2 Coronavirus Resource Guide
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How COVID-19 is Affecting Older Adults By: Michelle Perry
EVERYONE IS CONCERNED about possible infection
with the coronavirus, but the health stakes are highest for older adults and people disabilities Normal aging of the immune system and underlying medical conditions make people 60 and up more vulnerable to severe respiratory illness from coronavirus. Although most people who are infected with the coronavirus only have a mild case that feels like a common cold, others can become very sick. Specialized Care Management is a local, nationally certified care management company located in Reno, NV and services Reno, Sparks, Carson City, Minden, Gardnerville, Incline, Fernley, and Fallon. Our vision is to facilitate our clients’ safety and independence by connecting them to local community resources and then overseeing their care. Our goal is to address the challenging needs of our seniors, disabled persons, and their families with immediate and long-term needs. We collaborate with home care agencies, hospice agencies, Veterans Administration, various health plans, financial and legal agencies, assisted living, skilled services, and specialty providers. We provide personalized assessments and care plans to help families navigate the variety of caregiving concerns and advocate for our clients’ overall quality of life.
Many seniors in Northern Nevada do not have a family locally, so the need is huge right now in our community for professional coordination of care. “The elderly are going to be the ones who become symptomatic,” says Karen Hoffmann, an infection preventionist and immediate past president of the Association for Professionals in Infection Control and Epidemiology, or APIC. In particular, she says, older adults who also have existing conditions including lung disease, cardiovascular disease, cancer, diabetes or a transplant history are most likely to experience severe COVID-19 symptoms such as shortness of breath and fever.
“When they get an infection, any respiratory infection – but particularly this new coronavirus, probably because they haven’t seen this strain before – they’re going to have more severe disease, as they would with influenza,” says Hoffmann, who is also a clinical instructor in the division of infectious diseases at the University of North Carolina School of Medicine at Chapel Hill. “That’s what we’re seeing so far.”
Public Precautions
A few weeks ago, the Centers for Disease Control and Prevention updated its traveler guidance in light of the increased risk of person-to-person spread of infectious diseases including COVID-19. Older adults and those with underlying health issues are explicitly advised to avoid crowded places, nonessential travel like long plane trips and especially embarking on cruise ships. If you’re an older adult living within the community, extra vigilance and commonsense precautions help reduce your risk of being exposed to the coronavirus. This is the latest advice from health experts on how to protect yourself (and others) in public: • Hand-wash, hand-wash, hand-wash. Wash your hands frequently and rigorously. It takes at least 20 seconds to thoroughly wash your hands, ideally with soap and tap water. “If soap is not available, then (use) hand sanitizer with 60% alcohol,” Morrison says.
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• Stay away from large gatherings. Avoiding mass gatherings and crowded settings, such as concerts, conferences and parades, is not only a self-precaution for older adults, but also a proactive measure that many locales and organizations are now taking by canceling or postponing planned events. Some workplaces and schools are temporarily turning to virtual classes and more telecommuting options to keep workers and students healthy. • Avoid sick people. If someone has symptoms such as sneezing, coughing or a fever, don’t put yourself in the line of airborne droplets. “We are obviously telling older adults to stay away from people who have respiratory illnesses, even if it looks to be a minor cold or a seasonal upper respiratory infection,” Morrison says. • Observe social distance. If you go out, maintain at least a 3-to-6-foot distance between yourself and others, particularly if someone seems sick. That’s how far the coronavirus appears to spread when someone is coughing or sneezing. • Use a barrier on public surfaces. That door handle or shopping cart bar has already been touched by countless strangers. Before you grab that surface, use a clean tissue as a barrier, Hoffmann suggests, and throw it away afterward. Or some grocery stores provide disinfecting wipes at the entrance, so wipe down the bar before grabbing your cart. • Practice respiratory etiquette. Cover your mouth when you cough or sneeze, either with a tissue or your inner elbow (not your hand). If you’re sick, stay home or wear a mask in public settings like waiting rooms to protect those around you. (Handwashing is also a respiratory etiquette mainstay.) Wear a face mask or barrier, if you have one. This isn’t new, but standard for preventing the spread of infectious diseases including common colds, flu, pneumonia and now COVID-19. • Don’t touch certain areas of your face. Your hands come into contact with many surfaces carrying thousands of germs throughout the day. While you’re in public spaces, avoid touching the “T-zone” of your face – your mouth, eyes and nose, which are mucous membranes where viruses can thrive, Hoffmann says. (You can scratch your ear, touch your hair or rub your chin.)
