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Coronavirus Updates

July 10, 2020

Aravind Eye Hospital, Madurai, India

Questionnaire – Innovation speeded up by COVID-19

Covid-19 has challenged eyehospitals all over the world – but it also seems to have brought rapid innovation. Like Declan Flanagan said during one of the WAEH webinars: “We have been able to implement new innovations in just 5 weeks time, previously that would have cost us 5 years time”. Thinking about innovation in your hospital, what kind of innovations has COVID-19 brought you? Please describe all innovations shortly (one sentence – max 5 sentences per innovation)

Flexible Aerosol Box - This self developed box allows better protection for the anesthetist than the conventional ones available in the market. The fold-ability and small holes allows for better containment of the aerosols

Shield at counselling - As the counselor/ patient educator need to have long conversations with the patient, they are at a higher risk for disease transmission. The shield acts as an adequate barrier

Foot pedal for hand wash and large sized automatic soap dispenser

Do you think these innovations will stay after COVID-19? Why?

Yes, as it assures staff safety and does not compromise on patient care.

Can you also share pictures of these innovations?

YES

Aerosol box

Name

Sathya Ravilla

Email

sathyaravilla@aravind.org

EyeHospital

S V Aravind Eye Hospital

 


July 6, 2020

Aravind Eye Hospital, Madurai, India

Questionnaire – Innovation speeded up by COVID-19

Covid-19 has challenged eyehospitals all over the world – but it also seems to have brought rapid innovation. Like Declan Flanagan said during one of the WAEH webinars: “We have been able to implement new innovations in just 5 weeks time, previously that would have cost us 5 years time”. Thinking about innovation in your hospital, what kind of innovations has COVID-19 brought you? Please describe all innovations shortly (one sentence – max 5 sentences per innovation)

Anti fog noseband - To counter the problem of fogging of spectacles, slit lamp lens, surgical microscopes etc we have made noseband from foam, steel wire and elastic band which completely seals the upper portion of the mask not only preventing fogging but also dispersion of aerosols because of leaky masks while providing longer comfortable wear because of foam

Do you think these innovations will stay after COVID-19? Why?

Yes they will , because masks are wore in operation theatres and fogging is common problem on spectacles as well as surgical microscopes because of warm breath condensing on cold glass because of air condition. Additionally it minimises aerosol dispersion accounting for more sterile environment

Can you also share pictures of these innovations?

YES

IMG 20200609 WA0024 1

Name

Shivraj Tagare

Email

tagareshivraj4@gmail.com

EyeHospital

Aravind Eye Hospital, Pondicherry


July 5, 2020

Aravind Eye Hospital, Madurai, India

Questionnaire – Innovation speeded up by COVID-19

Covid-19 has challenged eyehospitals all over the world – but it also seems to have brought rapid innovation. Like Declan Flanagan said during one of the WAEH webinars: “We have been able to implement new innovations in just 5 weeks time, previously that would have cost us 5 years time”. Thinking about innovation in your hospital, what kind of innovations has COVID-19 brought you? Please describe all innovations shortly (one sentence – max 5 sentences per innovation)

Foot pedal assisted Sanitizer dispenser

Do you think these innovations will stay after COVID-19? Why?

Yes. Probably because being non-dependant on electricity or battery unlike the motion sensing automatic dispensers , these would probably last longer and can be easily taken around too.

Can you also share pictures of these innovations?

NO

Name

Aswin PR

Email

aswin@aravind.org

EyeHospital

Aravind Eye Hospital, Madurai, India

 


 July 3, 2020

Aravind Eye Hospital, Madurai, India

Questionnaire – Innovation speeded up by COVID-19

Covid-19 has challenged eyehospitals all over the world – but it also seems to have brought rapid innovation. Like Declan Flanagan said during one of the WAEH webinars: “We have been able to implement new innovations in just 5 weeks time, previously that would have cost us 5 years time”. Thinking about innovation in your hospital, what kind of innovations has COVID-19 brought you? Please describe all innovations shortly (one sentence – max 5 sentences per innovation)

