Personal Protective Equipment (PPE) Checklist For Airborne Transmission (For physicians, nurses, and frontline healthcare staff) -Battling SARS-CoV-2 (Coronavirus) which causes the disease COVID-19
There have been dozens of U.S. front line physicians, nurses, and care providers infected by COVID-19 as of March 20, 2020. The biggest thing we can do to prevent this from happening further is to equip them with Personal Protective Equipment, PPE. In this post, we provide a visual aid and the supporting data for this below checklist to assist doctors, nurses, and administrators to reinforce a common knowledge of appropriate Personal Protective Equipment, or PPE for infection by droplet transmission via the environment in the air.
New research shows that persons can become infected through the air as well as by touching contaminated objects. The disease is airborne according to World Health Organization, WHO. MIT reports that it’s potentially more than 26.2 ft, , or can travel 8 meters from cough (not accounting 4 wind) 
It’s also suspended in the air for up to three hours
A new study by the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), Princeton University and UCLA published in The New England Journal of Medicine suggests that the coronavirus lives in aerosols. The virus becomes suspended in the environment and air as droplets when someone coughs or sneezes. This is for up to three hours. On surfaces such as plastic and stainless steel, the virus survived for up to two to three days.
This urgently changes the game to protect our healthcare workforce.
Dr. Maria Van Kerkhove, head of WHO’s emerging diseases and zoonosis unit, emphasized on Monday March 16, the importance of health care workers taking additional steps to protect themselves. She also told told reporters that the virus is transmitted through droplets from sneezing or coughing.
More on the WHO statement can be found at this post:
Since it’s a “novel” Coronavirus, there isn’t a robust pathogen specific evidence base of guidance. However, we refer to the World Health Organization’s guidance for viral infection control here based on Ebola. It is unclear at this time how SARS-CoV-2 compares exactly to Ebola. Though we do know that it’s constantly evolving as a virus; Scientists can follow the real-time tracking of the evolution of COVID-19 which is posted on this open source website the https://nextstrain.org./
The hardest-hit region of Hubei province deployed 100,000 medical protective suits a day according to the Shanghai Daily online publication Shine.
“Personal Protective Equipment for Use in a Filovirus Disease Outbreak: Rapid Advice Guideline.”
What Do Healthcare Professionals and Anyone Who Cares About Them Need to Know
1. CDC guidelines are based on supply availability to assist healthcare organizations in operationalizing levels of equipment on hand. They are not always updated to reflect specific safety standards.
2. We don’t know how long it will take to release the National stockpile or how long it will last. For masks, it is estimated to provide roughly enough masks for 13 health systems for 13 weeks according to New York’s healthcare committee chair Mark Levine.
3. Since we don’t know when or where they would be directed, we believe you need to help source your own protective equipment NOW.
If we had Italy in America the impact on the stock market would be even worse.
Healthcare professional, here’s your call to action to protect yourself and your colleagues.
1. Keep the checklist as a photo on your phone in your photos so you can always refer to it.
2. Be able to explain that no branch of government has an immediate solution to supply levels required as of today March 20, 2020.
3. Be able to communicate the gravity and magnitude of the virus and the factor by which it’s contagious 10 and mortality several times that of the regular flu according to NIH Director Dr. Anthony Fauci.
What Physicians Must Do Today:
Research into supply chain challenges indicates potential for extreme, near immediate crisis. Therefore, we do recommend that for those physicians that can afford to buy your own supply of PPE that you do so now. This is according to the level of protection you would assign to your context. Your context will be ever evolving as the virus itself does.
Personal Protective Equipment (PPE) for personal purchase can be found on the following sites as of this writing:
Gloves & Goggles
Plastic caps, Faceshields & small quantities of full-face respirators
N95 respirator masks, earliest arrival April 16
 Lydia Bourouiba’s lab at MIT focuses on fluid dynamics influence spread of pathogens says CoronaVirus
By: Sherri Douville CEO & Board Member at Medigram, Inc. & Dr. Art Douville, CMO at Medigram