• Avoid any air travel if you can. “I’m recommending to my patients that if they don’t have necessary air travel, to avoid it if at all possible until we know a little more about this,” Morrison says. “You have a lot of people in confined spaces and you don’t know how many people have sat and touched the seat that you’re getting into.” • If you must travel, go prepared. Morrison recommends taking alcohol wipes along, wiping down areas of the seat you’ll be touching and leaving those sections wet for up to 30 seconds. Also, wash your hands carefully and routinely hand-sanitize. When you’re in airport lounges or waiting areas, sit off by yourself rather than mingling with large groups of people. • Look at the situation where you live. Keep up to date on how the coronavirus is affecting your area. Take extra care everywhere but be particularly mindful where current conditions indicate the infection is spreading. • Stock up on supplies and medications. Make sure you have everyday household items, groceries including non-perishable food and medical supplies on hand in case you need to stay home for a prolonged period. Ask your health care provider about getting extra prescription medications to tide you over. Wearing a mask if you’re sick may keep you from spreading infected droplets when you cough or sneeze. However, although masks are getting a lot of attention as potential preventive options, they’re not particularly useful for healthy people. Are you struggling to Navigate the healthcare maze? Specialized Care Management can help. Specialized Care Management is offering a complimentary 30-minute telephone consultation, so call us at 1-800-916-6482.
Prevent the spread of COVID-19 if you are sick 4 Coronavirus Resource Guide Generation Boomer // GenerationBoomerMagazine.com
Accessible version: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
Prevent the spread of COVID-19 if you are sick If you are sick with the COVID-19 or think you might Prevent Spread of COVID-19 if you are sick If you develop emergency warning signs for COVID-19 get Accessible version: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
have COVID-19, follow the steps below to help protect other people in your home and community. If you are sick with COVID-19 or think you might have COVID-19, follow the steps below to help Stay homeother except to get in medical care. and community. protect people your home • Stay home. Most people with COVID-19 have mild illness and are able to recover at home without care. Docare. not leave Stay home exceptmedical to get medical your home, except to get medical care. Do • Stay home.public Most areas. people with COVID-19 not visit have mild illness and are able to recover at home without medical care.and Dostay not leave • Take care of yourself. Get rest hydrated. your home, except to get medical care. Do • Get care when needed. Call your doctor before notmedical visit public areas. you go to their office for care. But, if you have trouble • breathing Take care of or yourself. rest andsymptoms, stay hydrated. otherGet concerning call 911 for immediate help. • Get medical care when needed. Call your doctor before to their office for ride-sharing, care. But, if you have trouble • you Avoidgo public transportation, or taxis. breathing or other concerning symptoms, call 911 for immediate help.from other people and Separate yourself
pets in your • Avoid publichome. transportation, ride-sharing, or taxis.
• As much as possible, stay in a specific room and away from otherfrom people andpeople pets inand your Separate yourself other home. Also, you should use a separate pets in your home. bathroom, if available. If you need to be around other • As much or as possible, in aoutside specific of room people animalsstay in or theand home, wear a away from other people and pets in your cloth face covering. home. Also, you should use a separate bathroom, if available. If you need to be around other See COVID-19 and Animals if you have questions people or pets: animals in or outside of the home, wear a about https://www.cdc.gov/coronavirus/2019cloth face covering. ncov/faq.html#COVID19animals Seeyour COVID-19 and Animals if you have questions Monitor symptoms.
about pets: https://www.cdc.gov/coronavirus/2019• Common symptoms of COVID-19 include fever and ncov/faq.html#COVID19animals cough. Trouble breathing is a more serious symptom means you should get Monitor yourthat symptoms. medical attention. • Common symptoms of COVID-19 include fever and cough. Trouble breathingfrom is a your morehealthcare serious provider and • Follow care instructions symptom means you should gethealth authorities local healththat department. Your local medical will giveattention. instructions on checking your symptoms and reporting information. • Follow care instructions from your healthcare provider and local health department. Your local health authorities will give instructions on checking your symptoms and reporting information.
