 Okay, no gopanda ko hoa mani nivaya mask mi, nivaya? It's not funny, it's not, but because it is not funny and it's serious, that is why we're going to talk about it. So today on Health Monday we're going to discuss COVID-19, methods of prevention, possibly how to care for someone who has contracted the virus. So my name is Valentine or at Colour Me Val. If you hear me joking, please let's just laugh to square to see rias all the time for the time that I work at Whitefifor Facebook, at Whitefifor channel on Twitter and YouTube as well. Hashtag of the day is what is the morning. Now what we're going to is going to get straight into it. I have a very, very dapper guest. His name is Mike, but I think he'll introduce himself better. Hi Mike. How are you? Fine, thank you. Would you like to address the nation? Oh, great. My name is Mike Ogitao, Images Services and Safety Consultant, and I run a certain farm called Ethnomed Healthcare Inc. What it does, we have different departments and one of the segmentals, some of the core job that we do is integrated medicine and research. Apart from that, we have a safety department that runs with different aspects of the trainings, the knowledge and also public awareness. And one of the things that we do is, for example, now creating awareness in respect to COVID-19, which has become a big problem to the whole world. Where did this COVID-19 come from? Well, where did it come from? I could start off from what it's all about. What is it, where does it come from and why is it in Africa? Let's start from what it is. Okay. Now, corona viruses, it's a group now, you say it's a corona virus, they are pathogens causing illness or diseases. And someone has talked about what are pathogens and you have bacteria, viruses or microorganisms that could cause now an illness to human. And this was particularly the corona virus, the COVID-19, which was now initially as novel corona virus, was discovered in Wuhan City. This is none of the Mibeyi province in China. And this is when the healthcare practitioners started noticing some more the sign symptoms from different patients presenting with a pneumonia-like signs and symptoms, which was a late part of the 2019. Then from there on, we had this now in flux of patients because it's a new trend, it's a new trend of the virus. It's not something that has been running, that has been known of. So now from there on, now it's started spreading quite fast from now the China, then ran across the whole of Europe, now we end up having it in Africa. And specifically now we have it in Kenya. To listen of it, it was actually not fake. So to quote from a check of COVID-19, it was not fake. I don't think we are laughing about it anymore. In fact, we are so scared, we are at home now, we are afraid of moving around, we are afraid of talking to people, we are afraid of opening the door, touching surfaces, it's ridiculous. But just in the beginning, ok, just tell me the truth. But because I am aware that COVID-19 but corona itself like you said is many, is a group of them and understand that it was previously only in animals before it made the jump. I don't know what kind of jump that is to humans. So is it someone's fault somewhere li kula kitumbaya and then suddenly here we are all suffering. Is that what happened? I would be in a position to confirm that yet. However the corona virus is the big group of viruses which affect both animals and human. And now the transition that is what now it is being actually been worked on. Like I said, this is something that is quite new even to the healthcare practitioners, to the researchers, to virologists. And that's why they are getting back to the lab and trying to figure out what can we really do because as we speak right now we do not have a cure for it, we have a vaccine for it and now it's starting from scratch going all the way through. Yes, now from where it started and it is a global issue now. It's not one country's issue. There's a common misconception and today also we're going to be talking about the things you think you know about corona versus the truth about COVID-19. It's not airborne is it? But people will assume that if someone coughs a meter or two meters away then I must run for my dear life. Please explain that or demystify that. Well, earlier on as I said when the initial faces of it there was not much of trending or the initiative saying that it's part of the airborne. However, there is a recent update that came from the World Health Organization actually that those droplets actually the virus can stay in the air for even up to about even 8 hours. So the research is still being carried on. You're not helping the state of panic. I am not making you panic. I'm just giving you the realistic part of it and that's why you would find for example the cases of healthcare providers then they ought to they're recommended to put on masks and especially when you're dealing with that kind of a patient because you could never know maybe it is still hanging there. However, it depends with the environment could be the case of humidity. So that is something that is and we are waiting for them maybe the guys who are doing the research and again the World Health Organization locally again because even the some of the researchers locally they are working together with the World Health Organization. We are about to get now is it a confirmation or is it going to start so that we can have this case demystified is it really what is happening but is it a near bone or is it just how it has been transmitted all through? I think the scariest thing is not actually knowing what's going on. So if they thought of something that can stay in the air for 8 hours also a little bit freaking me out but again silver lining I understand it's not a death sentence. You don't have to die once you have because I've seen a couple of cases where someone has COVID-19 and they make full recovery but what is the situation