Innovative Application of Ultraviolet Rays and Hydrogen Peroxide Vapor for Decontamination of Respirators during COVID-19 Pandemic- An Experience from a Tertiary Eye Care Hospital

Dear editor,
As we all know, due to the growing coronavirus pandemic the daily demand and utilization of personnel protective equipment’s (PPE) have increased exponentially. Moreover, this has also resulted in acute shortage of PPE. The need of the hour is to minimize this shortage by decontaminating these respirators, so that they can be optimally reused. We already have evidence for Ultraviolet light and Hydrogen Peroxide (H2O2) as a good source for decontamination of PPE. Hence, we implemented an innovative idea of decontamination of the respirators by using old condemned air tight freezer boxes (Fig.1a) which are installed with Ultraviolet C (UV-C 254 nm, 60 mJ/cm2) tube lights (Fig 1b)
The respirators are placed in the freezer box with the help of copper hangers (Fig. 1c) and H202 is sprayed over the respirators (Fig 1d). The freezer box also has mirrors on walls and the base to reflect the light (Fig 1c). This increases the efficiency of decontamination and prevent the need for flipping the respirators. When UV-C light comes in contact with H2O2, free hydroxyl radicals are generated by advance oxidation process. These free radicals further destroy the germs, viruses, and microbes over the surface. The recommended cycle for decontamination is 15-20 minutes. An automatic safety feature is included in the freezer box. The light gets switched off once the box is opened and automatically gets switched on once the box is closed, to prevent health hazards to the operator.

Once the respirators are decontaminated, they are kept in sterilized zip lock bags, which can be used whenever needed. The respirators and the zip lock bags are tagged with the name of the health care worker, so as to avoid confusion (Fig. 2a, 2b). These respirators can be effectively decontaminated for 5 cycles in this chamber. We recommend this economical technique of PPE decontamination, in health care facilities to combat the COVID-19 pandemic.

Do you think these innovations will stay after COVID-19? Why?

Yes, this innovation is an economical technique for decontamination of respirators which is very useful during COVID-19 pandemic and can be employed In future too for decontamination of PPE. This will avoid shortage and wastage of PPE in future

Can you also share pictures of these innovations?

YES

Ijo 1 final

Name

BHARAT GURNANI

Email

drgurnanibharat25@gmail.com

EyeHospital

Aravind Eye Hospitals, Pondicherry, India

 


 

June 25, 2020

Social WAEH 2020 Webinar June25 Twitter

Presentation by Adam Mapani – Moorfields

Missed the webinar? No problem at all! 

Skip the first 30 minutes! 
https://us02web.zoom.us/rec/share/1ZFFK7bK_z9Jc6OT4XnbSqtiP4XjX6a81ScY_PYLy0pHj4WD3wFU2t5f-N-Q0bRI 
Password: 4T^#hj6^ 


June 3 – 2020
Moorfields Eye Hospital

How did Moorfields Eye Hospital implement emergency and outpatient ophthalmology video consultation services during COVID-19?


Read: UKOA-MEH-video-guide-003-PT-GH-comments


28 May 2020

WEBINAR 28 May 2020 PPE & Surgical Throughput – How to Balance Both?

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Open: to all WAEH members
Topic: COVID-19 – PPE & Surgical Throughput – How to Balance Both? Presentation (PDF)

Keynotes by: 
Kellog Eye Center – USA 

Professor Christine C. Nelson, MD, FACS

  • Bartley R Frueh, MD and Frueh Family Professorship in Eye Plastics and Orbital Surgery
  • Professor of Ophthalmology and Visual Sciences
  • Professor of Surgery, Eye Plastic and Reconstructive Surgery
  • Section Chief, Eye Plastic, Orbital and Reconstructive Surgery
  • University of Michigan Hospital and Health Systems

Beth K. Hansemann BS, COT

  • Clinical Operations: Patient Safety and Continuous Improvement

Dr Roni Shtein MD

  • Associate Professor, Ophthalmology and Visual Sciences Medical ACU Director

Cathy Huebner

  • Surgical Services Clinical Administrator

Time: May 28, 2020 06:00 AM Pacific Time (US and Canada)San Francisco morning time!

