How to set up a quarantine room

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How to set up a quarantine at home
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Camping toilet kit
Above, Dr. Bones, aka, Joseph Alton, M.D. shares his ideas for how to set up a
survival sickroom.

Questions you may have about a quarantine.
Are you prepared if the quarantined person dies or otherwise
excretes fluids? There's lots to consider from having a biohazard kit
on hand to remove fluids and minimize possible exposure to others
as well as biozhard bags, emesis bags, and disinfectants. Get
ready by reading and asking questions.

How long should someone remain in quarantine?
In setting up a quarantine room or camp, survivors wait to see if
the new members become ill before exposing the potential hazard
to the other survivors. The length of time of a quarantine depends
on the type of communicable disease.

Why set up a quarantine?
The purpose of setting up a quarantine is to isolate individuals who
have been granted access to a community or a home. After news of
a pandemic, all potential members of a community after a total
collapse of society should be placed in quarantine to ward off
potential illnesses and to ensure they are not carrying diseases or
parasites which the could spread to your group.

Diseases with fleas, rats, mosquitoes or other vectors as carriers:

Are hospital quarantines effective?
The answer is surprising. Did you know that nearly half of the initial
infections of Coronavirus at one hospital in Wuhan, China appear to
have been spread within the hospital itself? This spread is called
"nosocomial transmission." The word "Nosocomial" means "caught it
in the hospital."

According to the medical journal
JAMA, the spread of disease
appears to come from the procedure of bronchoscopy. In a
bronchoscopy the physician inserts a tube into the patient's lungs.
this apparently has resulted in many more infections than other
methods. It means healthcare workers are among the most
vulnerable to succumbing to the Coronavirus, but it's complicated.
There are many factors include source, engineering, adminstrative
and personal controls. Healtcare workers must be diligent about
handwashing and respiratory hygiene, but they are the mercy of all
the other factors such as whether they are part of risky procedures,
cleaning methods and symptom assesment.

Will a quarantine include military intervention?
The U.S. Military is ensuring plans and procedures for “response,
isolation, quarantine, restriction of movement and community
based intervention” for pandemics. Certainly the U.S. will have
combatant commands ready to assess potential impact of a disease
like Coronavirus which is approaching pandemic levels. The U.S.
military is poised to respond.Their goals are for developing proper
measures to contain the disease and to treat those possibly
exposed. This may include martial law.
Here's more from the CDC
on
How to care for someone who has Coronavirus.

Happy endings...
Having a preparedness plan in place to include quarantining will be
a valuable asset to your community for survival.

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Quarantine Room
How to set up a home quarantine room

How to create a quarantine (or sick room) at home.
During a pandemic, you may be required to self quarantine and
isolate the sick and to help care for them under a mandatory
home quarantine imposed by the U.S. Military or government
entity. Learn how to effectively isolate individuals and how to use
personal protective equipment properly. Get started by getting
your
Coronavirus quarantine supplies in order. Below is everything
you need for setting up a quarantine at home.

How to set up a Quarantine Room
While the title of this article is how to set up a quarantine,
there's a distinction between an isolation room and quarantine.
For the purposes of this article, we want to isolate others in a
sick room. So what's the difference between isolation and
quarantine?

  • Isolation (isolate an ill person from healthy): The purpose
    of an isolation room is to separate sick people who have a
    contagious disease to keep them away from people who are
    otherwise healthy. When someone is ill during a pandemic,
    it's important to isolate them from the rest of the household.
    Isolating these people from the general public is a way to
    mitigate disease spread. This is the essence of a quarantine
    room, though the real word there's a difference between
    isolation and quarantine.

  • Quarantine (restrict movement of potentially ill people):
    Preppers have the foresight to restrict movement of people
    who seem healthy, but who are potentially ill because may
    have been exposed to a communicable disease elsewhere.  
    When a household is under quarantine, you live together but
    practice social distancing. If possible, everyone sleeps in a
    separate room and spent time apart from each other. When
    you're in quarantine, you're in a kind of lock down where you
    stay at home and have someone else bring supplies or order
    them online.  

With
Coronavirus spreading so rapidly, it's imperative that
perppers spend time on planning a sickroom to help mitigate and
prevent transmission of diseases for the people in your
household. Learn how to quarantine yourself and family members
should someone get sick. It's important to know that a
quarantine is different from isolation.

The Centers for Disease Control say to "
Choose a room in your
home that can be used to separate sick household members from
those who are healthy. Identify a separate bathroom for the sick
person to use, if possible. Plan to clean these rooms, as needed,
when someone is sick. Learn how to care for someone with
COVID-19 at home."