that you are facing? Well if you look at the case of the coronavirus it is not something this is a new virus trend that is new however the case of coronavirus has been there and we start you back all the way in 1918 we had the one which was the one that flashed and that's where we ended up even having now the severe acute respiratory syndrome we also had another one called mass middle east respiratory syndrome those ones if you look at that time and now it's slightly different now the difference comes in previously those initial viruses if you look at the rate of infectility the mortality that time previously the mortality was quite high but now in this trend with the coronavirus the COVID-19 the infectivity is quite fast and high however the mortality is not as much because if you compare the two you'd find the previous we have about the mortality about 10% the 10% of the people who are already infected then the mortality would be about that but in this case with the data collected or across so far the mortality rate is about between 2% to 3% I want to say that's encouraging but it's still a number it's still people you know not to be here let's work our way through this so prevention and then maybe after prevention what happens if you have it how to conduct yourself how would others supposed to be conducting with the person and then now the post part the one we were talking about before the lights went on and if you have questions please don't be afraid to ask okay at WhiteFifo Facebook WhiteFifo channel Twitter hashtag is why in the morning so we are having hourly updates on WhiteFifo shout out WhiteFifo channel and we are getting people to wash their hands soap and water and we are teaching them how to do it in between under the fingernails and all this and we are telling them hand sanitizer is good alcohol based hand sanitizer but it's not the end of the world if you cannot access it other things we've been telling them is social distancing keep at least a meter away or something but also these things are not making a lot of sense kusu kiyakwa mat and the driver has not complied with social distancing what are you going to do and you gotta get to work so maybe we can talk about that yeah let's start with those ones how do you tell that someone is already infected because we are starting from the point of no if we know then we know what to do now we have those two cases where you find asymptomatic and symptomatic asymptomatic is you could be infected but I can't tell because it is not printed on your forehead but there are those sinus symptoms which we call the KADNO sinus symptoms that means you are likely now again to be infected and I'm sure most of us they could be aware that's where we're talking about cases of the sore throat is common because remember this infection is affecting the respiratory system the respiratory system is a breathing system that's where immediately it is affecting and now when you have that infection so the fast phase is because it's behaving like an influenza or flu and it's a common science but you find that most of us we pretend or exude it the sinus symptoms more or less the same however in stages so in case of the sore throat you could have a persistent sore throat that is not going away then there is a headache that is a company there then the headache is not going away as well this is persistent you're finding a fatigue which is maybe general malaise through the body then the case again where there is a fever and the fever is now if you use a thermometer to check you find it is something now above that is 7.5 because normally you'd find normal temperatures between maybe 36.5 to 37.5 so anything above that that is what is now considered a high fever now and those will be now the same of the signs that you could now be having and then there is a point where so if someone gets you have seen those signs this is what you are finding happening in the public areas or in different sectors that you find taking temperatures then the moment they get that when someone takes it and show you and it is elevated, you tell you right please step aside then they are able now to ask you a few questions have you interacted with someone perhaps suspected to have been infected or yes have you travelled because now those are now the key you are trying to nail it down could you be likely infected then once it is your suspected to be because unless you outside is not very easier to know that this person is already infected because you have to go and get it now tested that's why now you need now to get in touch with the health facility and the health facility the transition here we are looking at so if you are the one who have suspected that the right thing is not to tell that suspected victim of the case to go to the hospital because perhaps they are not driving they are using the public means so if you jump in a matatu this matatu full of other occupants you are going to be touching things you do not have perhaps the hands sanitized you do not have masks so you are going to live you know you are going to be touching all over then as you get to the medical facility remember you are not already known that you are coming to the health care providers attend to other patients so with that transition that's why when you get to be that you have been suspected even out on the ground that's why the government provided a number that you can call that is a 719 and when you call that first of all to get more information on what is going on the current situation the sign and symptoms is you dial star 719 hash that will give you all the prompts because it's in different language that is in English or English so you can choose whichever then from there once you now can tell this is like you know to be the coronavirus now you call 719 which is power free and this is managed by the Ministry of Health you are going to send you the right ambulance or the right expertise to come and