 


 

14 May 2020

WAEH webinar How to maintain essential care in Covid

webinar

 

How to maintain essential care in Covid (PDF Presentation)

Keynote by: 
Dr Melanie Hingorani FRCOphth
Consultant Ophthalmologist, Clinical Director for External Engagement and Policy
Chair of Professional Standards, Royal College of Ophthalmologists
Chair, UK Ophthalmology Alliance

Dr Declan Flanagan FRCOphth
Consultant Ophthalmologist
Chairman Joint Research Governance Committee
Vice President, Royal College of Ophthalmologists

 


 

April 30 – 2020

Aier Eye Hospital 

 Clinical Protocols for Preventing and Controlling COVID-19 in Eye Hospitals (5th version)
 


Tuesday 28 April 2020

Pasteur Clinic


COVID-19 infection control protocol
Checklist


 

Thursday 23 April 2020

OrBis

  • From the OrBis China office, which asked some of our partner hospitals:
    Most of hospitals have started to return slowly back to normal, including surgery. Patients only need provide their health code” which shows your personal travel in last 14 days, no stay in Hubei and/or a foreign country in you are ok. Every person who enters into the hospital need to have their temperature checked and provide the “health code”. Beijing is the exception. The hospitals in Beijing only accept patients who have stayed in Beijing more than 14 days. No requirement to do Covid-19 test in Shandong, Hebei and Sichuan partner hospitals.
  • For PPE for the ophthalmologic staff and patients, it is similar in all of our partner hospitals.:
    • Medical staff need to wear medical surgical mask or N95 mask, safety goggles and gloves. Patients also need to wear a mask. In addition, keep a distance from patients of more than 1.5 meters, wash hands more than 15 seconds after each patient.
    • Examination room needs keep air circulation, frequent sterilization the area where patient touched surfaces and on all equipment after each examination


Vietnam
Our MOH – QA department is working to develop a guideline protocol for safe Covid exam and treatment.

India
Most of the partners are developing guidelines of their own to manage the current situation. All India Ophthalmological Society suggested the attached guidelines for ophthalmic facilities in India. Orbis partner, Dr. Shroff’s Charity Eye Hospital has developed their own protocol. Each Orbis partners in India and Nepal are developing some documents to continue emergency eye care services.


· AIOS Preferred Practice Guidelines for Eye Care Facilities in India
· NNJS Guidelines for Eye Care Facilities in Nepal
· SCEH Protocol for Eye care services during COVID 19 situation.


Ethiopia
Apart from the National Comprehensive COVID19 Management Handbook developed by Ethiopian Ministry of Health, there has not been specific guideline/protocol developed for eye health workers. However, we have shared the attached Suggested Clinical Protocols to Prevent COVID-19 developed by Aravind to the Ethiopian Ophthalmological, Optometry and cataract surgeons Associations.

Bangladesh
We have had discussion with partners and there is no specific guidelines for eye health work force available. However, the IEDCR of the Health Ministry developed the guidelines which is widely distributed and advised to follow. Please find attached document from Bangladesh.
Further to my previous email regarding your queries, we have communicated with WAEH Bangladesh partners in Bangladesh and received information about their current practice in the face of COVID 19 situation. These are as follows:

  1. All routine elective eye surgeries have been postponed until situation is normal
  2. Only emergency eye care is given at outpatient department
  3. All attending doctors and nurses are using PPE as per WHO guideline
  4. Initiation of patient triaging system at the entrance by using thermal scanner
  5. Facility for hand washing and hand sanitizing is available for clinical staffs and patients
  6. Printed posters and festoons with COVID 19 message is being displayed at the hospital premises
  7. Patients are also discouraged to attend hospital unless there is any emergency
  8. National Guidelines on Clinical Management of Coronavirus Disease 2019 (Covid-19) (prepared by DGHS and MOH&FW of Bangladesh) has been circulated to Orbis’s Partner Hospitals (IEDCR guideline attached)

If you are interested in the guidelines please contact Maaike van Zuilen - maaike.vanzuilen@waeh.org


Dear colleagues from all over the world, 

I hope this email finds you, your family and employees safe and healthy.

