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JAMA PATIENT PAGE
Stopping the Spread of COVID-19
Coronavirus disease 2019 (COVID-19) is the infectious disease caused by a novel coronavirus.
What Is COVID-19?
COVID-19 is a respiratory infection caused by the virus SARS-
CoV-2, which was recently discovered after an outbreak began in
Wuhan, China, in December 2019. SARS-CoV-2 is a type of corona-
virus, which is a large family of viruses that cause illnesses ranging
from the common cold to more severe infections in humans.
COVID-19 causes a variety of symptoms in people who are in-
fected,andnotallpeopleinfectedwithCOVID-19willhavethesame
symptoms. Fever, dry cough, shortness of breath, fatigue, or body
aches are some of the most common symptoms; however, some
people have experienced headache, abdominal pain, diarrhea, and
sore throat as well. Symptoms typically appear 2 to 14 days after ex-
posure,althoughsomepatientsmaynotdevelopsymptomsuntillater.
How Is It spread?
Current evidence suggests that the virus can be spread through re-
spiratory droplets after an infected person coughs or sneezes, be-
tween people who are within about 6 feet of each other, and pos-
sibly through touching surfaces that have the virus on them, such
as handrails, telephones, or doorknobs.
How Can I Prevent Infection Acquisition?
Washyourhandsforatleast20secondswithsoapandwaterorhand
sanitizer that contains at least 60% alcohol often (especially after
touchingcommonsurfaceareas,usingthebathroom,shakinghands,
and other social interactions). Avoid large crowds, crowded public
places, and maintain at least 6 feet of distance between yourself and
others, especially if they are coughing or sneezing. This is known as
social distancing. If you are older or have underlying medical prob-
lems,takeextracaretoavoidthesesituations,includingnonessential
air travel or cruises. Avoid touching your eyes, nose, and mouth with
unwashed hands, because contaminated hands can transfer virus to
theseareasandmakeyousick.Ifyouaresneezingorcoughing,cover
yourmouthanddisposeoftissuesafterusedonce.Avoidshakinghands
whengreetingothers.Disinfectsurfacesthatareusedregularly,using
householdspraysorwipes.Unlessyouhaverespiratorysymptoms,are
a health care worker, or are in close contact with or caring for some-
onewithCOVID-19,wearingamedicalmaskisnotindicated.Wearing
gloves in public is not effective protection from COVID-19, because
glovescanbecontaminated.Frequentlywashingyourhandsisthebest
way to protect yourself and your loved ones.
Authors: Angel N. Desai, MD, MPH; Payal Patel, MD, MPH
Published Online: March 20, 2020. doi:10.1001/jama.2020.4269
Author Affiliations: JAMA, Chicago, Illinois (Desai); University of Michigan, Ann Arbor
(Patel).
Conflict of Interest Disclosures: None reported.
Sources: Coronavirus disease (COVID-19) advice for the public. https://www.who.int/
emergencies/diseases/novel-coronavirus-2019/advice-for-public
Ong S, Tan YK, Chia PY. Air, surface environmental, and personal protective
equipment contamination by severe acute respiratory syndrome coronavirus 2
(SARS-CoV-2) from a symptomatic patient. JAMA. March 4, 2020. doi:10.1001/jama.
2020.3227.
The JAMA Patient Page is a public service of JAMA. The information and
recommendations appearing on this page are appropriate in most instances, but they
are not a substitute for medical diagnosis. For specific information concerning your
personal medical condition, JAMA suggests that you consult your physician. This page
may be photocopied noncommercially by physicians and other health care
professionals to share with patients. To purchase bulk reprints, email reprints@
jamanetwork.com.
Stopping the spread of COVID-19
COVID-19 is a respiratory infection caused by the SARS-CoV-2 virus,
commonly called coronavirus. It causes various symptoms including fever,
dry cough, shortness of breath, fatigue, and body aches that usually appear
2-14 days after exposure.
The virus can be spread via droplets from infected persons
coughing or sneezing, and via contact with surfaces
that have the virus-containing droplets on them.
• Wash your hands frequently
• Do not touch your face with unwashed hands
• Regularly disinfect surfaces and items you might touch
• Distance yourself from those who are coughing or sneezing
• If you cough or sneeze, do so into your elbow
• Dispose of tissues after one use
Droplets containing the virus can transfer from a surface
to your hands then to your face, causing infection.
Respiratory droplets containing the virus
can be spread widely by sneezing or coughing.