evacuate you the right way so that's now the case of now are contaminating others or spreading this now it is being because the biggest issue we are having is that even the panic perhaps you have the other day is some people feel you in a whole plane you only suspect only it confirm then where the rest of the occupants who are in the same aircraft so they are out there perhaps so it's becoming a big problem for the government as well to track it down remember the resources are not as much as adequate as that so that is the transition we are looking into and again is it every time that you start coughing or sneezing that you have to rush to the hospital I'm sure most of the Kenyans every time they sneeze or cough they don't rush to the hospital now it's serious now you can't just cough in front of anyone anyhow because now the issue of panic can't be and why would you panic is perhaps because we are not following simple instructions because at the same time you realize if you just cough once that does not mean you are infected with coronavirus we said a few examples have you been interacting with people have you had an encounter with someone who has traveled have you been to places where now you find it is crowding and that's where the case of distancing is another it's brought forth and one distancing the easiest because if I sneeze now or I cough likelihood is I will have some droplets which is one of the mood of transmissions but they cannot jump up to 1.5 meters they really unless you spitting like a snake which is not very easy and that's for the case of spacing so now once you have all that into play then that's when the person goes to the hospital have the water the preventative measures that we ought to have there's an issue of hygiene very basic so one we're starting off with the water just clean water no more clean water with soap what kind of soap what about the people that we're looking at who I once went to Kiberia to do a feature and just okay malin ligua it was for clout I was trying to stand up somewhere so that you know they can get a proper shot of the sky and the view but what was actually below me what was going on, kwa ground between different you have houses this close together na maji tuya na tembe and that maji is dependent on I think just the rain so yes there's water flowing but there's going to be a lot more water flowing and it's not necessarily the cleanest of water but it's available water so miki chota utenlao mu well I'll just say that it's well perhaps common sense although some point they are not very common it's just clean water that you can tell whether the source is in clean water you can tell by even by look you can tell this because if it's not clean perhaps you're going to see coloration certain smell what if I don't have access to clean water with what we have currently in Kenya it's most most of the biggest percentage we have access to clean water either that is despite the council or the government or alternatively you have boreholes and there are those perhaps who have big reservoirs so in Kenya we wouldn't say that we are inadequate of water as per say as compared to other countries so clean water would be there then if this water you necessarily want now to make it maybe more that's where you can boil it alright we can use the soap what soap? there's no more soap that you have to be scented CG red to you know bottom line even if you go back to I don't know whether that's what's happening most guys were doing chemistry back in high school making soap was very easy just go in a lab and make a few composition then you have your soap it's very easy so it is a basic there is those basic substitute must be there facts that you know this is going to be soap and once you wash your hands then again the bacteria the virus would not survive there however there is a point of how do you wash your hands because there is a process most of us you know right now this is a big issue because you have to keep on sanitizing cleaning your hands because previously most of the larger population they have never been cleaning their hands so it's look a foreign thing but in healthcare it's a practice everyday it's a practice everyday so this kind is when you get water you wet your hands so once you wet your hands then you get your soap applied this application on the front which is the pump then you at the back clean you rub completely at the back then you rub the other hands of the back again then you have between the fingers because again between the fingers you could be having again substance there or microorganisms then you come to the thumb as you keeping in thumb remember there is a space between the index finger and the thumb yeah so as you clean as you cleaning that you remember in this space and the other side the same alright then you remaining with the fingertips the fingertips of the nails so that's why they need to be cleaned again they are cleaned again remember you only clean here so some point because perhaps you have been exposed when you go to the wrist are we scrubbing in for surgery or are we washing our hands you wash this and this is what the cleaning is you should not take even take you more than 60 seconds we shouldn't because it's fast quite fast at the back at the back in between in between then thumbs thumbs wrist wrist pretty easy the same thing is happening even to sanitizers yes sanitizer you okay it has a short that is quite a short cut but if you have any contaminant over here and someone touches you even someone touching you because now they are spacing but what about you go and touch a table because if you have that if you are going to leave it there it will stay on the surface and even go up to 6 days so any other person touching the table the door knobs okay or even the sink remember they are going to come in get the sink so this is why it is important for you to clean or to sanitize before for those again you being encouraged to put