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Moving Personal Protective Equipment Into the CommunityFace Shields and Containment of COVID-19

Educational Objective
To understand the importance of ensuring the everyone in the community has access to personal protective equipment
1 Credit CME

On March 19, 2020, California became the first state to issue a stay-at-home order in response to the evolving coronavirus disease 2019 (COVID-19) pandemic. It was quickly recognized that widespread diagnostic testing with contact tracing, used successfully in countries such as South Korea and Singapore, would not be available in time to significantly contain the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).1,2 Over the following month, additional nonpharmaceutical mitigation strategies, including school closures, bans on large in-person gatherings, and partial closures of restaurants and retail stores, were applied to “flatten the epidemic curve” and limit the peak effects of a surge of patients on health care systems. Yet, even as the benefits of mitigation bundles have not fully been realized, there are widespread calls to reopen businesses, given the immense economic and social consequences of extreme physical distancing strategies.

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Article Information

Corresponding Author: Eli N. Perencevich, MD, MS, Iowa City VA Health Care System, 601 Hwy 6 W, Iowa City, IA 52246 (eli-perencevich@uiowa.edu).

Published Online: April 29, 2020. doi:10.1001/jama.2020.7477

Conflict of Interest Disclosures: Dr Diekema reported receiving research funding from bioMerieux. No other disclosures were reported.

Disclaimer: The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the US government.

References
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Park  S , Choi  GJ , Ko  H .  Information technology–based tracing strategy in response to COVID-19 in South Korea—privacy controversies.   JAMA. Published online April 23, 2020. doi:10.1001/jama.2020.6602PubMedGoogle Scholar
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Gottlieb  S , McClellan  M , Silvis  L , Rivers  C , Watson  C . National coronavirus response: a road map to reopening. American Enterprise Institute. Published March 29, 2020. Accessed April 19, 2020. https://www.aei.org/research-products/report/national-coronavirus-response-a-road-map-to-reopening/
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Infectious Diseases Society of America. Policy and public health recommendations for easing COVID-19 distancing restrictions. Published April 16, 2020. Accessed April 19, 2020. https://www.idsociety.org/contentassets/9ba35522e0964d51a47ae3b22e59fb47/idsa-recommendations-for-reducing-covid-19-distancing_16apr2020_final-.pdf
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Burke  RM , Midgley  CM , Dratch  A ,  et al.  Active monitoring of persons exposed to patients with confirmed COVID-19—United States, January–February 2020.   MMWR Morb Mortal Wkly Rep. 2020;69(9):245-246. doi:10.15585/mmwr.mm6909e1PubMedGoogle ScholarCrossref
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World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report–66. March 26, 2020. Accessed April 19, 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200326-sitrep-66-covid-19.pdf
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MacIntyre  CR , Seale  H , Dung  TC ,  et al.  A cluster randomised trial of cloth masks compared with medical masks in healthcare workers.   BMJ Open. 2015;5(4):e006577. doi:10.1136/bmjopen-2014-006577PubMedGoogle Scholar
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