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PREVENTION OF
COVID-19
GUIDED BY:
Dr. ANUP N.
Dr. VIKAS JEPH
Dr. SWASTI TAMBI
PRESENTED BY-
HARSHITA BABERWAL
IV YEAR
CONTENT
⇲ WHAT IS COVID-19?
⇲ TRANSMISSION OF COVID -19
⇲ SYMPTOMS OF COVID-19
⇲ PREVENTION OF COVID-19
⇝ GENERAL MEASURES
○ BASIC AIDS
■ HANDWASH
■ HANDRUB
■ MASK
■ FACE SHIELDS
■ COVER | DISINFECT | MONITOR
○ PREVENTIVE MEASURES AT HOME, WHILE TRAVELLING ,AT SOCIAL GATHERINGS, AT MARKET
, AT GYM
⇝ AT WORKPLACE
○ AT SCHOOLS/COLLEGES
○ AT OFFICES
⇝ FOR HEALTH CARE WORKERS
○ FOR MEDICAL PERSONNEL
○ DENTIST SPECIFIC
⇝ VACCINES
⇝ REFERENCES
WHAT IS COVID-19?
● Coronavirus disease (COVID-19) is a
disease caused by the SARS-CoV-2 virus.
● Most people infected with the COVID-19
virus will experience mild to moderate
respiratory illness and recover without
requiring special treatment.
WHAT IS COVID-19?
● Elderly and those with underlying medical
problems like cardiovascular disease,
diabetes, chronic respiratory disease, and
cancer are more likely to develop serious
illness.
● The best way to prevent and slow down
transmission is to be well informed about
the COVID-19 virus, the disease it causes and
how it spreads.
TRANSMISSION OF COVID -19
● The virus can spread from an infected person’s when they cough,
sneeze, speak.These liquid particles are different sizes, ranging from
larger ‘respiratory droplets’ to smaller ‘aerosols’.
● Other people can catch COVID-19 when the virus gets into their
mouth, nose or eyes, which is more likely to happen when people are
in direct or close contact (less than 1 metre apart) with an infected
person.
● A person could get COVID-19 indirectly by touching a contaminated
surface (such as tables, doorknobs and handrails) or object before
touching their own mouth, nose, or eyes.
SYMPTOMS OF COVID-19
REFERENCE:Centers for Disease Control and Prevention (CDC), 7 Aug 2020
PREVENTIONS
WORKPLACE
MEASURES
GENERAL
MEASURES
1. GENERAL MEASURES
2. AT HOME MEASURES
3. TRAVELLING MEASURES
4. AT
GATHERINGS/EVENTS
5. WHILE SHOPPING
FOR
HEALTHCARE
WORKERS
VACCINE
S
PREVENTION OF COVID-19
1. OFFICES
2. SCHOOLS AND
COLLEGES
1. MEDICAL
2. DENTISTS
REFERENCE:https://www.cdc.gov
GENERAL WAYS
TO PREVENT
COVID-19
GENERAL PREVENTIONS
W U H A N
WASH
HANDS
USE
MASK
PROPERL
Y
HAVE
TEMPERATUR
E
CHECKED
DAILY
AVOID
LARGE
CROWDS
NEVER TOUCH
FACE BEFORE
SANITIZING
YOUR HANDS
GENERAL PREVENTIONS
PREVENTIONS
MASK HANDWASH HAND RUB
OVERALL
MEASURES
SOCIAL DISTANCING
● Social distancing, also called “physical distancing,” means keeping a safe space between
yourself and other people who are not from your household.
● To practice social or physical distancing, stay at least 6 feet (about 2 arm’s length) from other
people who are not from your household in both indoor and outdoor spaces.
● Social distancing should be practiced in combination with other everyday preventive actions
to reduce the spread of COVID-19, including wearing masks, avoiding touching your face with
unwashed hands, and frequently washing your hands with soap and water for at least 20
seconds
HANDWASH
● Handwashing is one of the best ways to protect yourself and your family from getting
sick.
● Before, during, and after preparing
food
● Before and after eating food
● Before and after caring for someone
at home who is sick with vomiting or
diarrhea
● Before and after treating a cut or
wound
● After using the toilet
● After blowing your nose, coughing,
or sneezing
Key Times to Wash Hands :
Steps of washing hands :
Hum the “Happy Birthday”
song from beginning to end
twice.!!wash your hands for at
least 30 seconds!!
REFERENCE:thedailynewsonline
HANDRUB
Washing hands with soap and water is the best way to get
rid of germs in most situations. If soap and water are not
readily available, you can use an alcohol-based hand
sanitizer that contains at least 60% alcohol. You can tell if
the sanitizer contains at least 60% alcohol by looking at
the product label.
Sanitizers can quickly reduce the number of germs on
hands in many situations. However,
● Sanitizers do not get rid of all types of germs.
● Hand sanitizers may not be as effective when hands
are visibly dirty or greasy.
● Hand sanitizers might not remove harmful chemicals
from hands like pesticides and heavy metals.
Reference:
https://www.cdc.gov/c
oronavirus/2019-
ncov/prevent-
getting-
sick/prevention.html
REFERENCE:WORLD
HEALTH
ORGANIZATION
MASK
Choosing the Right Coronavirus Mask Type!
Wearing a mask is important for helping slow the spread of the virus,
especially when you decide to go out. It's also important to know what
type of mask you should wear and when it's appropriate to wear them
TYPE OF MASK
Cloth Mask Surgical
Mask
Face Shield
N-95 Mask
Reference:
https://www.umms.org/coronavirus/what-to-
know/masks/mask-types
CLOTH MASK
● A cloth face mask fits against the face
using either ear loops or ties around the
head. Multiple layers of fabric create a
barrier between your nose and mouth and
the outside, helping contain any
respiratory droplets that you may breathe
out. The thicker the mask, the greater the
barrier.
● You can easily make your own cloth mask
at home with or without a sewing machine
using a wide variety of fabrics, though
tightly woven fabrics like cotton are
recommended. These kinds of fabric
masks can also be useful when wearing a
mask in the heat or while exercising in a
SURGICAL OR MEDICAL MASK
● Surgical masks are disposable covers that are
usually worn by medical professionals as personal
protective equipment (PPE) during surgeries or
other procedures. They often made of a
combination of paper and plastics, and are
commonly light blue in color.
