Doctors called the rules for the care and exit of a large family from COVID-isolation

If a CORONAVIRUS is detected in a person who lives in a large family, the ideal option is to move him to another apartment or house. In extreme cases, you can live in the kitchen. This was told by experts interviewed by RBC. They also gave advice on who is better to isolate - the sick, the elderly - and when to reunite, if not all relatives have been ill yet.

Where to isolate

If someone in a large family gets sick with coronavirus, then this person should be placed in one of the observatories that were created in large premises, such as Crocus or Gostiny Dvor in Moscow. Larisa Popovich, DIRECTOR of the Institute for HEALTH Economics at the Higher School of Economics, told RBC about this. She noted that there are observators not only in Moscow and St. Petersburg , but also in other large cities. As for the less populated regions, the issue is resolved at the expense of hospitals.

“They were created not only to treat the sick, but also to accommodate the infected, living in a family where it is impossible to organize isolation. Such observers are a solution to the problem of the impossibility of distancing in the case of a mild course of the disease, ”Popovich said.

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If a person is ill in a mild form or there is no way to isolate, then you can leave the person at home, the specialist said. “In the West, they are hospitalized three times less often than in RUSSIA, and even people with severe cases are sometimes left at home. Sometimes hospitals are hospitalized “unnecessarily” when there is no way to arrange care on an outpatient basis, ”she recalled.

Ideally, it is better to isolate a sick relative in a separate room or apartment. “You can’t isolate someone in a separate room if, for example, the whole family already lives in the same room. If there are several rooms, the situation is different, the patient can be temporarily moved to a separate room. If there is only one room and such isolation is not possible, the ideal option in this case would be to find a separate apartment that will allow you to organize isolation. The less contacts between people, the less the possibility of infection, ”an infectious disease specialist, DOCTOR of medical sciences Nikolai Malyshev told RBC. “If it is not possible to move a person to a separate room, the sick person is isolated in the kitchen, and a person who has already been ill or has been vaccinated using barrier means takes care of him and prepares food,” the infectious disease specialist told RBC.

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Who to isolate

Ideally, if one family member falls ill, then it is he who needs to be isolated, said Nikolay Malyshev. “If one of the spouses gets sick, he still has to separate from the other spouse and the rest of the family,” he said. But at the same time, if one of them is found to have a coronavirus, then the rest should also remain in quarantine. It is also possible that two spouses are isolated together. “In the event that one of the spouses falls ill, they often choose to self-isolate together. The question is which of them is susceptible; cases when a person is completely immune are extremely rare. And in the end, both people get sick, someone is easier, someone is harder, ”said Larisa Popovich.

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If it is possible to move to another place, it is better to give preference to the resettlement of healthy people, the virologist believes. “If patients do not need to be hospitalized, it is better to take care of them, leave them at home. But it is important that there is someone to look after the sick if necessary. Sometimes care is needed, which can be provided by doctors or family members who have been ill or vaccinated, ”she added.

How to reunite a family after covid

In large families, people often do not recover at the same time - weeks can pass between negative PCR tests of different family members. But we must remember that even a recovered person can get sick again. “In principle, a person himself can become infected again if the disease process is not over. Such a person may be a carrier even if they do not have the virus, the viral load is low, and they can infect others. The time of returning to the family depends on the specific situation, the specific person, the recommendations of the doctor in each specific case, ”Popovich said.

But in general, regardless of who got sick in what order, the first sick person in the family can return to it in 10-14 days, virologists say. “It is possible to reunite the family again two weeks after the separation, in the absence of clinical signs of the disease. Although there are still risks, and it is impossible to protect yourself for the rest of your life,” said Nikolai Malyshev. Ten days later, the person is no longer contagious, Yevgeny Timakov added. “In any case, when the symptoms disappear, it is advisable to take a test, especially if there are people at risk in the family. A recovered person no longer poses a danger to others, ”he said.

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In March last year, Rospotrebnadzor listed a number of rules for self-isolation. In particular, a person should stay in a separate room for two weeks and not contact other family members during this period. A person observing isolation should use personal utensils, linen, towels and hygiene products, experts of the department emphasized.

The World Health Organization (WHO) mandates that asymptomatic patients be released from isolation ten days after testing positive for covid-19 . If a person becomes ill and has symptoms of infection, he becomes safe for others after 13 days of illness. However, symptoms should not appear for at least three days before the end of isolation, the WHO noted.

In Russia, more than 6.8 million people fell ill during the entire period of the epidemic, follows from the data of the operational headquarters.

How the number of deaths from Covid-19 in Russia is changing Daily data from the operational headquarters Source: federal and regional emergency headquarters for combating coronavirus Data for Russia i

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