on masks now the mask there is a concept again for many people are panicking out there and they are putting all sort of different types of masks okay wait before we get to the mask would you please teach us how to sanitize our hands and then we will ask you a couple of questions on a couple of minutes and then we will get back to the mask so hand sanitizer do we use this ones let's use a small one now me indomili maliza kwa spama it is a way to alright I can put a bit on your hands guys it seems after you don't have to put a lot like that and I put mine like that so we go together so this is enough is it yeah yeah I like the cooling effect is it not going okay this something by the way guys this is very easy to forget okay by the time you are done you actually becoming dry yes when you do this then you know that you can feel around that you have done something now when you move from here to the other spot you know what I go you have done this you have already sanitized then few meters then you do the same it's going to be logic because that is a waste yes okay so guys I have a couple of questions coming up and we have a couple of questions over here we start over here at WhiteFive for Facebook at WhiteFive for Twitter hashtag is 5am so a myth one of the myths and a myth is something that you believe that is not true okay so the myth is coronavirus lives in the throat throat area so drink loss of water loss so that the virus is pushed into the stomach where the acid will kill it this science sounds fantastic but it's a myth why is it a myth good now if you look the throat there is a throat and there is key ones throat there and there is stomach those are two systems body systems because the throat is part of the respiratory system which is a breathing side the stomach is now where you talk about gastrointestinal it is a food part but also for gas manani how is it called ahuka pipe well they are two because if you touch your neck around here the first tube you feel that is your throat or the tracker right behind it that way you have the food pipe yes then back of the back of your mouth there is a flip like corona which now Karina sorry that flip opens between the isofagus and the tracker so that means you cannot drink you cannot swallow and breathe at the same time so that's why maybe Mtuna and I make a joke I love how I swallow or drink some water that's why so if you try to get any water alright let me put it easier anything that goes down through your tracker apart from air you will choke so if you have the virus is already affecting the throat if you drink water does it flash it to go down now to your abdomen exactly it amazed those are two different independent organs so it's not gonna go down that however if you happen to be now within the isofagus the virus and it goes down to the abdomen it's not gonna survive you have gastric juices they're gonna kill that virus it will not survive drinking a lot of water is going to help you rehydrate but it's not the one now pushing down the virus those are different case scenarios so in other news guys in rumors this is rumors you cannot drink water to flush down the thing it's not logical hashtag is on the morning okay so another myth hand sanitizers are better than soap and water hand sanitizers are better than soap and water now again because of these hourly updates I have come to learn that soap and please how to say edit me correct me from wrong guess soap and water actually is better than hand sanitizer sorry because it kills all the jums in the is that true well for the hand sanitizer is to kill because what is a composition that scale the virus microorganism is usually the akobit part of it that's why the minimum akopasente should be not less than 60 from the world health organizations are the standards what is acceptable is from 60 and above so any percentage that is less than that is not likely now to be effective on microorganisms now why soap is easier to use because soap has lipids on its surface in the composition this virus itself it has a lipid membrane in it so when you combine the two the soap usually does it breaks this and it gets in and passed out there virus that's how easy soap is so they both effective but it depends on which one do you access first then again that's why you have to look at the recommendations yes the minimum akopasente if it is lower it's not going to be effective and perhaps that can help me to try to de-estify some people say you can go and use beer or because Kenyans are just Kenyans because the next thing is that I'm talking now on a glen vd so is that effective for some people well that's not so good idea I wish you'd want that perhaps to be going down your all the way to your abdomen to enjoy but now if you put in your hands that's pretty much of waste because remember what we talked about the configurations then the effectivity of it yes so the best for what I recommend and this can be accessed by any other Kenyan is water and soap because like right now we have been a problem with the hands sanitizers not out of market it's the demand is quite high than the supplier so that is why I have so many things to say about that but I won't say anything what I'm going to say is take you to the next myth if you can be able to hold your breath for 10 seconds without discomfort you don't have COVID-19 and I came across this myth the first first days just before they announced that we had cases of COVID-19 in the country how is this wrong why is it wrong there are some behind this because one of the symptoms again is a difficulty in breathing I know this name dysponia that one so it's a difficulty breathing so in essence I should not be able to count today the reason is because right now if you hold your breath you can go up to 10 comfortably and easier but whenever you having a respiratory disease because usually it goes and break down because it has caused a lot of problems all the way to the alveoli