Coronavirus COVID-19/novel SARS-CoV-2
I wrote this for friends/fellow medicos in Jordan (where I live, but applicable where you are, if there is the threat of coronavirus).
Feel free to make serious comments. Other comments will be removed.
Guidelines - Coronavirus Disease 2019 (COVID-19): Practice Essentials, Background, Route of Transmission
Best Practice Guidelines - 🦘Cacatman's Personal Coronavirus COVID-19 Update Thread
Info about COVID Vaccines - Questions & Answers About COVID-19 Vaccines
How To Use
Use the search button and click "this thread" to do a keyword search for a topic of interest related to COVID-19 that is limited to only this thread.
Original Post Here - Facebook
Disclaimer
Contains historical information that I personally gathered over the past 10 months re: COVID-19. Some information has been superseded, but most is referenced with article links for dates. This thread contains my opinion, unless referenced.
What to do if you are NOT Sick
What to do if you have ANY FLU symptoms
FAQs
Does Smoking Increase Risk?[26]
Yes. The act of smoking increases risk of transmission due to the proximity of hands to the face. Smokers also have weakened immune systems with damaged lungs which increases susceptibility and decreases their ability to combat coronavirus.
Are Pregnant Women at More Risk? [27]
Unknown, but unlikely. Vertical transmission (from mother to child via breast feeding) is also unlikely but precautions are recommended.
Good resource for pregnant women during this time of COVID-19 - https://evidencebasedbirth.com/birthing-in-the-time-of-covid-19/
http://www.wch.sa.gov.au/covid-19/documents/COVID-19_FAQs_Antenatal.pdf
For More Information
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
https://www.cdc.gov/coronavirus/2019-ncov/index.html
For the numbers - https://ncov2019.live/data, https://www.worldometers.info/coronavirus/
re: Testing - https://www.tga.gov.au/covid-19-testing-australia-information-health-professionals
A Christian’s perspective on the Pandemic by James Krieg and Kurt Mahlburg. Well worth following their blogs
https://newjerusalem.net.au/2020/03/17/seven-things-we-can-learn-from-the-corona-virus-pandemic/
https://kurtmahlburg.blog/2020/03/17/pandemic-panic-where-is-god-in-our-current-crisis/
References for the geeks (/beavers) amongst you…
[1] Here’s how to do it properly!!! https://www.cdc.gov/handwashing/
[1.5] Studies like this show people touch their face about once every 2 minutes https://www.ncbi.nlm.nih.gov/pubmed/25637115
[2]https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-disinfection.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcommunity%2Fhome%2Fcleaning-disinfection.html
[3] It is thought to live between 2 hours -> 9 days depending on weather conditions. It is thought to not thrive in hot (>25 degrees Celsius) and humid conditions (but it is not really proven yet). It is killed within minutes using detergents on surfaces. https://www.who.int/news-room/q-a-detail/q-a-coronaviruses
On the Diamond Princess, virus was found 17 days later - https://www.cdc.gov/mmwr/volumes/69/wr/mm6912e3.htm
The efficacy of various disinfectants was examined both on viruses in liquid suspension and on viruses dried on surfaces [94]. Human coronaviruses, including CoV-229E and SARS-CoV, as well as several animal coronaviruses (eg, mouse hepatitis virus and transmissible gastroenteritis virus of pigs), were studied. These viruses (both in suspension and dried on surfaces) were very susceptible to 70% ethanol, with reduction of viability by greater than 3 log within seconds [95-97]. Likewise, hexachlorophene [98], 2% glutaraldehyde [95] and 1% povidone-iodine [95,97] each produced satisfactory killing. It appears that susceptibility of coronaviruses to 6% sodium hypochlorite (the active agent in bleach)
https://www.uptodate.com/contents/coronaviruses
[4]https://www.health.harvard.edu/diseases-and-conditions/coronavirus-resource-center#Prepare
[5]https://www.who.int/ith/Repatriation_Quarantine_nCoV-key-considerations_HQ-final11Feb.pdf?ua=1
[5.5]https://www.washingtonpost.com/graphics/2020/world/corona-simulator/?itid=hp_hp-banner-low_virus-simulator520pm%253Ahomepage%252Fstory-ans
Most of the spread occurs from asymptomatic carriers/carriers with few symptoms https://science.sciencemag.org/content/early/2020/03/13/science.abb3221?rss=1
[5.7] https://www.medscape.com/viewarticle/928149 (registration needed)
[5.8] [5.8] How to Make Your Own Mask
Material - Pillow case or cotton t-shirt is the best compromise. It is the best compromise between comfort, breathability and washability. Double layers don’t help. It’s not as good as N95 masks, but it will confer some protection.