In the face of the worldwide implications of COVID-19, we are all doing everything we can to make sure our patients, employees and families stay safe in these uncertain and trying times. Via this email I would like to share two requests about COVID-19 from two WAEH members. Please connect me to the right people in your hospitals or share your knowledge / experience and protocols via email. I will send your reply to our colleagues in The Netherlands and Australia and (if you are okay) will also share it on the knowledge hub of the WAEH: https://knowledgehub.waeh.org/corona-community-of-practice   

REQUEST 1 - The Rotterdam Eye Hospital – Netherlands

Dear colleagues,

Several reports have recently been published about post-operative complications in surgical patients with COVID-19 infections (see attached 2 examples). Based on these reports, the Dutch Surgical Society has advised that all patients should be screened for COVID-19 before elective surgical procedures. Question is whether this risk and proposed screening-measure should also apply to eye surgery.

Question: what pre-operative COVID-19 screening policies are other eye clinics adopting, especially when scaling back up towards normal capacity? 

Thanks for your input!

Igor Schillevoort

Rotterdam Eye Hospital

 

Answer from the Aier Eye Hospital

Our pre-operative COVID-19 screening policy includes:

A. For serve epidemic areas:

    1. Temperature measurement before enter clinic area;

    2. Screening of respiratory symptoms;

    3. Inquiry of exposire and travel history in epdemic area or with infected person;

    4. SaO2 level, Blood routine;

    5. Patient's PCR test;

    6. Patient's lung CT result.

B. For other areas:

    1. Temperature measurement before enter clinic area;

    2.  Screening of respiratory symptoms;

    3.  Inquiry of exposire and travel history in epdemic area or with infected person;

    4.  SaO2 level, Blood routine.

C. Limit the daily volume of surgery, from less then 10, to 20 and up gradually.

D. Depending on epidemics situation, we could carry out eye care service and treatment by stage gradually:

     1. Emergency care;

2. Limited outpatient + emergency surgery;

3.Full outpatient care + emergency surgery + partial elective surgery;

4. Full practice.

 

REQUEST 2 - Syney Eye Hospital - Australia 

Melanie Lai - Orthoptic Advisor - would like to get in touch with members of the WAEH regarding the infection control procedures and use of PPE (by staff and patients) when performing automated visual field assessments using the Humphrey Visual Field Analyzers or Octopus devices. The Sydney Eye Hospital is looking to come up with a position statement on how they proceed regarding visual field testing during the current COVID situation we are all navigating.

About Melanie: 

"I am the Orthoptic Advisor for our local health district, which includes four hospitals, one of which is The Sydney Eye Hospital where I am based. I manage the largest Orthoptic department in NSW and my role involves providing professional and operational leadership and clinical governance for Orthoptic services across the organisation. As part of the response to COVID, I am working at a local and organisational level to coordinate workforce surge plans and provide service level advice regarding Orthoptic services and patient care. I am also working closely with nursing and medical colleagues to coordinate our response to outpatient clinics in the current and changing COVID environment"

Melanie Lai
Orthoptic Discipline Advisor SESLHD - Orthoptic Department Head SSEH 

Thanks for sharing your best practices! Please Save the Date: Thursday 30 April – Webinar – 06.00AM San Francisco time (please keep an eye on the WAEH newsletter for more information).

And if you need anything, please let me know so I can share it with our global community. 

Take care,

Maaike
+31 6 456 32 117
maaike.vanzuilen@waeh.org
www.waeh.org


New York Eye and Ear Infirmary

This is the waiting room at the Retina Center. The chairs are rearranged keeping in mind Social Distance.

