key: cord-0746878-qtqjoty3
authors: Khurana, Surbhi; Singh, Parul; Sinha, Tej Prakash; Bhoi, Sanjeev; Mathur, Purva
title: Low-cost production of handrubs and face shields in developing countries fighting the COVID19 pandemic
date: 2020-04-02
journal: Am J Infect Control
DOI: 10.1016/j.ajic.2020.03.016
sha: 79d8706e97f779e942356e415ef4c3cbf3366817
doc_id: 746878
cord_uid: qtqjoty3

nan

Letter to the Editor Low-cost production of handrubs and face shields in developing countries fighting the COVID19 pandemic

To the Editor(s):

The COVID-19 caused by the novel coronavirus now known as SARS-CoV-2 (severe acute respiratory syndrome coronavirus-2), has spread worldwide with its first reported case in late December 2019 in Wuhan city of China. 1 This rapidly growing pandemic has also affected many healthcare workers. A recent report from China classified an overall 14.8% of confirmed cases among health workers as severe or critical and 5 deaths were observed. 2 Presently, the clinical spectrum of the disease is being defined including the potential for asymptomatic spread. 3 So far, no specific treatment and prevention strategies like targeted antiviral drugs and vaccines are available for COVID-19. Thus, we can only depend on the traditional public health outbreak response practices-isolation, quarantine, social distancing, and community containment. 4 Such times call for judicious and appropriate use of personal protective equipment (PPE)−−gloves, masks, face shields, and handrubs among healthcare workers. In populous countries like India, judicious use of PPE can be a game-changer. Thus, the Infection Control Team at the JPNA Trauma Center, AIIMS, New Delhi has the taken measures such as in-house production of the WHO-recommended handrubs on a large scale and indigenous face shields to be used by the healthcare workers in the hospital (Fig 1) . 5 The usefulness of both the in-house developed PPE has been tested by the treating clinicians at the Center. Both the formulations of handrubs−−ethanol & isopropyl alcohol, have proved to be effective. The in-house made face shields were prepared using the readily available materials like foam, transparency sheets, and elastic bands. The cost of each face shield was just 15 Indian rupees INR. It took us approximately 2 minutes to make each face shields. The residents wore the face shield for almost 4 hours without discomfort. Such cost-effective measures towards preparedness to battle the pandemic could be taken by all healthcare facilities across the globe, to overcome the expected crises of PPE and halt the outbreak. With the expected shortage of masks, we are also looking at the option to make triple-layered masks using indigenous materials.

The Lancet Infectious Diseases. Challenges of coronavirus disease 2019. Lancet Infect Dis

Vital surveillances: the epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19)-China, 2020. China CDC Wkly

Presumed asymptomatic carrier transmission of COVID-19

Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention

Guide To Local Production: Who-Recommended Handrub Formulations

We acknowledge the support of the JPNA Trauma Center, AIIMS for providing us with the raw materials to produce these in-house PPE.

Not applicable.