Patient discussions

General prevention measures 

  • Wash hands often with soap and water for at least 20 seconds or an alcohol-based hand sanitizer (that contains at least 60% alcohol), especially after being in a public place, blowing your nose, or coughing/sneezing. Avoid touching the eyes, nose, and mouth with unwashed hands.

  • Avoid close contact with people (i.e., maintain a distance of at least 3 feet [1 meter]) including shaking hands, particularly those who are sick, have a fever, or are coughing or sneezing. It is important to note that recommended distances differ between countries (for example, 6 feet [2 meters] is recommended in the US and UK) and you should consult local guidance. 

  • Practice respiratory hygiene (i.e., cover mouth and nose when coughing or sneezing, discard tissue immediately in a closed bin, and wash hands).

  • Stay at home if you are sick, even with mild symptoms, until you recover (except to get medical care)

  • Clean and disinfect frequently touched surfaces daily (e.g., light switches, door knobs, countertops, handles, phones).[300][301]

  • BMJ Learning: Covid-19 – handwashing technique and PPE videos external link opens in a new window

Face masks

Travel advice


  • At this time, there is no evidence that companion animals (including pets and other animals) play a significant role in the spread of COVID-19, and the risk of animals spreading COVID-19 to people is considered to be very low. There is no evidence that the virus can spread to people from the skin or fur of companion animals.[923]

  • A very small number of pets have been reported to be infected with the virus after close contact with people with confirmed COVID-19; however, thousands of pets have been tested in the US with none testing positive. There is emerging evidence that cats and ferrets are highly susceptible to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, while dogs and other livestock have no or low susceptibility. A tiger tested positive in a zoo and two domestic pet cats tested positive in New York (both cats were owned by people with suspected or confirmed infection and both fully recovered).[924][925][926][927] Transmission between cats has also been reported.[928]

  • Advise patients to limit their contact with their pets and other animals, especially while they are symptomatic. Advise people to not let pets interact with people or animals outside the household, and if a member of the household becomes unwell to isolate them from everyone else, including pets.[929]

  • CDC: coronavirus disease 2019 (COVID-19) – pets and other animals external link opens in a new window

Athletes and highly active people

  • Advise asymptomatic patients who test positive not to exercise for 2 weeks after their test result, with slow resumption of activity under the guidance of a healthcare team. Advise mildly symptomatic patients who test positive not to exercise until 2 weeks after symptom resolution and only after a thorough cardiac evaluation. If the assessment is normal, slow resumption of activity under the guidance of a healthcare team can be considered with close monitoring for clinical deterioration.[930]


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