https://smartairfilters.com/en/blog/best-materials-make-diy-face-mask-virus/
Use this site to print out exact shape -https://www.nytimes.com/2020/03/31/opinion/coronavirus-n95-mask.html
[6]https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/when-and-how-to-use-masks
[7] Incubation period of the coronavirus is 14 days, but usually, people get symptoms at 5 dayshttps://www.who.int/news-room/q-a-detail/q-a-coronaviruses
[7.5] A respiratory droplet is anything large than 5 microns in diameter and can land within about 2 metres from the infected person
[8] You may not need a test. Even if you do, it is best to stay at home in quarantine. Biolab can test you for 70 JD – but they will come to you, don’t go to them…call 0795907000 or 06 5907000 ext2
[9]https://www.health.harvard.edu/diseases-and-conditions/coronavirus-resource-center#COVID
[9.5]https://www.entnet.org/content/coronavirus-disease-2019-resources
[10] COVID-19 is the disease caused by the novel SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it
[11] 6 tourists were affectedhttps://en.royanews.tv/news/20230/2020-03-15
[12] 90 people are in quarantine officiallyhttps://www.aljazeera.com/news/2020/03/coronavirus-cases-jordan-fear-uncertainty-loom-200312183546081.html
[13] I think it makes sense that under-reporting and under testing will distort the numbers in Jordan due to the relative cost of testing, the economic impact on individuals who are found to have the virus, and the social stigma.
[14] 312,786 infected world wide with 13,234 deaths (22nd March, 2020)https://www.worldometers.info/coronavirus/?zarsrc=130
https://ncov2019.live/data
[15] 11th Marchhttps://time.com/5791661/who-coronavirus-pandemic-declaration/
[16]https://www.usnews.com/news/world/articles/2020-03-14/jordan-tightens-lockdown-to-combat-coronavirus
[17] The government announces new measures to deal with the CORONA virus that includes the disruption of schools and universities.
Prime Minister Dr. Omar Al-Razaz announced saturday in a press release a series of new measures and decisions taken by the government to deal with the new coronavirus in light of the rapid global developments and in order to protect the homeland and citizens. These measures are as follows:
Education sector
• Suspension of educational institutions (kindergartens, nurseries, schools, universities, colleges, institutions and training institutes) from Sunday morning, March 15, 2020 and for two weeks.
• The education managers organize the administrative hours in the Ministry of Education, as instructed.
• The Ministry of Education will begin implementing the distance education plan through the Ministry's e-learning website from next week and national television channels from this week.
• In addition to the previously announced suspension of flights to and from certain countries from Monday, March 16, 2020, all flights to and from the Kingdom will be suspended from Tuesday, March 17, 2020.Travel• In addition to the previously announced suspension of flights to and from certain countries from Monday, March 16, 2020, all flights to and from the Kingdom will be suspended from Tuesday, March 17, 2020, until further notice, excluding commercial freight traffic.
• Staff from diplomatic missions and international organizations are excluded, provided that the ministry of health's instructions, including self-quarantine, are adhered to for 14 days. Diplomatic missions and international organizations inform the Ministry of Health through the Ministry of Foreign Affairs in case of any symptoms on the staff of diplomatic missions requiring medical examinations.
• Accordingly, all land and sea crossings and airports are closed to passenger traffic, with the exception of commercial freight.
• Direct Jordanians abroad to stay in place.
• Jordanians in neighbouring countries who are obliged to return can enter through land and sea border crossings and are subject to the procedures of the Ministry of Health.Public events, religious services and tourism
• Stop all public events and gatherings. Citizens are advised not to gather at social events, including funeral homes and weddings.
• Stress the importance of citizens' commitment as much as possible to stay in their homes, and to avoid going out unless necessary.
