Covid-19 Covid-19: Virus pada permukaan mayat

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mazri_2008

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PUTRAJAYA - Penemuan bedah siasat terhadap mayat pesakit Covid-19 mendapati terdapat virus pada permukaan badan mayat melalui analisa Real-time Polymerase Chain Reaction (rt-PCR) yang dijalankan oleh Institut Penyelidikan Perubatan (IMR).

Ketua Pengarah Kesihatan Datuk Dr Noor Hisham Abdullah berkata, penemuan baru tersebut adalah selaras dengan pandangan yang dikemukakan oleh Kementerian Kesihatan Malaysia sebelum ini dan dipersetujui oleh Mesyuarat Jawatankuasa Muzakarah Khas Majlis Kebangsaan Bagi Hal Ehwal Ugama Islam Malaysia yang telah bersidang pada 15 Mac serta Majlis Perundingan Malaysia, Agama Buddha, Kristian, Hindu, Sikh, dan Tao (MCCBCHST) keesokan harinya.

"Tatacara tersebut merangkumi pengurusan jenazah Islam di mana hanya dibenarkan untuk ditayamum di atas permukaan beg jenazah, manakala bagi mayat bukan Islam apa-apa upacara keagamaan dan tradisi hanya dibuat di atas permukaan beg mayat," katanya pada sidang media perkembangan terkini Covid-19 di sini hari ini.

 
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mazri_2008

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Do Covid-19 infected corpses pose risk?

ISLAMABAD: Could Covid-19 infectious bodies pose any risk to others? The interim guidelines of the World Health Organisation (WHO) claimed there was no evidence of a person being infected from the exposure to corpse who died from coronavirus, therefore, the dignity of bodies should be respected according to their cultural and religious traditions, and their families should also be permitted to complete the funeral rituals with proper protective measures.

Contrary to the WHO’s guidelines, the Punjab government believed that allowing funeral of COVID-19 infected body was not risky. “Keeping the available resources to fight the pandemic, I would not suggest the government to allow public gathering for the funeral,” said Prof Dr Mehmood Shaukat, Chairman corona expert advisory group, Punjab.

Former head of Pakistan Kidney and Liver Institute (PKLI) Prof Dr Saeed Akhtar, on the other hand, believed that the dignity of the corpse should be protected and close family members should be allowed to hold the rituals of funeral. He added the government should provide personal protective equipment (PPE) to them during the funeral.

According to Dr Mehmood, the virus remains in the body for 24 hours and if anyone would make contact with the secretion of the body, would definitely be infected, therefore, the congregation should not be allowed to contain the outbreak. “Our job is to protect the people from getting infected and health officials are adopting every possible precautionary measure to deal with the issues relating to COVID-19. "The dead body is handed over to the concerned people after it is wrapped twice”, he added.

Talking about WHO guidelines for the safe management of a COVID-19 affected corpse, Dr Mehmood said they were general and interim guidelines and what if these guidelines would be changed in future, adding that the priority should ensure public safety. Neither Italy nor Spain was keeping the bodies in mortuaries. “For the sake of public safety, if we avoid congregation and do not allow holding mass funerals, then there would be no harm, the excessive precaution should be adopted for the safety of the people and it was the matter of national interest," he added.

It is important to note that on March 31, the British government — Public Health England (PHE) published a new guidance to ensure funerals should be conducted safely, adding with the social distancing principles. “To help reduce the risk of spreading infection, religious leaders should advise people to restrict the number of attendees in funerals, so the distancing measures of at least two metres (three steps) could be followed among the individuals."

Only members of the deceased families or close relatives should be allowed to attend the funerals, while any suspect having symptoms of COVID-19 should not be allowed to attend. Those who would attend the funerals should need to adhere to social distancing all the time, including funeral prayers, travelling to graveyards and during burials, said the PHE guidelines.

In addition, the PHE guidance strongly advised the members of bereaved family to avoid any contact with the corpse as there was a real threat of transmitting of coronavirus during the rituals. It said the practices that involved close interactions or contact with the corpse should only be carried out when the personal protective equipment (PPE) were used by all the participants.

On March 24, WHO issued interim guidelines for safe management of disposal of a corpse in the context with COVID-19, saying to-date there was no evidence of a person who died having infected by coronavirus, could cause any transmission to others. It said the safety and well-being of everyone should be the first priority before attending the corpse, and advised that the people should ensure to use personal protective equipment (PPE).

According to the guidelines, the dignity of the corpses should be respected according to their cultural and religious traditions, and their families should also be respected and protected. Hasty disposal of a corpse should be avoided, saying the authorities should manage balancing and ensuring the rights of the deceased families.

It said the personnel who interacted with the COVID-19 affected corpse should apply standard precautions including hand hygiene before and after interactions, and appropriate PPE. The WHO guidelines said if there was a risk of secretion, the interactive persons should use facial protections, including face shield or goggles and medical mask. “

Wrap body in cloth and transfer it as soon as possible to the mortuary area, there is no need to disinfect the body before transferring the mortuary, body bags are not necessary, although they may be used for other reasons e.g. excessive body fluid leakage, and no special transport equipment or vehicle was required."