PHOTO 2020 04 17 09 16 23


Thursday April 16 – 2020

Pandemic diaries

 https://theophthalmologist.com/subspecialties/pandemic-diaries?utm_source=Pandemic%20Diaries


April 4 – 2020

Aier Eye Hospital Group

Clinical protocols – April 4 2020

 


Thursday April 2

Aier Eye Hospital

Zoom webinar - Experience Sharing of Covid-19 Prevention and Control
When:
Apr 3, 2020 09:00 AM Beijing, Shanghai, China
Apr 2, 2020 09:00 PM EST, USA
Apr 2, 2020 08:00 PM CST, USA
Apr 2, 2020 07:00 PM MST, USA
Apr 2, 2020 06:00 PM PST, USA

Please click the link below to join the webinar:
https://zoom.us/j/921517557?pwd=WnVjK1U4WmxocmVpT2QzOGxrYkVNdz09

Webinar ID: 921 517 557
Password: 13579
Or iPhone one-tap :
Spain: +34843685025,,921517557# or +34917870058,,921517557#
Or Telephone:
Dial(for higher quality, dial a number based on your current location):
Spain: +34 84 368 5025 or +34 91 787 0058 or +34 917 873 431
US: +1 929 205 6099 or +1 312 626 6799 or +1 669 900 6833 or +1 253 215 8782 or +1 301 715 8592 or +1 346 248 7799
International numbers available: https://zoom.us/u/aepo9Qgq2X


Sunday March 29 – 2020

Aravind Eye Care

Dr. R. Venkatesh of Aravind Eye Hospital, Pondicherry and his team have come up with a do-it-yourself design of face mask with OHP sheet which can be cleaned after examining high risk cases like conjunctivitis: https://www.youtube.com/watch?v=6PHyM4sbZmQ

 


Friday March 27 – 2020

Aier Eye Hospital – China

AIER's 1st official version of suggested clinical protocols in eye hospitals during the COVID-19: clinical protocols 
Summary of the questions raised by Aravind and Jakarta team during the webinars of this week will come available next week.
If you would like to know more? Please contact Maaike: maaike.vanzuilen@waeh.org

 



Thursday March 25 – 2020

Aier Eye Hospital Group (China)

On Wednesday March 24, The Medical Quality Control team of Aier Eye Hospital held a video conference with ALL Aravind Eye Hospital tertiary care centers to share experiences on #COVID19.

These preventing and controlling protocols shared by Mrs. Ya LI, head of Clinic Management Department, and Mrs. Momna Zhan, Assistant Director of MQC, will help Aravind to safeguard visiting patients under the tough situation.

This is a good sample of global knowledge sharing during this very difficult period! Check out this post on Linkedin:

https://www.linkedin.com/posts/platform-agvc-b7a099188_covid19-coronavirus-activity-6648123961383190528-w5ao

image001 image002

image003 image004

 


March 25 - 2020

Royal Victorian Eye & Ear Hospital - Melbourne - Australia

PHOTO 2020 03 25 07 21 43

Example from The Royal Victorian Eye and Ear Hospital in Melbourne Australia. They are starting to roll out their slit lamp shields, which their wonderful Biomed team have developed. They have had to modify the pattern depending on the model and if the slit lamp has accessories. These are being run out across clinics now.
 

 

23 March 2020

Aier Eye Hospital Group – China

Interview about protocols and more implemented at the Aier Eye Hospital Group


What kind of protocols have you implemented?

For Hospitals/Patients
The Medical Quality Control Department of AIER has released the "Suggested Measures Preventing and Controlling COVID-19 for Clinic Management" to all AIER hospitals and affiliates in China mainland and Europe. Here follows the protocols we are implementing, for your reference.
1. Appointment
Temperature taking and inquiry on patient's fever and exposure history in infected area or with people from infected areas within 14 days shall be asked when taking down the appointment;
2. Patient show-up
Provide mask to patient who doesn't carry by themselves. Suggest every patient to use hand sterilization when entering into the clinic. Patient’s temperature must be measured. Utilize forehead thermometer if available.
3. Outpatient
Those patients who didn't have any exposure history in infected area, abnormal temperature or physical symptoms such as sore throat, cough, headache or diarrhea, can confirm the appointment and be provided with consultation service. After the consultation, suggest to give patient necessary information of covid-19 prevention (printed material that can be taken away) and do remind the patients to call us back if they are confirmed infected (can assign special contact at group level to keep such information recorded and follow up with clinical level staff).
4. Keeping distance
Patient shall be suggested before consultation to reduce talking with doctors during consultation/checkup. Doctors and patients are better to keep no less than one-meter distance from each other during consultation/checkup inquiry when talking is inevitable.
5. Sterilization