● Surgical masks are designed to protect against
large respiratory droplets but don't protect
against smaller droplets. They are effective for
helping protect others around you if you are a
carrier of the virus. While these masks are ideal
for one-time usage.
FACE SHIELDS
1. Face shields are clear sheets of plastic that hang down
from a headband, covering the face from the top of the
head to below the chin. Before the pandemic, they were
usually worn by health care workers performing
procedures that were prone to body fluid splatter. For
example, dental hygienists often wear face shields.
2. Members of the general public who keep six feet of
distance from others and wear a face mask do not
need a face shield. Face shields may be worn to
provide an extra layer of protection when in sustained
close proximity with others. However, they do not
provide the same protection as a mask because they
do not provide a barrier to respiratory droplets, which
can come up under them.
COVER!
● Always cover your mouth
and nose with a tissue when
you cough or sneeze or use
the inside of your elbow
and do not spit.
● Throw used tissues in the
trash.
● Immediately wash your
hands with soap and water
for at least 20 seconds. If
soap and water are not
readily available, clean your
hands with a hand sanitizer
that contains at least 60%
alcohol.
DISINFECT! MONITOR!
● Clean AND disinfect
frequently touched
surfaces daily. This
includes tables,
doorknobs, light switches,
countertops, handles,
desks, phones, keyboards,
toilets, faucets, and sinks.
● If surfaces are dirty, clean
them. Use detergent or
soap and water prior to
disinfection.
● Then, use a household
disinfectant
● Be alert for
symptoms. Watch for
fever, cough,
shortness of breath,
or other symptoms of
COVID-19.
● Especially important
if you are running
essential errands,
going into the office
or workplace, and in
settings.
● Take your
temperature if
symptoms develop.
REFERENCE:https://www.cdc
PREVENTIVE MEASURES AT HOME
● Avoid drinking and eating cold beverages this may trigger the symptoms of flu
and throat infection which can give false judgement of covid related symptoms.
● Let only one family member go outside for performing all the essential chores
(preferably young adult )
● Avoid Senior Citizen and children going outside .
● Staying at home for longer duration can cause anxiety and in some cases
depression , indulge in small hobbies or group activities to keep the mind and
body activated
● Mopping of the floor can be done by disinfectant ,and vegetables can disinfect
by washing them in lukewarm water and soak them in saline water
● All the packages and parcels can be left in sunlight and should be disinfected
either by wipes or spray before touching .
● Disinfecting the knobs of highly used doors and cabinets can be done twice in a
day
PREVENTIVE MEASURES FOR
TRAVELLING
● AT THE FIRST PLACE AVOID TRAVELING! GO OUTSIDE ONLY IF
REQUIRED!
● Opt for the mode of travel which is the fastest and safest which
reduces the chances of exposure to the virus .
● Carry yourself with a bag of sanitization aids (Handrub,wipes ,spray
etc.)
● Maintaining distance should be the priority
● Refrain use of washrooms
● Avoid eating while travelling
Reference: TIMESOFINDIA.COM - Jul 28, 2020
PREVENTIVE MEASURES AT EVENTS AND
GATHERINGS
NOW THAT STATE GOVERNMENT (RAJASTHAN) HAS ALLOWED GATHERING OF MORE THAN 50
PEOPLE it is important to know and ponder about some precautionary measures :
● AVOID GOING AT THE FIRST PLACE
● Wear a proper mask and maintain social distancing ..as it might be difficult to
maintain social distancing it is important to maintain proper hand sanitization and
awareness to wear a mask
● Event to be organized in such a way so that guest or attendees are provided with slots
to decrease the crowd.
● Anybody with even mild symptom should avoid attending the event .
Reference: TIMESOFINDIA.COM - Jul 28, 2020
PREVENTIVE MEASURES FOR
MARKET
● Persons above 65 years of age, persons with comorbidities,
pregnant women and children below the age of 10 years are
advised to stay at home, except for essential and health
purposes. Shopping mall management to advise accordingly.
● Staggering of visitors to be done, if possible
● Specific markings may be made with sufficient distance to
manage the queue and ensure social distancing in the
premises.
Reference: https://www.mohfw.gov.in/
TIMESOFINDIA.COM - Jul 28, 2020
PREVENTIVE MEASURES FOR
MARKET
● Preferably separate entry and exits for visitors, workers and
goods/supplies shall be organized.
● Entrance to have mandatory hand hygiene (sanitizer dispenser)
and thermal screening provisions.
● Cleaning and regular disinfection (using 1% sodium hypochlorite)
of frequently touched surfaces (door knobs, elevator buttons,
handrails, benches, washroom fixtures, etc.) to be made mandato
● Number of customers inside the shop to be kept at a minimum,
so as to maintain the physical distancing norms.
Reference: https://www.mohfw.gov.in/
PREVENTING MEASURES AT GYM
● Attend gym allotted time slots to reduce the crowd
● Ensure the gym as sanitization regime followed in between the slots
● Carry sanitizing which are equipment friendly.
● Use a cloth face mask as they are more breathable for light exercises
● Carry your own water bottle and avoid sharing supplies.
● Try alternating the machines and equipments to maintain social
distancing.
● Do not go if you feel unwell.
● Avoid using earphones and this may lead to transmission either
through ear directly or by hand while handling them.
Reference: TIMESOFINDIA.COM - Jul 28, 2020
PREVENTION AT
WORKPLACES
PREVENTIVE MEASURES AT OFFICE
● Stay at least 6 feet away from customers and
coworkers, when possible.
● Flexible work hours and work from home scheme
● Sanitization of the cubicles door knobs corridors and
desks frequently.
● UV chambers for keys, phones and earplugs .
● Maintaining social distance and following queue
system for customers should be mandatory .
PREVENTIVE MEASURES AT OFFICE
● Alternate work days.
● Car pools should be avoided.
● Seating area , cafeterias and conference rooms
should have slots and in between sanitization
visits
● Installation of plastic separation or fiberglass
separators to avoid spreading of virus
PREVENTIVE MEASURES AT
SCHOOLS/COLLEGES
SOME OF THE MOTIVES OF PREVENTIONS:
Testing, Screening, and Outbreak Response.
Testing to diagnose COVID-19 is one component of a comprehensive strategy and should be used in conjunction with
promoting behaviors that reduce spread, maintaining healthy environments, maintaining healthy operations, and
preparing for when someone gets sick.
Contact tracing Facility.
It is system that allows the detection of the infection chain and also helps in preventing further spread.