There's much to know about a setting up a home quarantine and
what to do to prepare. Below is everything you need to know on
how to construct an isolation room to help you manage contagion
like
Avian flu, Coronavirus, Ebola, SARS, Swine flu or another
pandemic...

Here are the steps to setting up your quarantine:

Step one: pick a room or other location.
In setting up a quarantine room, your primary goal is in isolating
individuals who have a contagious disease from people who are
not sick — though technically a quarantine separates people who
were exposed to someone who is sick and it restricts their
movement to see if they also become sick. In terms of prepping,
the main purpose of setting up a quarantine, or sick ward, is to
prevent deadly germs, parasites, diseases or plagues from
infecting and killing the rest of your group. Keeping people in
isolation can save lives.

Get started on your project by designating a location for your
quarantine area, so that you Do NOT share any household items
with the people you put into isolation. Your room should have
everything needed to live for a specified time.

The location of your quarantine room or camp is important.
Ideally, a slightly off-premise cabin or Recreational Vehicle is an
ideal solution for quarantine, as is a garage. If the quarantine
area is a room is in your home, make sure to have fast access
from entryway to the room as with a back door as you risk
exposure to your family or group the moment the quarantined
person enters your home.

Designate an area for quarantine:

  • Room: Pick a room with easy access from a point of entry
    that does not have heavy traffic from others in your
    household. Within the room you'll use plastic drop cloths at
    the entrance to help provide a barrier between the individual
    in quarantine and other members of your family or group.

  • Garage: A garage might get cold at night, but you can make
    accommodations for comfort such as using a space heater.

  • Recreational vehicle: An R.V., camper, tent trailer or van is
    an ideal place to keep contagion from getting into your home.

  • Tent: Setting up a makeshift tent inside your home is
    another excellent place to help quarantine individuals to
    minimize contagion if you have no other options.

Get the necessary materials to contain the room:

  • Drop cloths, duct tape: No matter where you set up your
    quarantine, you'll want to get plastic drop cloths to help you
    limit the contagion. You'll need enough drop cloth to cover
    the access to the room in curtain layers. Hang two layers at
    the entrance. One to enter the room, and then hang another
    curtain barrier with three feet of space between trap
    contagion. You may also like to cover the windows to keep
    the contagion from spreading or use a containment zipper at
    the entrance of your quarantine room. You'll need basic
    supplies to set up your room within a quarantine room using
    drop cloths and securing them in place with duct tape.
    Remember duct tape has infinite survival uses!

  • Basic contagion supplies: Supplies to help you limit the
    contagion within your quarantine room include:

  • Antiviral tissues. Antiviral tissues help limit the
    contagion with a moisture-activated layer that kills
    99.9% of Cold & Flu Viruses. Having Kleenix on hand is
    a comfort, but having antiviral facial tissues is mostly
    important for reducing exposure to others.

  • Adult diapers. With illness comes diarrheal concerns.
    Adult diapers can help prevent larger containment
    problems. Buying adult diapers online is easy and
    private. You can also buy women's Discreet underwear
    for postpartum and incontinence.

  • Biohazard bags. No quarantine room would be complete
    with a supply of biohazard bags. Remember, biohazard
    bags are not just garbage bags — they are thicker and
    more resistant to leakage. They're also marked to
    identify the biohazards to warn others.

  • Emesis bags to contain the vomit properly. In a pinch
    you can use ziplock bags and double bag the contagion.
    With a wide mouth receptacle, the bag also can seal
    immediately following use.  

  • NOTE: Emesis bags are also useful for cancer patients.
    Additionally, learn how to clean up vomit. A zip-lock bag is a
    poor man's emesis bag, but you may find it a mess.

  • Quarantine sign. Do you need a professional quarantine
    sign? No, but if you have a professional quarantine sign it
    punctuates the severity of the situation and could be helpful
    even if you don't have any illness to deter others from
    coming your way.

Step two: Gather Personal Protective Equipment.
The topic of setting up quarantine room is something rarely
discussed in prepper forums, though it did come up in some
prepper circles during the Ebola scare of 2014. Now we're seeing
more of PPE, like the
chemical coverall pictured right, because of
the emergence of the
Coronavirus.

Personal Protective Equipment is a must.Don't wait for the last
minute when the local stores won't have any Nitrile gloves or N95
respirators available. Plan now by ordering online what you can.

Imagine you're at home with someone who has the virus. You're
quarantined with your loved one and you could get it too. You
need Personal Protective Equipment (PPE) including:

    Here's a basic list of PPE:
  • Chemical hazmat suits. Select a chemical suit that
    protects the entire body from contagion splashes and
    droplets. It will have a hood and provide a barrier from
    liquids.