a) 1000-2000mg/L chlorine-containing disinfectant or peracetic acid disinfectant shall be rubbed on object surface and floor including 1 or 2 times disinfection on worktop and table top for slit lamp and other devices. Make daily disinfection record.
b) Open clinic window for ventilation twice per day, and 30 minutes above per time. Turn on ultraviolet sterilizer one or twice per day and no less than 2 hours per time for air disinfection. Make daily disinfection record.

[…]

Q4: Did you need to close the eye hospital? Or stayed open for emergency care?

As of March 18, 85% hospitals of AIER China have been re-operating normally and this amount will be reach to 100% at the end of this month except the hospitals of Hubei Provence.

Q5: What is the current situation / back to normal? What is the new normal? Still implementing the protocols? New hygiene measures?

Since we have been gaining back the control of the virus at this stage and we probably stop the organic growth or the community spread in China (while we still have to be careful with imported cases), I'd like to say that we are pulling ourselves together and and our hospitals in China mainland are back to normal track step by step. However we would still stay alert to the outbreak with implementing these protocols for a period of time until the virus has been controlled thoroughly.

Read more

 

1) Created protection screen to be installed on slit-lamps by X-ray film other clean plate.

aier

aier 02

2) All patients shall be exercise “social distancing” while on the waiting room.

airer003

aier004

3) Use hand sanitizers provided before and after filling up the Health Declaration Forms and Travel History Record.

aier005

aier006

4) All patients must take non contact temperature check before entry.

aier007

aier008

 


March 21 – 2020

Kellog Eye Institute – Ann Arbor – USA

Not in any particular order:

  • Closing entrances to one public/visitor entrance
  • All entrances including dock for deliveries have screener asking if respiratory symptoms, fever as well as travel history. To EVERYONE entering the building, employees must have badge.
  • Each patient is only allowed 1 driver who will stay in car if not needed to escort patient to clinic
  • Mask is given if screened positive. Sticker is placed that shows patient has been screened. This is just to enter the building again at check in, patient is asked screening questions.
  • Breath shields: slit lamp, photo, laser guards to have as barrier between patient and caregiver. These were designed by our engineering lab, larger than market available ones
  • Dress code changes: eliminate use of ties, encourage people to not wear white coats, encourage change clothes when arriving at work and leaving
  • Social distancing: chairs removed and separated in all public areas, waiting rooms, implementation of “car park waiting room” once social distancing capacity has been met in clinics, manager places a hold on screeners allowing patients into clinic, they are to wait outside of building and called by phone once the waiting area has proper social distancing
  • Goal being to keep the least amount of people possible in the building
  • Call centers moved to work from home as well as any non- essential staff
  • Workforce planning group; to determine how best to divide providers and clinical staff into teams which do not overlap
  • Very frequent cleaning of high touch areas
  • Social distancing in check in and out,
  • Check out streamlined so patient leaves, is called later
  • Optical Shop only dispensing glasses as needed delivery to front desk
  • Supply management as shortage of supplies
  • Support with staffing of the COVID hot line
  • All staff who are ill not to come to work
  • Signs on elevators to keep social distance and refrain from speaking on elevator.



18 March 2020

Fudan Eye University

Guideline for eye doctors in Shanghai

1.We didn't close the eye hospital. we stayed open for any eye emergency case 24hours. And also we open for common eye patients if only we think he is safe after we take his temperature and epidemical survey(we constructed a screening questionnaire). But we do control the amount of the patients. For example we less than 20 patients for half day per doctor, so there is not too much people gathering together. And we request patients wear mask when they come to hospital and they keep wearing mask during the whole diagnose procedure.

2.We provide common mask if the patient do not wear mask when they come to the hospital. 

3. We almost back to normal now. There is almost no new Coroviurs case in China in recent 3 weeks except Hubei. There are some new cases from people who came from other country.

4. We do wear mask everyone when we go out or go to work.

5.We feel better now along with the control of the Coronavirus pneumonia.

