This, as you may know, is all contributing to what has become the watchword in this time of pandemic and panic –– social distancing.
Social distancing is a set of non-medical steps that can limit the spread of the virus.
If we don’t practice social distancing, and if the number of infected keep rising, we also risk overburdening our healthcare system, something that Italy has had to deal with.
Things have changed, and will have to change as we go on... social distancing – by not going out, by working from home, by limiting human interaction, becomes an essential part of this.
Today we’ll show you how to prepare for social distancing and do it effectively so you can weather the coming weeks with good health and peace of mind.
Guests: Dr. Jayakrishnan, Co-ordinator, Regional Prevention of Epidemic Disease Cell, Calicut Medical College
Dr. Sumit Ray, Chairperson Critical Care Medicine and Chief of Medical Services, Artemis Hospitals Delhi
Host and Producer: Vishnu Gopinath
Editor: Shelly Walia
Music: Big Bang Fuzz
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[00:00:00] Court of Justice, The Coronavirus has collectively pushed us into a corner.
[00:00:14] The number of infections in India has been increasing with each day, touching at least
[00:00:18] 166 as of this podcast recording.
[00:00:21] Efforts to stop the spread of COVID-19 have now intensified.
[00:00:25] India has implemented travel restrictions, barring entry to tourists and even Indians
[00:00:30] from countries with the high incidence of the virus, stopping the issue of fresh
[00:00:34] visas and putting all incoming tourists through a screening and quarantine procedure.
[00:00:42] State governments have ordered the closures of schools, colleges, restaurants, gyms, clubs
[00:00:46] and many places which attract crowds.
[00:00:48] Tourist attractions including the Taj Mahal and the Red Fort have been shut, several events
[00:00:53] planned for the coming months including the IPL, have been either rescheduled or cancelled
[00:00:57] entirely.
[00:00:59] Even the interest of limiting the virus spread, a number of organisations have asked
[00:01:02] their employees to work from home thus eliminating person to person contact.
[00:01:08] This as you might know is all contributing to what's become the watch word in this time
[00:01:12] of pandemic and panic.
[00:01:15] Social distancing.
[00:01:19] Social distancing is a set of non-medical steps that can limit the spread of the virus
[00:01:23] and it's essential right now because we need to quote and quote flatten the curve.
[00:01:29] What does this mean?
[00:01:30] An outbreak usually affects an increasing number of people, climbing everyday, till it saturates
[00:01:35] a community and then it starts to taper off.
[00:01:38] If you plot the infections growth on a graph, it looks like a curve.
[00:01:43] Now through social distancing we can limit the number of interactions that people have
[00:01:47] and as a result, limit the number of infections thus flattening this curve.
[00:01:53] If we don't practice social distancing and if the number of infected keep rising,
[00:01:57] we also risk over burning our health care system, something that Italy has had to deal
[00:02:02] with.
[00:02:03] This flattening can't be forced because people will trickle in and out for things like
[00:02:07] transport and essential services so needs be something that we all practice consciously
[00:02:12] to stop the virus from spreading further.
[00:02:18] Things are changed and they will have to change as we go on.
[00:02:22] Social distancing by not going out, by working from home, by limiting human interaction
[00:02:27] becomes an essential part of this.
[00:02:29] Today we'll show you how to prepare for social distancing and how to do it effectively,
[00:02:33] so you can weather the coming weeks with good health and peace of mind.
[00:02:43] This is Vishnu Keseek Life.
[00:02:45] The show where you learn something useful about nutrition, fitness, life or lifestyle choices
[00:02:50] from me.
[00:02:51] I'm Vishnu Kupina.
[00:02:52] I usually discuss things like stress management, eating healthy, fitness routines and so on.
[00:02:58] But with the coronavirus and terms like quarantine and social distancing, becoming household
[00:03:03] worlds, I realize it's time we talked about it.
[00:03:15] In fact our office took the necessary measures and is now working from home.
[00:03:19] With its total strength reduced to less than half, people who take public transport, especially
[00:03:25] have been asked to avoid travelling because travelling involves higher risk.
[00:03:30] So I wrote this podcast from home and I'm avoiding human to human interaction as much as
[00:03:35] possible, like the rest of my colleagues, family and friends.
[00:03:40] In the interest of social distancing, I'm joined by my guest today over the phone.
[00:03:45] I'm joined by Dr. Sumitri and Dr. Jackresson.
[00:03:48] Dr. Jackresson is the coordinator for the regional prevention of epidemic diseases at Calicut
[00:03:53] Medical College.
[00:03:55] Currently in China, the doubling type of committees within 5 days and in Italy it is within
[00:04:03] 3 days.
[00:04:04] In such cases, one of the available tool for medical sciences reduces the number of
[00:04:11] contact, reducing the susceptible people.