• Under the guidance of the Fatwa Council and the Council of Churches, stop prayers in all mosques and churches of the Kingdom, as a precautionary and preventive measure, with a commitment to raise the adhan in its time and to broadcast a unified Friday sermon on television stations.
• Suspend visits to hospitals and prisons from Sunday until further notice.
• Closure of archaeological tourist sites for one week, to carry out sterilization campaigns at these sites.
• Suspend sports events, close cinemas, swimming pools, sports clubs and youth centres, until further notice.
• Prohibit the provision of argilla and its services and smoking in cafes and restaurants. The official authorities responsible for the closure of any café or restaurant do not comply with these instructions.
• Cafés and restaurants must maintain spaces between seating areas, as instructed by the Ministry of Health.
[18]https://www.who.int/news-room/q-a-detail/q-a-coronaviruses
[19] Italy has a first world health system and is overwhelmed. Cases jumped from 320 infected to 21,157 infected in just 3 weeks, with over 900 deaths. This is in a country of 60 million people with a first world health system. They are now refusing to intubate people > 60 yo due to lack of resources.https://en.wikipedia.org/wiki/2020_coronavirus_pandemic_in_Italy
[20]COVID-19 has infected 153,523 cases worldwide with 5,789 deaths (as of 14th March). The flu affects 1 billion people worldwide and kills up to 646,000 per year.https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/coronavirus-disease-2019-vs-the-flu
[21] Trials have started, but it could take about a year before a vaccine is commercially availablehttps://www.statnews.com/2020/03/11/researchers-rush-to-start-moderna-coronavirus-vaccine-trial-without-usual-animal-testing/
[22]https://www.health.harvard.edu/diseases-and-conditions/coronavirus-resource-center#Prepare
[23]https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30195-X/fulltext
[24] Al Bashir Hospital 06 479 1000, the University of Jordan 06 535 5000, and the new Zarqa Government Hospital 05 375 8200 have been designated as centres for the central region, while King Abdullah University Hospital 02 720 0600 was designated to handle suspected cases for the northern region and Al Karak Hospital 03 238 6191 and Prince Hashem Military Hospital 03 209 2030 for the southern region.https://www.jordantimes.com/news/local/five-hospitals-designated-quarantine-covid-19-testing
[25] 120-180 JOD/day in a hotel. Prince Hamzah Hospital is 1,200 JOD/day
[26] https://www.who.int/news-room/q-a-detail/q-a-on-smoking-and-covid-19
[27] https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/
@cacatman is a registered Australian General Practitioner (M.B.,B.S (Adel), FRACGP) currently living in Amman, Jordan. He obtained his degree from Adelaide University, and amongst other things, served as a doctor on board a passenger ship for 2 years, worked as a cardiac surgical assistant (for >10 years), practised general/emergency medicine in rural South Australia at Whyalla Hospital/General Practice for a number of years before moving to Amman, Jordan with his family. He works as a general practitioner in both Zarqa and Amman.
I wrote this for friends/fellow medicos in Jordan (where I live, but applicable where you are, if there is the threat of coronavirus).
Feel free to make serious comments. Other comments will be removed.
Guidelines - Coronavirus Disease 2019 (COVID-19): Practice Essentials, Background, Route of Transmission
Best Practice Guidelines - 🦘Cacatman's Personal Coronavirus COVID-19 Update Thread
Info about COVID Vaccines - Questions & Answers About COVID-19 Vaccines
How To Use
Use the search button and click "this thread" to do a keyword search for a topic of interest related to COVID-19 that is limited to only this thread.
Original Post Here - Facebook
Disclaimer
Contains historical information that I personally gathered over the past 10 months re: COVID-19. Some information has been superseded, but most is referenced with article links for dates. This thread contains my opinion, unless referenced.
What to do if you are NOT Sick
- Wash your hands for at least 20 secs with SOAP and water frequently (particularly after touching door handles/after going to the toilet/physical contact with others)[1]
- I’d personally suggest that you take off your outside shoes at the door and use specific indoor shoes/slippers. Leave keys near door, wash hands and then or handles and keys.
- Only use hand sanitiser (>60% alcohol) IF you have no access to #1 (not as effective)
- Touch your face as little as possible (most people touch their face once every 2 minutes)[1.5]
- Cough/sneeze into a throwaway tissue or the crook of your arm. Don’t use a handkerchief that you keep using!!