6.Wash your hands thoroughly everytime you are back to home or office.



March 18 – 2020

Singapore National Eye Centre 

For sharing among WAEH members only. Please extract relevant parts for use but do not make copies for circularization.

1.      Routine Instructions RI-2020-52 - 16 March 2020

2.      Screening Measures: Symptoms and Travel History Screening Form 

3.      Screening Measures: Secondary Screening Form 

4.      Declaration Form (Chinese & English)

5.      Screening Criteria for Patient Service 

6.      VPUC-3: PPE Guidelines

7.      DORSCON Orange-Red Definition

 


17 March 2020

The Rotterdam Eye Hospital



Tuesday 17 March 2020

Jakarta Eye Centre

Internal Memo Protocol 
Kenentuan KLB Pandemi Virus Corona 



17 March 2020

AAO Logo no tag 1801 172090

Academy Communication

All ophthalmologists are seeking general and ophthalmology-specific information on COVID-19. In response, several weeks ago the Academy assembled a team of experts in ophthalmology, virology and public health to develop a resource for ophthalmologists worldwide: Important Coronavirus Updates for Ophthalmologists.

Additionally, multiple Academy staff have been assigned to the project to maintain the capacity for daily (and sometimes hourly) updates. A panel of trusted experts vets the information before it gets posted. This resource does not require an Academy member login and may be accessed by anyone using any digital platform.

During the past 10 days, this resource has emerged as the most-essential site for coronavirus and the eye. More than 50,000 unique visitors access it daily.

Our goal is to provide one site with all the information ophthalmologists seek.

Visit aao.org/coronavirus



Some pictures with how to protect the slit-lamps 

 

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Protect yourself, staff and patients with a slit-lamp shield
YouTube movie: https://youtu.be/wvnx_KIUE9A



Lessons from China 

Summary by Haitham Ahmed, Chair of Cardiology, New York City

Harvard University has published the most informative analysis of > 25,000 #COVID19 cases in Wuhan that I’ve seen. Here are some key lessons (none of which we are following in the US).

‪1) This virus is highly contagious. It can be transmitted through hair and eyelashes. This is why you saw Chinese healthcare workers wearing goggles and protection covering their entire heads. Currently, healthcare workers in the US are barely able to get masks or gloves in many hospitals.

‪2) The group with the highest infection rate by far was healthcare workers (3-5X higher). And when they came back to their families they continued to transmit the virus. So in Wuhan they were isolated early on to hotels or designated treatment centers for the duration of the outbreak.

3) Testing wasn’t done at PCP offices or ERs. That is where transmissibility is highest (see above). Rather, they designated testing/treatment centers for #COVID19. This is why they built 2000 bed hospitals in two weeks. They isolated infected patients from the preexisting health system and other vulnerable patients. This was so simple but so brilliant at the same time.

4) Mass quarantines.

5) The incidence appears to be equal for women and men (1:1). This is contrary to earlier false reports saying women were at lower risk. So please do not dismiss symptomatic patients based on gender.

6) Children were indeed at lower risk, with the exception of infants < 1 year old.

7) In adult populations, incidence increased progressively for each age group with oldest patients having the highest incidence and mortality.

8) Without these interventions the death rate would would have been significantly higher and the epidemic would have persisted for months longer.

This data made me realize how far ahead and how impressive China’s response was.

You can see the presentation here https://drive.google.com/file/d/14tGJF9tdv4osPhY1-fswLcSlWZJ9zx45/view?fbclid=IwAR0rWsGBCw8gNvCbZtRTF5bbzSB5V7xFal8m4kQV56kZTbtQR7T4ZCoz_8I by the talented @Xihonglin


 
Examples of slitlamp protection Jakarta Eye Center

WhatsApp Image 2020 03 18 at 10.58.50 WhatsApp Image 2020 03 18 at 10.58.58

This shield can be made from X-ray film 

Examples of social distancing in Jakarta eye center

WhatsApp Image 2020 03 18 at 10.59.44

WhatsApp Image 2020 03 18 at 10.59.52


 

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