[00:04:14] Calicut Medical College is one of three coronavirus testing centers in Kerala.
[00:04:20] Dr. Ray is the Chief of Medical Services and the Chairperson for Critical Care Medicine at
[00:04:24] Artemis Hospital in New Delhi.
[00:04:27] Social distancing like not going to the market unless it is absolutely essential, not
[00:04:31] going to religious gatherings, not going to get together, not having get together.
[00:04:37] Today I'm going to tell you my experience so far and what you should do from the different
[00:04:41] things that I have read and tried.
[00:04:43] But honestly, social distancing is new to all of us.
[00:04:47] As I said, it's a word that many of us only became familiar with after the corona virus
[00:04:52] outbreak.
[00:04:53] The multiple ways of going through social distancing, one of them is like working from home,
[00:04:59] which would only be possible in a small percentage of people in India because as I have
[00:05:06] said before, 93% of the population in India is in the unorganized sector, either self-employed
[00:05:13] or working in stretch shops or in small factories with tight spaces, etc.
[00:05:18] Very few people can actually work from home, yes, working from home would help in that
[00:05:22] subset but not in others.
[00:05:25] Then there would be social distancing like not going to the market unless it is absolutely
[00:05:30] essential, not going to religious gatherings, not going to get together, not having
[00:05:35] get together, large get together of any sort, political religious, social, etc.
[00:05:42] As much as possible for a period of time in the household, keeping distance between
[00:05:49] the infected and the uninfected with some people have symptoms they keep.
[00:05:54] A way that work also if it is possible to keep a distance of at least a meter,
[00:05:59] a half or two meters.
[00:06:01] If possible to keep that distance is also going to help in those places where people
[00:06:07] have to go to work and cannot work from home.
[00:06:09] It is important to have that kind of distance if possible.
[00:06:13] And so it takes some planning.
[00:06:15] You will be indoors for anywhere from a few days to a few weeks.
[00:06:19] Since we are also trying to limit human-human contact, it is important to make sure you have
[00:06:24] what you need for the coming weeks.
[00:06:26] Having said that, you don't need to hold supplies, you only need to stock up on things
[00:06:31] like you're going to stay home for a couple of weeks.
[00:06:33] So let me give you some helpful pointers.
[00:06:44] During a quarantine or isolation situation, people usually tend to worry a lot about the future.
[00:06:49] This can lead to panic buying and hoarding, which is what you want to avoid.
[00:06:53] Remember this.
[00:06:55] Rule number one is keep calm and don't panic.
[00:06:58] You just need to get a few essentials to make social distancing easier on yourself and your loved ones.
[00:07:04] Also, preparation like this is always great to practice, regardless of whether you're facing
[00:07:08] a nationwide quarantine or generally planning ahead for a few weeks.
[00:07:13] So take note for the future as well.
[00:07:14] The government has a few recommendations and different emergency preparedness groups have a few
[00:07:27] points. I have crossed our friends all of these to bring you the most useful advice from all of them.
[00:07:33] First and foremost, we need to make a list to manage five things.
[00:07:37] Water, food, medicines, soap and warmth. Get a pen and paper and write this down.
[00:07:46] As far as water goes, you need water to drink and water for cleaning.
[00:07:51] For drinking water since most of us either use a purifier or water in cans,
[00:07:55] you'll have to decide based on what you normally choose. I use water cans. So for two people,
[00:08:01] I have ordered 50 litres of water which should last us around 10 days.
[00:08:06] But in case you try to order something in a dozen come, you can order it online to minimize human
[00:08:12] contact if you have their option. Running water shouldn't be a problem, but ideally you should have
[00:08:18] a 1000 litres tank at least to last you around 2-3 days. Fill up your water supply and store
[00:08:23] water in closed buckets. In an absolute worst case, you'll have some water left. But water
[00:08:30] and electricity won't usually be a problem in this kind of quarantine. Now apart from playing water,
[00:08:35] stock up packets of oral dehydration solution or ores. Ores has electrolytes that your body
[00:08:42] will need over time. They're also essential in case you fall sick. You can buy ores at a
[00:08:47] medical store for like 15-20 bucks a packet. I'd suggest keeping 10-20 of them in stock.
[00:08:53] They're also a great hangover cure just FYI. Some people recommend gate-read another sports
[00:08:58] drinks, but they are more expensive and they have a lot more sugar. Ores does the trick
[00:09:04] fine and I never leave home without it. As for fluids, stock up on soap mixes because they're
[00:09:15] very convenient in a pinch. Coffee powder and tea leaves are also important to have, not just because
[00:09:20] of the caffeine that they provide, but also because they raise your spirits. Keeping a spirits up
[00:09:25] is important during situation like this. This is something I learned from this funny book called
[00:09:31] the Zombies Survival Guide. A positive outlook can make all the difference in your time in isolation.