medical attention immediately. Emergency warning signs include*:
•If Trouble breathing you develop emergency warning signs for COVID-19 get medical attention immediately. • Persistent pain or pressure in the chest Emergency warning signs include*: • New confusion or not able to be woken • Trouble breathing • Bluish lips or face • Persistent pain or pressure in the chest *This list is not all inclusive. Please consult your medical •provider New confusion or not able to be woken for any other symptoms that are severe or concerning you. lips or face •toBluish *This list is not all inclusive. Please consult your medical Call 911 for if you medical emergency. If you have a provider anyhave otherasymptoms that are severe or concerning medical emergency and need to call 911, notify the operator to you.
that you have or think you might have, COVID-19. If possible, put on a facemask before medical help arrives. Call 911 if you have a medical emergency. If you have a medical emergency and need to call 911, notify the operator that you have or think you might have, COVID-19. If possible, putahead on a facemask beforeyour medical help arrives. Call before visiting doctor. • Call ahead. Many medical visits for routine care are being postponed or done by phone telemedicine. Call aheadorbefore visiting your doctor.
• Call ahead. medical visits that for routine If you have aMany medical appointment cannot be postponed, call your care are being postponed or done byprotect themselves and doctor’s office. This will help the office phone or telemedicine. other patients. • If you have a medical appointment that cannot be postponed, call your If you areoffice. sick, wear a cloth over doctor’s This will helpcovering the office protect themselves and your nose and mouth. other patients. • You should wear a cloth face covering over your noseare andsick, mouth if you mustcovering be aroundover other If you wear a cloth people or animals, including pets (even your nose and mouth. at home). • You should wear a cloth face covering over your and mouth must around other if you are alone. • nose You don’t neediftoyou wear thebe cloth face covering people or animals, pets (even (because of trouble If you can’t put on aincluding cloth face covering at home). for example), cover your coughs and sneezes in some breathing other way. Try to stay at least 6 feet away from other people. • You need to wear the clotharound face covering This don’t will help protect the people you. if you are alone. If you can’t put on a cloth face covering (because of trouble Note: During for theexample), COVID-19cover pandemic, medical grade facemasks breathing your coughs and sneezes in some areother reserved workers and some firstother responders. way. for Tryhealthcare to stay at least 6 feet away from people. You may need make athe cloth face around coveringyou. using a scarf This will helptoprotect people or bandana. Note: During the COVID-19 pandemic, medical grade facemasks are reserved for healthcare workers and some first responders. You may need to make a cloth face covering using a scarf or bandana.
cdc.gov/coronavirus CS 316120-A 04/17/2020
Coronavirus Resource Guide5
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Cover your coughs and sneezes. • Cover your mouth and nose with a tissue when you cough or sneeze. • Throw used tissues in a lined trash can. • Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.
Clean your hands often. • Wash your hands often with soap and water for at least 20 seconds. This is especially important after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. • Use hand sanitizer if soap and water are not available. Use an alcohol-based hand sanitizer with at least 60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. • Soap and water are the best option, especially if your hands are visibly dirty. • Avoid touching your eyes, nose, and mouth with unwashed hands.
Avoid sharing personal household items. • Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people in your home. • Wash these items thoroughly after using them with soap and water or put them in the dishwasher.
Clean all “high-touch” surfaces everyday. • Clean and disinfect high-touch surfaces in your “sick room” and bathroom. Let someone else clean and disinfect surfaces in common areas, but not your bedroom and bathroom. • If a caregiver or other person needs to clean and disinfect a sick person’s bedroom or bathroom, they should do so on an as-needed basis. The caregiver/other person should wear a mask and wait as long as possible after the sick person has used the bathroom. High-touch surfaces include phones, remote controls, counters, tabletops, doorknobs, bathroom fixtures, toilets, keyboards, tablets, and bedside tables.
• Clean and disinfect areas that may have blood, stool, or body fluids on them.
