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COVID-19: What you need to know
March 12, 2020
Child washing hands to prevent covid

Originally posted March 3, 2020
Updated August 26, 2020

Since December, the world has been inundated with news about the latest coronavirus, which began in Wuhan, China. How contagious is it and just how concerned should we be? Emily Godbout, DO, MPH, a pediatric epidemiologist and infectious disease specialist, answered our top questions to provide some insight.

What should parents know about the coronavirus?

Coronaviruses are not new and are part of a large family of viruses that are common in people and animals. Traditionally, these viruses cause the common cold. Rarely, an animal coronavirus can infect people and then spread between people such as with severe acute respiratory syndrome (SARS), and now with this new virus that is currently receiving a lot of media attention. Coronavirus disease 2019 (COVID-19) is the name of the infection caused by the virus.

This is an emerging and evolving situation and the Centers for Disease Control and Prevention continue to provide updated guidance for our state and local health departments.

What are the symptoms?

Some people with COVID-19 may not have any symptoms, while others may experience fever, cough, shortness of breath and sometimes pneumonia – ranging from mild to severe. Symptoms may appear 2-14 days after exposure.

How is COVID-19 spread?                          

We continue to study the virus. Based on what we currently know, spread occurs mostly from person-to-person through respiratory droplets among close contacts.

What is the best way to prevent it?

There isn’t a vaccine for COVID-19, so the best course of action is to avoid coming into contact with it. We recommend taking the same measures you would to prevent other respiratory infections, such as frequent hand washing with soap and water or alcohol-based hand sanitizer, covering coughs and sneezes with a tissue and then discarding the tissue in the trash, avoiding contact with people with cold or flu-like symptoms, refraining from touching your face and staying home when you’re sick.

Wearing a face mask when around others can help prevent you from spreading the virus if you are infected and are asymptomatic or don’t know it. Children should not go to daycare or school when sick. It’s also a good idea to clean frequently-touched surfaces, such as counters, desks, phones, doorknobs and light switches, regularly.

What should someone do if they’ve been to an area with confirmed cases and believe they have contracted coronavirus?

Call ahead to a health care professional if you develop signs and symptoms of COVID-19. They will ask you some questions and help you determine the next best course of action.

What’s the role of a facemask in prevention?

The CDC recommends wearing cloth face coverings over the nose and mouth in public, particularly when social distancing can be difficult (such when going to the grocery store) and many business now require them in Virginia as part of the governor’s orders. Recent studies show that many people with coronavirus are asymptomatic (not showing symptoms) or pre-symptomatic (not showing symptoms yet, but they will develop). In both cases, these individuals can spread the virus without knowing it. By wearing a mask, you are doing your part to help prevent your respiratory droplets from reaching other people.

How is it treated?

Currently, there are no antiviral drugs recommended for COVID-19. Pain medication, fluids and rest may help alleviate symptoms in mild cases. For patients in the hospital with COVID-19, clinical management includes supportive management of complications (such as fluid or oxygen).

Does the virus affect children differently than adults?

Most confirmed cases of COVID-19 infection have occurred in adults. There is no evidence to suggest that children are more susceptible to the virus than adults. Most children who have been diagnosed with COVID-19 have reported mild symptoms, such as fever, runny nose and cough. Severe cases in children have been reported, but they appear to be uncommon. Certain populations of children may be at increased risk of severe infection, such as children with underlying medical conditions.

What is the risk of acquiring COVID-19 in Virginia?

The risk for acquiring a COVID-19 infection here in Virginia has increased over time. Families should follow social distancing guidelines set forth by government officials and the Centers for Disease Control. It is also important to continue engaging in activities to prevent spread of respiratory infections, including covering coughs, cleaning hands often with soap and water or alcohol-based hand sanitizer and staying up to date on immunizations, including influenza. Cloth face coverings are also recommended when social distancing is not possible.

What is CHoR doing to protect the community?

As part of VCU Health, we have worked closely with the infection control department, hospital leadership and our local and state health departments to prepare for COVID-19 in our community. Our health care system has triaged, diagnosed and treated patients suspected or confirmed to have a COVID-19 infection throughout the pandemic and we will continue to do so.

We have also increased the availability of virtual visits. Appointments can be made by calling 804-828-CHOR (2467).

Wash your hands!

Washing your hands is one of the easiest things you can do to help prevent getting sick. Always wash your hands* (and your child’s hands!):

  • Before, during and after preparing food
  • Before eating
  • Before and after caring for someone at home who is sick with vomiting or diarrhea
  • Before and after treating a cut or wound
  • After going to the bathroom
  • After changing diapers or helping a child who has gone to the bathroom
  • After blowing your nose, coughing or sneezing
  • After touching an animal, feeding an animal or cleaning up animal waste
  • After touching garbage


Teaching hand washing

The time you spend teaching children how to wash their hands can help reduce the transmission of an infection. Teach proper hand washing techniques and reinforce these lessons, especially with younger children who are still developing these habits:

  • Wet your hands under running water
  • Lather with soap by rubbing your hands together for at least 20 seconds – don’t forget the backs of your hands, between your fingers and under your nails
  • It can help to have your child sing the “Happy Birthday” song two times, as that equals at least 20 seconds
  • Rinse your hands under clean, running water
  • Dry your hands with a clean towel or air dry them
  • Turn off the water with the towel covering your hands

When a child does it right, let them hear it from you so they’ll continue these good habits. Make a big deal about it with hugs, cheers and a “thumbs up.”

Use hand sanitizer properly

Sanitizer can be used when it is time to clean hands, but only when hands are not visibly dirty. With kids, some likely scenarios for using sanitizer include: before eating, after coming home from school or the store, when entering or leaving a doctor’s office or hospital, and after a playdate. Teach your children to ALWAYS wash with soap and water when their hands are visibly dirty/soiled and after using the bathroom or touching pets/animals.

Sanitizer should be dispensed by an adult or with an adult’s supervision. The child should rub the sanitizer over the front and back of their hands and continue rubbing until it dries.

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