In this article, the authors describe how based on mathematical modeling from the Wuhan COVID 19 cluster, the time adjusted daily rate of spread to new individuals by a single positive case (Rt) was 1.6 to 2.6. This means that for every day a positive case walks around a susceptible community unchecked, he or she can infect up to 3 other people on average based on this mathematical modeling. Extrapolation shows that 4 cases in a local area is enough to cause a full blown outbreak. Austria has now instituted no gatherings allowed of more than 5 individuals – while this sounds harsh, in China they say in some cities only one chair to a table in a restaurant or cafe and this is people who have a government permit to even be out and about.
What does that mean for your waiting rooms? My center in a large urban community is moving toward telehealth for as many patients as possible.
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