  • N95 respirators (disposable, one-time use only), these
    are the most important item for virus protection. N95,
    N99 or N100 masks are imperative for a pandemic
    situation, and they will always be in short supply during
    a pandemic.




Step three: Set up a sanitation station.
Basic supplies for setting up a quarantine room need not be
expensive, but there are a few necessary items to have for
sanitation purposes. Keep your hands and home clean and
contagion free. Be on high alert in your bathrooms and kitchen
and follow these protocols.

For a quarantine, you'll need to have a variety of sanitizing
agents on hand.

  • Hand sanitizers. Select hand sanitizers that are alcohol
    based. Gel-based hand sanitizers are not effective unless
    they contain certain essential oils. Germ-X hand sanitizers
    are alcohol based.

  • Employ use of the best disinfectants. Disinfectants will
    help you get ready for the cold and flu season and will help
    you prepare for whatever outbreak or pandemic comes your
    way. The caveat is that you have to use disinfectants
    properly and know that all disinfectants are not created
    equally. Here's a list of the best disinfectants for preppers.


  • CaviCide pictured immediate right, is a convenient,
    ready-to-use, intermediate-level surface disinfectant
    which is effective against TB, HBV, HCV, viruses
    (hydrophilic and lipophilic), bacteria (including MRSA and
    VRE) and fungi. It is safe for all areas of the facility
    including NICU, operating rooms, isolation rooms,
    patient care areas and laboratories. When used as
    directed, it will also effectively clean and decontaminate
    critical and semi-critical instrumentation. CaviCide is
    safe for use on non-porous surfaces. It is perfect for
    cleaning and decontamination of environmental and
    medical device surfaces. See also CaviCide disinfectant
    wipes.

  • Food surfaces. Did you know your kitchen sink is dirtier than
    your toilet? For your home food service and any food contact
    surfaces, try Steramine Quaternizing tablets.

  • Steramine tablets. One bottle of Steramine is enough to
    make 150 gallons of sanitizer. Commercial in strength
    Steramine also makes an economical household
    sanitizer that's ideal also food contact surfaces. Most
    preppers aren't aware of these odor-free, non-corrosive
    tablets. They do not irritate the skin and you can apply
    with a clean cloth or sponge. You can spray them on
    food processing equipment, sinks, countertops,
    cabinets, refrigerators, stovetops, cutting boards, and
    all other non-porous articles and surfaces. This
    economical sanitizing solution mixes with water and is
    the trusted brand in restaurants. Learn more about
    Steramine.

  • Get extra Nitrile gloves for cleaning. Clean household
    surfaces daily, using disposable Nitrile gloves to minimize
    the spread of germs. Waste that has been in contact with
    the isolated person should be put in a plastic rubbish bag
    and tied - then tied up in a second bag.

  • Wash station. Set up a wash basin with liquid soap and
    water. Make sure you have trash bags, a portable toilet with
    disposable bags, and toilet paper; and, of course bleach.  

Step four: Get an off-grid toilet.
Ensure your quarantine area has a toilet. Infected patients should
have a separate bathroom and toilet, and this can be as simple
as a camping toilet. The sick can't do their business where
everyone else does or they will spread the contagion and you can
create a
biohazard toilet or buy one. In addition to the sanitation
supplies listed above, you need to set up a commode.

Start with a five-gallon  bucket for all your supplies. You can even
make an emergency toilet from a five-gallon bucket as a do-it-
yourself project.


Step five: Sanitize the patient.
An outdoor off-grid shower can help you keep clean, especially
when there's a quarantine necessary for the bird flu.

  • Clean the person in quarantine. Before bringing possibly
    infected individuals to your home or camp, the quarantined
    person must be scrubbed and rinsed. An ordinary garden
    hose will do the trick (along with a scrub brush and
    sanitizing solution, such as GoJo, pictured right). Be sure the
    quarantined person scrubs under fingernails and carefully
    bathes.

Step six: take care of laundry requirements.
Doing the laundry is an issue during a pandemic event. Don't
necessarily assume that you'll have time to do the laundry or
even want to, but have a plan in place for the following:

  • Cleaning the laundry: You don't want to mix laundry of the
    sick person with everyone else's laundry. Have a simple
    method to wash the most basic items if you are able to
    salvage them. In the case of Ebola, for example, you will not
    bother sanitizing the laundry, but instead you'll need to
    dispose of the contagion as biohazard, sometimes you may
    just have to burn the contagion.

    Right is a simple laundry set you can make yourself using a
    five gallon bucket. Indeed it's a convenient ready made
    survival kit in itself.

