Editor's Note The Occupational Safety and Health Administration (OSHA) on April 24 issued interim guidance on the reuse and decontamination of N95 and other filtering-facepiece respirators during the COVID-19 pandemic. OSHA notes that the National Institute for Occupational Safety and Health (NIOSH) has identified research that suggests the following methods…

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Editor's Note The Joint Commission on April 23 announced that it supports the Centers for Disease Control and Prevention’s new recommendations that healthcare facilities “. . . implement source control for everyone entering a healthcare facility (eg, healthcare personnel, patients, visitors), regardless of symptoms . . .” Source control involves…

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Health systems nationwide are examining policies and procedures related to their resources, staffing, and scheduling to prepare for anticipated patient surges due to COVID-19. In late March, I talked with perioperative physicians and administrators from two health systems with rapid increases in COVID-positive cases, which have prompted significant changes in…

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Editor's Note The Centers for Disease Control and Prevention (CDC) on April 14 released a Morbidity and Mortality Weekly Report on the characteristics of healthcare workers (HCW) with COVID-19 in the US. From February 12 to April 9, 2020, there were 9,282 cases of COVID-19 reported among HCWs. The median…

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Editor's Note The Centers for Disease Control & Prevention (CDC) announced April 3 that it is modifying existing surveillance systems to track COVID-19 and will be posting weekly reports each Friday. The report, “COVIDView,” summarizes and interprets key indicators, including information related to COVID-19 outpatient visits, emergency department visits, hospitalizations,…

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Editor's Note The Centers for Disease Control & Prevention on March 17 updated its strategies for optimizing personal protective equipment (PPE) supplies, including facemasks. The strategies are based on surge capacity and include: *Conventional capacity: Patient care is provided without any change in daily practices. Use facemasks according to product…

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Editor's Note This first preliminary description of outcomes in COVID-19 patients in the US between February 12 and March 16, 2020, indicates that fatalities were: 10% to 27% in patients aged 85 or more 3% to 11% in patients aged 65-84 years 1% to 3% in patients aged 55-64 years…

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Editor's Note In consultation with clinical experts and in response to government guidance that hospitals and ambulatory surgery centers (ASCs) postpone elective surgical procedures during the COVID-19 pandemic, the Ambulatory Surgery Center Association (ASCA) released a statement March 18 on how and when facilities should proceed with cases that should…

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Editor's Note Of 41 healthcare workers who were exposed to aerosol-generating procedures for at least 10 minutes at a distance of 6.5 feet from a patient with severe pneumonia before he was diagnosed with COVID-19, none contracted the disease. The patient, a middle-aged man with diabetes and hyperlipidemia, was hospitalized…

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Editor's Note The American College of Surgeons (ACS) on March 13 updated its recommendations for the management of elective surgical procedures during the COVID-19 outbreak. Among the recommendations: Each hospital, healthcare system, and surgeon should: review all scheduled elective procedures with a plan to minimize, postpone, or cancel elective operations,…

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