alveoli is when the gasex takes place gasex exchange takes place so if there is maybe accumulation of mucus there or maybe there is an outburst or maybe a swelling so the air that you breathe in then there is a certain amount of air when you inhale in you told the percentage when you inhale in is 21% is it which is within the atmosphere but when you exhale out it's 16% so biscuit is about 5% you need but in that we talk about the tidal volume which is approximately like a 500 ml so when you breathe in then it should sustain however when you have a respiratory disease then your lungs will not hold up to that and that's why now you find it is difficult and you have to breathe out as soon as possible yes but does that mean you have absolute COVID-19 no necessarily because there are so many respiratory diseases you have bronchitis we have chronic obstructive pulmonary diseases we have anfisaemia so all those could be pre-existing medical problems and now that is one of the factors that you find when you have some of those pre-disposed or you have pre-existing medical illnesses then even the coronavirus or the COVID-19 when you contract it it's now the management again and say to that it's going to depress you other than the other person who is not now have any pre-existing medical condition okay because I also read a sentence they said the elderly might have a problem holding their breath and counting for 10 seconds but that doesn't mean they have COVID-19 COVID-19 and corona all at the same time so COVID-19 and then a young person maybe who would test positive for COVID-19 can actually be able to hold their breath so there's no for it's a myth just by the way it's rumors okay the moment you have that that means you may need that means you need a medical attention yes you need a medical attention I like that you're looking beyond COVID-19 because it's not about because people are panicking because of this the COVID-19 is not a big issue we're looking at other cases you may be having because that's the biggest problem we're having now people flash into hospitals we have an influx in the hospitals and remember when you get into the hospital it doesn't mean that in the hospital you don't have other patients that's true we have this patient have been discharged by the doctors and you when you get to these symptoms you get to the hospital you're going to find it empty no it is still at the capacity and that's what you're looking at maybe my last question before we do the mass demonstration COVID-19, ni kama homa is it possible to contract the virus live through it get well and then catch it again like a cold well 90, well just to baby the other question you had asked earlier on is if you get infected or you contract coronavirus of the COVID-19 will you die no many people have got infected and they have again lived through it of being managed because what is happening currently it is a symptom managed medical care so they manage this problem like the south world, the fever and all these signs of the headaches that is what is being managed so once that it gives your body now a position where because you have managed what is depressing the body it gives the body the mechanism now to improve on the immunity so that's how you overcome because the same thing that you get flu if you get flu you don't always run to the hospital but you have some even home remedies that you come up with and they actually work through and the same myth you're finding now people are rushing to the medical pharmacies and trying to stalk themself with medication remember it is not a prescrit exactly which is the worst thing that is happening in Kenya because the people who need the patient who needs this medication I have heard many people saying that they need antibiotics and they like now the problem we will have is because you are rushing to self-diagnosis which is now misdiagnosis at the end of the day we end up having organ failures later because you are staming a lot of drugs into your body and you need it so what is happening to the body you are depressing it because it is trying to fight so at the end of the day what do you get that's what you are finding now problems will incur later so yes you are trying to think that you are fighting it but what you are fighting is you are trying to fight an remedy you don't understand so that's why in the case we are coming up please use what it is recommended last question and this by the way is a very special question I know she is a young mom because I know her so I overheard her talking about disinfecting our whole home and I can imagine that she is afraid because she is a first time mom and her baby is very young but is it true or is it a myth one of the best strategies to prevent COVID-19 is to clean every door knob in your home with disinfectants this is why disinfectant in East Asia okay so now the point is what is a disinfectant and you know when it comes to the cleaning part of it we are looking at the surfaces because there is a transmission we say this may be face to face there are other person to person the other is when you are touching surfaces so the disinfectant perhaps you have is common like what you have in Kenya the jik and the like when you make the solution then you can clean your house and point where now if they are children you know likelihood where the children have been touching all over but the question is where did these kids come from within your compound did they have any interaction so it is just perhaps the normal that they have not necessarily a coronavirus because it is not moving in air hovering over that is not what is happening so just normal cleaning where you are likely to be having the tables the door knobs the toilet seats and the sinks they need also to be you know cleaned as well or disinfected because that is where they are likely to remember they are going to be putting some of the they are going to be putting them in their mouth so