President’s Insights March 2020
As we all know, all over the world people are facing unprecedented challenges. There is the pandemic itself that nations are dealing with slow downs, lockdowns, ramping up testing capabilities and improving treatment options for critically ill patients. There are the economic repercussions of the pandemic, with tens of thousands of optometrists out of work or on leave temporarily. There are also many small practice owners that were forced to lay off valued employees. There are many uncertainties right now.
Please hang in there everyone. The outbreak in China has initially passed in about 8 weeks. South Korea, so hard hit after China, has initiated extensive testing and compassionate quarantine for test positive people with great effect. People are going back to work. The number of new cases in Italy has peaked and should start to decrease steadily any day now. Here in the US we are still on the upward portion of the curve, in other words, it will get worse and then it will get better. And once the US, UK, and Europe are through the worst I have serious concerns on how developing countries will deal with this pandemic with already strained and underfunded health care systems.
VOSH/International has already recommended a temporary halt to all domestic and international clinics. We had halted all unnecessary travel. We are concentrating on becoming better connected, using what modern technology has to offer. We will concentrate on education for VOSH and SVOSH Chapters. We will improve our understanding of the impact on our international chapters. We will develop clinic guidelines to provide eye care while limiting spread of this coronavirus, which means smaller, more controlled, lower volume clinics more like a private optometry practice. We will follow best practices to lower risk, limit spread, and still help people with their vision needs until there is a vaccine 12-18 months from now.
It remains to be seen but the WHO or CDC might change their recommendations on face mask wearing for protecting health care providers while seeing routine patients. At this moment the guidance is to not wear a protective face mask while examining an asymptomatic patient. But the unique way that this coronavirus is transmitted from asymptomatic and pre-symptomatic people could change all of that.
Please do not forget that each and every one of you are important to the VOSH/International leadership. We are taking steps to keep you safe and provide wise guidance going forward. Take care and wash your hands (regularly)!
Daniel Twelker, OD, PhD, FAAO, FVI