Simple Face Shield for Public as a Crucial Factor to Slow Aerosol Transmission During Unlock Phase of COVID Pandemic

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Simple Face Shield for Public as a Crucial Factor to Slow Aerosol Transmission During Unlock Phase of COVID Pandemic Mubarak Muhamed Khan1 • Sapna Ramkrishna Parab1

Received: 17 July 2020 / Accepted: 18 August 2020 Ó Association of Otolaryngologists of India 2020

Abstract Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Till now, the total number of affected patients are 9,073,969 with 471,199 deaths and 3,747,128 currently infected active cases. Major concern is due to the droplets and aerosols of SARS CoV 2 causing the rapid spread and transmission. Since last 3 months we are using the indigenous face shields for our health care workers which costs only 0.13 USD per shield. Now we propose the use of this same shield for the general public to reduce the transmission of SARS CoV2. Keywords COVID 19  Pandemic  Face masks: face shield  Public use  Global health  Public health

Introduction The world is witnessing a terrible health menace during COVID 19 pandemic since its outbreak. Till now, the total number of affected patients are 9,073,969 with 471,199 deaths and 3,747,128 currently infected active cases [1]. Major concern is due to the droplets and aerosols of SARS CoV 2 causing the rapid spread and transmission.

Electronic supplementary material The online version of this article (https://doi.org/10.1007/s12070-020-02078-3) contains supplementary material, which is available to authorized users. & Sapna Ramkrishna Parab [email protected] 1

Sushrut ENT Hospital and Dr. Khan’s ENT Research Center, Talegaon Dabhade, India

The measures taken during lockdown has helped to curb the spread of COVID 19, but the risk of increase in cases and possible resurgence is expected during the unlock. During the easing of strict lockdown, the shopping malls, restaurants, religious places, theatres, cinemas, casinos, bars, restaurants, hotels, schools will gradually reopen to its full form sooner or later not only in India but all over the world. India and other Asian countries with large dense populations, the unlock period will have many problems to be solved. The Indian population is 1,352,642,280 with the population density [2] of 464 per km2. In addition there are other issues in India like the large amount of labour migration in crowded trains and public transports, and the fact that many daily wage workers have no choice but to go to work every day inspite of the corona crises. In many urban areas, it’s impossible to maintain social distancing. In such situations, where lakhs of people are on the streets at a time for travel, work, religious gatherings and other essential work, it seems impossible to save ourselves from the droplets and aerosols generated unless precautions are taken by each and every one. In a highly populated country like India, people seeking medical advice in public and private hospitals are enormous. In such a scenario, recommending a mandatory use of a simple cloth mask (single or dou