- If needing to touch something, use something else e.g. your elbow or knuckle (e.g. lift buttons/door handles)
- Disinfect all commonly touched areas frequently e.g. phones (Apple recommends non-chlorox wipes and avoid moisture getting into the phone), wallets, door handles, tables/desks, light switches, bathroom taps.[2] Virus is thought to live up to 17 days on surfaces depending on conditions[3]
- Stock up on at least a month of food & water (if you run out of water, boil tap water for 10 mins before drinking), panadol, money for emergencies, hand sanitiser, a thermometer for your household, surface disinfectant and at least twice the amount of normal medications you would keep.[4]
- Avoid unnecessary meetings with groups of people, particularly the elderly
- I would advise complete social isolation with your family, but if you must let people into your house, sensitively screen your visitors for symptoms before they come to your home!!
- Avoid unnecessary travel[5]
- Avoid physically greeting people ie. no shaking hands, hugging or kissing
- Maintain at least a 2 metre social distancing. Keep in mind that respiratory droplets from a sneeze can travel up to 4 metres
- Try to avoid buses/going to malls/cinemas ie avoid high density areas. It reduces spread [5.5]
- re: Masks - I’d advise wearing some sort of mask whenever in public to prevent spread/protect yourself. Studies have shown that coronavirus can be aerosolised and can be transmitted in this state general consensus is changing re: use of masks (n95 is best). Paper masks are almost useless (you can purchase an N95 mask for 18 JOD from Cozmo). These are washable. Masks can be homemade. See note [5.8] for more information as to how to do this.
What to do if you have ANY FLU symptoms
- CALL your local doctor/health care provider for advice
- Quarantine yourself AND your household for a minimum of 14 days[7]
- Wear a mask (prevents respiratory droplets from spreading from YOU)[7.5]
- If you develop worsening cough/breathing, contact your local health provider/call 911
- You may/may not need a coronavirus test[8].
- Fever, tiredness and dry cough are the most common symptoms
- Muscle aches/pains, nasal congestion, runny nose, sore throat or diarrhoea
- Symptoms are mild and begin gradually ie. just like the common flu
- (loss of smell or taste has been reported in up to 30% of cases, WHO is investigating now. It can last from 5-10 days)[9.5]
FAQs
Does Smoking Increase Risk?[26]
Yes. The act of smoking increases risk of transmission due to the proximity of hands to the face. Smokers also have weakened immune systems with damaged lungs which increases susceptibility and decreases their ability to combat coronavirus.
Are Pregnant Women at More Risk? [27]
Unknown, but unlikely. Vertical transmission (from mother to child via breast feeding) is also unlikely but precautions are recommended.
Good resource for pregnant women during this time of COVID-19 - https://evidencebasedbirth.com/birthing-in-the-time-of-covid-19/
http://www.wch.sa.gov.au/covid-19/documents/COVID-19_FAQs_Antenatal.pdf
For More Information
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
https://www.cdc.gov/coronavirus/2019-ncov/index.html
For the numbers - https://ncov2019.live/data, https://www.worldometers.info/coronavirus/
re: Testing - https://www.tga.gov.au/covid-19-testing-australia-information-health-professionals
A Christian’s perspective on the Pandemic by James Krieg and Kurt Mahlburg. Well worth following their blogs
https://newjerusalem.net.au/2020/03/17/seven-things-we-can-learn-from-the-corona-virus-pandemic/
https://kurtmahlburg.blog/2020/03/17/pandemic-panic-where-is-god-in-our-current-crisis/
References for the geeks (/beavers) amongst you…
[1] Here’s how to do it properly!!! https://www.cdc.gov/handwashing/
[1.5] Studies like this show people touch their face about once every 2 minutes https://www.ncbi.nlm.nih.gov/pubmed/25637115
[2]https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-disinfection.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcommunity%2Fhome%2Fcleaning-disinfection.html
[3] It is thought to live between 2 hours -> 9 days depending on weather conditions. It is thought to not thrive in hot (>25 degrees Celsius) and humid conditions (but it is not really proven yet). It is killed within minutes using detergents on surfaces. https://www.who.int/news-room/q-a-detail/q-a-coronaviruses
