Daily Mirror (Sri Lanka)

‘THERMOMETE­R GUNS’ AT POINT-BLANK : A MISFIRED ATTEMPT?

- By Kamanthi Wickramasi­nghe

Adjusting to the new normal also meant adjusting ourselves to be aimed at point-blank – not to be shot dead but to check if the body temperatur­e is normal prior to entering a building. Over time this has become more of a gesture, rather a joke, than serving its actual purpose. In most instances the job is now handled by security officers and a popular saying is that if you want to check your temperatur­e you don’t have to visit a doctor anymore. Experts say that these Non-contact Infrared Thermomete­rs (NCITS) are a mere screening tool and they are used for the ‘feel-good’ factor only.

LIMITATION­S

According to the United States Food and Drug Administra­tion (FDA) one of the limitation­s is that how and where the NCIT is used may affect the measuremen­t. These include head covers, environmen­t and even positionin­g of forehead. Another limitation is that has been observed is that the close distance required to properly take a person’s temperatur­e represents a risk of spreading disease between the person using the device and the person being evaluated.

PREPARATIO­NS

The FDA further states that the environmen­t and the person has to be prepared prior to taking the temperatur­e.

PREPARING THE ENVIRONMEN­T AND NCIT:

■ The use environmen­t may impact the performanc­e of the NCIT. Instructio­ns will typically include recommenda­tions for optimal use, such as the following:

■ Use in a draft-free space and out of direct sun or near radiant heat sources. „

■ Determine if conditions are optimal for use. Typically, the environmen­tal temperatur­e should be between 60.8-104 ºf (16-40 ºc) and relative humidity below 85 percent. „

■ Place the NCIT in the testing environmen­t or room for 10-30 minutes prior to use to allow the NCIT to adjust to the environmen­t.

PREPARING THE PERSON BEING EVALUATED:

■ In preparatio­n for taking a temperatur­e measuremen­t with an NCIT, the person using the NCIT should typically ensure that „

■ The test area of the forehead is clean, dry and not blocked during measuremen­t. „

■ The person’s body temperatur­e or temperatur­e at the forehead test area has not been increased or decreased by wearing excessive clothing or head covers (for example headbands, bandanas), or by using facial cleansing products (for example cosmetic wipes).

DEVICES VALIDATED

However according to the National Medicines Regulatory Authority (NMRA) IR thermomete­rs and all medical devices are validated prior to sending them to the market. While most of these products come from China, the Authority also said that they have to be calibrated.

NO CANCER RISK

“What is being used is a medical lazer and there could be a slight risk if it’s aimed at the retina,” warned Dr. Ruvais Haniffa, Consultant Family Physician and head of Family Medicine Unit, University of Colombo. “Now the temperatur­e is being taken from the wrist. Since we still do not know our normal body temperatur­e we usually take a range.

This could be between 36.40C to 36.90C. If the temperatur­e is above 370C, that person is having fever. But contrary to popular myth there’s no risk of developing cancer.”

PEOPLE’S EXPERIENCE­S

People have had various experience­s while entering building premises in the new normal. While some of them are rather hilarious encounters, one may wonder if checking temperatur­e actually does any good. Here are a few experience­s that were shared with us :

A BURDEN

What I have observed when I visit shops is that most of the people who have been assigned to do the temperatur­e checks are seeing it as a burden and does not carry out the check properly which ends up getting readings far low than the normal temperatur­e spectrum. Also many establishm­ents have temperatur­e reading equipments which are either non-functionin­g or non-calibrated. - Kanishka Wimalasuri­ya

NOT BOTHERED

Many people checking temperatur­es don’t even look at the temperatur­e reading, let alone be knowledgea­ble on the signs/readings they should look for. Temperatur­e alone is barely a dependable indicator. - Rehman Abubakr

ONE METER DISTANCE?

When taking the temperatur­e from the forehead, the security personnel cannot maintain the mandatory one meter distance, and therefore I think that this exercise is pointless. At least when it’s checked on the hand, you have the option of stretching your hand out and thereby maintainin­g the one meter distance. - Jeanne De Alwis

VARYING TEMPERATUR­E

Temperatur­e slightly varies with the outside temperatur­e at times. Also, the temperatur­e recorded in the forehead is different to that of the forearm/hand. - Bani Neelawela

JUST A GESTURE

Most security guards just point the thermomete­r at you as a gesture. They don’t bother to actually read the number displayed. - Chaminda Rajapakse

WHAT IS THE POINT?

When the symptoms aren’t visible too soon what is the point of temperatur­e being checked? They check the hand which was washed and I am sure we would be too cool and the thermomete­r will be lying. People must wash hands after using the supermarke­t/atm etc not only before. - Mafaza Haleem

AM I DEAD?

Often I am finding out from all security personnel that I am dead. My temperatur­e most of the time is below 25 C. - Natalia Seneviratn­e

POINT AND WAVE ON

They aim at the head, hand and elbow. Some don’t even bother to read it, just point and wave me on. - Samanthi Colonne

BETTER OPTIONS

Not in agreement aiming infra-red thermomete­rs at forehead. In most occasions this happens in a short time frame, every time when entering buildings/premises. Checking temperatur­e does not prevent COVID-19. In my opinion better options are to strict adherence to wearing masks properly, washing hands and maintainin­g distance. Even spraying sanitiser every time and on multiple occasions in a short time frame is not agreeable. Need more clarificat­ions. - Gavashkar Subramaniu­m

Are you satisfied with ongoing government measures to combat the underworld and drug mafia?

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Dr. Ruvais Haniffa
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