According to the guidelines, if a family wished to see the body of their loved one and agreed not to touch or make any contact, should be allowed to do so, using standard precautions at all times including hand hygiene. Give the family clear instructions not to touch or kiss the body, embalming was not recommended.

“Those tasked with placing body in the grave during the funeral, etc., should wear gloves and wash hands with soap and water after removal of the gloves once the burial is complete. Burial by family members at home in contexts where mortuary services are not up to standard or available, or where it is usual for ill people to die at home, families and traditional burial attendants could be equipped and educated to bury people under supervision.

"Any person e.g. family member, or religious leader preparing the deceased, including washing, cleaning or dressing the body, tidying hair, trimming nails or shaving in a community setting should wear gloves before contacting with the body. For any activity that may involve secretion of fluids, the eyes, nose and mouth protection, including face shield, goggles and medical mask should be used. Clothing gown to prepare the body should be immediately be removed and washed after the procedure or an apron or gown should be worn,” the guidelines say.

“Apply principles of cultural sensitivity and ensure the family members should minimise their exposure to the body as much as possible, while the children, elderly people, and sick having problems including respiratory illness, heart disease, diabetes, or compromised immune systems, should also not be exposed to body. A minimum number of people should be involved during the preparations and others may observe without touching the body at a minimum distance of one meter,” said the guidelines.

Similarly, the people with respiratory symptoms should not participate in the viewing or at least wear a medical mask to prevent contamination of the place and further transmission of the disease to others. “The belongings of the deceased person do not need to be burned or otherwise disposed of."

However, they should be handled with gloves and cleaned with a detergent followed by disinfection with a solution of at least 70 per cent ethanol or 0.1 per cent or 1000 ppm bleach, and the clothing and other fabric belonging to the deceased should be washed in machine with warm water at 60°C-90°C (140-194°F) with the detergent.

If machine washing is not possible, linens can be soaked in hot water and soap in a large drum using a stick to stir and being careful to avoid splashing. The drum should then be emptied, and the linens soaked in 0.05 per cent chlorine for approximately 30 minutes. Finally, the laundry should be rinsed with clean water and the linens allowed to dry fully in sunlight,” said the WHO guidelines.

 

mazri_2008

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Iraq: Days of delays for some burials

On April 3, Iraqi volunteers in full hazmat gear prayed over the coffin of a 50-year-old who died of COVID-19. She was buried at a cemetery specifically opened for such deaths, some 12 miles from the holy city of Najaf.

In Iraq, relatives participate in washing the bodies of their loved ones and preparing them for burial. The dead are buried the same day wherever possible. For both Muslims and Christians, deaths are normally followed by three days of condolences held in large tents or mosques or church halls. With the family surrounded by relatives, friends and neighbors, outpourings of grief are expected and often encouraged.

But with the pandemic, such public gatherings of grief are no longer allowed.

"It took eight days to get the body of my father from the morgue," says Abdul-Hadi Majeed, whose father died of COVID-19 in a Baghdad hospital in March. "It was very difficult arranging the burial."

Majeed, a soldier, says his father's body was among a group of bodies the government intended to bury in a field near Baghdad, outside the city. But tribal leaders refused to allow the bodies to be buried there, mistakenly fearing they could spread disease.

So paramilitary forces in hazmat suits took over the process and conducted the burials according to Islamic rites at a sprawling cemetery in the holy city Najaf, south of Baghdad, in a special section of COVID-19 victims.

 

kopirait

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malaysia memang top.
aspek pengurusan jenazah pesakit pun diambil berat dan ada guideline.

tengok indon siap buka beg mayat macam takde apa-apa rasa bertuah duduk malaysia.
 

mazri_2008

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Hati-hati urus mayat Covid-19: Noor Hisham

PUTRAJAYA - Ketua Pengarah Kesihatan, Datuk Dr Noor Hisham Abdullah menasihatkan petugas pengendali mayat pesakit koronavirus (Covid-19) berhati-hati kerana bimbang dijangkiti.

Ia berikutan penemuan virus pada permukaan kulit mayat pesakit wabak itu.

"Kalau kita tidak teliti dalam pengurusan mayat, ia boleh menjangkiti orang yang menguruskannya," katanya pada sidang akhbar perkembangan terkini Covid-19 di kementeriannya di sini hari ini.

Sebelum ini, Kementerian Kesihatan Malaysia (KKM) mendedahkan, hasil bedah siasat terhadap mayat pesakit Covid-19 mendapati virus itu turut terdapat di dalam cecair badan termasuk organ dalaman.

Menyentuh mengenai pesakit yang berada dalam rawatan di hospital, beliau berkata, lebih 80 peratus daripadanya terdiri daripada tahap satu iaitu tidak bergejala dan tahap dua yang mempunyai gejala ringan.

"Walaupun ada negara lain yang tidak meletakkan mereka (tahap satu dan dua) di hospital tetapi KKM merawat mereka di fasiliti kesihatan sehingga benar-benar sembuh dan pulih," katanya.

Setakat jam 12 tengah hari ini, sebanyak 5,603 kes positif Covid-19 di negara ini dengan jumlah aktif yang masih dirawat hanya 1,966 kes.
 

TXT

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Tu penuh dengan SOP uruskan mayat pesakit COVID19 ni
 
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