Plan and Prepare alternative ways of classes .
To keep alternative methods and plans of target shift plans ready if the number of cases increase in a school
/colleges . Promote online classes and come up with fair methods of online examination.
REFERENCE:https://www.cdc.gov/
PREVENTIVE MEASURES AT COLLEGES AND SCHOOL
HIGHEST
RISK
Mass gathering
and common
transport
43%
High rate of
exposure
HIGH RISK
Students with
maintaining
sanitization regime
with person to
person clases
36%
Rate of exposure is
high but there is
awareness present
MEDIUM RISK
Hybrid learning
process
20%
Rate of exposure is
comparatively less
LOW RISK
Online classes
1%
Lowest or minimal
rate of exposure
SUSCEPTIBILITY ON THE BASIS OF EXPOSURE OF STUDENTS:
REFERENCE:https://www.cdc.gov/
PREVENTIVE MEASURES AT COLLEGES AND
SCHOOL
● Promote online classes and examination.
● Hybrid Learning Model: A mixture of online and in-person classes
(for practical based subjects).
● Regulations of shifts and slots or alternate days.
● Flexible Mess/Cafeteria timings to reduce the crowding.
● Daily temperature check ups and sanitization units to be placed
on entry.
● Routine fumigation and disinfection of the lecture halls and
classes.
● Avoid interactive (face to face) classes and coming up with other
innovating ideas.
● Carrying sanitization kit (Gloves, sanitizer, hand rub etc.)
● Alternate washroom units to be opened for social distancing .
● Minimal sharing of the objects.
PREVENTION
FOR HEALTH
CARE WORKERS
PREVENTIVE MEASURES FOR HEALTHCARE
WORKERS
WORKPLACE
Medical Personnel
Dental Personnel
Standard protocol
Standard Protocol
Clinical Protocol
MANDATORY PROTECTIVE GEARS
1. PPE- Personal Protective
Equipment
2. Face Shield
3. N-95 Mask
4. Protective Eyewear
5. Isolation Gowns
Personal Protective Equipment
● Personal protective equipment, or PPE, is designed to provide protection from
serious injuries or illnesses resulting from contact with chemical, radiological,
physical, electrical, mechanical, or other hazards.
● TYPES OF PPE:
Level A: protection should be worn when the highest level of respiratory, skin,
eye and mucous membrane protection is needed
Level B protection should be selected when the highest level of respiratory
protection is needed, but a lesser level of skin and eye protection is needed
Level C protection should be selected when the type of airborne substance is
known, concentration measured, criteria for using air-purifying respirators
met, and skin and eye exposure is unlikely
Level D protection is primarily a work uniform and is used for nuisance
contamination only. It requires only coveralls and safety shoes/boots
REFERENCE:https://chemm.nlm.nih.gov/ppe.htm
Professional-Grade Medical Mask / N95
1. N95 respirators and other professional-
grade medical masks are carefully sized
to form a tight seal between the air
outside and the face. They are designed
to protect healthcare workers from
droplets in the air.
2. Respirators are highly effective when
professionally fitted.
3. N95s are currently considered an
essential but scarce supply for healthcare
workers.
REFERENCE:https://www.cdc.gov/
PREVENTION FOR
DENTAL CLINIC
AND DENTIST
REFERENCE: No.DE-22-BDS(Academic)-2020/16042020DCI GUIDELINES
PREVENTIVE MEASURES AT DENTAL
CLINIC AND FOR DENTIST
COVID-19 GUIDELINES FOR DENTAL COLLEGES, DENTAL STUDENTS AND DENTAL
PROFESSIONALS BY DENTAL COUNCIL OF INDIA
● Personal Protection for Doctor and Staff:
a. Hand hygiene is already well emphasised and stated for all concerned by alcohol based
hand rub or use of soap and water for washing with standard steps recommended by WHO.
b. Personal protective equipment is mandatory now and would comprise of the following:
1. Goggles / face shield (Both to be used , fitting goggles with a soft tissue seal)
2. Triple layer surgical mask N95 respirator during routine dental procedures FFP3 –
Standard mask should be used during treatment of COVID19 positive patients.
3. Surgical gloves
4. Disposable coverall / gown with hood /waterproof lining (to be changed daily). Coverall /
gown outer; maybe improvised but will need to be changed after each patient
5. Shoe covers REFERENCE: No.DE-22-BDS(Academic)-2020/16042020DCI
GUIDELINES
COVID-19 CLINICAL GUIDELINES FOR DENTAL
STUDENTS AND INTERNS
1. If one has signs of fever, cough and difficulty in breathing, inform
your concerned faculty and seek medical attention and well in
advance.
2. In case you, yourself are having a history of Fever, Cough and
difficulty in breathing visit your doctor and report the same to
your faculty.
3. Maintain proper records and update regularly.
4. Don't Panic rather spread awareness among communities.
5. Interns should complement all dental services in the Institute and
assist in all activities after adequate training. a. Recording
detailed Case history and Identification of vulnerable age groups
b. Participate in capacity building and training for basic COVID-19.
GENERAL
INFORMATION
1. Appeal to non-emergency patients to postpone their treatment plans to avoid cross-infection
caused by clustering in Dental Colleges.
2. In case of any dental emergency; patients should wear masks for protection and minimize the
number of accompanying persons as much as possible.
3. Patients should be encouraged to take appointments or register online or telephonically in all
outpatient clinics to reduce gathering of people;
4. Enhance oral health education through the different media like internet, newspapers and social
media.
5. The body temperature of all employees must be taken before entering the workplace, and it is
forbidden to work with illness.
6. Strengthen training of faculty and staff in infection control, and equip dental teams with
sufficient protective equipment which strictly complies with the protection requirements.
7. Display of posters of hand hygiene, infection control and other preventive strategies should be
displayed at different and important locations of the dental colleges.
8. In wake of COVID-19 outbreak going on in the country, the Dental Colleges shall not hold any
workshops, conferences, dental screening camps etc.
REFERENCE: No.DE-22-BDS(Academic)-2020/16042020DCI
SPECIFIC
INFORMATION
1. Upon arrival, all patients in Pre-screening area, will be screened for signs
and symptoms of COVID19 and current dental complain.
2. Every patient who upon screening further classified as Emergency or Non-
emergency. Emergency dental problems can be into severe dental pain,
trauma, swelling, excessive bleeding and any other condition that is deemed
appropriate.