[00:09:45] It keeps you sane and grounded. So how effective can social distance in being at mitigating the virus?
[00:09:55] I asked Dr. Jack Prishnan about this. In the community, the COVID can in fact
[00:10:01] 60% of population. Currently in China, the doubling number of communities within five days
[00:10:10] and in Italy it is within three days. In such cases one of the available tool for medical
[00:10:18] sciences reduces the number of conduct, where reducing the susceptible people. So one of the
[00:10:25] strategies of reducing the number of contacts from the patients so that the time person can be reduced.
[00:10:32] One of the strategies is social distancing. There are evidence available in the case of
[00:10:37] a COVID evidence available during the past two months that social distancing at third with
[00:10:45] the social distancing method. Since there is no medicines available, no vaccines available,
[00:10:51] the only available method is social distancing at quarantine. The COVID virus will infect
[00:10:58] the others during the early stages of this year. So we can implement this quarantine
[00:11:06] within the one day, one day of the infection. One day of the symptoms,
[00:11:11] it is there is not that it can reduce the 60% of transmission. So which is one
[00:11:16] considered is a one of the best method available, one of the tool I will be able to
[00:11:20] be one social safety. Next we have food. Food is one of my favorite things to stock up.
[00:11:35] You should have food to last you for around a month. Again remember we're not holding
[00:11:39] you're buying enough to last us a month at least. As of the most recent reports,
[00:11:48] the coronavirus could have an incubation period that goes up to 28 days. So social distancing
[00:11:55] and isolation for around 28 days is recommended. Things like fresh vegetables and fruits
[00:12:00] won't last for more than a few weeks, maximum two weeks. So if you want to stock up
[00:12:05] and you really want your vegetables and fruit, opt for canned vegetables or fruits.
[00:12:10] But first and foremost always eat the veg and fruits that are already in your fridge
[00:12:14] because they will be the first to spoil. Can't go it's a nice but let's be honest as Indians
[00:12:21] we don't usually opt for canned goods. If you live in another country please feel free to
[00:12:25] stock up on canned food. fruits some vegetables and some red eat cook meats but just enough to
[00:12:30] last you. And after that plan is shopping during non peak hours so that you avoid bumping into
[00:12:36] a lot of people and you avoid risk of infection. Now I prefer getting my carbohydrates from other
[00:12:43] sources. Food is a cheap and also last longer. Things like oats. Oats are a great source of fiber
[00:12:49] they last a long time in your storage and they're easy to cook. You can throw in some fruit if
[00:12:54] you want dried fruit is fine or honey if you want to make a taste to your. Usually it's also a
[00:13:00] good option. Now on the topic of honey, honey helps make most things better and it's sweet so
[00:13:07] it'll definitely help make you feel better. It's also got a very very very long shelf life
[00:13:13] unless you like me and you eat it all up in a week. On a small side note I am always a coffee person
[00:13:21] but a cup of hot black tea with lemon and honey is literally one of the best pick me up
[00:13:26] drinks I would recommend. I wouldn't advise getting any more milk than maybe for a week maximum
[00:13:33] because milk spoils really fast. So maybe stick to taking your tea and coffee black. You could
[00:13:39] also include milk powder in a stockpile if your child needs it or if you like having milk once in
[00:13:44] a while with a tea and coffee. If you have baby and you need milk daily and you can't avoid shopping
[00:13:51] either opt for ordering online if you have the option or shop during non-peak hours to avoid people.
[00:13:58] Peanut butter jam crackers and bread are also great options but with bread if you're keeping it
[00:14:03] for longer you might want to throw it in the freezer but your freezer is going to be a pretty occupied
[00:14:08] so it's just eating a perishable bread sooner. Now from peanut butter let's head to other
[00:14:19] sources of protein. Pick things like beans, chowley or chickpeas, soya which is basically
[00:14:26] I think it's called Nutella and cheese since they all have a fairly long shelf life.
[00:14:31] Paneer and meat are options that will last you months. You'll have to store these in the freezer though.
[00:14:37] I kept bacon stored in the freezer for months on end. This, there was this one time and they had
[00:14:42] a sale and I ended up accidentally buying 6 kilos of bacon. So depending on the size of your freezer
[00:14:49] filled that thing up with enough meat for a few weeks or even a month if you get meat and
[00:14:54] not just chicken. Needless to say make sure you have spices and salt and oils to cook with
[00:15:00] for a month at least if not more. Also this is one of my secrets. I love Magi Masala. You know
[00:15:08] it's that stuff that costs five rupees for a packet. It's insanely good to add to most foods and
[00:15:14] makes almost everything taste better and I mean I like it personally so if you like it you should
[00:15:20] add it to your list. Magi Masala chicken broth cubes and other flavor cubes are things you should
[00:15:26] always keep stored. They cheap they last for a long time and they add a lot of flavor to
[00:15:31] boring bland food. Now herbs aren't a great option because dried herbs lose their flavor with
[00:15:38] time and fresh herbs will spoil really fast so if you have herbs use them up sooner rather than later.
