Chattanooga Times Free Press

FOILING THE CORONAVIRU­S IS ONE OF YOUR PUBLIC HEALTH DUTIES

- The Chicago Tribune

Nationally, more than 100 cases of coronaviru­s have been diagnosed across 15 states, and several Americans have died. The numbers are bound to rise in the coming days. It’s unlikely that any geographic region on Earth that isn’t isolated — Antarctica, we wish you good fortune — will be spared from the scary respirator­y illness that is making its way around the globe.

Public health agencies, hospitals and health care workers at all levels will be doing everything they can to curtail the spread of the disease and treat those who become infected. But it’s not their job alone, or even chiefly. Public health is not only a government­al task but also the duty of every citizen. What you do can make a difference in whether you get COVID-19, and whether others in your life suffer from it.

LIVING BY A PUBLIC HEALTH ETHIC: We’ll get back to this particular virus and how to thwart its spread. More broadly, this is a teachable moment, a chance for each of us to renew our commitment­s to protecting one another.

Abiding by those responsibi­lities — think of this as living a public health ethic — is a constantly evolving set of duties and precaution­s. And it involves far more than foiling infectious diseases.

Consider how, over the last half-century, Americans have come to view impaired driving as a menace not only to the drunken or high motorist, but to all those around him or her. Separately, the once common spreading of secondhand smoke is now taboo. More recently, all but the thickest-headed parents have come to understand their public duty to have their children vaccinated against measles and other childhood illnesses. As a society we don’t yet make pariahs of people who fiddle with smartphone­s while behind the steering wheel, but as the death toll from distracted driving rises, we can hope that this practice, too, becomes verboten — the better to strengthen public health.

SMART HABITS SHOULD OUTLAST RUSH TO SANITIZE: Don’t think of the practices detailed here as smart habits all of us can abandon if or when the coronaviru­s scare dissipates. Our responsibi­lities to one another are perpetual, not momentary. That means we should be thinking whether some of the changes this moment necessitat­es ought to become permanent.

The mundane but crucial steps for individual­s in protecting one another from this multitude of diseases, fortunatel­y, are simple and effective. At the very top of the list is washing your hands or using sanitizer — in the restroom, of course, but also after sneezing or coughing into your hand, and after making physical contact with other people or communal surfaces. And “washing” doesn’t mean a quick rinse. It means using soap, scrubbing for at least 20 seconds and getting every spot.

Another mundane step that should make you feel virtuous:

Try not to touch your face, except with a sudsy washcloth.

As for making physical contact with other people, don’t — unless you really need to. Drop the handshake for an elbow bump or a polite nod. The French government has told citizens to forgo the traditiona­l greeting of kisses on each cheek, so if you’re fond of that custom, abstain for the time being. Merci.

An inoculatio­n for the virus isn’t yet available, but take this opportunit­y to get vaccinated for the flu and other preventabl­e infections if you haven’t already. Gaining immunity against one illness can only be an asset if your body has to fight off a coronaviru­s infection. It also reduces the burden on health providers at a time when they may be stretched thin.

If you’re feeling healthy, you might stock up on groceries and medicines in case you do get sick and can’t leave the house for several days. If you feel ill, check in with your doctor and stay at home — and if you don’t have paid sick days, ask your employer to make an exception this time for the sake of your co-workers. Maybe you can’t avoid places where people congregate. You can, though, behave as though all of those in the crowd depend on you to help protect them. They do.

How people resolve that issue — should I go to this gathering? — has potentiall­y damaging implicatio­ns. The hospitalit­y industry already is paying a price for the reality, and the fear, of coronaviru­s.

WHEN OTHER PEOPLE PANIC … : What not to do? Start with not rushing out to stockpile surgical masks. U.S. Surgeon General Dr. Jerome Adams tweeted, “They are NOT effective in preventing general public from catching #Coronaviru­s, but if healthcare providers can’t get them to care for sick patients, it puts them and our communitie­s at risk!” Be wary of miracle remedies being peddled online. A health crisis is always happy hour for hucksters.

Equally important, don’t join in a panic that can be more communicab­le than any disease. So far, at least, the great majority of those infected have mild symptoms, if any. The mortality rate, although higher than that of seasonal influenza, is lower than for SARS (severe acute respirator­y syndrome), which first appeared in 2002, or MERS (Middle East respirator­y syndrome), which emerged in 2012.

At the moment, at least, your chance of getting this disease is low, your chance of dying from it is close to zero. But taking practical preventive steps will reduce the risk even more. And many of the practices that should become a habit will prove helpful in warding off other diseases, now and in the future. The fight against the coronaviru­s and other communicab­le diseases is one that every American can help wage. This moment should make all of us more mindful of our duties to protect everyone’s good health.

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