3. Develop a standard reporting system with a. Patient contact details, b.
History of fever, cold/cough and c. Shortness of breath etc to report the
same as per standard Government guidelines.
4. Dental Colleges should have a protocol for referral for patients and
employees to fever clinic either in the attached Medical College or Affiliated
Hospital.
5. Patient classified as emergency and non-emergency/elective procedures
have to be managed accordingly.
6. Medical management of patients should be promoted until dental
procedures are unwarranted.
REFERENCE: No.DE-22-BDS(Academic)-2020/16042020DCI GUIDELINES
VACCINES
HOW VACCINES ARE MADE?
REFERENCE:https://www.cdc.gov/
COVAX:
● The vaccines pillar of the ACT-Accelerator, convened by CEPI GAVI and
WHO, is speeding up the search for an effective vaccine for all countries. At
the same time, it is supporting the building of manufacturing capabilities, and
buying supply, ahead of time so that 2 billion doses can be fairly distributed
by the end of 2021. Led by CEPI GAVI and WHO
● The COVAX pillar is focussed on the latter. It is the only truly global solution to
this pandemic because it is the only effort to ensure that people in all corners
of the world will get access to COVID-19 vaccines once they are available,
regardless of their wealth.
COVID-19 VACCINES AVAILABLE
Under clinical trials
As of December 28, 2020, large-scale (Phase 3) clinical trials are in progress or being
planned for three COVID-19 vaccines in the United States:
● AstraZeneca’s COVID-19 vaccine
● Janssen’s COVID-19 vaccine
● Novavax’s COVID-19 vaccine
Authorized and Recommended Vaccines
Currently, two vaccines are authorized and recommended to prevent COVID-19:
● Pfizer-BioNTech COVID-19 vaccine
● Moderna’s COVID-19 vaccine
TYPES OF COVID-19 VACCINE
Currently, there are three main types of COVID-19 vaccines that are or soon will be
undergoing large-scale (Phase 3) clinical trials
1. mRNA vaccines contain material from the virus that causes COVID-19 that gives our
cells instructions for how to make a harmless protein that is unique to the virus
2. Protein subunit vaccines include harmless pieces (proteins) of the virus that cause
COVID-19 instead of the entire germ
3. Vector vaccines contain a weakened version of a live virus—a different virus than the
one that causes COVID-19—that has genetic material from the virus that causes
COVID-19 inserted in it (this is called a viral vector).
Most COVID-19 Vaccines Require More Than One Shot
All but one of the COVID-19 vaccines that are currently in Phase 3 clinical trials in the
United States use two shots. The first shot starts building protection. A second shot a few
weeks later is needed to get the most protection the vaccine has to offer.
COVID-19 VACCINES IN INDIA
COVAXINTM, India's indigenous COVID-19 vaccine by Bharat
Biotech is developed in collaboration with the Indian Council of
Medical Research (ICMR) - National Institute of Virology (NIV). The
indigenous, inactivated vaccine is developed and manufactured
in Bharat Biotech's BSL-3 (Bio-Safety Level 3) high containment
facility.
The vaccine received DCGI approval for Phase I & II Human
Clinical Trials and the trials commenced across India from July,
2020.
After successful completion of the interim analysis from the
Phase 1 & 2 clinical trials of COVAXINTM, Bharat Biotech received
DCGI approval for Phase 3 clinical trials in 26,000 participants in
over 25 centres across India
REFERENCE:https://vaccine.icmr.org.in/covid-19-vaccine
SEC Approves
SERUM INSTITUTE
OF INDIA for the
usage of
COVISHIELD in
India. On
1st Jan 21
The Serum Institute of
India (SII) and Indian
Council of Medical
Research are jointly
conducting a Phase
II/III, Observer-Blind,
Randomized,
Controlled Study to
Determine the Safety
and Immunogenicity of
Covishield (COVID-19
Vaccine)
REFERENCE:https://vaccine.icmr.org.in/covid-19-vaccine
IDR Approves
the use of
ASTRAZENECA
VACCINE as
emergency
use. On 1st Jan
21
ZyCoV-D
Zydus Cadila, focused on
discovering and developing NCEs,
Novel Biologicals, Biosimilars and
Vaccines, announced that its
plasmid DNA vaccine to prevent
COVID-19, ZyCoV-D. Safety in Phase I
clinical trial of ZyCoV-D in healthy
subjects established as endorsed by
the independent Data Safety
Monitoring Board (DSMB). Zydus
commenced Phase II trial.
Sputinik
Dr Reddys Laboratories Limited and
Sputnik LLC are jointly conducting
Multi-centre, phase II/III adaptive
clinical trial to assess safety and
immunogenicity of Gam-COVID-Vac
combined vector vaccine.
REFERENCE:https://vaccine.icmr.org.in/covid-19-vaccine
Pfizer also allowed as
a candidate
vaccine.On 1Jan21
REFERENCE:
https://indianexpress.com
REFERENCE:
https://indianexpress.com
● PRIORITY 1:Health care workers will get the
vaccines first
● PRIORITY 2:Frontline workers (Police Department
, Municipal Workwers, Medical students etc.
● PRIORITY 3 : Individuals above the age group of
50 years
● PRIORITY 4 : Individuals below the 50 years but
with esisting comorbidities.
WHO WILL GET COVID-19 VACCINES?
ON 2.1.21
Government of India as
initiated the DRY RUN in
India . With an online
application to regulate
the distribution and
smooth trial of the
vaccine.
CONCLUSION
● Getting vaccinated is one of many steps you can take to protect yourself
and others from COVID-19. Protection from COVID-19 is critically important
because for some people, it can cause severe illness or death.
● Stopping a pandemic requires using all the tools available. Vaccines work
with your immune system so your body will be ready to fight the virus if you
are exposed. Other steps, like masks and social distancing, help reduce
your chance of being exposed to the virus or spreading it to others.
Together, COVID-19 vaccination and following prevention’s we can defeat
COVID-19
REFERENCES
● About covid-19: https://en.wikipedia.org/wiki/COVID-19_pandemic
● General prevention: https://www.cdc.gov/coronavirus/2019-ncov/index.html
● About mask: https://www.umms.org/coronavirus/what-to-know/masks/mask-types
● General prevention at location specific:
○ https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html(CDC)
○ https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/gyms-are-reopening-follow-these-7-rules-to-
keep-yourself-safe-at-the-gym-during-coronavirus/photostory/77218078.cms(TOI)
○ https://chemm.nlm.nih.gov/ppe.htm(PPE)
● DCI GUIDELINES: No.DE-22-BDS(Academic)-2020/16042020 DCI GUIDELINES
● Vaccines: WHO,CDC,ICMR:
○ https://vaccine.icmr.org.in/covid-19-vaccine(ICMR)
○ https://www.who.int/initiatives/act-accelerator/covax(WHO)
○ https://indianexpress.com/article/explained/covid-19-vaccine-storage-optimal-temperature-cold-chain-india-explained-
quixplained-7063369/(HINDUSTAN TIMES)
THANK YOU!