• Use household cleaners and disinfectants. Clean the area or item with soap and water or another detergent if it is dirty. Then use a household disinfectant. Be sure to follow the instructions on the label to ensure safe and effective use of the product. Many products recommend keeping the surface wet for several minutes to ensure germs are killed. Many also recommend precautions such as wearing gloves and making sure you have good ventilation during use of the product. Most EPA-registered household disinfectants should be effective.
How to discontinue home isolation • People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions: If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened: You have had no fever for at least 72 hours (that is three full days of no fever without the use of medicine that reduces fevers) AND other symptoms have improved (for example, when your cough or shortness of breath has improved) AND at least 7 days have passed since your symptoms first appeared. If you will be tested to determine if you are still contagious, you can leave home after these three things have happened: You no longer have a fever (without the use of medicine that reduces fevers) AND other symptoms have improved (for example, when your cough or shortness of breath has improved) AND you received two negative tests in a row, 24 hours apart. Your doctor will follow CDC guidelines. In all cases, follow the guidance of your healthcare provider and local health department. The decision to stop home isolation should be made in consultation with your healthcare provider and state and local health departments. Local decisions depend on local circumstances.
6 Coronavirus Resource Guide Coronavirus Resource Guide
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Coping and Managing During COVID-19 a NAMI WNV CARES operator. The
RESOURCES FOR COPING AND MAN- Warmline is staffed by trained peers in AGING DURING COVID-19 recovery, who provide support to peers • Substance Abuse and Mental Health Services Administration’s Disaster Distress Hotline: Call 1-800-985-5990 or text TalkWithUs to 66746. The Disaster Distress Helpline, is a 24/7, 365-daya-year, national hotline dedicated to providing immediate crisis counseling for people who are experiencing emotional distress related to any natural or human-caused disaster. People with deafness or hearing loss can use their preferred relay service to call 1-800-9855990.
by telephone. The Warmline provides confidential support when we want to talk to someone. The Warmline gives you a peer’s perspective on how to find support in the community by phone, text, or video. Knowing someone cares can motivate us to carry on in recovery when there is anxiety.
• Nevada 2-1-1: Call 2-1-1 or go to https://www.nevada211.org/. 211 provides information and referrals to health, human and social service organizations. Dialing 2-1-1 in almost every part of the United States will connect you to human and social services for your area.
• Foundation for Recovery Warmline: 1-800-509-7762. Our peer support specialists will continue to see peers at our recovery community centers. We encourage anyone who has access to a phone or computer to consider seeing peer specialists through tele-recovery supports (over the phone or video session). A full directory of our peer support specialists with emails and phone numbers may be found here: https://forrecovery.org/ meet-our-team/
• Crisis Support Services of Nevada: 1-800-273-8255; text CARE to 839863 for 24/7 crisis services. • Crisis Text Line: Text HOME to 741741 from anywhere in the US, anytime, about any type of crisis. • Substance Use Disorder Hotline: 1-800-450-9530; text IMREADY to 839863. • Behavioral Health Treatment: https:// behavioralhealthnv.org/ A database of behavioral health providers specializing in substance use disorder and co-occurring mental health disorder treatment services.
