By
Scottie Andrew, CNN Updated 11:23 AM ET, Fri March 13, 2020
(CNN)The novel coronavirus can infect anyone, but it's older
adults — ages 60 and up — who are more likely to get seriously sick from it.
Some
tips are applicable to every generation, but there are specific precautions
older adults should take to protect their health.
We
spoke to two geriatricians and pulled guidance from the Centers for Disease Control and Prevention to assemble
what people 60 and up need to know about the novel coronavirus.
You
can download a sheet of that information (in English, Spanish
and Chinese) and share with your loved ones. But remember: Recommendations for
Covid-19 may change as officials learn more, so monitor your local health
department and the CDC for updates.
What's
your risk level
The CDC
says "older adults" and people with severe chronic illness are more
likely to become severely ill from Covid-19.
Infectious disease experts define "older
adults" as anyone age 60 and up, so people in that age group should be
cautious.
It's
possible to contract the virus at a younger age — it's just more dangerous in
older adults because the immune system weakens with age, said Dr. Samir Sinha,
director of Geriatrics for the Sinai Health System and the University Health
Network in Toronto.
People
over the age of 80 may want to exercise even more caution. A report published
in the medical journal JAMA that examined more than 72,000
Chinese coronavirus patients found that the overall fatality rate was 2.3%. But
in adults over 80, the fatality rate rose to 15%.
If you
live in a community where there's an outbreak, you're at a higher risk of
infection, too. Follow the advice below.
What
precautions you should take now
Cancel
all non-essential doctor's appointments, said Dr. Carla Perissinotto, an
associate professor in the Geriatrics Division of the University of
California-San Francisco's Department of Medicine.
·
Whether it's a standard check-up, a follow-up appointment for a
stable condition or an elective procedure, if it can wait, then it should.
·
If you have an important appointment coming up, consider doing it
in a video call or from your smartphone. Telehealth tech lets physicians confer
with patients who may not be able to leave their homes.
·
Tell a friend, a loved one, a co-worker or a neighbor if you're
concerned about the illness. Appoint one of them as an emergency contact who
you can call with concerns or requests for help.
·
Otherwise, do what you'd do during flu season: Wash your hands frequently, the right way (get ready to read
that a lot). Use hand sanitizer when soap and water aren't
available, though washing your hands is preferred.
What
you should stock up on
The CDC
recommends keeping enough groceries and toiletries on hand to last you a "prolonged
period of time." There's no timeline for the Covid-19 outbreak, though, so
think basic.
·
Stock up on toothpaste, detergent, water filters, etc.
·
Make meals and freeze them if you're concerned about food.
But
stocking up on medication ahead of time isn't always plausible, Perissinotto
said. You may be able to switch to a 90-day supply for your prescription. If
this isn't possible, the CDC suggests mail ordering medications.
How you
should alter daily activities
Older
adults living in communities where the virus has spread should take extra
precautions.
·
Avoid public places where crowds may gather or poorly ventilated
buildings where the risk of transmission is higher, the CDC said.
·
Restrict your time in public and limit close contact.
·
Older adults should still exercise and eat right, just as they
would at any other time of the year, Sinha said.
And
again, constant — and proper — handwashing before, during and after a trip into
the public is necessary.
How you
should handle travel
The CDC
advises against non-essential plane travel for older adults. Several US
airlines have already slashed their flight schedules for the next few months.
It's
wise to stay off cruise ships for now, too. Cruise passengers are at an increased
risk of person-to-person transmission with all the tight quarters, the CDC said,
so if you're already made cruise plans, it's best to cancel them.
What
you need to know about self-isolation
The CDC
recommends that high-risk groups in communities with outbreaks stay home as
much as possible and that people who believe they're sick isolate themselves.
Isolation
can be damaging, too, if you cut off contact and are lonely.
"I
don't think the solution of totally being devoid of social contact is the
answer," Perissinotto said. "Yes, there is some prudence we need to
have in social distancing, but we also have to be careful to not isolate more
-- it can be very detrimental."
So if
you're self-isolating:
·
Don't cut off contact with family or friends.
·
Keep in touch to update them on your condition and curb boredom.
And if
you do go out, be sure to wash your hands with soap.
What
your family can do
To help
you, your family should think ahead.
Perissinotto
recommends that family, friends and neighbors of older adults do some inventory
in case the older adult needs to isolate at home.
·
Does this person have what they need to spend
an extended period of time inside? If not, help them
prepare supplies.
·
If their caregiver calls in sick, is there
someone who can step in to take care of them? Have a
plan in place to make sure they'll get care if they need it.
·
If they have a telemedicine appointment coming
up, will they know how to access it? Set up the tech and
show them how to use it to speak with their physician.
Getting
prepared and keeping in touch can help keep families connected if an older
member needs to isolate, Perissinotto said.
And, of
course, sick family members should not visit — stick to a phone or video call.
And if a younger, healthy family member has potentially come into contact with
a Covid-19 patient, they should self-isolate and avoid seeing older,
susceptible family members.
What
you should consider about nursing homes
It's
natural to be fearful for family in nursing homes and long-term care
facilities, Sinha said: Older people and people with chronic illnesses, both
high-risk groups, are living together in tight quarters.
The
good news: Most nursing homes and long-term care facilities are prepared for
pandemics, Perissonotto said.
The CDC
provides training for long-term care facilities on how to operate during
pandemics. If you're concerned about the safety of your family member or want
to learn about the protocol their facility is following, contact staff at the
facility.
What
you should do when visiting loved ones at nursing homes
Under
the national emergency declaration, nursing home visits are now restricted with limited
exceptions. The new federal guidance also cancels communal meals and group
activities.
Set up
an alternative mode of communication between residents and family to keep up
with their health and wellbeing.
What to
do if you're sick
If you
think you have the novel coronavirus: Stay home and call your
physician. If they think you should come in for a test, limit your interaction
with other people and don't use public transportation. They may provide a face
mask for you to wear while in their office.
If your
doctor is not immediately available: Consider calling a local
coronavirus hotline. Some city, county and state health departments have
numbers you can call to discuss your symptoms and learn more about the virus's
impact on the community. Keep in mind that these hotlines are meant as
informational resources, and it's impossible to diagnose Covid-19 without a
test.
If
you're diagnosed with the novel coronavirus and your illness is mild: Your
physician may advise that you stay home until you recover. If your symptoms are
more severe, you may be hospitalized so physicians can monitor your condition.
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