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The steps that should be taken by the Government right now must include:
• Full aerosol PPE at all time for staff when they are on floors occupied by quarantine guests;
• Review the current PPE procedures to ensure they protect against aerosol transmission of the UK strain, are easily understood and well communicated to all staff;
• As a priority, fit testing of N95 equivalent masks for hotel quarantine staff to guarantee they are wearing masks that have an airtight seal for each user – and anyone who fails the fit test should not be caring for COVID patients (or possible COVID patients);
• Quarantine staff to be restricted to work at just one hotel (and not between hotels or between hotels and RPH or other hospitals) and paid a bonus to do so;
• Audit and report on ventilation standards in quarantine and transfer vehicles to prevent aerosol spread, using Occupational Hygienists and Physicians;
• Issue reusable, triple-layered fabric masks to the general public – immediately – in preparation for any sudden outbreak of the UK virus in the community;
• COVID marshals to monitor and enforce social distancing in public places such as shopping centres;
• Encourage anyone who can work from home to do so as much as possible;
• Organise for efficient mass testing to ensure the population is not overly inconvenienced should outbreaks occur and large testing numbers be required.