[00:15:45] And as far as oils coconut oil is great if you store it in the fridge. Some other vegetable oils
[00:15:51] while I don't usually recommend them are good options because they have made to have a long shelf
[00:15:57] focus on getting things with good flavor and the flavors that you like which also have a long
[00:16:01] shelf life and I think we are set as far as food goes. Now let's talk about medicines.
[00:16:15] Now if you have any emergency medication or medicines that you need to take daily you should
[00:16:20] have a stock for at least a month and a half. Aim for a month's worth of medicines at the lowest
[00:16:25] that's the recommendation by the red cross. In some cases like people who are diabetic or
[00:16:30] asthmatic medication needs to be high on the priority list. Keep a stock for a month at least
[00:16:36] I'd recommend a month and a half so you don't have to worry about running out at the end of the month.
[00:16:52] Obviously hand wash soap detergent cleaning liquids and hand sanitizer are essential to keep it home.
[00:16:58] Again you don't need to buy the whole store just buy enough for a few weeks which is around 4 weeks.
[00:17:04] The world isn't coming to an end. Social media has flooded with stories of people holding hands sanitizers
[00:17:10] and other cleaning supplies. Don't be one of those people. Remember rule number 1. Don't panic.
[00:17:18] By the way social distancing on its own is not going to be enough to fix this virus so remember
[00:17:23] that's only one part of what we're doing but other than emergency medication keep
[00:17:28] cough cold and flu medicines vitamin D vitamin C vitamin K painkillers antidearia
[00:17:34] medicines antivomiting and antacid medication. Antibacterial and septic solutions and rubbing
[00:17:40] alcohol are also important in case you get nic cuts or sores and you need to disinfect them.
[00:17:45] If you have babies of pets get extra stocks of diapers, baby food and pet food.
[00:17:51] Any medicines that you'll need for your baby as well make sure you stock up for a month and a half.
[00:17:55] For all meds in fact aim for at least a month's worth if not a month and a half.
[00:18:07] Some sources have went through about the coronavirus specifically, recommended keeping
[00:18:11] copies of your health documents, your bank details and other important papers as well.
[00:18:16] This is always a wise idea not just in a situation like this. Needless to say all of these precautions
[00:18:21] will cost a little extra but look at it as an investment in your health and future.
[00:18:27] The other important thing in an urban setting is to have enough electricity and charged
[00:18:31] electronics to last you the whole time. If you haven't done it that's the best.
[00:18:35] Settle in with some Netflix or Amazon Prime or a video game and pass your time social distancing.
[00:18:42] Stock up on books, video games whatever you enjoy doing cook yourself some holes and food instead
[00:18:48] of ordering in and try to pass the time comfortably. If you want to learn a new skill this is a
[00:18:53] great time to do that too. Get on YouTube and learn something new with the help of a video.
[00:19:08] What will we do long term if this virus continues to grow on spread?
[00:19:13] Long term preparation for this is difficult to say we really don't know. I mean this kind of
[00:19:19] an epidemic doesn't happen often. The preparedness long term we do not know it's going to take
[00:19:24] a toll if we do not control the surge now. It is absolutely essential that we control the surge
[00:19:31] of infections now because if it becomes a fast surge which lasts for a long time the incident
[00:19:38] increased incidents last for a long time they are in bad shape because our public health system
[00:19:43] is miserable. Our only hope would be to stop the rate of rise of infection because once
[00:19:51] the number of cases increase our health system will get over and as I said the public health
[00:19:57] system is very, very poor in most parts of the country. So really the most important thing is
[00:20:03] to control it now testing contact tracing isolation is absolutely a face sense social distancing.
[00:20:12] Yes, important but that's only only one means multiple methodologies have to be used to control
[00:20:19] this infection. It's not often we're all forced to stay inside. The situation will pass but only
[00:20:37] if we take all the steps needed to limit the spread of the novel coronavirus. I'll try making the
[00:20:43] most of my time and if you keep all these in mind you too can be prepared for the next few weeks
[00:20:49] while you wait for the virus to run its course. On that note I'm going to take a leave today.
[00:20:54] I hope you and your loved ones remain safe and take the precautions needed.
[00:21:00] I'll see you on the next episode of Bush Mookie Secret Life. Thank you so much for joining me today.


