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Infection prevention and control for the safe management of a dead body in the context of COVID-19: interim guidance, 24 March 2020

Flag for IGO World Health Organization on March 24th 2020

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Infection prevention and control during health care when novel coronavirus (‎‎‎‎‎‎‎‎‎‎‎‎‎‎‎nCoV)‎‎‎‎‎‎‎‎‎‎‎‎‎‎‎ infection is suspected: interim guidance, 25 January 2020
World Health Organization
3. World Health Organization. (2020). Infection prevention and control during health care when COVID-19 is suspected: interim guidance, 25 January 2020. https://www.who.int/publications-detail/infectionprevention-and-control-during-health-care-whennovel-coronavirus-(ncov)-infection-is-suspected- 20200125. (accessed March 22, 2020).
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Natural ventilation for infection control in health care settings
World Health Organization
ols, such as the use of power saws or washing of intestines); If a body with suspected or confirmed COVID-19 is selected for autopsy, health care facilities must ensure that safety measures are in place to protect those performing the autopsy; 4 Perform autopsies in an adequately ventilated room, i.e. at least natural ventilation with at least 160L/s/patient air flow or negative pressure rooms with at least 12 air changes per hour (ACH) and controlled direction of air flow when using mechanical ventilation; 5 Only a minimum number of staff should be involved in the autopsy; Appropriate PPE must be available, including a scrub suit, long sleeved fluid-resistant gown, gloves (either two pairs or one pair autopsy gloves), and face shield (preferably) or goggles, and boots.
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5. World Health Organization. (2009).Natural ventilation for infection control in health care settings. World Health Organization. https://apps.who.int/iris/handle/10665/44167 (accessed March 22, 2020).
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Interim guidance for collection and submission of postmortem specimens from deceased persons under investigation (PUI) for COVID-19, February 2020
Centers for Disease Control and Prevention (CDC)
A particulate respirator (N95 mask or FFP2 or FFP3 or its equivalent) should be used in the case of aerosol-generating procedures. 6
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6. Centers for Disease Control and Prevention. (2020). Interim guidance for collection and submission of post-mortem specimens from deceased persons under investigation (PUI) for COVID-19, February 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-postmortem-specimens.html (accessed March 22, 2020).
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Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents
Journal of Hospital Infection (Elsevier BV)
G. Kampf et al. 2020
Human coronaviruses can remain infectious on surfaces for up to 9 days. 7 COVID-19 virus has been detected after up to 72 hours in experimental conditions.
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7. Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. Journal of Hospital Infection. 2020;104(3):246-51. https://doi.org/10.1016/j.jhin.2020.01.022(accessedMarch22,2020).
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Scholarly work with DOI 10.1056/nejmc200
COVID-19 virus has been detected after up to 72 hours in experimental conditions. 8 Therefore, cleaning the environment is paramount.
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8. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1 https://www.nejm.org/doi/full/10.1056/NEJMc200 4973
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Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents
Journal of Hospital Infection (Elsevier BV)
G. Kampf et al. 2020
placed on a surface for at least 1 minute. 9 Hospital-grade disinfectants may also be used as long as they have a label claim against emerging viruses and they remain on the surface according to manufacturer’s recommendations; Personnel should use appropriate PPE, including respiratory and eye protection, when preparing and using the disinfecting solutions; and Items classified as clinical waste must be handled and disposed of properly according to legal requirements.
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9. Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. Journal of Hospital Infection. 2020;104(3):246-51. https://doi.org/10.1016/j.jhin.2020.01.022(accessedMarch22,2020).
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Water, sanitation, hygiene, and waste management for the COVID-19 virus: interim guidance, 19 March 2020
World Health Organization
10. World Health Organization. (2020). Water, sanitation, hygiene, and waste management for the COVID-19 virus. Interim guidance: 19 March 2020. https://apps.who.int/iris/bitstream/handle/10665/33 1499/WHO-2019-nCoV-IPC_WASH-2020.2- eng.pdf?sequence=1&isAllowed=y (Accessed March 22, 2020).
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