On the Diamond Princess, virus was found 17 days later - https://www.cdc.gov/mmwr/volumes/69/wr/mm6912e3.htm
The efficacy of various disinfectants was examined both on viruses in liquid suspension and on viruses dried on surfaces [94]. Human coronaviruses, including CoV-229E and SARS-CoV, as well as several animal coronaviruses (eg, mouse hepatitis virus and transmissible gastroenteritis virus of pigs), were studied. These viruses (both in suspension and dried on surfaces) were very susceptible to 70% ethanol, with reduction of viability by greater than 3 log within seconds [95-97]. Likewise, hexachlorophene [98], 2% glutaraldehyde [95] and 1% povidone-iodine [95,97] each produced satisfactory killing. It appears that susceptibility of coronaviruses to 6% sodium hypochlorite (the active agent in bleach)
https://www.uptodate.com/contents/coronaviruses
[4]https://www.health.harvard.edu/diseases-and-conditions/coronavirus-resource-center#Prepare
[5]https://www.who.int/ith/Repatriation_Quarantine_nCoV-key-considerations_HQ-final11Feb.pdf?ua=1
[5.5]https://www.washingtonpost.com/graphics/2020/world/corona-simulator/?itid=hp_hp-banner-low_virus-simulator520pm%253Ahomepage%252Fstory-ans
Most of the spread occurs from asymptomatic carriers/carriers with few symptoms https://science.sciencemag.org/content/early/2020/03/13/science.abb3221?rss=1
[5.7] https://www.medscape.com/viewarticle/928149 (registration needed)
[5.8] [5.8] How to Make Your Own Mask
Material - Pillow case or cotton t-shirt is the best compromise. It is the best compromise between comfort, breathability and washability. Double layers don’t help. It’s not as good as N95 masks, but it will confer some protection.
https://smartairfilters.com/en/blog/best-materials-make-diy-face-mask-virus/
Use this site to print out exact shape -https://www.nytimes.com/2020/03/31/opinion/coronavirus-n95-mask.html
[6]https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/when-and-how-to-use-masks
[7] Incubation period of the coronavirus is 14 days, but usually, people get symptoms at 5 dayshttps://www.who.int/news-room/q-a-detail/q-a-coronaviruses
[7.5] A respiratory droplet is anything large than 5 microns in diameter and can land within about 2 metres from the infected person
[8] You may not need a test. Even if you do, it is best to stay at home in quarantine. Biolab can test you for 70 JD – but they will come to you, don’t go to them…call 0795907000 or 06 5907000 ext2
[9]https://www.health.harvard.edu/diseases-and-conditions/coronavirus-resource-center#COVID
[9.5]https://www.entnet.org/content/coronavirus-disease-2019-resources
[10] COVID-19 is the disease caused by the novel SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it
[11] 6 tourists were affectedhttps://en.royanews.tv/news/20230/2020-03-15
[12] 90 people are in quarantine officiallyhttps://www.aljazeera.com/news/2020/03/coronavirus-cases-jordan-fear-uncertainty-loom-200312183546081.html
[13] I think it makes sense that under-reporting and under testing will distort the numbers in Jordan due to the relative cost of testing, the economic impact on individuals who are found to have the virus, and the social stigma.
[14] 312,786 infected world wide with 13,234 deaths (22nd March, 2020)https://www.worldometers.info/coronavirus/?zarsrc=130
https://ncov2019.live/data
[15] 11th Marchhttps://time.com/5791661/who-coronavirus-pandemic-declaration/
[16]https://www.usnews.com/news/world/articles/2020-03-14/jordan-tightens-lockdown-to-combat-coronavirus
[17] The government announces new measures to deal with the CORONA virus that includes the disruption of schools and universities.
Prime Minister Dr. Omar Al-Razaz announced saturday in a press release a series of new measures and decisions taken by the government to deal with the new coronavirus in light of the rapid global developments and in order to protect the homeland and citizens. These measures are as follows:
Education sector
• Suspension of educational institutions (kindergartens, nurseries, schools, universities, colleges, institutions and training institutes) from Sunday morning, March 15, 2020 and for two weeks.
• The education managers organize the administrative hours in the Ministry of Education, as instructed.
