Letters
Covid-19: remote assessment in primary care
Removing the handle of the Broad Street pump: measures to slow the spread of covid-19 in primary care teams
BMJ 2020; 369 doi: https://doi.org/10.1136/bmj.m1841 (Published 12 May 2020) Cite this as: BMJ 2020;369:m1841- Simon de Lusignan, professor of primary care and clinical informatics1,
- Tamsin Carlyon, general practice partner2,
- Ajit Lalvani, chair of infectious diseases3
- 1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6ED, UK
- 2Woodbridge Hill Surgery, Guildford, UK
- 3Imperial College London, St Mary’s Campus, London, UK
- simon.delusignan{at}phc.ox.ac.uk
John Snow removed the handle of the Broad Street pump to halt a cholera epidemic. His approach was not to find the organism but to block transmission.1 One way to contain covid-19 is to assess patients remotely,2 but what about transmission within primary care teams? Research reporting the effectiveness of strict infection control measures34 and about the aerosol and surface stability of SARS-CoV-2 provide5 the basis for measures to reduce transmission in general practices.
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