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Prevention of covid 19 corona virus

  • 1. PREVENTION OF COVID-19 GUIDED BY: Dr. ANUP N. Dr. VIKAS JEPH Dr. SWASTI TAMBI PRESENTED BY- HARSHITA BABERWAL IV YEAR
  • 2. CONTENT ⇲ WHAT IS COVID-19? ⇲ TRANSMISSION OF COVID -19 ⇲ SYMPTOMS OF COVID-19 ⇲ PREVENTION OF COVID-19 ⇝ GENERAL MEASURES ○ BASIC AIDS ■ HANDWASH ■ HANDRUB ■ MASK ■ FACE SHIELDS ■ COVER | DISINFECT | MONITOR ○ PREVENTIVE MEASURES AT HOME, WHILE TRAVELLING ,AT SOCIAL GATHERINGS, AT MARKET , AT GYM ⇝ AT WORKPLACE ○ AT SCHOOLS/COLLEGES ○ AT OFFICES ⇝ FOR HEALTH CARE WORKERS ○ FOR MEDICAL PERSONNEL ○ DENTIST SPECIFIC ⇝ VACCINES ⇝ REFERENCES
  • 3.
  • 4. WHAT IS COVID-19? ● Coronavirus disease (COVID-19) is a disease caused by the SARS-CoV-2 virus. ● Most people infected with the COVID-19 virus will experience mild to moderate respiratory illness and recover without requiring special treatment.
  • 5. WHAT IS COVID-19? ● Elderly and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness. ● The best way to prevent and slow down transmission is to be well informed about the COVID-19 virus, the disease it causes and how it spreads.
  • 6.
  • 7. TRANSMISSION OF COVID -19 ● The virus can spread from an infected person’s when they cough, sneeze, speak.These liquid particles are different sizes, ranging from larger ‘respiratory droplets’ to smaller ‘aerosols’. ● Other people can catch COVID-19 when the virus gets into their mouth, nose or eyes, which is more likely to happen when people are in direct or close contact (less than 1 metre apart) with an infected person. ● A person could get COVID-19 indirectly by touching a contaminated surface (such as tables, doorknobs and handrails) or object before touching their own mouth, nose, or eyes.
  • 8. SYMPTOMS OF COVID-19 REFERENCE:Centers for Disease Control and Prevention (CDC), 7 Aug 2020
  • 9.
  • 10. PREVENTIONS WORKPLACE MEASURES GENERAL MEASURES 1. GENERAL MEASURES 2. AT HOME MEASURES 3. TRAVELLING MEASURES 4. AT GATHERINGS/EVENTS 5. WHILE SHOPPING FOR HEALTHCARE WORKERS VACCINE S PREVENTION OF COVID-19 1. OFFICES 2. SCHOOLS AND COLLEGES 1. MEDICAL 2. DENTISTS REFERENCE:https://www.cdc.gov
  • 12. GENERAL PREVENTIONS W U H A N WASH HANDS USE MASK PROPERL Y HAVE TEMPERATUR E CHECKED DAILY AVOID LARGE CROWDS NEVER TOUCH FACE BEFORE SANITIZING YOUR HANDS
  • 14.
  • 15. SOCIAL DISTANCING ● Social distancing, also called “physical distancing,” means keeping a safe space between yourself and other people who are not from your household. ● To practice social or physical distancing, stay at least 6 feet (about 2 arm’s length) from other people who are not from your household in both indoor and outdoor spaces. ● Social distancing should be practiced in combination with other everyday preventive actions to reduce the spread of COVID-19, including wearing masks, avoiding touching your face with unwashed hands, and frequently washing your hands with soap and water for at least 20 seconds
  • 16. HANDWASH ● Handwashing is one of the best ways to protect yourself and your family from getting sick. ● Before, during, and after preparing food ● Before and after eating food ● Before and after caring for someone at home who is sick with vomiting or diarrhea ● Before and after treating a cut or wound ● After using the toilet ● After blowing your nose, coughing, or sneezing Key Times to Wash Hands :
  • 17. Steps of washing hands : Hum the “Happy Birthday” song from beginning to end twice.!!wash your hands for at least 30 seconds!! REFERENCE:thedailynewsonline
  • 18. HANDRUB Washing hands with soap and water is the best way to get rid of germs in most situations. If soap and water are not readily available, you can use an alcohol-based hand sanitizer that contains at least 60% alcohol. You can tell if the sanitizer contains at least 60% alcohol by looking at the product label. Sanitizers can quickly reduce the number of germs on hands in many situations. However, ● Sanitizers do not get rid of all types of germs. ● Hand sanitizers may not be as effective when hands are visibly dirty or greasy. ● Hand sanitizers might not remove harmful chemicals from hands like pesticides and heavy metals. Reference: https://www.cdc.gov/c oronavirus/2019- ncov/prevent- getting- sick/prevention.html
  • 20. MASK Choosing the Right Coronavirus Mask Type! Wearing a mask is important for helping slow the spread of the virus, especially when you decide to go out. It's also important to know what type of mask you should wear and when it's appropriate to wear them TYPE OF MASK Cloth Mask Surgical Mask Face Shield N-95 Mask Reference: https://www.umms.org/coronavirus/what-to- know/masks/mask-types
  • 21. CLOTH MASK ● A cloth face mask fits against the face using either ear loops or ties around the head. Multiple layers of fabric create a barrier between your nose and mouth and the outside, helping contain any respiratory droplets that you may breathe out. The thicker the mask, the greater the barrier. ● You can easily make your own cloth mask at home with or without a sewing machine using a wide variety of fabrics, though tightly woven fabrics like cotton are recommended. These kinds of fabric masks can also be useful when wearing a mask in the heat or while exercising in a
  • 22.