• CDC Helping Adults Cope During an Emergency ASL Video https://www. youtube.com/watch?v=xo1nz2Dc5fk&feature=youtu.be
• Children’s Mobile Crisis Response Team: If your child is experiencing a mental or behavioral crisis contact the Division of Child and Family Services Children’s Mobile Crisis Response Team. More information also can be found at knowcrisis.com. • Northern Nevada: (775) 688-1670, Monday – Friday 8 am – 8 pm and Saturday/Sunday 8 am – 6 pm • Rural Nevada: (702) 486-7865, Monday – Sunday 9 am – 6 pm
• The NAMI Warmline: Call or text 775241-4212. The NAMI Warmline is a stig- • Southern Nevada: (702) 486-7865, ma-free, non-crisis, phone service you Monday – Sunday 24 hours can call or text to speak one-on-one with
As more people move toward social distancing and staying home, away from public places, it is normal for many to experience increased stress, distress, and isolation. • SAMHSA Tips For Social Distancing, Quarantine, And Isolation During An Infectious Disease Outbreak: https:// www.samhsa.gov/sites/default/files/ tips-social-distancing-quarantine-isolation-031620.pdf • Social distancing and other mitigation strategies have been shown to slow and prevent the spread of COVID-19: https://www.cdc.gov/coronavirus/2019-ncov/downloads/workplaceschool-and-home-guidance.pdf • Centers for Disease Control and Prevention Mental Health and Coping During COVID-19: https://www.cdc. gov/coronavirus/2019-ncov/about/ coping.html • World Health Organization Mental Health Considerations During COVID-19 Outbreak:https://www.who. int/docs/default-source/coronaviruse/ mental-health-considerations.pdf ?sfvrsn=6d3578af_2 • American Psychological Association article Keeping Your Distance to Stay Safe: https://www.apa.org/practice/ programs/dmhi/research-information/ social-distancing • Managing Anxiety and Stress: https:// www.cdc.gov/coronavirus/2019-ncov/ prepare/managing-stress-anxiety.html • For guidance on COVID-19, please reference: https://nvhealthresponse. nv.gov/; https://www.cdc.gov/coronavirus/2019-ncov/index.html
Coronavirus Resource Guide Share facts about COVID-19 Generation Boomer // GenerationBoomerMagazine.com
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Know the facts about coronavirus (COVID-19) and help stop the spread of rumors. FACT
1
Diseases can make anyone sick regardless of their race or ethnicity.
Fear and anxiety about COVID-19 can cause people to avoid or reject others even though they are not at risk for spreading the virus.
FACT
2
For most people, the immediate risk of becoming seriously ill from the virus that causes COVID-19 is thought to be low.
Older adults and people of any age who have serious underlying medical conditions may be at higher risk for more serious complications from COVID-19.
FACT
3
Someone who has completed quarantine or has been released from isolation does not pose a risk of infection to other people.
For up-to-date information, visit CDC’s coronavirus disease 2019 web page.
There are simple things you can do to help keep yourself and others healthy.
FACT
4
• Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. • When in public, wear a cloth face covering that covers your mouth and nose. • Avoid touching your eyes, nose, and mouth with unwashed hands. • Stay home when you are sick. • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
You can help stop COVID-19 by knowing the signs and symptoms, which can include:
FACT
5
• Fever • Cough • Shortness of breath Seek medical attention immediately if you or someone you love has emergency warning signs, including: • Trouble breathing • Persistent pain or pressure in the chest • New confusion or not able to be woken • Bluish lips or face This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.
cdc.gov/coronavirus CS 316439-A 04/14/2020
Guidance for Large or Extended Families Guidance for Large or Extended Families Coronavirus Resource Guide Living in the Same Household Living in the Same Household 8
Generation Boomer // GenerationBoomerMagazine.com
Guidance for Families Living in the Same Household Older adults and people of any age who have serious underlying conditions higher Older adultsmedical and people of any are age at who haverisk serious for severe illness from coronavirus disease underlying medical conditions are at higher2019 risk (COVID-19). If your household includes for severe illness from coronavirus diseasepeople 2019 in these groups,Ifthen family members (COVID-19). yourall household includesshould people act in as if they, themselves, are at higher risk. This can these groups, then all family members should act be difficult if space is limited large or extended as if they, themselves, are atfor higher risk. This can families living together. The following information be difficult if space is limited for large or extended may helpliving you protect those are most vulnerable families together. Thewho following information in your household. may help you protect those who are most vulnerable in your household.
