destination country requires a medical certificate to prove you are COVID-19 free. Some examples can be seen here

● Maintain flexible itineraries and allow additional time at airports around the world, taking into account health screening measures and temperature check points. The same applies at some railway stations, ports/docks, and long-haul bus stations

● Keep up to date with any changes to your point of arrival, noting that certain countries will only allow foreign nationals to enter at certain airports and terminals

● Continually monitor local sources for news of any inner-city movement restrictions within the country you’re visiting

Post-Assignment

● Continually monitor your health for any signs of symptoms

● If you are returning from a location with a high infection rate, you will almost certainly need to self-isolate as a matter of course. Please check the relevant government advice

● Monitor the latest updates and information on COVID-19, as well as any quarantine and isolation procedures being implemented at both your origin and your destination

● Depending on the rate of infection in the country you are in, you should consider keeping a journal with names/numbers of individuals you come into close proximity with for 14 days after your return. This will help with possible contact tracing should you start showing symptoms

--If you develop symptoms

● If you develop or have symptoms of COVID-19however mild, inform your management team and work with them to take appropriate transportation from the airport or other transport hub to your home. Do not simply get in a taxi

● Follow the advice of the WHO, the CDC, or local health authorities to protect yourself and your community

● Do not leave your home for at least 7 days from when your symptoms started. Doing so will help protect others in your community while you are infectious

● Plan ahead and ask others for help. Ask your employer, friends, and family to get the supplies you need for you, and to leave them outside your front door

● Stay at least 2 meters away from other people in your home whenever possible

● Sleep alone, if possible

● If share accommodation with others, a 14-day isolation period for all should be observed. A useful guide to this can be found here. Particular care needs to be taken when using the bathroom, toilet and kitchen facilities, so to avoid cross contamination

● Wash your hands regularly and thoroughly for at least 20 seconds, using soap and hot water

● Stay away from vulnerable individuals, such as the elderly and those with underlying health conditions, as much as possible

● You do not need to call the health authorities in your country to go into self-isolation, unless your symptoms noticeably worsen during the isolation period

CPJ’s online Safety Kit provides journalists and newsrooms with basic safety information on physical, digital, and psychological safety resources and tools, including on covering civil unrest and elections.

[Editors' note: This advisory was originally published on February 10, 2020, and is being frequently revised. The publication date at the top reflects the most recent update.]