To avoid spreading COVID-19
FOR MORE INFORMATION
US Centers for Disease Control and Prevention
https://www.cdc.gov
jama.com (Reprinted) JAMA Published online March 20, 2020 E1
© 2020 American Medical Association. All rights reserved.
Downloaded From: https://jamanetwork.com/ by a Universita Torino User on 03/22/2020

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Stopping the Spread of COVID-19

  • 1. JAMA PATIENT PAGE Stopping the Spread of COVID-19 Coronavirus disease 2019 (COVID-19) is the infectious disease caused by a novel coronavirus. What Is COVID-19? COVID-19 is a respiratory infection caused by the virus SARS- CoV-2, which was recently discovered after an outbreak began in Wuhan, China, in December 2019. SARS-CoV-2 is a type of corona- virus, which is a large family of viruses that cause illnesses ranging from the common cold to more severe infections in humans. COVID-19 causes a variety of symptoms in people who are in- fected,andnotallpeopleinfectedwithCOVID-19willhavethesame symptoms. Fever, dry cough, shortness of breath, fatigue, or body aches are some of the most common symptoms; however, some people have experienced headache, abdominal pain, diarrhea, and sore throat as well. Symptoms typically appear 2 to 14 days after ex- posure,althoughsomepatientsmaynotdevelopsymptomsuntillater. How Is It spread? Current evidence suggests that the virus can be spread through re- spiratory droplets after an infected person coughs or sneezes, be- tween people who are within about 6 feet of each other, and pos- sibly through touching surfaces that have the virus on them, such as handrails, telephones, or doorknobs. How Can I Prevent Infection Acquisition? Washyourhandsforatleast20secondswithsoapandwaterorhand sanitizer that contains at least 60% alcohol often (especially after touchingcommonsurfaceareas,usingthebathroom,shakinghands, and other social interactions). Avoid large crowds, crowded public places, and maintain at least 6 feet of distance between yourself and others, especially if they are coughing or sneezing. This is known as social distancing. If you are older or have underlying medical prob- lems,takeextracaretoavoidthesesituations,includingnonessential air travel or cruises. Avoid touching your eyes, nose, and mouth with unwashed hands, because contaminated hands can transfer virus to theseareasandmakeyousick.Ifyouaresneezingorcoughing,cover yourmouthanddisposeoftissuesafterusedonce.Avoidshakinghands whengreetingothers.Disinfectsurfacesthatareusedregularly,using householdspraysorwipes.Unlessyouhaverespiratorysymptoms,are a health care worker, or are in close contact with or caring for some- onewithCOVID-19,wearingamedicalmaskisnotindicated.Wearing gloves in public is not effective protection from COVID-19, because glovescanbecontaminated.Frequentlywashingyourhandsisthebest way to protect yourself and your loved ones. Authors: Angel N. Desai, MD, MPH; Payal Patel, MD, MPH Published Online: March 20, 2020. doi:10.1001/jama.2020.4269 Author Affiliations: JAMA, Chicago, Illinois (Desai); University of Michigan, Ann Arbor (Patel). Conflict of Interest Disclosures: None reported. Sources: Coronavirus disease (COVID-19) advice for the public. https://www.who.int/ emergencies/diseases/novel-coronavirus-2019/advice-for-public Ong S, Tan YK, Chia PY. Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. JAMA. March 4, 2020. doi:10.1001/jama. 2020.3227. The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, email reprints@ jamanetwork.com. Stopping the spread of COVID-19 COVID-19 is a respiratory infection caused by the SARS-CoV-2 virus, commonly called coronavirus. It causes various symptoms including fever, dry cough, shortness of breath, fatigue, and body aches that usually appear 2-14 days after exposure. The virus can be spread via droplets from infected persons coughing or sneezing, and via contact with surfaces that have the virus-containing droplets on them. • Wash your hands frequently • Do not touch your face with unwashed hands • Regularly disinfect surfaces and items you might touch • Distance yourself from those who are coughing or sneezing • If you cough or sneeze, do so into your elbow • Dispose of tissues after one use Droplets containing the virus can transfer from a surface to your hands then to your face, causing infection. Respiratory droplets containing the virus can be spread widely by sneezing or coughing. To avoid spreading COVID-19 FOR MORE INFORMATION US Centers for Disease Control and Prevention https://www.cdc.gov jama.com (Reprinted) JAMA Published online March 20, 2020 E1 © 2020 American Medical Association. All rights reserved. Downloaded From: https://jamanetwork.com/ by a Universita Torino User on 03/22/2020