  • 23. SURGICAL OR MEDICAL MASK ● Surgical masks are disposable covers that are usually worn by medical professionals as personal protective equipment (PPE) during surgeries or other procedures. They often made of a combination of paper and plastics, and are commonly light blue in color. ● Surgical masks are designed to protect against large respiratory droplets but don't protect against smaller droplets. They are effective for helping protect others around you if you are a carrier of the virus. While these masks are ideal for one-time usage.
  • 24.
  • 25. FACE SHIELDS 1. Face shields are clear sheets of plastic that hang down from a headband, covering the face from the top of the head to below the chin. Before the pandemic, they were usually worn by health care workers performing procedures that were prone to body fluid splatter. For example, dental hygienists often wear face shields. 2. Members of the general public who keep six feet of distance from others and wear a face mask do not need a face shield. Face shields may be worn to provide an extra layer of protection when in sustained close proximity with others. However, they do not provide the same protection as a mask because they do not provide a barrier to respiratory droplets, which can come up under them.
  • 26. COVER! ● Always cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow and do not spit. ● Throw used tissues in the trash. ● Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol. DISINFECT! MONITOR! ● Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks. ● If surfaces are dirty, clean them. Use detergent or soap and water prior to disinfection. ● Then, use a household disinfectant ● Be alert for symptoms. Watch for fever, cough, shortness of breath, or other symptoms of COVID-19. ● Especially important if you are running essential errands, going into the office or workplace, and in settings. ● Take your temperature if symptoms develop. REFERENCE:https://www.cdc
  • 27.
  • 28. PREVENTIVE MEASURES AT HOME ● Avoid drinking and eating cold beverages this may trigger the symptoms of flu and throat infection which can give false judgement of covid related symptoms. ● Let only one family member go outside for performing all the essential chores (preferably young adult ) ● Avoid Senior Citizen and children going outside . ● Staying at home for longer duration can cause anxiety and in some cases depression , indulge in small hobbies or group activities to keep the mind and body activated ● Mopping of the floor can be done by disinfectant ,and vegetables can disinfect by washing them in lukewarm water and soak them in saline water ● All the packages and parcels can be left in sunlight and should be disinfected either by wipes or spray before touching . ● Disinfecting the knobs of highly used doors and cabinets can be done twice in a day
  • 29.
  • 30. PREVENTIVE MEASURES FOR TRAVELLING ● AT THE FIRST PLACE AVOID TRAVELING! GO OUTSIDE ONLY IF REQUIRED! ● Opt for the mode of travel which is the fastest and safest which reduces the chances of exposure to the virus . ● Carry yourself with a bag of sanitization aids (Handrub,wipes ,spray etc.) ● Maintaining distance should be the priority ● Refrain use of washrooms ● Avoid eating while travelling Reference: TIMESOFINDIA.COM - Jul 28, 2020
  • 31.
  • 32. PREVENTIVE MEASURES AT EVENTS AND GATHERINGS NOW THAT STATE GOVERNMENT (RAJASTHAN) HAS ALLOWED GATHERING OF MORE THAN 50 PEOPLE it is important to know and ponder about some precautionary measures : ● AVOID GOING AT THE FIRST PLACE ● Wear a proper mask and maintain social distancing ..as it might be difficult to maintain social distancing it is important to maintain proper hand sanitization and awareness to wear a mask ● Event to be organized in such a way so that guest or attendees are provided with slots to decrease the crowd. ● Anybody with even mild symptom should avoid attending the event . Reference: TIMESOFINDIA.COM - Jul 28, 2020
  • 33.
  • 34. PREVENTIVE MEASURES FOR MARKET ● Persons above 65 years of age, persons with comorbidities, pregnant women and children below the age of 10 years are advised to stay at home, except for essential and health purposes. Shopping mall management to advise accordingly. ● Staggering of visitors to be done, if possible ● Specific markings may be made with sufficient distance to manage the queue and ensure social distancing in the premises. Reference: https://www.mohfw.gov.in/ TIMESOFINDIA.COM - Jul 28, 2020
  • 35. PREVENTIVE MEASURES FOR MARKET ● Preferably separate entry and exits for visitors, workers and goods/supplies shall be organized. ● Entrance to have mandatory hand hygiene (sanitizer dispenser) and thermal screening provisions. ● Cleaning and regular disinfection (using 1% sodium hypochlorite) of frequently touched surfaces (door knobs, elevator buttons, handrails, benches, washroom fixtures, etc.) to be made mandato ● Number of customers inside the shop to be kept at a minimum, so as to maintain the physical distancing norms. Reference: https://www.mohfw.gov.in/
  • 36.
  • 37. PREVENTING MEASURES AT GYM ● Attend gym allotted time slots to reduce the crowd ● Ensure the gym as sanitization regime followed in between the slots ● Carry sanitizing which are equipment friendly. ● Use a cloth face mask as they are more breathable for light exercises ● Carry your own water bottle and avoid sharing supplies. ● Try alternating the machines and equipments to maintain social distancing. ● Do not go if you feel unwell. ● Avoid using earphones and this may lead to transmission either through ear directly or by hand while handling them. Reference: TIMESOFINDIA.COM - Jul 28, 2020
  • 39.
  • 40. PREVENTIVE MEASURES AT OFFICE ● Stay at least 6 feet away from customers and coworkers, when possible. ● Flexible work hours and work from home scheme ● Sanitization of the cubicles door knobs corridors and desks frequently. ● UV chambers for keys, phones and earplugs . ● Maintaining social distance and following queue system for customers should be mandatory .
  • 41. PREVENTIVE MEASURES AT OFFICE ● Alternate work days. ● Car pools should be avoided. ● Seating area , cafeterias and conference rooms should have slots and in between sanitization visits ● Installation of plastic separation or fiberglass separators to avoid spreading of virus
  • 42.
