Why are we talking about “aerosolization” and how does it impact me?
~10 words:
Infectious particles are released into the air, spreading illness to others.
~100 words:
It is important to be aware of risks of in-person interactions, both for business and pleasure.
“Aerosolization of virus containing particles” = potentially infectious, virus containing particles are released from an infected person into their environment as a fine mist.
“Aerosol generating procedure” = a medical procedure (such as intubation or endoscopy) that causes fine particles to be dispersed. These put the medical provider(s) at risk.
“Aerosol generating activity” = any activity that causes aerosolization of infectious virus particles. These include (but are not limited to) coughing, sneezing, laughing, loud talking, and singing.
Currently, the best recommendation to follow to stay safe is to observe social distancing (stay 6 feet apart from other people) and wear a mask when in-person interaction cannot be avoided.
~1000 words:
The United States is emerging from what is hopefully the worst period of the COVID-19 pandemic. Across the nation, documented new infections continue to drop and successful hospital discharges associated with survivorship are increasing. The global conversation has shifted from combating and dealing with death to finding new life in this medical, economic, and social calamity.
The focus has gone from flattening the curve to rediscovering “normal.”
However, we are learning that we may need a new normal, at least until there is an easily accessible vaccine and/or effective treatment for the coronavirus.
At the Emory Voice Center, and similar institutions, part of this new normal is determining how we can keep both our patients and our medical providers safe. One of the biggest concerns is “aerosol generating procedures” (AGPs). This shift in thinking is why your visits to the ENT went from a very relaxed, comfortable atmosphere, to feeling a little like a high-security laboratory environment.
What is all this talk about aerosol….. I don’t use hairspray!
Believe it or not, hairspray and air-fresheners are not the only aerosolized items. To an extent, anything that breathes or propels air can be an aerosol generating entity.
“Aerosolization of virus containing particles” = potentially infectious, virus containing particles are released from an infected person into their environment as a fine mist.
“Aerosol generating procedure” = a medical procedure (such as intubation or endoscopy) that causes fine particles to be dispersed. These put the medical provider(s) at risk.
“Aerosol generating activity” = any activity that causes aerosolization of infectious virus particles. These definitively (but are not limited to) coughing, sneezing, laughing, loud talking, and singing.
As you can see in the image at the top of this post, aerosolized particles can travel quite a distance! Perhaps most recognizably, members of a choir in Washington experienced a high incidence of COVID19 infection thought to be due to the spread of aerosolized virus-containing particles during a choral rehearsal from two infected members to the entire choir.
How does this change my care?
With safety in mind, our institution has made many changes to our clinical processes. Here are some things you may notice:
Personal Protective Equipment (PPE): PPE keeps your providers safe so they can care for you without increasing their own risk of infection. This PPE will always include a mask and gloves. In some cases, a face shield and a gown may also be worn. You may not recognize your provider at first, so don’t feel embarrassed about asking who they are when they enter your examination room.
Facilities will be observing social distancing. Expect restrictions on who can come with you to your appointment. Expect a slightly longer wait for a much-less crowded elevator. Expect to see fewer people in the clinic in general.
Telemedicine: Many appointments, including follow-ups and therapy, where a clinic-based procedure is not indicated, will be transitioned to telemedicine. We have found this modality to be highly effective and highly convenient. It also helps us keep our space optimized to help individuals with demanding medical needs.
How should this change my approach to “returning to normal.”
The return to normalcy is going to be a process. Given what we know, and what we have yet to learn, research indicates that the coronavirus is a highly contagious, easily spread infection with no known vaccine and/or curative treatment. Aerosolization of virus containing particles happens with common human functions (coughing, laughing, sneezing, talking, singing, breathing, etc.) and can occur more so during certain medical procedures. We recommend that you continue to observe social distancing whenever possible, and to enhance your own protection by wearing appropriate face-masks in public places. Your medical providers are working diligently to keep you healthy and safe. We ask you to do the same for us.
Sources:
https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview/index.html
https://www.statnews.com/2020/04/15/simply-speaking-could-transmit-coronavirus-new-study-suggests/
https://www.nature.com/articles/d41586-020-00974-w
https://www.livescience.com/covid-19-superspreader-singing.html
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