that is the case where they need to be disinfected I didn't even thought about all those things some children come to school and kids come home and then they just make them too and they just come to oh wow and that is the point is you inform that even if you yourself like right now you have interacted with people who have maybe come in a place where they have interaction with perhaps case of coronavirus so even when you get home the first thing you want to do is don't mix even your clothes together dirty clothes or your kids or your spouses or the people you are living with because now yours are likely now maybe to be carrying so say for example even when you cuff which is recommended you cuff at the elbow remember these virus could even be here up to maybe 6 or so hours so if you go and mix the clothes with the rest then what are you doing so it is better to put them aside and to be cleaned separately right and that's then your hundred percent that's even if you use a bleach or in a disinfectant then you have no cases that's going to be there because as we say alright I can go and throw my jacket there everything else then I get to the shower and you know a bathtub full of deto and I soak myself in so I can get rid of it that is still another man you know you're going to be kidding yourself I'm not saying they take a hot shower a very hot shower you killed them it's just no more things that you have been doing because the biggest problem is the panic alright that is what it is however people just ought to follow the government directive thank you so much so keep calm guys and on the final note we're going to learn how to put on a mask so I was trying to be very clever and say apayatli manifaksha rali tengeneza saite mdili so when you wear the colour inside out this means that I'm sick now immediately most of people out there they wouldn't tell you how to use to put on a mask because this is not what you used to in the public but the healthcare provider is a daily thing this is part of your gear to work so this face usually now when you're facing it's this way and you cover your nose like this is the right way and this is a surgical mask and if you touch that mask there's one point that has a firmness one side has firmness but the other side that comes through your nose because to their nose bridge there's a firmness there this is the one that comes to your nose bridge you might make up it so you're going to come and cover the areas but mine is long band so what I will do is if I have this tie it up can you wash it? no you cannot it's a one use the moment you have to dispose it then that side is covered on top I'm covered on top completely then there is a lower side which now again I can pass it oh it's not like a shoelace you just put everything at the back no because you need to remove it later so if you just tie it all over so what can happen you don't have an assistant well if you go that way you can actually catch yourself so it's an issue to do with safety as well so this goes above the ear the first band goes over the ears they see one comes behind then cut across for yours it's very easy you just hook it under the ear behind the ear and behind the ear and these are comfortable you can walk you can talk comfortably with that and once you are done with this then you need to remove it and dispose it safely however some people keep on moving up and down you remove it you return back you put it back yes now you see that would be wrong because the moment you came for doing that perhaps I can remove it the moment you keep on doing that the problem would be what every time you keep on doing that remember your hands are still touching all over ya and this is the biggest problem you told try to avoid touching your face because your hand could go on the table could go in any surface and this is why it is important for us to use this if you are from other people who are using those dust masks you have to keep on using this is the right one because the other one is a little bit suffocating so every time you keep on adjusting it as long as people now have put it on it and as they put it on the forehead it look like a lamp so this would be the right one to use and there are those again who are using gloves if you happen to put on gloves this is another way if you put on gloves wherever you have done a procedure wherever you have done then remove those gloves you remove them safely and they need to be discarded the right way why is that because say for example you have put on gloves I go through and I have seen this to some of the guys and especially the security officers out there you come and such this bag you have such the bag then you hand it over and you know ladies you have a lot of stuff in the bag so then I go to the next bag I have not removed the gloves then I go to the same so if this person was already infected who is asymptomatic because I cannot tell they are not having any symptoms so I bring it to you and you carry are you seeing the trend but no to see what I am able to look at I am not saying that I am not saying not to use the gloves but it is I am tending to extend this information even to them who are using the gloves because the moment you use them this may be even the banking area and the like because I have seen so many people putting on gloves they often again remember because you can again keep on contaminating others and that is why even the medical practitioner when they come or the emergency medical service when they come over to you they attend to you they put on their gloves then they go to the next patient with the same pair they have removed and put on a fresh cross contamination that almost sounds like cross pollination but that is what we are talking about here we are talking about COVID-19 thank you so very much for staying with us it has been health on Monday we have MCM coming up Mike it has been an honor thank you for enlightening us don't go away guys