  • 43. PREVENTIVE MEASURES AT SCHOOLS/COLLEGES SOME OF THE MOTIVES OF PREVENTIONS: Testing, Screening, and Outbreak Response. Testing to diagnose COVID-19 is one component of a comprehensive strategy and should be used in conjunction with promoting behaviors that reduce spread, maintaining healthy environments, maintaining healthy operations, and preparing for when someone gets sick. Contact tracing Facility. It is system that allows the detection of the infection chain and also helps in preventing further spread. Plan and Prepare alternative ways of classes . To keep alternative methods and plans of target shift plans ready if the number of cases increase in a school /colleges . Promote online classes and come up with fair methods of online examination. REFERENCE:https://www.cdc.gov/
  • 44. PREVENTIVE MEASURES AT COLLEGES AND SCHOOL HIGHEST RISK Mass gathering and common transport 43% High rate of exposure HIGH RISK Students with maintaining sanitization regime with person to person clases 36% Rate of exposure is high but there is awareness present MEDIUM RISK Hybrid learning process 20% Rate of exposure is comparatively less LOW RISK Online classes 1% Lowest or minimal rate of exposure SUSCEPTIBILITY ON THE BASIS OF EXPOSURE OF STUDENTS: REFERENCE:https://www.cdc.gov/
  • 45. PREVENTIVE MEASURES AT COLLEGES AND SCHOOL ● Promote online classes and examination. ● Hybrid Learning Model: A mixture of online and in-person classes (for practical based subjects). ● Regulations of shifts and slots or alternate days. ● Flexible Mess/Cafeteria timings to reduce the crowding. ● Daily temperature check ups and sanitization units to be placed on entry. ● Routine fumigation and disinfection of the lecture halls and classes. ● Avoid interactive (face to face) classes and coming up with other innovating ideas. ● Carrying sanitization kit (Gloves, sanitizer, hand rub etc.) ● Alternate washroom units to be opened for social distancing . ● Minimal sharing of the objects.
  • 46.
  • 48.
  • 49. PREVENTIVE MEASURES FOR HEALTHCARE WORKERS WORKPLACE Medical Personnel Dental Personnel Standard protocol Standard Protocol Clinical Protocol
  • 50. MANDATORY PROTECTIVE GEARS 1. PPE- Personal Protective Equipment 2. Face Shield 3. N-95 Mask 4. Protective Eyewear 5. Isolation Gowns
  • 51. Personal Protective Equipment ● Personal protective equipment, or PPE, is designed to provide protection from serious injuries or illnesses resulting from contact with chemical, radiological, physical, electrical, mechanical, or other hazards. ● TYPES OF PPE: Level A: protection should be worn when the highest level of respiratory, skin, eye and mucous membrane protection is needed Level B protection should be selected when the highest level of respiratory protection is needed, but a lesser level of skin and eye protection is needed Level C protection should be selected when the type of airborne substance is known, concentration measured, criteria for using air-purifying respirators met, and skin and eye exposure is unlikely Level D protection is primarily a work uniform and is used for nuisance contamination only. It requires only coveralls and safety shoes/boots REFERENCE:https://chemm.nlm.nih.gov/ppe.htm
  • 52.
  • 53. Professional-Grade Medical Mask / N95 1. N95 respirators and other professional- grade medical masks are carefully sized to form a tight seal between the air outside and the face. They are designed to protect healthcare workers from droplets in the air. 2. Respirators are highly effective when professionally fitted. 3. N95s are currently considered an essential but scarce supply for healthcare workers. REFERENCE:https://www.cdc.gov/
  • 54. PREVENTION FOR DENTAL CLINIC AND DENTIST REFERENCE: No.DE-22-BDS(Academic)-2020/16042020DCI GUIDELINES
  • 55. PREVENTIVE MEASURES AT DENTAL CLINIC AND FOR DENTIST COVID-19 GUIDELINES FOR DENTAL COLLEGES, DENTAL STUDENTS AND DENTAL PROFESSIONALS BY DENTAL COUNCIL OF INDIA ● Personal Protection for Doctor and Staff: a. Hand hygiene is already well emphasised and stated for all concerned by alcohol based hand rub or use of soap and water for washing with standard steps recommended by WHO. b. Personal protective equipment is mandatory now and would comprise of the following: 1. Goggles / face shield (Both to be used , fitting goggles with a soft tissue seal) 2. Triple layer surgical mask N95 respirator during routine dental procedures FFP3 – Standard mask should be used during treatment of COVID19 positive patients. 3. Surgical gloves 4. Disposable coverall / gown with hood /waterproof lining (to be changed daily). Coverall / gown outer; maybe improvised but will need to be changed after each patient 5. Shoe covers REFERENCE: No.DE-22-BDS(Academic)-2020/16042020DCI GUIDELINES
  • 56. COVID-19 CLINICAL GUIDELINES FOR DENTAL STUDENTS AND INTERNS 1. If one has signs of fever, cough and difficulty in breathing, inform your concerned faculty and seek medical attention and well in advance. 2. In case you, yourself are having a history of Fever, Cough and difficulty in breathing visit your doctor and report the same to your faculty. 3. Maintain proper records and update regularly. 4. Don't Panic rather spread awareness among communities. 5. Interns should complement all dental services in the Institute and assist in all activities after adequate training. a. Recording detailed Case history and Identification of vulnerable age groups b. Participate in capacity building and training for basic COVID-19.
  • 58. 1. Appeal to non-emergency patients to postpone their treatment plans to avoid cross-infection caused by clustering in Dental Colleges. 2. In case of any dental emergency; patients should wear masks for protection and minimize the number of accompanying persons as much as possible. 3. Patients should be encouraged to take appointments or register online or telephonically in all outpatient clinics to reduce gathering of people; 4. Enhance oral health education through the different media like internet, newspapers and social media. 5. The body temperature of all employees must be taken before entering the workplace, and it is forbidden to work with illness. 6. Strengthen training of faculty and staff in infection control, and equip dental teams with sufficient protective equipment which strictly complies with the protection requirements. 7. Display of posters of hand hygiene, infection control and other preventive strategies should be displayed at different and important locations of the dental colleges. 8. In wake of COVID-19 outbreak going on in the country, the Dental Colleges shall not hold any workshops, conferences, dental screening camps etc. REFERENCE: No.DE-22-BDS(Academic)-2020/16042020DCI
  • 60. 1. Upon arrival, all patients in Pre-screening area, will be screened for signs and symptoms of COVID19 and current dental complain. 2. Every patient who upon screening further classified as Emergency or Non- emergency. Emergency dental problems can be into severe dental pain, trauma, swelling, excessive bleeding and any other condition that is deemed appropriate. 3. Develop a standard reporting system with a. Patient contact details, b. History of fever, cold/cough and c. Shortness of breath etc to report the same as per standard Government guidelines. 4. Dental Colleges should have a protocol for referral for patients and employees to fever clinic either in the attached Medical College or Affiliated Hospital. 5. Patient classified as emergency and non-emergency/elective procedures have to be managed accordingly. 6. Medical management of patients should be promoted until dental procedures are unwarranted. REFERENCE: No.DE-22-BDS(Academic)-2020/16042020DCI GUIDELINES
  • 62. HOW VACCINES ARE MADE? REFERENCE:https://www.cdc.gov/
  • 63. COVAX: ● The vaccines pillar of the ACT-Accelerator, convened by CEPI GAVI and WHO, is speeding up the search for an effective vaccine for all countries. At the same time, it is supporting the building of manufacturing capabilities, and buying supply, ahead of time so that 2 billion doses can be fairly distributed by the end of 2021. Led by CEPI GAVI and WHO ● The COVAX pillar is focussed on the latter. It is the only truly global solution to this pandemic because it is the only effort to ensure that people in all corners of the world will get access to COVID-19 vaccines once they are available, regardless of their wealth.
