背景和目标:行动,不要害怕,是2019年冠状病毒传染病(COVID-19)大流行的前进之路。自2020年初以来,世界各国都面临着严重急性呼吸道综合症冠状病毒2型(SARS-CoV-2)感染导致COVID-19导致国家关闭的难题,因此,重新开放需要一个各国可以实施的明确可以理解的计划。重新开放一个国家的医疗保健好处更有可能超过与大流行相关的持续关闭的好处。与大流行相关的关闭导致无数的紧急护理评估被推迟或避免。此外,急性和慢性疾病的常规护理,包括评估,诊断,和治疗,也被推迟了。隔离,收入损失,和恐惧导致了精神健康状况或加剧了现有状况。不良后果的程度是未知的,最终可能代表不可估量的危险和发病率,甚至死亡。SARS-CoV-2的流行造成了对COVID-19的恐惧气氛,这种气氛直接和间接地伤害了世界人口。由于这导致发病率和死亡率上升,制造经济混乱,教育系统几乎系统性崩溃,没有精心描述的计划,这项研究的目的是提供指导方针,为安全开放一个国家提供前进的道路。医生通常由他们的教育装备,培训,跨学科的经验具有独特的理解能力,坐标,教其他医生,企业主,以及市政府领导的指导方针。因此,医生可能会带头重新开放一个国家,包括开办企业,教育设施,和宗教场所,同时将SARS-CoV-2感染的风险降至最低。材料和方法:环境空气学科之间的文献综述,卫生,社交互动,医学测试,疫苗接种,保护,和疾病预防和安全性允许可识别的干预措施的概念化和最终起源,这些干预措施可以减少环境中的病毒载量或使病毒从复制中失活。基于涉及病毒颗粒的消除或失活的原则选择每个指南。随着病毒载量的减少或复制失活,这些指导方针的实施预计将允许一个安全水平提高的国家重新开放。结果:指南确定,包括空气交换(通风),空气过滤,个人防护过滤装置(口罩),手部卫生,社交距离,筛选和测试,疫苗,高风险患者保护,医疗管理,和辅助疗法,被描述和引用。结论:由于大流行主要是公共卫生问题,前进的道路最好由当地协调,区域,和国家医生。许多具有丰富经验的医生在协调这些跨学科指南的实施方面处于独特的位置。按计划使用这些指南,协调行动,不要害怕,是一条前进的道路。各国必须做出决定:封闭与开放。
Background and Objectives: Action, not fear, is the path forward in the coronavirus infectious disease 2019 (COVID-19) pandemic. Since early 2020, the world\'s nations have faced conundrums over severe acute respiratory syndrome corona virus type 2 (SARS-CoV-2) infections resulting in COVID-19 resulting in national closures, and thus, a clear understandable plan that nations can implement is required to reopen. The healthcare benefits of reopening a nation more likely than not exceed the benefits of continued pandemic-related closure. Pandemic-related closures have resulted in countless delayed or avoided urgent care evaluations. Furthermore, routine care of acute and chronic illnesses, including evaluations, diagnoses, and treatments, has also been delayed. Isolation, loss of income, and fear have resulted in mental health conditions or exacerbated existing conditions. The magnitude of untoward ramifications is unknown and may ultimately represent an inestimable degree of danger and morbidity, and even death. The pandemic of SARS-CoV-2 has created an atmosphere of fear of COVID-19 that has directly and indirectly injured the world\'s population. Since this has resulted in increasing morbidity and mortality, creating economic chaos, and near systemic collapse of educational systems with no well described plan forward, it is the purpose of this study to provide
guidelines that provide a path forward to safely open a nation. Physicians often equipped by their education, training, and experiences across disciplines are uniquely positioned to comprehend, coordinate, and teach other physicians, business owners, and municipal and government leaders from
guidelines. As such, physicians may take the lead in a path forward to reopening a nation, including opening businesses, educational facilities, and religious establishments, while minimizing the risk of SARS-CoV-2 infection. Materials and Methods: Reviews of the literature among the disciplines of environmental air, sanitation, social interaction, medical testing, vaccination, protection, and disease prevention and safety allowed for the conceptualization and eventual genesis of identifiable interventions which either reduce the viral load in the environment or inactivate the virus from replication. Each of the
guidelines was selected based on the principle that it involved the elimination or inactivation of the viral particle. With a reduction in viral load or inactivation of replication, the implementation of these
guidelines is expected to allow for reopening a nation with an increased level of safety. Results: The guidelines identified, including air exchange (ventilation), air filtration, personal protective filtering devices (masks), hand hygiene, social distancing, screening and testing, vaccines, high-risk patient protection, medical management, and adjunctive therapies, are described and referenced. Conclusions: In that the pandemic is primarily a public health issue, the path forward is best coordinated by local, regional, and national physicians. Many physicians with a breadth of experiences are uniquely positioned to coordinate the implementation of these interdisciplinary guidelines. Using these
guidelines as a planned, coordinated action, not fear, is a path forward. Nations have a decision to make: closuring versus opening.