Most people in the U.S. will be exposed to the coronavirus, according to the National Institutes of Health. But not everyone with COVID-19 develops a cough and fever. For every infected person who shows symptoms, five to ten others are asymptomatic, meaning they look and feel just fine for the duration of having the virus, but are spreading the virus fast. This is what social distancing is all about: Stay home, wash your hands often, clean your space and hopefully you'll be able to avoid the asymptomatic spread. But when someone in your house is showing symptoms or simply knows that they've come into contact with someone who has been tested and found to have the virus a different kind of quarantine is required. You need a quarantine within a quarantine. The infected need to isolate within your own home.
In these situations, the goal is to isolate the sick person from the world, and the members of their household, for two weeks. It isn't easy, but there are steps to take that can give those not infected a fighting chance. Here's how to proceed.
This Is the Time for a Mask
While there has been much controversy over masks — primarily aimed at those healthy folks hoarding them while hospitals run out — if you have someone sick at home, they should be wearing one while around others in the house. If they don't own one, you can try making your own out of household materials or cover your mouth with a bandana. "In this critical time we're having, anything is better than nothing," says Sophia Thomas, president of the American Association of Nurse Practitioners.
Leave Them Alone
Designate a room in your house where those who are sick can spend the next two weeks, and stay out of it as much as possible. If you don't have a bedroom they can hole up in alone, keep your distance. "The most important thing is to try to stay six feet away from one another," says Georges Benjamin, director of the American Public Health Association. Don't let visitors into the home, especially those at high risk, such as grandparents.
If the sick person does have a room of their own, check up on them several times per day. Ask how they're doing through the door or give them a video call if they aren't too ill. If the infected person has more serious symptoms, you may have to venture inside, but take precautions including distance and gloves. If the person feels well enough to bend down, leave their meals outside the door.
Of course, sending a five-year-old to their room for two weeks is basically impossible. Don't panic. "You do the best you can," Benjamin says. Reduce your risk of infection by cleaning surfaces kids touch frequently, such as toys. Pay attention to your own cleanliness, too. "The most practical thing for most parents is to simply wash their hands as often as they can," Benjamin says.
Clean the House Like You Mean It
If a surface is visibly dirty, first clean it with a detergent and water. Then, disinfect it with a product that can kill viruses, such as bleach. Even if they look clean, wipe down high-touch surfaces with detergent and water often, including doorknobs, counters, tables, light switches, remote controls, cabinet handles, and sink handles. "The more frequently, the better," Thomas says, but at least once daily. Use disposable gloves while cleaning, and don't reuse them.
Appoint a bathroom for those who are ill, or, if you only have one, make sure it has good airflow. If the whole family must share a bathroom, immediately clean and disinfect after the sick person uses it.
Family members should not clean the room of someone who is ill, though the sick person may clean their own room if they're up to the task. The sick person should use their own lined trash can, and family members should wear disposable gloves while disposing of the bag. Household members should also use gloves while doing the sick person's laundry and washing their dishes.
Holy Crap, Is It Ever Time to Wash Your Hands
Wash your hands often, for at least twenty seconds after using the bathroom, before eating, and after sneezing, coughing or blowing your nose. Don't share towels to dry your hands on. In fact, don't share anything, including unwashed dishes and eating utensils. Avoid touching your face and wash laundry thoroughly, particularly if it is soiled by bodily fluids.
Hopefully Your Dog’s Loyalty Lies With the Quarantined
"We want to keep all of our family members healthy, and that includes our furry family members," Thomas says. Though there are no cases of pets contracting COVID-19, sick family members should avoid petting their cats and dogs and should ask a different household member to care for them. If the sick person must pet a pup, they should wash their hands before and after contact and wear a facemask while interacting. They should also avoid sharing a bed with their fur baby.
How to Feed Yourself
If you're anything like the rest of the country, you probably have a sufficient stockpile of snacks. If you do run out of food, don't go to the grocery store. Stock up your pantry using an online grocery service or order delivery from a restaurant. Pay online beforehand and ask the deliverer to leave the package outside your front door. You can also ask a neighbor or relative to deliver a care package to your door.
5 Signs You Need to Go to the Emergency Room
Before you go to the ER, call ahead. Let them know if you have suspected or confirmed COVID-19 and any other symptoms you may be experiencing.
- Difficulty breathing: If breathing is painful or hard to do, seek immediate help.
- Blue around the lips: A blue tint to the lips, tongue, and skin of the face means you may not be getting enough blood flow to your head.
- Fever that won't come down: If medications such as Tylenol can't bring down your fever, seek help.
- Chest pain: Though many people with COVID-19 may feel chest pain, significant pain deserves an emergency call.
- Worsening of other conditions: The virus can exacerbate pre-existing conditions such as asthma.
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