  • 64. COVID-19 VACCINES AVAILABLE Under clinical trials As of December 28, 2020, large-scale (Phase 3) clinical trials are in progress or being planned for three COVID-19 vaccines in the United States: ● AstraZeneca’s COVID-19 vaccine ● Janssen’s COVID-19 vaccine ● Novavax’s COVID-19 vaccine Authorized and Recommended Vaccines Currently, two vaccines are authorized and recommended to prevent COVID-19: ● Pfizer-BioNTech COVID-19 vaccine ● Moderna’s COVID-19 vaccine
  • 65. TYPES OF COVID-19 VACCINE Currently, there are three main types of COVID-19 vaccines that are or soon will be undergoing large-scale (Phase 3) clinical trials 1. mRNA vaccines contain material from the virus that causes COVID-19 that gives our cells instructions for how to make a harmless protein that is unique to the virus 2. Protein subunit vaccines include harmless pieces (proteins) of the virus that cause COVID-19 instead of the entire germ 3. Vector vaccines contain a weakened version of a live virus—a different virus than the one that causes COVID-19—that has genetic material from the virus that causes COVID-19 inserted in it (this is called a viral vector). Most COVID-19 Vaccines Require More Than One Shot All but one of the COVID-19 vaccines that are currently in Phase 3 clinical trials in the United States use two shots. The first shot starts building protection. A second shot a few weeks later is needed to get the most protection the vaccine has to offer.
  • 66. COVID-19 VACCINES IN INDIA COVAXINTM, India's indigenous COVID-19 vaccine by Bharat Biotech is developed in collaboration with the Indian Council of Medical Research (ICMR) - National Institute of Virology (NIV). The indigenous, inactivated vaccine is developed and manufactured in Bharat Biotech's BSL-3 (Bio-Safety Level 3) high containment facility. The vaccine received DCGI approval for Phase I & II Human Clinical Trials and the trials commenced across India from July, 2020. After successful completion of the interim analysis from the Phase 1 & 2 clinical trials of COVAXINTM, Bharat Biotech received DCGI approval for Phase 3 clinical trials in 26,000 participants in over 25 centres across India REFERENCE:https://vaccine.icmr.org.in/covid-19-vaccine
  • 67. SEC Approves SERUM INSTITUTE OF INDIA for the usage of COVISHIELD in India. On 1st Jan 21 The Serum Institute of India (SII) and Indian Council of Medical Research are jointly conducting a Phase II/III, Observer-Blind, Randomized, Controlled Study to Determine the Safety and Immunogenicity of Covishield (COVID-19 Vaccine) REFERENCE:https://vaccine.icmr.org.in/covid-19-vaccine
  • 68. IDR Approves the use of ASTRAZENECA VACCINE as emergency use. On 1st Jan 21
  • 69. ZyCoV-D Zydus Cadila, focused on discovering and developing NCEs, Novel Biologicals, Biosimilars and Vaccines, announced that its plasmid DNA vaccine to prevent COVID-19, ZyCoV-D. Safety in Phase I clinical trial of ZyCoV-D in healthy subjects established as endorsed by the independent Data Safety Monitoring Board (DSMB). Zydus commenced Phase II trial. Sputinik Dr Reddys Laboratories Limited and Sputnik LLC are jointly conducting Multi-centre, phase II/III adaptive clinical trial to assess safety and immunogenicity of Gam-COVID-Vac combined vector vaccine. REFERENCE:https://vaccine.icmr.org.in/covid-19-vaccine Pfizer also allowed as a candidate vaccine.On 1Jan21
  • 70.
  • 73. ● PRIORITY 1:Health care workers will get the vaccines first ● PRIORITY 2:Frontline workers (Police Department , Municipal Workwers, Medical students etc. ● PRIORITY 3 : Individuals above the age group of 50 years ● PRIORITY 4 : Individuals below the 50 years but with esisting comorbidities. WHO WILL GET COVID-19 VACCINES?
  • 74. ON 2.1.21 Government of India as initiated the DRY RUN in India . With an online application to regulate the distribution and smooth trial of the vaccine.
  • 75. CONCLUSION ● Getting vaccinated is one of many steps you can take to protect yourself and others from COVID-19. Protection from COVID-19 is critically important because for some people, it can cause severe illness or death. ● Stopping a pandemic requires using all the tools available. Vaccines work with your immune system so your body will be ready to fight the virus if you are exposed. Other steps, like masks and social distancing, help reduce your chance of being exposed to the virus or spreading it to others. Together, COVID-19 vaccination and following prevention’s we can defeat COVID-19
  • 76. REFERENCES ● About covid-19: https://en.wikipedia.org/wiki/COVID-19_pandemic ● General prevention: https://www.cdc.gov/coronavirus/2019-ncov/index.html ● About mask: https://www.umms.org/coronavirus/what-to-know/masks/mask-types ● General prevention at location specific: ○ https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html(CDC) ○ https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/gyms-are-reopening-follow-these-7-rules-to- keep-yourself-safe-at-the-gym-during-coronavirus/photostory/77218078.cms(TOI) ○ https://chemm.nlm.nih.gov/ppe.htm(PPE) ● DCI GUIDELINES: No.DE-22-BDS(Academic)-2020/16042020 DCI GUIDELINES ● Vaccines: WHO,CDC,ICMR: ○ https://vaccine.icmr.org.in/covid-19-vaccine(ICMR) ○ https://www.who.int/initiatives/act-accelerator/covax(WHO) ○ https://indianexpress.com/article/explained/covid-19-vaccine-storage-optimal-temperature-cold-chain-india-explained- quixplained-7063369/(HINDUSTAN TIMES)