How to prevent transmissionInfectious diseases have different modes of transmission. For respiratory tract diseases such as COVID-19 and influenza, infection from the respiratory tract by inhalation of droplets with infectious agents, as well as droplets with infectious substances settling directly on the mucous membranes of the eyes, mouth or nose, are common modes. In addition, contact infection plays a role, but it is a less common mode than inhalation and disposal. For other infectious diseases, such as gastroenteritis, direct and indirect contact infection is assumed to have a greater significance for transmission. Show
Read more about transmission of SARS-CoV-2 and influenza here:
There is still an ongoing COVID-19 pandemic and it is also peak season for many other infectious viruses that can have a major impact on health and the health service, such as influenza, RS virus and gastroenteritis. It is still recommended to follow the general advice about good cough etiquette and good hand hygiene to prevent transmission:
Hand hygiene prevents contact transmission. Contact transmission can occur either through direct contact with an infectious person (such as hugging and shaking hands) or indirectly by transmitting drops of infectious agent to contaminated surfaces and from there to the hands to entry points such as the mucous membranes of the nose, mouth and eyes. Properly performed hand hygiene reduces the risk for both direct and indirect contact transmission. When should you perform hand hygiene?
It may also be appropriate to perform hand hygiene after touching contact points in busy places, especially in periods with widespread transmission of diseases such as influenza and gastroenteritis. Soap and water are first choice, alcohol-based hand disinfection is a good alternativeBoth hand washing and alcohol-based hand disinfection are good and effective hand hygiene methods. Alcohol-based hand disinfection has a reduced effect in many situations where there is a need for hand hygiene, such as when the hands are wet, visibly dirty or soiled with organic material such as food residues and body fluids. There is also limited experience with widespread use of hand disinfection among children and adolescents. Hand washing with soap and water is therefore a recommended method outside the healthcare sector. Alcohol-based hand disinfection can be a good alternative to hand washing when the hands are dry and not visibly soiled, and soap and water are unavailable. For the best effect, follow the manufacturer's recommendations for how much to use and how long it takes to work. There is no need to perform both hand washing and hand disinfection – one is sufficient. Effective hand washing step by step:Effective hand disinfection step by step:Choice of disinfectantIt is important that the products used are both effective, safe and skin friendly. The Norwegian Institute of Public Health, like WHO and ECDC, primarily recommends alcohol-based hand disinfection, based on ethanol or isopropanol. The alcohol concentration should be between 70-90 per cent v/v. Hand disinfectants must comply with the requirements of the biocide regulations managed by the Norwegian Environment Agency. Hand disinfectants with active ingredients other than alcohol are also available. In order to be sold in Norway, these products, like alcohol-based hand disinfectants, must comply with the requirements of the biocide regulations. They must show documented effect according to ES-NS-1500. There is limited experience with clinical use of these products. How should you dry your hands after washing them?You can dry your hands with disposable paper towels or warm air hand dryers. It is important that hand dryers are kept clean. They should be designed so that water does not collect at the bottom and then be blown out during use. Hand towels can be used in private homes but should be changed regularly. Warm air hand dryers should not be used in healthcare institutions. Read more about drying hands in the national hand hygiene guide in the health service. How to prevent dry and sore hands?Here is some advice to prevent dry and sore skin on the hands due to frequent hand hygiene:
Film about skin-friendly handwashing in several languagesSee these animated films in several languages from the Psoriasis and Eczema Association (PEF). The film is intended to promote skin-friendly handwashing during the coronavirus pandemic. The film is available in these languages:
Use of disposable glovesTransmission by hands wearing gloves happens in the same way as for hands without gloves. Therefore, we do not recommend the general use of disposable gloves, see Routine use of gloves for shop employees and customers is not recommended. Precautions with use of hand disinfectants
Read more about precautions when using hand disinfection in NIPH's national guide for hand hygiene (in Norwegian). Cough etiquetteGood cough etiquette is crucial to limit respiratory tract transmission from someone who is infected with COVID-19.
Face masksIf you have newly developed cold/respiratory tract symptoms and feel unwell, the use of a mask is recommended if you have to visit premises where many people gather (for example shops or public transport) or have close contact with people in risk groups.
Risk groups and unvaccinated people are recommended to wear a mask outside among people during periods of widespread transmission if it is difficult to keep a distance from others. See more about who is now defined as risk groups in the article:
In situations with increased or high infection burden in society, local, regional or national advice or directive may be given about the use of face masks to reduce transmission. What is meant by respiratory hygiene and cough etiquette?Respiratory hygiene and cough etiquette are terms used to describe infection prevention measures to decrease the transmission of respiratory illness (e.g., influenza and cold viruses). A respiratory infection is spread when a person who is infected with a virus coughs or sneezes.
How does cough etiquette prevent infection?Cough etiquette can help to contain infectious respiratory droplets at the source. What do I need to do? Sneeze, blow your nose or cough into a disposable tissue, and discard the tissue immediately into a bin. If tissues are not available cough/sneeze into your upper arm or sleeve; avoid using your hands.
What are the measures recommended for containing respiratory secretions from individuals with signs and symptoms of a respiratory infection?The following measures to contain respiratory secretions are recommended for all individuals with signs and symptoms of a respiratory infection.. Cover your mouth and nose with a tissue when coughing or sneezing;. Use in the nearest waste receptacle to dispose of the tissue after use;. How does proper hygiene affect the respiratory system?Routinely using hand and respiratory hygiene will decrease your risk of becoming ill from common diseases such as a cold, seasonal flu, and stomach and intestinal system (gastrointestinal) infections such as norovirus.
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