This document explains how to: This document explains how to:for errands • Protect the household when you leave • • • • • •
Protect the household when at youhigh leave household members riskforforerrands severe illness Protect household members at high risk for children and others from getting sicksevere illness Protect and others from Care forchildren a household member whogetting is sicksick Care foraahousehold householdmember memberwho whoisissick sick Isolate Isolate a household member sick Eat meals together and feed awho sickishousehold member Eat meals together and feed a sick household member
How to protect the household when you must leave the house How leave to protect the household whennecessary! you must leave the house Don’t the household unless absolutely Don’t leave the necessary! For example, onlyhousehold leave if youunless must goabsolutely to work, the grocery store, pharmacy, or medical appointments that cannot be delayed (such as for infants or for people For example, only leave if you must go to work, the grocery store, pharmacy, or with serious conditions). or two (such familyasmembers who at higher medicalhealth appointments that Choose cannot one be delayed for infants orare fornot people with risk for severe illness from COVID-19 to do the needed errands. If you must leave serious health conditions). Choose one or two family members who are not at higherthe household, follow tips: to do the needed errands. If you must leave the risk for severe illnessthese from nine COVID-19 household, follow these nine tips: 1. Avoid crowds, including social gatherings of any size. 1. Avoid crowds, including social gatherings of any size. 2. Keep at least 6 feet away from other people. 2. Keep at least 6 feet away from other people. 3. Wash your hands often. 3. Wash your hands often. 4. Don’t touch frequently touched surfaces in public areas, such as elevator buttons and 4. handrails. Don’t touch frequently touched surfaces in public areas, such as elevator buttons and handrails. 5. Don’t use public transportation, such as the train or bus, if possible. If you must use public 5. transportation, Don’t use public transportation, such as the train or bus, if possible. If you must use public »transportation, Maintain 6 feet of distance from other passengers as much as possible. » Avoid touching surfaces such asashandrails. Maintain 6 feet frequently of distancetouched from other passengers much as possible. » Wash your hands or use hand sanitizer as soon as possible after leaving public transportation. Avoid touching frequently touched surfaces such as handrails. Washride yourinhands use hand sanitizer as soon ashouseholds. possible after leaving public transportation. 6. »Don’t a carorwith members of different 6. Don’t ride in a car with members of different households. 7. Wear a cloth face covering to help slow the spread of COVID-19. 7. »Wear cloth face covering to help the spread of made COVID-19. Clotha face coverings fashioned fromslow household items or at home from common materials low cost fashioned can be used as an additional, voluntary public health measure. » Cloth faceat coverings from household items or made at home from common Information about the use of cloth face coverings is available at www.cdc.gov/ materials at low cost can be used as an additional, voluntary public health measure. coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html. Information about the use of cloth face coverings is available at www.cdc.gov/ coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html.
CS 316538 04/17/2020
cdc.gov/coronavirus cdc.gov/coronavirus
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8. Wash your hands immediately when you return home. 9. Maintain a physical distance between you and those at higher risk in your household. For example, avoid hugging, kissing, or sharing food or drinks. You can find more information about running essential errands at www.cdc.gov/coronavirus/2019-ncov/ daily-life-coping/essential-goods-services.html.
How to protect members of the household who are at higher risk for severe illness Adults 65 or older and people who have serious underlying medical conditions are at highest risk of severe illness from COVID-19. If your household includes people in these groups, then all family members should act as if they, themselves, are at higher risk. Here are seven ways to protect your household members. 1. Stay home as much as possible. 2. Wash your hands often, especially after you have been in a public place or after blowing your nose, coughing, or sneezing. Information on when and how to wash hands can be found here: www.cdc.gov/handwashing/when-how-handwashing.html. 3. Use an alcohol-based hand sanitizer that contains at least 60% alcohol if you can’t wash with soap and water. » Place a dime-sized amount in your palm and rub your hands together, covering all parts of your hand, fingers, and nails until they feel dry. 4. Don’t touch your eyes, nose, and mouth with unwashed hands. 5. Cover your coughs and sneezes. » If you cough or sneeze, cover your mouth and nose with a tissue or use the inside of your elbow. » Throw used tissues in the trash. » Immediately wash your hands. 6. Clean and then disinfect your home. » Wear disposable gloves, if available. » Clean frequently touched surfaces daily with soap and water or other detergents. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks. » Then, use an EPA-registered disinfectant that is appropriate for the surface. Follow the instructions on the label for safe and effective use of the cleaning product. Disinfectants are chemicals that kill germs on surfaces. EPA-registered disinfectants are listed here: www.epa.gov/pesticide-registration/list-n-disinfectants-useagainst-sars-cov-2. More about cleaning and disinfecting can be found here: www.cdc.gov/coronavirus/2019-ncov/preventgetting-sick/cleaning-disinfection.html 7. Don’t have visitors unless they need to be in your home. You can find more information at www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-athigher-risk.html.