• The Ministry of Education will begin implementing the distance education plan through the Ministry's e-learning website from next week and national television channels from this week.
• In addition to the previously announced suspension of flights to and from certain countries from Monday, March 16, 2020, all flights to and from the Kingdom will be suspended from Tuesday, March 17, 2020.Travel• In addition to the previously announced suspension of flights to and from certain countries from Monday, March 16, 2020, all flights to and from the Kingdom will be suspended from Tuesday, March 17, 2020, until further notice, excluding commercial freight traffic.
• Staff from diplomatic missions and international organizations are excluded, provided that the ministry of health's instructions, including self-quarantine, are adhered to for 14 days. Diplomatic missions and international organizations inform the Ministry of Health through the Ministry of Foreign Affairs in case of any symptoms on the staff of diplomatic missions requiring medical examinations.
• Accordingly, all land and sea crossings and airports are closed to passenger traffic, with the exception of commercial freight.
• Direct Jordanians abroad to stay in place.
• Jordanians in neighbouring countries who are obliged to return can enter through land and sea border crossings and are subject to the procedures of the Ministry of Health.Public events, religious services and tourism
• Stop all public events and gatherings. Citizens are advised not to gather at social events, including funeral homes and weddings.
• Stress the importance of citizens' commitment as much as possible to stay in their homes, and to avoid going out unless necessary.
• Under the guidance of the Fatwa Council and the Council of Churches, stop prayers in all mosques and churches of the Kingdom, as a precautionary and preventive measure, with a commitment to raise the adhan in its time and to broadcast a unified Friday sermon on television stations.
• Suspend visits to hospitals and prisons from Sunday until further notice.
• Closure of archaeological tourist sites for one week, to carry out sterilization campaigns at these sites.
• Suspend sports events, close cinemas, swimming pools, sports clubs and youth centres, until further notice.
• Prohibit the provision of argilla and its services and smoking in cafes and restaurants. The official authorities responsible for the closure of any café or restaurant do not comply with these instructions.
• Cafés and restaurants must maintain spaces between seating areas, as instructed by the Ministry of Health.
[18]https://www.who.int/news-room/q-a-detail/q-a-coronaviruses
[19] Italy has a first world health system and is overwhelmed. Cases jumped from 320 infected to 21,157 infected in just 3 weeks, with over 900 deaths. This is in a country of 60 million people with a first world health system. They are now refusing to intubate people > 60 yo due to lack of resources.https://en.wikipedia.org/wiki/2020_coronavirus_pandemic_in_Italy
[20]COVID-19 has infected 153,523 cases worldwide with 5,789 deaths (as of 14th March). The flu affects 1 billion people worldwide and kills up to 646,000 per year.https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/coronavirus-disease-2019-vs-the-flu
[21] Trials have started, but it could take about a year before a vaccine is commercially availablehttps://www.statnews.com/2020/03/11/researchers-rush-to-start-moderna-coronavirus-vaccine-trial-without-usual-animal-testing/
[22]https://www.health.harvard.edu/diseases-and-conditions/coronavirus-resource-center#Prepare
[23]https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30195-X/fulltext
[24] Al Bashir Hospital 06 479 1000, the University of Jordan 06 535 5000, and the new Zarqa Government Hospital 05 375 8200 have been designated as centres for the central region, while King Abdullah University Hospital 02 720 0600 was designated to handle suspected cases for the northern region and Al Karak Hospital 03 238 6191 and Prince Hashem Military Hospital 03 209 2030 for the southern region.https://www.jordantimes.com/news/local/five-hospitals-designated-quarantine-covid-19-testing
[25] 120-180 JOD/day in a hotel. Prince Hamzah Hospital is 1,200 JOD/day
[26] https://www.who.int/news-room/q-a-detail/q-a-on-smoking-and-covid-19
[27] https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/
@cacatman is a registered Australian General Practitioner (M.B.,B.S (Adel), FRACGP) currently living in Amman, Jordan. He obtained his degree from Adelaide University, and amongst other things, served as a doctor on board a passenger ship for 2 years, worked as a cardiac surgical assistant (for >10 years), practised general/emergency medicine in rural South Australia at Whyalla Hospital/General Practice for a number of years before moving to Amman, Jordan with his family. He works as a general practitioner in both Zarqa and Amman.
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