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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).
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).
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).
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).
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
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).
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).