The Reporter (Lansdale, PA)

COVID lessons learned, and preparing for what’s next Prevention and what works

- By Clint Matthews and Dr. Debra Powell Tower Health Clint Matthews is president and CEO, Tower Health; Debra Powell, MD, is chief, Division of Infectious Diseases, and medical director, Infection Prevention.

The world remains engaged in the battle against COVID-19. After almost five months of experience with COVID-19 at Tower Health, we would like to outline where we are in the pandemic and how to prepare for what the remainder of the year might bring.

As healthcare profession­als, here are some insights into what we’ve learned about the virus and how we continue to prepare for the months ahead:

Wearing a mask, maintainin­g distance and hand hygiene are effective in preventing infection. Wearing a mask reduces the volume of droplets each of us puts into the air when we breathe, cough or sneeze. Maintainin­g distance ensures any droplets we produce fall to the ground quickly. Hand hygiene using soap and water (or hand sanitizer) breaks down the virus on our hands.

A vaccine is still months away, even with some of the promising headlines about early clinical trials. When a vaccine is developed, it will take months to produce and distribute. Distributi­on of early doses will need to be prioritize­d to the most vulnerable and most at-risk, as well as essential workers.

Until a vaccine is developed and produced on a worldwide scale, we must continue to practice prevention: wearing masks, practicing physical distancing, avoiding unnecessar­y travel or gatherings and washing our hands regularly. Doing so demonstrat­es our concern for colleagues, family and friends.

Treatment

There is much we do not know about the disease, but we have learned that some treatments can relieve suffering, shorten hospitaliz­ation or improve survival.

The anti-viral drug remdesivir and the steroid dexamethas­one have shown promise. Tower Health has taken part in research using plasma donated by recovered COVID-19 patients that contains antibodies to the virus. This so-called convalesce­nt plasma shows promise in speeding recovery.

There are no magic bullets, but we are much more knowledgea­ble than we were five months ago. We are getting better in understand­ing the disease and its different impacts on patients.

Preparing for the months ahead

Based on the history of other pandemics and observing the experience of different states and nations, there is a strong possibilit­y the disease will return in our region at greater levels in the fall.

In the coming weeks, many schools may reopen (at least partially), the weather will turn cooler, and people will spend more time inside. Our normal flu season will also return.

We must, and are, preparing for the worst, even as we hope for the best. For healthcare organizati­ons, this includes obtaining advance supplies of masks, gloves, gowns, face shields and other needed materials. It also means continuing to encourage everyone to wear masks and practice appropriat­e social distancing and hand hygiene.

While we simply do not know the magnitude of what lies ahead, our experience since March has prepared us for a resurgence. COVID-19 cases are no longer new. Tower Health has policies and procedures that can be reimplemen­ted quickly to address a sudden or prolonged influx of patients.

Few of us have experience­d a prolonged crisis like this in our lifetimes. We will be living with the coronaviru­s for an extended period, and no one can accurately predict when things might return to normal.

We hope that our communitie­s will join with us to do what is necessary to protect and serve one another, today and in the future. The team at Tower Health will continue to rise to meet this challenge.

As persons who have chosen to work in healthcare, this is at the core of what we do and who we are.

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Powell
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Matthews

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