  • Burning the laundry? Your quarantine plan eventually will
    require a place to burn contaminated laundry. Anyone who
    ever read the Velveteen Rabbit as a child will remember that
    the little boy's family burned his prized velveteen rabbit
    after he got deadly sick. It's certainly one way to kill the
    contagion. We'll watch to see what happens in China
    regarding Wuhan. Burning is not out of the question.

  • Have a supply of adult diapers and extra underwear.
    Extra clothes are also important for people who may have
    soiled their clothing during the course of their stay in
    quarantine.

  • Quarantine clothing of new arrivals in your home. As
    quarantined guests enter your facility, you must confiscate
    their possessions and place them in bio-safe bags for
    destruction or storage. The option of storage will be a
    difficult decision as the materials must be stowed away from
    the others until the germs have died.

Step seven. Stock a mini kitchen.
Get your freezer well stocked with foods your family normally
eats, along with an
extra supply of soups, and canned goods like
canned tuna, canned chicken.

Stock the preppers pantry with a variety of freeze dried foods.
You'll need a minimum of a month of food for each patient(s).
Augason Foods has a 30-day food bucket to get you started.

You'll find a variety of freeze dried emergency foods:

Other good foods to consider stockpiling include:

Step eight: Ensure you have all other supplies.
Be sure you're ready.

  • Medicines: Diarrheal medication and fever reducers, are of
    top importance for a quarantine room. See the complete list
    of prepper medicines to consider, including elderberry syrup
    and Oscillococcinum.

  • Bloodborne Pathogen Bodily Spill Kit. Specifically designed
    to protect the user during biohazard clean-up, the
    Bloodborne Pathogen Bodily Spill Kit, pictured below is a 24-
    piece kit that includes a complete head-to-toe defense
    package for fluid pick-up necessities and to protect against
    bio-hazardous contaminants. This kit meets with federal
    OSHA recommendations and contains an ample supply of
    garment disposal and biohazard bags. Products are
    contained in a sturdy, reusable plastic case that can be
    easily carried or mounted on a wall.

  • Biohazard bags. A biohazard bag provides a high density
    isolation liner to provide maximum film strength for tough
    applications. They also feature star seal bottoms which allow
    equal weight distribution and leak resistance. Additionally,
    bags are red to indicate use for infectious waste or
    hazardous waste to warn others. Don't skimp and use
    ordinary trash bags.

Learning about Quarantines from the past:

  • Ships from foreign lands. In the not so distant past, around
    the seventeenth century, ships required isolation for "forty
    days and forty nights" after spread of the black plague. If
    after the alotted time, no one died or showed signs of
    disease, the crew was permitted to set foot on land.

  • Typhoid Mary: Even with quarantine, a person can be
    asymptomatic and yet infect others. This was the case with
    Typhoid Mary, an immegrant named Mary Mallon from
    Cookstown Ireland who came to New York in 1900 and
    allegedly spread Typhoid Fever without herself being
    affected. Hired as a domestic cook (and later a laundress),
    she may have infected as many as 49 people, with three
    deaths resulting. She spent nearly three decades in isolation
    enforced by public health authorities at the time.

Learning about Quarantine from television and movies:

  • Doomsday Preppers: Setting up a quaratine room or facility
    is rarely discussed on other prepper sites and forums. One
    episode of Doomsday Preppers featured a woman concerned
    about the Bird Flu and she illustrated her plans of quarantine
    using her son as an example.  In another episode of
    Doomsday preppers on pandemic prepping, a woman
    ensures hundreds in her area has the proper information and
    tools regarding pandemics.

  • The Colony: In the movie, The Colony, illness was not
    tolerated. Anyone showing signs would face immediate
    quarantine and without improvement would have two
    options: walk into the blizzard or be shot. The option of
    "walk" was eventually removed as the condemed would
    eventually wander back to the colony and risk infecting
    others.

  • Contagion: "No one is immune to fear:" such was a line in
    advertising for the movie Contagion, starring Matt Damon,
    Gwyneth Paltrow, Jude Law and Kate Winslet. The movie
    follows the rapid progress of a lethal airborne virus.

Step ten: post your signage.
Have professional signage well before a collapse. A foreboding
sign, like the orange one posted top right, will tell everyone to
keep out. It could also come in handy in other scenarios where no
one is actually ill. Why would looters risk a deadly infection? They
will keep out of your fake quarantine zone when you have a
professional sign.

You can make your own quarantine sign, but it looks like the CDC
or a team of health professionals have visited your hone if you
post a real sign. Have fun with your prepping! Use this sign as
entertainment for your Halloween trick or treaters!

Step three: gather other necessary supplies.



How to set up a sick room
Here's what Dr. Bones has to say about setting up a sick room...